Working with Health IT Systems Under the Hood Lecture b This material (Comp7_Unit2b) was developed by Johns Hopkins University, funded by the Department.

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Presentation transcript:

Working with Health IT Systems Under the Hood Lecture b This material (Comp7_Unit2b) was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC

Under the Hood Learning Objectives—Lecture b Identify the health IT functions that support a generic ambulatory patient care process. Identify the health IT functions that support a generic inpatient care process. 2 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Care Processes - HIT Support Registration –Admission, Discharge Transfer Systems (ADT) –Bed Management Systems (BMS) –Unique Identifier – i.e. Medical Record Number (MRN) 3 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Care Processes—HIT Support Reviewing Patient Information –Retrieve patient record Verifying demographics, etc. Past medical history, etc. Talking, Observing, Examining 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Care Processes—HIT Support Documentation –Copious Pick lists, Voice Recognition, Structured Notes, Integrated Records, Patient-Centered, Kiosks, PHRs … –Knowledge Resources & Decision Support 5 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Care Processes - HIT Support Taking Action Performing/Ordering/Reviewing –CPOE – Computerized Prescriber Order Entry E-prescribing, Consults, Treatments, Diets, Labs, Tests… –Guideline based Care Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Care Processes—HIT Support Pre-Discharge/Discharge –Ties into ADT, bed management, discharge planning … Education 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Care Processes—HIT Support Reporting & Reimbursement –External (CDC, Immunization Registries, CMS, etc.) & Internal (Practice Improvement, Trending, etc.) –$$$ 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Under the Hood Summary—Lecture b HIT support for care processes are similar and dissimilar depending on setting. Core functions remain static. Emerging sites of care & transformation of healthcare point to needs for information exchange/interoperable systems. –Teams –Patients at the core –Shift away from acute to ambulatory HIT—pathway to safety/quality/effectiveness 9 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Under the Hood References—Lecture b References National Center for Research Resources. Electronic Health Records: An Overview Available from: Images Slide 2: Image 1—Man at Counter. International Institute for Communication and Development (IICD ) The Hague, Netherlands (2008). Available from: Attribution 2.0 Generic (CC BY 2.0) Image 2—Process Diagram. Courtesy Dr. Patricia Abbott Slide 3: Image 1—Man at Counter. International Institute for Communication and Development (IICD ) The Hague, Netherlands (2008). Available from: Attribution 2.0 Generic (CC BY 2.0) Image 2—Process Diagram. Courtesy Dr. Patricia Abbott Slide 4: Image 1—Computer Screen with Patient Data. Lucas Pettinati, Brazil Available from: Attribution—NonCommercial-NoDerivs 2.0 Generic (CC BY-NC-ND 2.0) Image 2—Process Diagram. Courtesy Dr. Patricia Abbott Slide 6. Image 1—AHRQ website. Available from Image 2.—Care Processes. Courtesy Dr. Patricia Abbott 10 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

Under the Hood References—Lecture b Images Slide 7: Image 1—Two African Tribal Men Using Cell Phones. Mark Kelley. Available from: Attribution—NonCommercial-NoDerivs 2.0 Generic (CC BY-NC-ND 2.0) Image 2—Federal Drug Administration: Available from: Slide 8: Elephant in the Room. Available from: Attribution—NonCommercial-ShareAlike 2.0 Generic (CC BY-NC-SA 2.0) Image 2—Process Diagram. Courtesy Dr. Patricia Abbott 11 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b