Electronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010

Size: px
Start display at page:

Download "Electronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010"

Transcription

1 Electronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010

2 Why Electronic Health Records (EHRs) EHRs vs. Paper Components of EHRs Characteristics of a good EHRs A Kenyan EHRs implementation Overview

3

4 Problems with Paper Records

5 EMR HIV Clinic DISCORDANT COUPLES 5% 12% 4% 1% 3% 3% 2% 0% MTRH Mosoriot Turbo Burnt Forest Amukura Chulaimbo Webuye 70% Naitiri Teso

6

7 Patient arrives at Health Centre Registry: visit #, name, visit reason Check-in Window Registry, Blue book Antenatal Clinic Log: Drugs Dispensed Log: Test Results Registry, Blue book Pharmacy Laboratory Well Child Clinic Log: Charges, Payments Financial Office Patient leaves Clinic

8 "The (paper) medical record is an abomination... it is a disgrace to the profession that created it. More often than not the chart is thick, tattered, disorganized and illegible; progress notes, consultant's notes, radiology reports and nurses notes are all co-mingled in accession sequence. The charts confuse rather than enlighten; they provide a forbidding challenge to anyone who tries to understand what is happening to the patient. - Bleich, H., MD, Computing Vol 10 no 2, p70, 1993.

9 Paper Record Shortcomings Difficult to find and re-use items Difficult to share can only be in one place at one time Difficult to move Difficult to use for decision support Difficult to aggregate for reporting e.t.c.

10

11 Definition - HIMSS The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. - Health Information Management Systems Society (HIMSS)

12 Definitions Electronic Health Record (EHR) Generic term for all electronic patient care systems Computer-based Patient Record (CPR) Lifetime patient record that includes all information from all specialties (even dentists, psychiatrists) and requires full interoperability (potentially internationally) Electronic Medical Record (EMR) Electronic record with full interoperability within an enterprise (hospital, clinic, practice) - EHR vs. CPR vs. EMR article in the May 2003 issue of Healthcare Informatics

13 EHRs Components - Administrative Registration-Admission-Discharge-Transfer Used to accurately identify a patient Patient Identifier Number Patient names Demographics (e.g. age, gender, marital status) Contact information (phone & address info) Next of kin Employer information Insurance

14

15 Components Clinical Documentation Physician, nurse, and other clinician notes Flow sheets (vital signs, input and output, problem lists, meds given) Peri-operative notes Discharge summaries Transcription document management Medical records abstracts Advance directives or living wills

16 Components Clinical Documentation Durable powers of attorney for healthcare decisions Consents (procedural) Medical record/chart tracking Releases of information (including authorizations) Staff credentialing/staff qualification and appointments documentation Chart deficiency tracking Utilization management

17

18 Components Laboratory Components Typically standalone systems interfaced to EHRs Known as Laboratory Information Systems (LIS) Laboratory results can be entered directly into an EHRS LIS integrate orders, results, schedules and billing for laboratory tests

19

20 Components Radiology Components Typically standalone systems interfaced to EHRs Known as Radiology Information Systems (RIS). RIS integrated radiology data: orders, interpretations, Images (Picture Archiving Communication System (PACS))

21

22 Components Pharmacy Components Typically standalone systems interfaced to EHRs Manage: - prescriptions - dispensing history - formulary - inventory

23 Computerized Provider Order Entry Allows for electronic ordering of laboratory, pharmacy, and radiology services. Can be linked to clinical decision support to provide alerts or care suggestions Can be used for order sets CPOE not very broadly used, even in developing countries Terms: CPOE Computerized Provider Order Entry CDS Clinical Decision Support

24 Computerized Provider Order Entry

25 Computerized Provider Order Entry

26 Computerized Provider Order Entry

27 - NIH/NCRR EHR Overview. MITRE Corp. 2006

28 Billing System Personnel Management Inventory & Stock Control System Not Core Part of EHRs

29 Good EHRs Characteristics - Security Security Physical & Electronic Secure Sockets Layer (SSL) authentication Data encryption Password-controlled access Audit trail and logs

30 EHRs Characteristics Coded Data Data Stored as Coded Observations Example - Clinic Note Patient is currently on a primary anti-retroviral regimen of Triomune-30. He denies being on PCP prophylaxis, and is taking INH for TB prophylaxis. He is not on regular TB treatment or crypto-coccus treatment

31 EHRs Characteristics - Vocabulary Standards-Based Clinical Vocabulary Diseases - SNOMED CT (Systematized Nomenclature of Medicine - - Clinical Terms) e.g means myocardial infarction (MI). - International Classification of Diseases (ICD) e.g for acute myocardial infarction Labs & Clinical Results Logical Observation Identifiers Names and Codes (LOINC)

