ONC COMPLIANCE
Real World Testing Plan
How GlaceEMR’s certified Health IT performs in actual customer environments. Plan, measures, results, and the issues we found along the way. Published annually per ONC requirements.
Required by 45 CFR § 170.405. Plan year: 2026. Results published annually by March 31. Last updated: 2026-05-22.
Why we publish this
The ONC Health IT Certification Program requires every certified Health IT developer to plan, conduct, and publish results of Real World Testing for each certified product. The intent is straightforward: prove that what passed a lab test still works in actual practice, against actual patient populations, against actual third-party endpoints.
This page satisfies the publication requirement of 45 CFR § 170.405. The current plan and the most recent year’s results are summarized below, and the full plan and results PDFs are published in the Document Library below.
This Health IT Module is compliant with the ONC Certification Criteria for Health IT and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.
Scope
The plan covers GlaceEMR as deployed across our customer base of private medical practices. Every certified criterion is exercised under conditions of normal clinical and administrative use.
Certified criteria in scope
- (a)(5) Demographics
- (b)(1) Transitions of care (CCDA send and receive)
- (b)(3) Electronic prescribing (Surescripts)
- (b)(10) Electronic health information export
- (c)(1)-(c)(3) Clinical Quality Measures: record, import, report
- (d)(1)-(d)(13) Privacy and security suite (access controls, audit logs, encryption, automatic timeout, emergency access, end-user authentication)
- (e)(1) View, download, transmit (patient access)
- (e)(2)-(e)(3) Secure messaging, patient health information capture
- (f)(1)-(f)(7) Public-health reporting (immunization, syndromic surveillance, electronic case reporting)
- (g)(7)-(g)(10) APIs: Standardized API for Patient and Population Services (FHIR R4 + USCDI v3)
- (h)(1) Direct Project + EDGE protocols for secure messaging
Customer practice mix
Testing draws from a representative sample of customer practices spanning 35+ specialties (internal medicine, family medicine, pediatrics, behavioral health, cardiology, oncology, and others), single-provider through multi-provider locations, and both English- and Spanish-speaking patient panels.
Measurement Approach
Each measure captures behavior under live customer use, not in a synthetic lab environment. Production telemetry feeds an internal RWT dashboard; samples are pulled quarterly for the annual report.
Standards-based exchange (b)(1)
- Per-quarter measurement of CCDA send and receive success rates across customer practices, including transition-of-care documents.
- Validation of CCDA content against the C-CDA Implementation Guide using the ONC C-CDA Scorecard.
- Round-trip validation: CCDA generated by GlaceEMR, parsed by an external system, summary returned and parsed back.
- Target: at least 95% successful send/receive across the measurement period.
API performance (g)(7)-(g)(10)
- Monthly measurement of FHIR endpoint response times (p50, p95, p99) and error rates.
- USCDI v3 data-element coverage: every required data class is queried monthly and validated against the published USCDI specification.
- Third-party app developer onboarding success rate (apps registered, app launches completed).
- Target: 99.5% monthly uptime; p95 response within 800ms for single-patient queries.
Patient access (e)(1)
- Per-customer measurement of portal activation rates, API client registrations, and data-download volume.
- Time-from-clinical-event to patient availability (target within 1 hour for routine results).
- Bilingual portal usage tracking (English vs Spanish session counts and feature usage parity).
Clinical decision support
- Sampled audit of drug-drug-interaction alert behavior (true-positive rate, alert-override rate, near-miss reporting).
- Immunization recommendation logic validated quarterly against CDC ACIP schedules.
- Drug-allergy interaction check sampled against the RxNorm + UNII reference data.
Electronic prescribing (b)(3)
- Surescripts message acceptance rate (NewRx, CancelRx, RxRenewal, RxChange).
- EPCS authentication success rate (Id.me + MFA) for controlled substances.
- Prescription error rate at the pharmacy (returned to provider for clarification).
Public-health reporting (f)(1)-(f)(7)
- State immunization registry submission success rates (all 50 states).
- Syndromic surveillance message acceptance.
- Electronic case reporting (eCR) successful submission rate.
Document Library
Published Real World Testing plans and annual results for GlaceEMR. Open in a new tab; each is a PDF hosted at our canonical document URL.
Annual Plans
- GlaceEMR Real World Testing – 2024 Test Plan (PDF)
- GlaceEMR Real World Testing – 2023 Test Plan (PDF)
- GlaceEMR Real World Testing – 2022 Test Plan (PDF)
Annual Results
- GlaceEMR Real World Testing – 2023 Test Results (published 2024, PDF)
- GlaceEMR Real World Testing – 2022 Test Results (published 2023, PDF)
Certification and Export Documents
- GlaceEMR 6.0 ONC Compliance Certificate (PDF, issued by Drummond Group 2024-06-17).
- GlaceEMR Export Data Dictionary (PDF) – the (b)(10) Electronic Health Information export specification.
- CHPL Listing for GlaceEMR (Certified Health IT Product List).
If a year you need is missing or you would like a signed copy on Glenwood letterhead, contact moreinfo@glenwoodsystems.com.
Electronic Health Information (EHI) Export
The certified (b)(10) Electronic Health Information export lets authorized users export all EHI for a single patient, a defined patient population, or every stored patient in GlaceEMR.
- Single-patient export: authorized users create and download a ZIP archive containing all EHI for one patient.
- Patient-population export: authorized users specify criteria to select a patient population, or export every stored patient, downloading a ZIP archive of the corresponding EHI.
- Format: ZIP archives of CSV, HTML, PDF, JPG, PNG, and XML files, extractable with standard tools such as Windows File Explorer or 7-Zip.
The GlaceEMR Export Data Dictionary documents the export specification.
Annual Results
The most recent Real World Testing results are summarized here. The complete results document, including issue-tracking detail and remediation notes, is available on request.
Reporting period: January 1 through December 31.
Publication: Annually by March 31 of the following year, in compliance with 45 CFR § 170.405(b)(2).
Where to find the results
- Email request: moreinfo@glenwoodsystems.com. Include “RWT Results” in the subject line.
- Phone: (888) 452-2363
- Public listing: aggregate results are linked from our CHPL listing on chpl.healthit.gov.
Issues Discovered, Issues Remediated
Real World Testing exists to find things that look fine in a lab but break in production. When testing surfaces a defect or non-conformance, here is what happens:
- Triage. Discovered issue is logged in our internal product-issue tracker with the affected criterion, severity, and reproduction steps.
- Customer notification. If the issue materially affects a customer’s use of certified functionality, affected customers are notified within 5 business days.
- Remediation. A fix is prioritized based on severity; high-severity issues get an immediate patch path, lower-severity issues are bundled into the next product release.
- Verification. Post-remediation, the issue is re-measured against the same RWT measure to confirm closure.
- Reporting. All issues, severity, dates discovered or closed, and remediation summaries are included in the annual results document.
- Escalation. Issues that cannot be remediated within applicable timeframes are escalated to our ONC-ACB (Drummond Group) per program requirements.
To report a suspected non-conformance directly, email moreinfo@glenwoodsystems.com or call (888) 452-2363. Include the criterion affected (if known), the date observed, and reproduction steps if you have them.
Annual Schedule
- October through December: Plan for the upcoming year is finalized, approved, and submitted to our ONC-ACB.
- January 1: Plan year begins. Plan is published on this page.
- Continuous: Production telemetry feeds the internal RWT dashboard; quarterly sampling for the annual report.
- December 31: Plan year ends. Data collection closes.
- January through February: Results analysis. Issues remediated where possible.
- March 31: Annual results published on this page and submitted to ONC-ACB.
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