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Health Management Information Systems Electronic Health Records Lecture b This material Comp6_Unit3b was developed by Duke University, funded by the Department.

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Presentation on theme: "Health Management Information Systems Electronic Health Records Lecture b This material Comp6_Unit3b was developed by Duke University, funded by the Department."— Presentation transcript:

1 Health Management Information Systems Electronic Health Records Lecture b This material Comp6_Unit3b was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024.

2 Electronic Health Records Learning Objectives 2 1.State the similarities and differences between an electronic medical record (EMR) and electronic health record (EHR) (Lecture a) 2.Identify attributes and functions of an EHR (Lecture a) 3.Describe the perspectives of health care providers and the public regarding acceptance of or issues with an EHR, which can serve as facilitators of or major barriers to its adoption (Lecture a) 4.Explain how the use of an EHR can affect patient care safety, efficiency of care practices, and patient outcomes (Lecture a) Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

3 Electronic Health Records Learning Objectives 3 4.Discuss how Health Information Exchange (HIE) and Nationwide Health Information Network (NHIN) impact health care delivery and the practice of health care providers (Lecture b) 5.Outline issues regarding governmental regulation of EHR systems, such as meaningful use of interoperable health information technology and a qualified R (Lecture b) 6.Summarize how the Institute of Medicine’s Vision for 21st Century Health Care and Wellness may impact health management information systems (Lecture b) 7.Identify how ongoing developments in biomedical informatics can affect future uses and challenges related to health information systems (Lecture b) Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

4 Health Information Exchange (HIE) Electronic movement of health-related information among organizations according to nationally recognized standards 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

5 Perspectives on Health Information Exchange Models of HIE architecture –Centralized Shared repository –Federated Or decentralized Data source organization maintains custodianship and control over the patient’s medical record –Hybrid Mixture 5 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

6 HIE Impact Health care delivery –Clinical and financial Practice of health care providers –Real-time patient data at the point-of-care –Access to patients’ longitudinal test results –Productivity gains 6 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

7 Nationwide Health Information Network (NHIN) Standards Protocols Legal agreements Specifications Services 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

8 Nationwide Health Information Network 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b (DHHS, 2010, p. 6)

9 Perspectives on the NHIN Helps achieve the goals of HITECH Critical part of the national health IT agenda Enable health information –To follow the consumer –Be available for clinical decision making –To support appropriate use of health information 9 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

10 NHIN Evolution Driven by emerging technology, users, uses, and policies NHIN Direct Project –Expand the standards and service descriptions available –Address the key Stage 1 requirements for Meaningful Use –Provide an easy "on-ramp" 10 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

11 Impact of NHIN Health care delivery –Establishes a standards-based infrastructure –Increases the ability to collect and store aggregated data Practice of health care providers –Provides a care coordination exchange platform 11 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

12 Governmental Efforts Related to EHRs Office of the National Coordinator (ONC) Initiatives –Nationwide Health Information Network (NHIN) –State-Level Health Initiatives State Health Policy Consortium (SHPC) State-level Health Information Exchange Consensus Project State Alliance for e-Health Health Information Security and Privacy Collaboration (HISPC) 12 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

13 Governmental Efforts Related to EHRs ARRA –HITECH Programs Meaningful use of interoperable health information technology and qualified EHRs –Certified electronic health record technology –“Qualified EHR” –HIT Advisory Committees 13 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

14 Governmental Efforts Related to EHRs Office of the National Coordinator Authorized Testing and Certification Body (ONC-ATCB) –Established to ensure that “Certified EHR Technology” will be available for adoption 14 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

15 Certified EHR Technology Complete EHR or a combination of EHR Modules, each of which: –Meets the requirements included in the definition of a Qualified EHR; and –Has been tested and certified in accordance with the certification program established by the National Coordinator as having met all applicable certification criteria adopted by the Secretary 15 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

16 “Qualified EHR” Definition –Electronic record of health related information Patient demographic and clinical health information –Capacity to provide specific functions 16 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