32 EHRs Characteristics - Interoperability Support Interoperability through accepted messaging standards HL7 is the most widely used messaging standard Sends structured encoded data from one application to another The messaging standard has to be appropriately implemented to allow for easy interfacing with other applications

33 Good identification System Good EHRs Characteristics

34 Good EHRs Characteristics Must conform and support the workflow Must be implemented well

35 Good EHRs Characteristics Scalable Configurable Not restricted to one disease entity Easy to maintain Affordable

36 Academic Model for Prevention & Treatment of HIV-AIDS Over 100,000 HIVpositive patients under treatment Catchment area of over 2 million people Nobel peace price nomination

37 AMPATH Patient Enrollment Catchment area for AMPATH: 2 million individuals

38

39

40

41

42

43

44

45 Clinical Summaries Getting data back to clinicians Information Is care Don Berwick President, Institute of Health Improvement

46

47 Studies

48 Universal IDs for all patients in the program Connectivity between sites Some Challenges Integrating with other systems e.g. LIS, Pharmacy system, DHIS Extending beyond HIV Care (Primary care, Inpatient Care, Specialty clinics) Clinical Decision Support (e.g. alerts for drug interactions) Multiple modalities to enter and access data Sustainability ($, expertise)

49

50 Asanteni.

ehealth, HIS, etc ehealth All information about health HMIS mhealth HIS Statistical IS Credited: Karl Brown, Rockefeller Foundation

ehealth, HIS, etc ehealth All information about health HMIS mhealth HIS Statistical IS Credited: Karl Brown, Rockefeller Foundation ehealth, HIS, etc Statistical IS Health Informatics: Formal discipline that studies use of information in health All information about health HIS HMIS ehealth mhealth Tele-medicine Enterprise architecture:

More information

The ecosystem of the OpenClinic GA open source hospital information management software

The ecosystem of the OpenClinic GA open source hospital information management software The ecosystem of the OpenClinic GA open source hospital information management software HEALTH FACILITY INFORMATION SYSTEMS AND INTEROPERABILITY FRANK VERBEKE, VRIJE UNIVERSITEIT BRUSSEL OpenClinic login

More information

Addressing the State of the Electronic Health Record (EHR)

Addressing the State of the Electronic Health Record (EHR) Addressing the State of the Electronic Health Record (EHR) Agenda Definitions Attributes Differences Adoption Model Current State Challenges Implementation considerations What is it? EMR CMR EHR EPR PHR

More information

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review Special Topics in Vendor- Specific Systems Unit 4 EHR Functionality EHR functionality Results Review Outline Computerized Provider Order Entry (CPOE) Documentation Billing Messaging 2 Results Review Laboratory

More information

Health Care Information System (Al Shifa) Ministry of Health, Oman.

Health Care Information System (Al Shifa) Ministry of Health, Oman. Health Care Information System (Al Shifa) Ministry of Health, Oman. Sultanate of Oman Ministry of Health, OMAN Legislator Care taker Largest Health care Provider with a network of Health Care institutions

More information

Meaningful Use Stage 2 Certification: A Guide for EHR Product Managers

Meaningful Use Stage 2 Certification: A Guide for EHR Product Managers Meaningful Use Stage 2 Certification: A Guide for EHR Product Managers Terminology Management is a foundational element to satisfying the Meaningful Use Stage 2 criteria and due to its complexity, and

More information

Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference. A HIMSS Analytics TM White Paper. By Dave Garets and Mike Davis

Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference. A HIMSS Analytics TM White Paper. By Dave Garets and Mike Davis Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference A HIMSS Analytics TM White Paper By Dave Garets and Mike Davis Updated January 26, 2006 HIMSS Analytics, LLC 230 E.

More information

Domain 3: Assessment, System Selection and Implementation. Module 3A: Purpose, Adoption and Use of Health Information Systems

Domain 3: Assessment, System Selection and Implementation. Module 3A: Purpose, Adoption and Use of Health Information Systems 1 Health Information Management Systems Technology and Analysis Domain 3: Assessment, System Selection and Implementation Module 3A: Purpose, Adoption and Use of Health Information Systems Lecture #2:

More information

Hospital Management Add-On on Microsoft Dynamics AX. Fact Sheet

Hospital Management Add-On on Microsoft Dynamics AX. Fact Sheet Hospital Management Add-On on Microsoft Dynamics AX Fact Sheet 1 Benefits Maintain Patient Data. EMR(Electronic Medical Record) / EHR (Electronic Health Record) user to record full patient information

More information

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Health Information Technology and the National Quality Agenda Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Institute of Medicine Definition of Quality "The degree to which

