1.	Use a formal User Centered Design (UCD) process during development.
2.	Perform Summative Usability Testing on specific areas of the product.
UCD procedures have been specified in detail in several ISO standards. We recommend that EHR vendors follow the ISO 9241-11 standard as the guidance for their formal UCD process. ISO-9241 Part 11: (1998) pertains to the extent to which a product can be used by specified users to achieve specified goals with Effectiveness (Task completion by users), Efficiency (Task on time) and Satisfaction (responded by user in term of experience) in a specified context of use (users, tasks, equipment & environments).
(3) The user’s satisfaction from performing the task.
8.	Clinical information reconciliation (§ 170.314(b)(4)).
"...the usability test effort is not a small undertaking for EHR vendors. In fact, it was essentially one of the most difficult criteria to complete."
Usability testing cannot happen overnight, and it is important that you reach out to your usability partner (or internal UX team) early so that the required testing can be completed in time for your appointment with the ONC-ACB (such as Drummond, Infoguard,etc.) . We recommend that you allow at least 3-4 weeks in your submission timeline for the preparation, conducting and reporting of a summative usability test for EHR 2014 Certification.
Information about the ONC 2015 edition certification is available via The Usability People.
Usability reports produced by The Usability People adhere to the NISTIR 7742 CCIF format suitable for submission to an ONC-ACB. We can also provide a set of prioritized, detailed, and actionable feedback that you can take directly to your design and development teams for implementation.