ONC Certification (In Progress) & Additional Costs

Thyra is not yet ONC certified.

Thyra EHR's ONC Health IT certification is in progress with SLI Compliance (ONC-ACB). This page lists the criteria in scope for certification testing and our additional-costs disclosure.

Certification information

• Developer name: Endo Mind, Inc. DBA Thyra
• Product name: Thyra EHR
• Version: 1.0
• ONC-ACB: SLI Compliance
• Certification number: To be assigned upon certification (certification in progress).
• Certification date: To be assigned upon certification (certification in progress).

Criteria in scope for certification (45 CFR 170.315)

Criteria intended for testing

(b)(1) Transitions of care
(b)(2) Clinical information reconciliation and incorporation
(b)(3) Electronic prescribing
(c)(1) CQMs – record and export
(c)(2) CQMs – import and calculate
(c)(3) CQMs – report
(c)(4) CQMs – filter
(e)(1) View, download, and transmit to a 3rd party
(g)(3) Safety-enhanced design
(g)(4) Quality management system
(g)(5) Accessibility-centered design
(g)(6) Consolidated CDA creation performance
(g)(9) Application access – all data request
(g)(10) Standardized API for patient and population services
(h)(1) Direct Project

Attestation criteria

(a)(1) CPOE – medications
(a)(2) CPOE – laboratory
(a)(3) CPOE – diagnostic imaging
(a)(4) Drug-drug, drug-allergy interaction checks
(a)(5) Demographics
(a)(12) Family health history
(a)(14) Implantable device list
(b)(10) Electronic health information (EHI) export
(b)(11) Decision support interventions
(d)(1)–(d)(13) Privacy and security (authentication; auditable events; audit reports; amendments; automatic access time-out; emergency access; end-user device encryption; integrity; trusted connection; auditing actions on health information; accounting of disclosures; encrypt authentication credentials; multi-factor authentication)
(e)(3) Patient health information capture
(g)(7) Application access – patient selection

Clinical Quality Measures (CQMs) in scope

CMS2v15 Depression Screening
CMS56v14 Hip Replacement Functional Status
CMS68v15 Documentation of Current Medications
CMS117v14 Childhood Immunization Status
CMS122v14 Diabetes Glycemic Status >9%
CMS133v14 Cataracts Visual Acuity
CMS135v14 Heart Failure ACE/ARB/ARNI
CMS137v14 Substance Use Disorder Treatment
CMS138v14 Tobacco Screening & Cessation
CMS139v14 Falls Screening
CMS142v14 Diabetic Retinopathy Communication
CMS143v14 POAG Optic Nerve Evaluation
CMS144v14 Heart Failure Beta-Blocker
CMS149v14 Dementia Cognitive Assessment
CMS154v14 URI Treatment
CMS156v14 High-Risk Medications in Older Adults
CMS157v14 Oncology Pain Intensity
CMS177v14 MDD Suicide Risk Assessment
CMS347v9 Statin Therapy for CVD
CMS646v6 BCG for Non-Muscle Invasive Bladder Cancer
CMS951v4 Kidney Health Evaluation
CMS1154v1 Abnormal Glucose Screening
CMS1157v2 HIV Annual Retention in Care
CMS1188v3 STI Testing for People with HIV

Relied Upon Software

• DoseSpot, electronic prescribing (NCPDP SCRIPT), controlled-substance prescribing (EPCS), and drug-drug/drug-allergy interaction reference data.
• EMR Direct Interoperability Engine 2023 (phiMail), DirectTrust-accredited Health Information Service Provider (HISP) for Direct secure messaging used by (b)(1) and (h)(1).

Additional Types of Costs

There are no additional types of costs or fees (fixed, recurring, transaction-based, or otherwise) imposed by Endo Mind, Inc., or by any third party from whom Endo Mind, Inc. obtains technology, products, or services in connection with Thyra EHR, to purchase, license, implement, maintain, upgrade, use, or otherwise enable and support the use of the capabilities listed above, or in connection with any data generated in the course of using any listed capability.

Understanding ONC certification costs for your practice

ONC Health IT certification (now administered by ASTP/ONC) is a cost borne by the EHR developer, not a fee billed to practices by the government. Achieving and maintaining certification requires independent testing by an ONC-Authorized Certification Body (ONC-ACB), ongoing surveillance, and continued conformance to the criteria listed above. What varies between vendors is how much of that, and which add-on capabilities, they pass through to the practice.

As disclosed above, Endo Mind, Inc. imposes no additional certification-related costs for the capabilities listed above. When comparing certified EHRs, ask each vendor for its ONC additional-costs disclosure and compare the total cost of ownership, interfaces, modules, e-prescribing, patient engagement, support, and per-transaction fees, not just the headline subscription price.

Thyra publishes its pricing openly: the overlay is $300 per provider per month and the full EHR is $600 per provider per month, with no setup fee and no variable per-item fees. See transparent pricing, or book 15 minutes with Dr. Nya Ngatchou.