More information

Electronic Medical Record

Electronic Medical Record Altru Health System Electronic Medical Record Mark Waind, Jeff Shallman From material contributed by Marv Meier Alex Todorovic Countdown to the All-Electronic Medical Record 2 0 0 8 1 Interaction Layers

More information

i-care Integrated Hospital Information System

i-care Integrated Hospital Information System i-care Integrated Hospital Information Empowering Healthcare Through Integrated Information and Intelligence Iterum TM i-care Hospital Information (HIS) provides a comprehensive and integrated solution

More information

Health Information Technology & Management Chapter 2 HEALTH INFORMATION SYSTEMS

Health Information Technology & Management Chapter 2 HEALTH INFORMATION SYSTEMS Health Information Technology & Management Chapter 2 HEALTH INFORMATION SYSTEMS INFORMATION SYSTEM *Use of computer hardware and software to process data into information. *Healthcare information system

More information

Eligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals.

Eligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals. s Preparing for Meaningful Use in 2014 MEDITECH (Updated December 2013) Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Professionals. Congratulations to our

More information

ELECTRONIC MEDICAL RECORDS (EMR)

ELECTRONIC MEDICAL RECORDS (EMR) ELECTRONIC MEDICAL RECORDS (EMR) SAUDI BOARD FOR COMMUNITY MEDICINE FIRST PART - FIRST SEMESTER (FALL 2010) COURSE SBCM 002: MEDICAL INFORMATICS Osama Alswailem MD MA Medical Record function 1. It s a

More information

Agenda. What is Meaningful Use? Stage 2 - Meaningful Use Core Set. Stage 2 - Menu Set. Clinical Quality Measures (CQM) Clinical Considerations

Agenda. What is Meaningful Use? Stage 2 - Meaningful Use Core Set. Stage 2 - Menu Set. Clinical Quality Measures (CQM) Clinical Considerations AQAF Health Information Technology Forum Meaningful Use Stage 2 Clinical Considerations Marla Clinkscales & Mike Bice Alabama Regional Extension Center (ALREC) August 13, 2013 0 Agenda What is Meaningful

More information

HL7 & Meaningful Use. Charles Jaffe, MD, PhD CEO Health Level Seven International. HIMSS 11 Orlando February 23, 2011

HL7 & Meaningful Use. Charles Jaffe, MD, PhD CEO Health Level Seven International. HIMSS 11 Orlando February 23, 2011 HL7 & Meaningful Use Charles Jaffe, MD, PhD CEO Health Level Seven International HIMSS 11 Orlando February 23, 2011 Overview Overview of Meaningful Use HIT Standards and Meaningful Use Overview HL7 Standards

More information

HL7 and Meaningful Use

HL7 and Meaningful Use HL7 and Meaningful Use HIMSS Las Vegas February 23, 2012 Grant M. Wood Intermountain Healthcare Clinical Genetics Institute Meaningful Use What Does It Mean? HITECH rewards the Meaningful Use of health

More information

CMS & ehr - An Update

CMS & ehr - An Update Health Informatics in Hong Kong CMS & ehr - An Update Dr NT Cheung HA Convention 2010 CMS / epr is essential in the HA Each Day... 12,000 users 90,000 patients 8M CMS transactions 700,000 epr views In

More information

Meaningful Use. Goals and Principles

Meaningful Use. Goals and Principles Meaningful Use Goals and Principles 1 HISTORY OF MEANINGFUL USE American Recovery and Reinvestment Act, 2009 Two Programs Medicare Medicaid 3 Stages 2 ULTIMATE GOAL Enhance the quality of patient care

More information

GLOBAL ICT TRENDS IN HEALTH PRESENTED BY: GERRIT HENNING CEO: AMETHST (PTY) LTD

GLOBAL ICT TRENDS IN HEALTH PRESENTED BY: GERRIT HENNING CEO: AMETHST (PTY) LTD This document is protected by copyright. No part of this document may be reproduced manual or otherwise, in whole or in part, without the prior, written consent of Health System Technologies (Pty) Ltd.

More information

empowersystemstm empowerhis Advanced Core Hospital Information System Technology Comprehensive Solutions for Facilities of Any Size

empowersystemstm empowerhis Advanced Core Hospital Information System Technology Comprehensive Solutions for Facilities of Any Size empowersystemstm empowerhis TM Advanced Core Hospital Information System Technology Comprehensive Solutions for Facilities of Any Size ADT / Patient Registration System + Fully Integrated Patient Registration

More information

Physician Champions David C. Kibbe, MD, & Daniel Mongiardo, MD FAQ Responses

Physician Champions David C. Kibbe, MD, & Daniel Mongiardo, MD FAQ Responses Physician Champions David C. Kibbe, MD, & Daniel Mongiardo, MD FAQ Responses DR. KIBBE S RESPONSES What is health information exchange? How can health information exchange help my practice? Can I comply

More information

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD.