17 Governmental Efforts Related to EHRs Federal Advisory Committees –HIT Policy Committee –HIT Standards Committee 17 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

18 A Vision for 21st Century Health Care and Wellness IOM vision –Systematically organized and acculturated health care system –Easy and rewarding for providers and patients to do The right thing At the right time In the right place In the right way 18 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

19 Information-Intensive Aspects of IOM’s Vision Important health care IT capabilities –Comprehensive data on patients’ conditions, treatments, and outcomes –Cognitive support for health care professionals and patients –Cognitive support for health care professionals –Instruments and tools 19 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

20 Information-Intensive Aspects of IOM’s vision Important health care IT capabilities –Rapid integration of new instrumentation, biological knowledge, treatment modalities, etc. –Accommodation of the growing heterogeneity of locales for the provision of care –Empowerment of patients and their families in effective management of health care decisions and execution 20 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

21 Guiding Principles of IOM’s Vision Principles for evolutionary change –Focus on improvements in care –Seek incremental gain from incremental effort –Record available data –Design for human and organizational factors –Support the cognitive functions of all caregivers 21 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

22 Guiding Principles of IOM’s Vision Principles for radical change –Architect information and workflow systems –Archive data for subsequent re-interpretation –Create technologies that identify and eliminate ineffective work processes –Create technologies that clarify the context of data 22 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

23 Electronic Health Records Summary Defined an EMR and EHR Explained similarities and differences Identified EHR attributes and functions Discussed the issues surrounding EHR adoption and implementation Described the impact of EHRs on patient care Addressed external influences 23 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b

24 Electronic Health Records References – Lecture b 24 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b References Department of Health and Human Services. (n.d.). Nationwide health information network: Background and scope. Retrieved from http://www.hhs.gov/healthit/healthnetwork/background/ Department of Health and Human Services. (2011, November 7). EHR incentive programs overview. Retrieved from https://www.cms.gov/ehrincentiveprograms/#BOOKMARK1 Healthcare Information and Management Systems Society. (2009, March). Health information exchanges: Similarities and differences. Retrieved from http://www.himss.org/content/files/RHIO/HIE_CommonPracticesWhitePaper20090330.pdf Health Information Technology for Economic and Clinical Health Act of 2009. Public Law 111-5, Section 3000(13) (2009a). Health Information Technology for Economic and Clinical Health Act of 2009. Public Law 111-5, Section 3001(b) (2009b). Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; Final Rule, 45 CFR Part 170 (July 28, 2010). Retrieved from http://edocket.access.gpo.gov/2010/pdf/2010-17210.pdf Stead W.W., & Lin H.S. (eds.). (2009). Computational technology for effective health care: Immediate steps and strategic directions. Washington (DC): National Academies Press. The Direct Project. (2010, October 11). The direct project overview. Retrieved from http://wiki.directproject.org/file/view/DirectProjectOverview.pdf

25 Electronic Health Records References – Lecture b 25 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Electronic Health Records Lecture b References The Office of the National Coordinator for Health Information Technology. (2010, August 13). State-Level initiatives. Retrieved from http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__state_level_initiatives/1154 The Office of the National Coordinator for Health Information Technology. (2010, September 11). HITECH temporary certification program for EHR technology. Retrieved from http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=2887&PageID=19630 The Office of the National Coordinator for Health Information Technology. (2011, November 14). Health IT policy committee. Retrieved from http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__health_it_policy_committee/1269 The Office of the National Coordinator for Health Information Technology. (2011, November 23). Health IT standards committee. Retrieved from http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__health_it_standards_committee/1271 The National Alliance for Health Information Technology. (2008, April 28). Defining key health information technology terms. Retrieved from healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_848133_0_0_18/10_2_hit_terms.pdf Images Slide 8: Department of Health and Human Services. (2010, April 21). Nationwide health information network (NHIN) exchange architecture overview DRAFT v.0.9. Retrieved from http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__nhin_resources/1194

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