Electronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010
|
|
- Nicholas Owens
- 8 years ago
- Views:
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 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 informationSpecial 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 informationThe 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 informationMeaningful 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 informationHealth 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 informationAddressing 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 informationHealth 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 informationHospital 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 informationElectronic 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 informationELECTRONIC 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 informationElectronic 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 informationi-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 informationEligible 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 informationHealth 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 informationAgenda. 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 informationHL7 & 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 informationGLOBAL 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 informationMeaningful 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 informationHealth 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 informationHealth 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 informationempowersystemstm 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 informationHL7 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 informationELECTRONIC 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 informationSOA 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 informationMeaningful 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 informationCMS & 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 informationEHR 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 informationCustom 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 informationThe 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 informationSingapore 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 informationPhysician 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 informationAn 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 informationIntroduction 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 informationSOA 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 informationImplementing 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 informationHealthcare 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 informationTHE 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 informationMicrosoft 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 informationMeaningful 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 informationMona 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 informationThe 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 informationUsing 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 informationDEMYSTIFYING 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 informationStage 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 informationElectronic 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 informationVIII. 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 informationIMPROPER 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 informationHL7 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 informationI 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 informationMedicare 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 informationOf 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 informationMeaningful 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 informationShelly 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 informationMEETING 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 informationGuide 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 informationMeaningful 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 informationStage 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 informationChildren 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 informationMeaningful 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 informationThe 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 informationUAE 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 informationMedweb 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 informationMeaningful 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 informationElectronic 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 informationThe 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 informationOverview 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 informationHIMSS 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 informationThe 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 informationMeaningful 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 informationRole 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 informationCHAPTER 2 Functional EHR Systems
CHAPTER 2 Functional EHR Systems Chapter Overview Chapter 2 of the student text describes the various forms of storing EHR data and the value of using standardized codes for those data. The chapter covers
More informationElectronic 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 informationAdopting 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 informationMICROMD 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 informationHIMSS Electronic Health Record Definitional Model Version 1.0
HIMSS Electronic Health Record Definitional Model Version 1.0 Prepared by HIMSS Electronic Health Record Committee Thomas Handler, MD. Research Director, Gartner Rick Holtmeier, President, Berdy Systems
More informationehr 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 informationMEANINGFUL USE. Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) CONTENTS:
Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) MEANINGFUL USE HITECH s goal is not adoption alone but meaningful use of EHRs that is, their
More informationStage Two Meaningful Use Measures for Eligible Professionals
Stage Two Meaningful Use Measures for Eligible Professionals GENERAL REQUIREMENT FOR ELIGIBLE PROFESSIONALS Objective Measure Numerator, Denominator, & Exclusion Application Tips Required by the Final
More informationElectronic 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 informationMeaningful 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 informationMedicaid 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 informationHospital 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 informationEHR Incentive Program Updates. Jason Felts, MS HIT Practice Advisor
EHR Incentive Program Updates Jason Felts, MS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter code 2071585#. Step 3: Mute your
More informationTHE 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 informationMeaningful 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 informationHI-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 informationPatient 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 informationOverview of Meaningful Use Objectives Pharmacy e-hit Collaborative Comments
CPOE for medication orders (30%) CPOE (by licensed professional) for at least 1 medication, and 1 lab or radiologyorder for 60% of unique patients who have at least 1 such order (order does nothave to
More informationONTARIO 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 informationAAP 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 informationInternational HL7 Interoperability Conference - IHIC 2010
International HL7 Interoperability Conference - IHIC 2010 National ehealth Initiatives: Global Health Information Technology Standards Serving Local Needs Building Interoperability across many localities
More informationWorkflow 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 informationI. RECOMMENDATIONS RELATED TO THE TIMING OF STAGE 2
DRAFT FOR HIT POLICY COMMITTEE APPROVAL Farzad Mostashari, MD, ScM National Coordinator for Health Information Technology U.S. Department of Health and Human Services 200 Independence Avenue, S.W.
More informationIn 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 informationHITECH 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 informationReporting Period: For Stage 2, the reporting period must be the entire Federal Fiscal Year.
Eligible Hospital and Critical Access Hospital (CAH) Attestation Worksheet for Stage 2 of the Medicare Electronic Health Record (EHR) Incentive Program The Eligible Hospital and CAH Attestation Worksheet
More informationFor sample use only - data from 2006.
Essentials of the U.S. Hospital IT Market 1st Edition For sample use only - data from 2006. Electronic Medical Records 2426-7000 himss titles 3/9/06 9:34 AM Page 12 111 Approximately 75 percent of U.S.
More informationImplementing MICO Beyond the EMR
Implementing MICO Beyond the EMR Dr Wong Yue Sie Group COO, SHS COO & Div Chair ACSS, SGH National Health Informatics Summit 18 July 2009 1 SingHealth Institutions 3 Hospitals 5 National Specialty Centres
More informationNew 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 informationMEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.
More information