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD. ELECTRONIC MEDICAL RECORDS Selecting and Utilizing an Electronic Medical Records Solution A WHITE PAPER by CureMD CureMD Healthcare 55 Broad Street New York, NY 10004 Overview United States of America

More information

Health Informatics Development in the Hospital Authority

Health Informatics Development in the Hospital Authority Health Informatics Development in the Hospital Authority Dr CP Wong Chairman, Clinical Informatics Program Executive Group Co-Chairman, Clinical Informatics Program Steering Group Begin to take off in

More information

EHR Adoption and Vision for HIM

EHR Adoption and Vision for HIM EHR Adoption and Vision for HIM Christina M. Janus, MBA, RHIA EOHIMA Spring Seminar April 14, 2007 1 Content Covered Key EHR Functions Adoption Model Group Share of Current Technologies & Vision for the

More information

Introduction to Information and Computer Science: Information Systems

Introduction to Information and Computer Science: Information Systems Introduction to Information and Computer Science: Information Systems Lecture 1 Audio Transcript Slide 1 Welcome to Introduction to Information and Computer Science: Information Systems. The component,

More information

Health Care Information System Standards

Health Care Information System Standards Health Care Information System Standards 1 Standards Development Process Four Methods (Hammond & Cimino, 2001) Ad hoc no formal adoption process De facto vendor or other has a very large segment of the

More information

SOA in the pan-canadian EHR

SOA in the pan-canadian EHR SOA in the pan-canadian EHR Dennis Giokas Chief Technology Officer Solutions Products and Group Canada Health Infoway Inc. 1 Outline Infoway EHR Solution EHRS Blueprint Overview Oriented Architecture Business

More information

Implementing Electronic Health Records in the Kurdistan Region

Implementing Electronic Health Records in the Kurdistan Region Implementing Electronic Health Records in the Kurdistan Region By: Hiwa Ali Faraj MSC Computer Systems Management E-mail: hiwa@hotmail.co.uk Agenda Objectives & Methodology. The Terminology & Concept.

More information

VIII. Dentist Crosswalk

VIII. Dentist Crosswalk Page 27 VIII. Dentist Crosswalk Overview The final rule on meaningful use requires that an Eligible Professional (EP) report on both clinical quality measures and functional objectives and measures. While

More information

SOA in the pan-canadian EHR

SOA in the pan-canadian EHR SOA in the pan-canadian EHR Dennis Giokas Chief Technology Officer Solution Architecture Group Canada Health Infoway Inc. 1 Outline Infoway EHR Solution EHRS Blueprint Approach EHR Standards Oriented Architecture

More information

Guide To Meaningful Use

Guide To Meaningful Use Guide To Meaningful Use Volume 1 Collecting the Data Contents INTRODUCTION... 3 CORE SET... 4 1. DEMOGRAPHICS... 5 2. VITAL SIGNS... 6 3. PROBLEM LIST... 8 4. MAINTAIN ACTIVE MEDICATIONS LIST... 9 5. MEDICATION

More information

Shelly Spiro, Executive Director, Pharmacy HIT Collaborative reports no relevant financial relationships.

Shelly Spiro, Executive Director, Pharmacy HIT Collaborative reports no relevant financial relationships. Shelly Spiro, Executive Director, Pharmacy HIT Collaborative reports no relevant financial relationships. 1. Discuss the vision, mission, and goals of the Pharmacy HIT Collaborative as it relates to informatics,

More information

An Essential Ingredient for a Successful ACO: The Clinical Knowledge Exchange

An Essential Ingredient for a Successful ACO: The Clinical Knowledge Exchange An Essential Ingredient for a Successful ACO: The Clinical Knowledge Exchange Jonathan Everett Director, Health Information Technology Chinese Community Health Care Association Darren Schulte, MD, MPP

More information

THE E-HEALTH JOURNEY. Ministry of Health Jamaica. Optimizing the use of ICT Applications in Health and Patient Care

THE E-HEALTH JOURNEY. Ministry of Health Jamaica. Optimizing the use of ICT Applications in Health and Patient Care THE E-HEALTH JOURNEY Ministry of Health Jamaica Optimizing the use of ICT Applications in Health and Patient Care 8 th Caribbean Conference on Health Financing Initiatives Presenter: Mr. Arnold Cooper

More information

Children s Medical Center of Dallas

Children s Medical Center of Dallas Dallas, TX Overview (Children s) is an academic medical center with 591 licensed beds. It has campuses in Dallas, Plano and Southlake, Texas, including an outpatient center in Southlake and 16 MyChildren

