Real World Testing (RWT)
A Condition of Certification
Real World Testing (RWT) is one of the conditions and maintenance of certification requirements as part of the 21st Century Cures Act Final Rule for the ONC Health IT Certification Program. RWT requires that a health IT developer with specific certified health IT criteria must successfully test the real-world use of the technology for interoperability in the type of settings where the technology would be marketed.
In support of this requirement, developers must submit RWT plan(s) to its respective ONC-ACB annually in time for the plan(s) to be posted to the Certified Health IT Product List (CHPL) by Dec. 15 of each year. Thereafter, developers have 15 months to then conduct testing and collect results for incorporation into a RWT report that is then reviewed by the ONC-ACB before also being posted to the CHPL by March of the following year.
As a result of the ONC Interim Final Rule (IFR) published in October 2020, the timeline for RWT now begins in 2021. This ONC final rule applies to all health IT developers with product(s) certified to 170.315(b)(1-3, 6-10), (c)(1-3), (e)(1), (f)(1-7), (g)(7-10) and (h)(1-2). This Condition of Certification requirement measures the following:
- The certified health IT continues to be compliant to the full scope of the certification criteria to which it is certified, including the required technical standards and vocabulary code sets;
- The certified health IT is exchanging electronic health information in the care and practice settings for which it is intended for use; and
- Electronic health information is received by and used in the certified health IT
As part of our role in fulfilling the requirements of an ONC-ACB, Drummond will provide all current customers RWT checklist templates. These documents will help guide a developer through the process of what to include in a plan and in the accompanying result report. These will assist the developer and Drummond in fulfilling respective final rule requirements to create test plans and results, and then review both before publication to the CHPL, respectively.