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Component 3-Terminology in Healthcare and Public Health Settings Unit 16-Definitions and Concepts in the EHR This material was developed by The University.

Published byShauna Bennett Modified over 9 years ago

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Presentation on theme: "Component 3-Terminology in Healthcare and Public Health Settings Unit 16-Definitions and Concepts in the EHR This material was developed by The University."— Presentation transcript:

1 Component 3-Terminology in Healthcare and Public Health Settings Unit 16-Definitions and Concepts in the EHR This material was developed by The University of Alabama at Birmingham, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000023.

2 Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 2 EMR PHR EHR

3 Electronic Medical Records Electronic records that reside with an individual provider Ambulatory Users –Physicians –Dentists –Pharmacists –Public Health Clinics –Opticians Acute Care Users –Hospitals –Emergency Care Centers –Surgical Centers Garets D, Davis M. Electronic medical records vs. electronic health records:Yes, there is a difference. Chicago, IL:HIMSS Analytics, 206, page 2. Available from: http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf. Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 3

4 Personal Health Records “The Personal Health Record (PHR) is an Internet-based set of tools that allows people to access and coordinate their lifelong health information and make appropriate parts of it available to those who need it.” Markle Connecting for Health. A public-private collaborative. The personal health working group. Final report; 2003 July 1; New York: Markle Foundation. p. 3. Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 4

5 Functions of Personal Health Records Information Sharing Information Exchange Information Self- management Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 5

6 Personal Health Record Models Payor tethered Provider tethered Third-Party tethered Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 6

7 Electronic Health Record Consolidates multiple electronic medical and potentially personal health records Across multiple providers Across life-span Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 7

8 Components of an Electronic Medical Record Clinical Systems Pharmacy Systems Laboratory Systems Admission/Discharge/Transfer Systems (ADT) Billing Systems Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 8

9 Clinical Systems Clinical Documentation Clinical Decision Support (CDS) Computerized Provider Order Entry (CPOE) Bar-Code Medication Administration (BCMA) Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 9

10 Data Security and Confidentiality Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 10

11 Confidentiality The right of individuals to protect their information or records. Refers to the situation of establishing a relationship and sharing private information. Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 11

12 Security Protection of information from accidental or intentional access by unauthorized people, unauthorized modification, unauthorized accidental or intentional destruction. Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 12

13 Legal Protections Health Insurance Portability and Accountability Act (HIPAA) –HIPAA Privacy Rule –HIPAA Security Rule Patient Safety Rule Enforced by Office for Civil Rights Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 13

14 Maintaining Security Uninterrupted power supply Back-ups Mirror systems Off-site data storage Disaster recovery plans Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 14

15 Maintaining Confidentiality Authentication Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 15

16 Maintaining Confidentiality Authentication Audit Trails Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 16

17 Maintaining Confidentiality Authentication Audit Trails Firewalls Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 17

18 Maintaining Confidentiality Authentication Audit Trails Firewalls Encryption Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 18

19 Maintaining Confidentiality Authentication Audit Trails Firewalls Encryption Confidentiality Statements Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 19

20 Hardware and Software Requirements for Electronic Records Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 20

21 Software Legacy Off-the-shelf Vanilla systems Home grown Best of breed Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 21

22 Types of Networks A network is a system of multiple computers that share information virtually Information is stored and retrieved from data repositories on computers called servers Smart terminals Dumb terminals Wireless Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 22

23 Data Entry Devices Central Processing Units (CPU) Tablets Slim Clients Personal Digital Assistants (PDA) Locations Nurses Station Computers on Wheels Point-of-care Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 23

24 Summary Electronic record systems require –System network –Application software –Data entry hardware Confidentiality and security of patient data are maintained through precautions –Legal –Hardware –Software Component 3/ Unit 16 Health IT Workforce Curriculum Version 2.0/Spring 2011 24

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