More information

Mona Osman MD, MPH, MBA

Mona Osman MD, MPH, MBA Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare

More information

Microsoft Amalga Hospital Information System (HIS)

Microsoft Amalga Hospital Information System (HIS) m Microsoft Amalga Hospital Information System (HIS) > Manage all hospital functions with one integrated solution PG 0 Our Vision: To improve health around the world For more than a decade, Microsoft has

More information

Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012

Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 CORE OBJECTIVES (16 total) Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 Stage 1 Objective Use CPOE for medication orders directly entered by any licensed

More information

Stage 1 measures. The EP/eligible hospital has enabled this functionality

Stage 1 measures. The EP/eligible hospital has enabled this functionality EMR Name/Model Ingenix CareTracker - version 7 EMR Vendor Ingenix CareTracker Stage 1 objectives Use CPOE Use of CPOE for orders (any type) directly entered by authorizing provider (for example, MD, DO,

More information

Healthcare Data: Secondary Use through Interoperability

Healthcare Data: Secondary Use through Interoperability Healthcare Data: Secondary Use through Interoperability Floyd Eisenberg MD MPH July 18, 2007 NCVHS Agenda Policies, Enablers, Restrictions Date Re-Use Landscape Sources of Data for Quality Measurement,

More information

Custom Report Data Elements: IT Database Fields. Source: American Hospital Association IT Survey

Custom Report Data Elements: IT Database Fields. Source: American Hospital Association IT Survey Custom Report Data Elements: IT Database Fields Source: American Hospital Association IT Survey TABLE OF CONTENTS COMPUTERIZED SYSTEM IMPLEMENTATION... 4 Bar Coding... 4 Computerized Provider Order Entry...

More information

IMPROPER USE OF MEDICAL INFORMATION

IMPROPER USE OF MEDICAL INFORMATION IMPROPER USE OF MEDICAL INFORMATION ehealth PRIVACY & SECURITY Presented at 5th Annual National Conference on Healthcare Leadership INNOVATION 2011, Bangalore 26th Jan 2011 Dr Pankaj Gupta ehealth Business

More information

Meaningful Use Reporting Quick Reference

Meaningful Use Reporting Quick Reference Allscripts Professional EHR 9.2 none Copyright 2010 Allscripts Healthcare Solutions, Inc. www.allscripts.com Copyright 2010 Allscripts Healthcare Solutions, Inc. This document is the confidential property

More information

I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S. In accountable care

I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S. In accountable care I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S The Role of healthcare InfoRmaTIcs In accountable care I n t e r S y S t e m S W h I t e P a P e r F OR H E

More information

HL7 and Meaningful Use

HL7 and Meaningful Use HL7 and Meaningful Use Grant M. Wood HL7 Ambassador HIMSS14 2012 Health Level Seven International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International.

More information

Electronic Health Record (EHR) Standards Survey

Electronic Health Record (EHR) Standards Survey Electronic Health Record (EHR) Standards Survey Compiled by: Simona Cohen, Amnon Shabo Date: August 1st, 2001 This report is a short survey about the main emerging standards that relate to EHR - Electronic

More information

The Human Experiment- Electronic Medical/Health Records

The Human Experiment- Electronic Medical/Health Records The Human Experiment- Electronic Medical/Health Records Patient safety is one of the primary stated intentions behind the push for computerized medical records. To the extent illegible handwriting leads

More information

Singapore s National Electronic Health Record

Singapore s National Electronic Health Record Singapore s National Electronic Health Record The Roadmap to 2010 Dr Sarah Christine Muttitt Chief Information Officer Information Systems Division 17 th July, 2009 Taking the Next Step (MSM April 2008)

More information

Computerized Provider Order Entry Workflows

Computerized Provider Order Entry Workflows Computerized provider order entry (CPOE) is a process that allows clinicians to enter patient orders into an Electronic Health Record (EHR). CPOE uses structured fields to allow timely and efficient tracking

More information

Medicare and Medicaid Programs; EHR Incentive Programs

Medicare and Medicaid Programs; EHR Incentive Programs Medicare and Medicaid Programs; EHR Incentive Programs Background The American Recovery and Reinvestment Act of 2009 establishes incentive payments under the Medicare and Medicaid programs for certain

More information

HIMSS Interoperability Showcase 2011

HIMSS Interoperability Showcase 2011 Interoperability will bind together a wide network of real-time life critical data that not only transform but become healthcare. Health Information Interoperability Challenges Healthcare and healthcare

More information

DEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors. January 22, 2014

DEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors. January 22, 2014 DEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors January 22, 2014 What is ehealth? What is an Electronic Health System? EHR, EMR and PHR / CIS/HIS Where does the electronic

