Configuring Electronic Health Records Building Order Sets This material (Comp11_Unit4) was developed by Oregon Health and Sciences University, funded by.

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Chapter 15 by Emily B. Barey The Electronic Health Record and Clinical Informatics.

Configuring Electronic Health Records

Configuring Electronic Health Records

HS420 Health Informatics Michele Smith, PharmD, RPh, RCph

Health Management Information Systems

Component 1: Introduction to Health Care and Public Health in the U.S.

Component 11 Unit 7: Building Order Sets

Component 2: The Culture of Health Care

Presentation transcript:

Configuring Electronic Health Records Building Order Sets This material (Comp11_Unit4) was developed by Oregon Health and Sciences University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC

Building Order Sets Learning Objectives Define and describe an order set (Lecture) Describe the benefits and costs associated with order sets (Lecture) Demonstrate the ability to build a variety of order sets in VistA, a simulation EHR environment (Lab exercises 1-3) 2 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Building Order Sets

Definition collections of pre-formed orders." ( Bobb et al., 2007). "... groups of orders to manage a disease state or for a procedure." (Ash et al., 2003). 3 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Building Order Sets

Benefits Implements evidence based clinical knowledge Reduces errors and improves quality of care Reduces variability in healthcare processes Improves efficiency 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Building Order Sets

Costs Time consuming Requires expertise Must be maintained (reviewed to incorporate most current research) 5 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Building Order Sets

Types Locally developed sets Standardized sets 6 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Building Order Sets

Next Step: Lab Exercises 1.Create order screens 2.Create laboratory quick order 3.Create medication quick order 4.Combining orders to build an order set 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Building Order Sets

Building Order Sets Summary Order sets are an essential component of EHR configuration for achieving meaningful use. Next step: To develop practical experience. 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Building Order Sets

Building Order Sets References References Amatayakul MK. Electronic health records: A practical guide for professionals and organizations. 4th ed. Chicago IL: AHIMA; Ash, Joan S., Stavri, P Zoë, Kuperman, Gilad J. The Practice of Informatics: Synthesis of Research Paper: A Consensus Statement on Considerations for a Successful CPOE Implementation. J Am Med Inform Assoc 2003;10: doi: /jamia.M1204 Bobb, Anne M., Payne, Thomas H., Gross, Peter A. Focus on Computerized Provider Order Entry (CPOE): Viewpoint Paper: Viewpoint: Controversies Surrounding Use of Order Sets for Clinical Decision Support in Computerized Provider Order Entry. J Am Med Inform Assoc 2007;14:41-47 doi: /jamia.M2184. Carter JH. Electronic health records: A guide for clinicians and administrators. 2nd ed. Philadelphia: ACP Press; Eichenwald Maki S, Petterson B. Using the electronic health record. Canada: Delmar Cengage Learning; Hebda T, Czar P. Handbook of informatics for nurses & healthcare professionals. 4th ed. New Jersey: Pearson; Lehman HP, Abbot PA, Roderer NK, Rothschild A, Mandell SF, Ferrer JA, et al, editors. Aspects of electronic health record systems. U.SA: Springer; McClay JC, Campbell JR, Parker C, Hrabak K, Tu SW, Abarbanel R./AMIA. Structuring order sets for interoperable distribution [article on the internet]. C2006 [cited July 21, 2010]. Available from: Sheff R./ HCPro. Medical informatics: order sets are a medical staff leader’s best friend [Homepage on the internet] [updated 2009 July 22; cited 2010 July 21] Available from: 871/Medical-Informatics-Order-sets-are-a- medical-staff-leaders-best-friend.html. 871/Medical-Informatics-Order-sets-are-a- medical-staff-leaders-best-friend.html 9 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Building Order Sets