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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 on theme: "Working with Health IT Systems Under the Hood Lecture b This material (Comp7_Unit2b) was developed by Johns Hopkins University, funded by the Department."— Presentation transcript:

1 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 IU24OC000013.

2 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

3 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

4 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

5 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

6 Care Processes - HIT Support Taking Action Performing/Ordering/Reviewing –CPOE – Computerized Prescriber Order Entry E-prescribing, Consults, Treatments, Diets, Labs, Tests… –Guideline based Care http://www.guideline.gov/ http://www.guideline.gov/ 6 Health IT Workforce Curriculum Version 3.0/Spring 2012 Working with Health IT Systems Under the Hood Lecture b

7 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

8 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

9 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

10 Under the Hood References—Lecture b References National Center for Research Resources. Electronic Health Records: An Overview. 2006. Available from: http://www.ncrr.nih.gov/publications/informatics/EHR.pdf http://www.ncrr.nih.gov/publications/informatics/EHR.pdf Images Slide 2: Image 1—Man at Counter. International Institute for Communication and Development (IICD ) The Hague, Netherlands (2008). Available from: http://www.flickr.com/photos/iicd/5349100062/sizes/m/in/photostream/http://www.flickr.com/photos/iicd/5349100062/sizes/m/in/photostream/ 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: http://www.flickr.com/photos/iicd/5349100062/sizes/m/in/photostream/http://www.flickr.com/photos/iicd/5349100062/sizes/m/in/photostream/ 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: http://www.flickr.com/photos/lpettinati/3345788276/sizes/m/in/photostream/http://www.flickr.com/photos/lpettinati/3345788276/sizes/m/in/photostream/ 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 http://www.innovations.AHRQ.gov.http://www.innovations.AHRQ.gov 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

11 Under the Hood References—Lecture b Images Slide 7: Image 1—Two African Tribal Men Using Cell Phones. Mark Kelley. Available from: http://www.flickr.com/photos/markkelley/1022720488/ http://www.flickr.com/photos/markkelley/1022720488/ Attribution—NonCommercial-NoDerivs 2.0 Generic (CC BY-NC-ND 2.0) Image 2—Federal Drug Administration: Available from: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm Slide 8: Elephant in the Room. Available from: http://www.flickr.com/photos/jcodysimms/246023851http://www.flickr.com/photos/jcodysimms/246023851 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

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