More information

MEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist

MEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist MEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist 1 Proposed Rule On April 15, 2015 CMS Issued a new proposal rule for the Medicare and Medicaid EHR Incentive

More information

Meaningful Use - The Journey Ahead. John D. Halamka MD CIO, Beth Israel Deaconess Medical Center and Harvard Medical School

Meaningful Use - The Journey Ahead. John D. Halamka MD CIO, Beth Israel Deaconess Medical Center and Harvard Medical School Meaningful Use - The Journey Ahead John D. Halamka MD CIO, Beth Israel Deaconess Medical Center and Harvard Medical School QUALITY: SAFE CARE EXHIBIT 16 Medical, Medication, and Lab Errors, Among Sicker

More information

Meaningful Use Gap Analysis and Planning Engineering a Hit!

Meaningful Use Gap Analysis and Planning Engineering a Hit! Meaningful Use Gap Analysis and Planning Engineering a Hit! Cheyenne Thomas Inland Northwest Health Services/Information Resource Management INHS/IRM Introduction Meet the Band INHS/IRM Collaborative Delivery

More information

The State of U.S. Hospitals Relative to Achieving Meaningful Use Measurements. By Michael W. Davis Executive Vice President HIMSS Analytics

The State of U.S. Hospitals Relative to Achieving Meaningful Use Measurements. By Michael W. Davis Executive Vice President HIMSS Analytics The State of U.S. Hospitals Relative to Achieving Meaningful Use Measurements By Michael W. Davis Executive Vice President HIMSS Analytics Table of Contents 1 2 3 9 15 18 Executive Summary Study Methodology

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

Meaningful Use Stage 2 Administrator Training

Meaningful Use Stage 2 Administrator Training Meaningful Use Stage 2 Administrator Training 1 During the call please mute your line to reduce background noise. 2 Agenda Review of the EHR Incentive Programs for Stage 2 Meaningful Use Measures and Corresponding

More information

Meaningful Use. Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC

Meaningful Use. Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC Meaningful Use Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC What is Meaningful Use? Meaningful use is a term defined by CMS and describes

More information

Extracting Value from Secondary Uses of Electronic Health Data

Extracting Value from Secondary Uses of Electronic Health Data Extracting Value from Secondary Uses of Electronic Health Data The Regenstrief Institute, Indianapolis Indiana Thomas S. Inui, ScM, MD President and CEO, Regenstrief Institute Associate Dean for Health

More information

Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK

Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK HIMSS UK HIMSS Vision Improve health through the better use of technology and information. Do

More information

Of EHRs and Meaningful Use. Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS

Of EHRs and Meaningful Use. Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS Of EHRs and Meaningful Use Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS 1 MU: Where We are Today From www.cms.gov As of the end of January 31, 2013: >210,000 EPs

More information

Overview of an Enterprise HIE at Virtua Health

Overview of an Enterprise HIE at Virtua Health Overview of an Enterprise HIE at Virtua Health Julia Staas IS Director of Integration Virtua January 22, 2014 Page 1 About Virtua 4 Acute Care Hospitals 4 Major Outpatient Centers 45 Physician Office locations

More information

Patient Centered Medical Home (PCMH): Communication and Care Coordination

Patient Centered Medical Home (PCMH): Communication and Care Coordination Patient Centered Medical Home (PCMH): Communication and Care Coordination Phillip Roemer, MD Assistant Professor of Medicine General Internal Medicine Feinberg School of Medicine Northwestern University

More information

Problem-Centered Care Delivery

Problem-Centered Care Delivery HOW INTERFACE TERMINOLOGY MAKES STANDARDIZED HEALTH INFORMATION POSSIBLE Terminologies ensure that the languages of medicine can be understood by both humans and machines. by June Bronnert, RHIA, CCS,

More information

ehr Sharable Data Vicky Fung Senior Health Informatician ehr Information Standards Office

ehr Sharable Data Vicky Fung Senior Health Informatician ehr Information Standards Office ehr Sharable Data Vicky Fung Senior Health Informatician ehr Information Standards Office ehr - Vision DH HA epr Private Private Hospit als Hospitals EHR Repository Access Portal CMS onramp PPP Clinics

More information

Hospital Information Systems HIS

Hospital Information Systems HIS Hospital Information Systems HIS What Does Patient Mean? People s bad situation by means of social, physical and spiritual condition What does Healthcare Organization Mean? Public or private institutions

More information

New York ehealth Collaborative. Health Information Exchange and Interoperability April 2012

New York ehealth Collaborative. Health Information Exchange and Interoperability April 2012 New York ehealth Collaborative Health Information Exchange and Interoperability April 2012 1 Introductions Information exchange patient, information, care team How is Health information exchanged Value

