Unit 4: The Effective HIT System This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office.

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Unit 4: The Effective HIT System

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Unit 4: The Effective HIT System This material 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

Unit 4 Objectives Identify characteristics of an effective HIT system. Define and provide examples of how evidence- based practice can be supported in HIT Systems. Define and cite examples of usability, configurability, scalability and reliability in HIT systems. List and contrast different types of reports/queries (predefined vs. ad hoc) required for internal and external reporting. Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 42

Effective HIT Integrated/Interactive exchange –Patients, providers, government agencies, insurers –Increase of overall quality, safety, efficiency, decreased costs, & increased patient access Improved public health –Early detection of outbreaks –Tracking & evaluation in chronic diseases –Post-marketing surveillance of medications –Evaluation/reimbursement based on value. Webster & Shapiro, 2010 Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 43

Characteristics of Effective HIT Flexible Adaptable Configurable & Agile Dependable/Reliable Useable Scalable Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 44 Image Source:

Facilitates “Best Practices” Evidence Based Practice (EBP) –the integration of best-researched evidence and clinical expertise with patient values (IOM) Guideline-enhanced Care – Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 45

Medication Reconciliation Process of determining what medications patient is taking Med errors –Admissions –Transfers –Discharge Polypharmacy Bar Code Medication Administration (BCMA) & e-MAR E-prescribing & digital medication records Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 46

Supporting Workflow HIT – organizes work, integrates knowledge, supports decision-making Decreased memory demands Routing and prioritizing Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 47 Image Source: MS Clipart

Supporting Workflow Automates tedious aspects Effective use of resources – balancing supply and demand Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 48 Image Source: MS Clipart

Supporting Workflow Data extraction & reporting –Ad hoc & pre-defined User centered design –“a design and evaluation process that pays particular attention to the intended users, what they will do with the product, where they will use it, and what features they consider essential” Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 49 Image Source: MS Clipart

Reviewing the Objectives Identify characteristics of an effective HIT system. Define and cite examples of usability, configurability, scalability and reliability in HIT systems. Define and provide examples of how evidence-based practice can be supported in HIT Systems. List and contrast different types of reports/queries (predefined vs. ad hoc) required for internal and external reporting. Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 410

“The Effective HIT System” Health IT Workforce Curriculum Version 2.0/Spring 2011 Component 7/Unit 411 This completes Unit 4 Image Source: MS Clipart

References Crossing the Quality Chasm: A New Health System for the 21 st Century. Institute of Medicine of the National Academies. c2011. Available from: Health-System-for-the-21st-Century.aspx Dennison J, Eisen S, Towers M, Clark CI. An Effective Electronic Surgical Referral System. Annals of The Royal College of Surgeons of England. 2006; 88(6): Available from: Gibbons R, Antman E, Smith S. Has guideline development gone astray? No. British Medical Journal. 340: National Guideline Clearinghouse. Agency for Healthcare Research and Quality. Available from: Webster L, Spiro R. Health information technology: A new world for pharmacy. Journal of the American Pharmacists Association April; 50(2): e20-e34. Available from: hA Component 7/Unit 4 Health IT Workforce Curriculum Version 2.0/Spring