More information

Meaningful use. Meaningful data. Meaningful care. The 3M Healthcare Data Dictionary: Standardizing lab data to LOINC for meaningful use

Meaningful use. Meaningful data. Meaningful care. The 3M Healthcare Data Dictionary: Standardizing lab data to LOINC for meaningful use Meaningful use. Meaningful data. Meaningful care. The 3M Healthcare Data Dictionary: Standardizing lab data to LOINC for meaningful use Executive summary By using standard terminologies to report on core

More information

Electronic Medical Records Getting It Right and Going to Scale

Electronic Medical Records Getting It Right and Going to Scale Electronic Medical Records Getting It Right and Going to Scale W. Ed Hammond, Ph.D. Duke University Medical Center 02/03/2000 e-hammond, Duke 0 Driving Factors Patient Safety Quality Reduction in cost

More information

Electronic Prescribing

Electronic Prescribing Electronic Prescribing Objectives: Describe Electronic Prescribing Discuss tools and information system needed Evaluate the Nurse Informaticist role in EMR/Electronic Prescribing Discuss safety, ethical

More information

Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor

Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor 1 CPOE (Computerized Physician Order Entry) More than 30 percent of all unique patients with at least

More information

Achieving Meaningful Use with Centricity EMR

Achieving Meaningful Use with Centricity EMR GE Healthcare Achieving Meaningful Use with Centricity EMR Are you Ready to Report? GE Healthcare EMR Consulting CHUG Fall Conference October 2010 Achieving Meaningful Use with Centricity EMR The EMR Consulting

More information

MICROMD EMR VERSION 9.0 2014 OBJECTIVE MEASURE CALCULATIONS

MICROMD EMR VERSION 9.0 2014 OBJECTIVE MEASURE CALCULATIONS MICROMD EMR VERSION 9.0 2014 OBJECTIVE MEASURE CALCULATIONS TABLE OF CONTENTS PREFACE Welcome to MicroMD EMR... i How This Guide is Organized... i Understanding Typographical Conventions... i Cross-References...

More information

Meaningful Use Stage 2:

Meaningful Use Stage 2: Meaningful Use Stage 2: Where We Are Now, Where We re Going, and What it Means for Your Practice Russell B. Leftwich, MD, FAAAI Chief Medical Informatics Officer Office of ehealth Initiatives, State of

More information

UAE Progress on the Acute Care EMRAM. Prepared by HIMSS Analytics Presented by Jeremy Bonfini

UAE Progress on the Acute Care EMRAM. Prepared by HIMSS Analytics Presented by Jeremy Bonfini UAE Progress on the Acute Care EMRAM Prepared by HIMSS Analytics Presented by Jeremy Bonfini 2013 Q3 2013 Q4 Complete EMR, CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory,

More information

HI-1018: The Electronic Health Record

HI-1018: The Electronic Health Record Course Introduction Course Introduction HI-1018: The Electronic Health Record 6m Chapter 01 - Introduction Introduction History Medical Record History Medical Records Purpose Paper Electronic EMR versus

More information

Role of Health Plans It s Time to Get out of the Sandbox Health Record Enablement

Role of Health Plans It s Time to Get out of the Sandbox Health Record Enablement National Conference of State Legislatures Health IT Champions New Orleans February 2007 Role of Health Plans It s Time to Get out of the Sandbox Health Record Enablement Blue Cross and Blue Shield of Louisiana

More information

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities

More information

AAP Meaningful Use: Certified EHR Technology Criteria

AAP Meaningful Use: Certified EHR Technology Criteria AAP Meaningful Use: Certified EHR Technology Criteria On July 13, 2010, the US Centers for Medicare and Medicaid Services (CMS) released a Final Rule establishing the criteria with which eligible pediatricians,

More information

THE STIMULUS AND STANDARDS. John D. Halamka MD

THE STIMULUS AND STANDARDS. John D. Halamka MD THE STIMULUS AND STANDARDS John D. Halamka MD THE ONC STRATEGY Grants - Accelerating Adoption Standards - Interim Final Rule Meaningful Use - Notice of Proposed Rulemaking Certification - Notice of Proposed

More information

ONTARIO EHR INTEROPERABILITY STANDARDS WHY STANDARDS MATTER

ONTARIO EHR INTEROPERABILITY STANDARDS WHY STANDARDS MATTER www.ehealthontario.on.ca ONTARIO EHR INTEROPERABILITY STANDARDS WHY STANDARDS MATTER At ehealth Ontario we are building new health care IT systems and connecting existing ones that allow clinicians to

More information

The Electronic Medical Record (EMR)

The Electronic Medical Record (EMR) Journal of Applied Medical Sciences, vol. 2, no. 2, 2013, 79-85 ISSN: 2241-2328 (print version), 2241-2336 (online) Scienpress Ltd, 2013 The Electronic Medical Record (EMR) PeterChris Okpala 1 Abstract

More information

Meaningful Use. Medicare and Medicaid EHR Incentive Programs

Meaningful Use. Medicare and Medicaid EHR Incentive Programs Meaningful Use Medicare and Medicaid Table of Contents What is Meaningful Use?... 1 Table 1: Patient Benefits... 2 What is an EP?... 4 How are Registration and Attestation Being Handled?... 5 What are

More information

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Medicaid EHR Incentive Program Focus on Stage 2 Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Understanding Participation Program Year Program Year January 1 st - December 31st. Year

More information

The deployment of OHMS TM. in private cloud

The deployment of OHMS TM. in private cloud Healthcare activities from anywhere anytime The deployment of OHMS TM in private cloud 1.0 Overview:.OHMS TM is software as a service (SaaS) platform that enables the multiple users to login from anywhere

More information

I couldn t believe that a simple internet browser can help me so much, thanks to Health Highway.

I couldn t believe that a simple internet browser can help me so much, thanks to Health Highway. I couldn t believe that a simple internet browser can help me so much, thanks to Health Highway. Making You Successful Your problems are ours.... We welcome you to the 21st Century with Health Highway's

More information

The Big Picture: IDNT in Electronic Records Glossary

The Big Picture: IDNT in Electronic Records Glossary TERM DEFINITION CCI Canada Health Infoway Canadian Institute for Health Information EHR EMR EPR H L 7 (HL7) Canadian Classification of Interventions is the Canadian standard for classifying health care

More information

HITECH Act Update: An Overview of the Medicare and Medicaid EHR Incentive Programs Regulations

HITECH Act Update: An Overview of the Medicare and Medicaid EHR Incentive Programs Regulations HITECH Act Update: An Overview of the Medicare and Medicaid EHR Incentive Programs Regulations The Health Information Technology for Economic and Clinical Health Act (HITECH Act) was enacted as part of

More information

1. Introduction - Nevada E-Health Survey

1. Introduction - Nevada E-Health Survey 1. Introduction - Nevada E-Health Survey Welcome to the Nevada E-Health Survey for health care professional providers and hospitals. The Office of Health Information Technology (OHIT) for the State of

More information

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use Stage 1 Focuses on Functional & Interoperability

More information

Adopting an EHR & Meaningful Use

Adopting an EHR & Meaningful Use Adopting an EHR & Meaningful Use Learn how to qualify for the EHR Incentive Program The materials in this presentation, or prepared as part of this presentation, are provided for informational purposes

More information

Workflow Redesign Templates

Workflow Redesign Templates Workflow Redesign Templates Provided By: The National Learning Consortium (NLC) Developed By: Health Information Technology Research Center (HITRC) Practice and Workflow Redesign Community of Practice

More information

7/31/2015. Shelly Spiro, Executive Director, Pharmacy HIT Collaborative reports no relevant financial relationships.

7/31/2015. Shelly Spiro, Executive Director, Pharmacy HIT Collaborative reports no relevant financial relationships. Pharmacy Health Information Technology Collaborative Shelly Spiro, Executive Director, Pharmacy HIT Collaborative reports no relevant financial relationships. 1. This session will describe the struggles

More information

In response to the Meaningful Use (MU) initiative in the American Recovery and

In response to the Meaningful Use (MU) initiative in the American Recovery and Testing Overview for a Multi-Application Implementation GETVITALIZED.COM Kelly Bishop, VCS Principal Consultant, PMO Practice In response to the Meaningful Use (MU) initiative in the American Recovery

More information

HIMSS Interoperability Showcase 2011

HIMSS Interoperability Showcase 2011 Interoperability will bind together a wide network of real-time life critical data that not only transform but become healthcare. Health Information Interoperability Challenges and Integrating Healthcare

More information

AHE 232 Introduction to Clinical Software. Week six:

AHE 232 Introduction to Clinical Software. Week six: AHE 232 Introduction to Clinical Software Week six: Note: I have set up the entire curriculum for this class with weekly lesson plans. This will allow the Instructor to determine how to incorporate the

More information

Stage 1 measures. The EP/eligible hospital has enabled this functionality

Stage 1 measures. The EP/eligible hospital has enabled this functionality EMR Name/Model EMR Vendor Epic Epic Stage 1 objectives Use CPOE Use of CPOE for orders (any type) directly entered by authorizing provider (for example, MD, DO, RN, PA, NP) Stage 1 measures For EPs, CPOE

More information