Health Information Technology AAP Child Health Informatics Center (CHIC)
HIT at the AAP 1985 Formation of AAP Section on Computers and Other Technologies 2009 Establishment of Child Health 2002 Informatics Center Merger of SCOT and TFOMI 1980 2010 1991 Formation of Task Force 2006 on Medical Informatics Merged group renamed Council on Clinical Information Technology
Child Health Informatics Center (CHIC) Authorized by AAP Board in October 2009 Will serve as home and the coordinator for HIT initiatives within the AAP Chris Lehmann, MD, FAAP CHIC Medical Director Neonatologist and Director of Clinical Information Technology and Associate Professor of Pediatrics & Health Sciences Informatics at Johns Hopkins University. Project Advisory Committee - in formation Will help set the agenda and advise the AAP Chair - Steve Downs, MD, MD, FAAP Riley Hospital for Children Regenstrief Institute COCIT will be first layer within AAP HIT network
CHIC Health Informatics Activities Council on Clinical Information Technology Policy, Advocacy, Education, Research Integration with AAP Quality and Medical Home Activities Steering Committee on Quality Improvement and Management (SCOQIM) Partnership for Policy Implementation (PPI) CAQI and QuIIN National Center for Medical Home Improvement Internal and External Collaborative Activities Alliance for Pediatric Quality (APQ)
AAP Council on Clinical Information Technology (COCIT) 600 members with special interest or training in applying HIT to pediatrics Goal - Support pediatric HIT and HIE in actual practice, addressing AAP priorities AAP Policy development Electronic health passport Interaction between EHRs and immunization registries Web based services - immunization registry project Adolescent confidentiality / privacy Education
Policy and Advocacy PCPCC Center for ehealth Information, Exchange, & Adoption Meaningful Use; Clinical Decision Support Task Groups American Recovery & Reinvestment Act of 2009 Health Information Technology (HITECH) Medicaid EHR adoption incentives Extension Program HIT Policy and Standards Committees Comparative Effectiveness Research IOM priority conditions Investments in data infrastructure
Policy, Advocacy, and Research CHIP Reauthorization Act (CHIPRA) Quality provisions Core measure set, mandated metrics, & reporting CMS Demonstrations Model pediatric EHR format for children Quality Measures Development Program IOM report Obesity demonstration grants
Education National conference and workshop sessions Pediatric Office of the Future Pediatric Documentation Challenge Peds-21 COCIT Council Program and Scientific Abstracts Technology Learning Center EMR Review Web site (http://www.aapcocit.org/emr) EMR Toolkit (http://practice.aap.org), under Practice Toolbox
Research Periodic Survey: Pediatricians Use of EHRs Basic 19% (ALL 7 items) Fully functional 6% (Basic + 11additional functions = ALL 18 items) Patient demographics Patient problem lists Orders for prescriptions Ability to view lab results Ability to view imaging results Patient medication lists Clinical notes Highlights out-of-range lab results Clinical notes include medical history, follow-up notes Orders for laboratory tests Lab orders sent electronically Warnings of drug interactions, contraindications Prescriptions sent to pharmacies Orders for radiology tests Radiology orders sent electronically Electronic images returned Guideline reminders (preventive) Guideline reminders (chronic)
Integration with Quality Activities AAP Partnership for Policy Implementation (PPI) To integrate HIT functionality into Academy policy development and implementation Practicing pediatricians and pediatric informaticians with QI expertise Translate and implement policies Bright Futures Developmental Screening in the Medical Home Bronchiolitis; Influenza; Autism CAQI and QuINN Quality Measure Development
Collaborative Efforts Alliance for Pediatric Quality (APQ) American Academy of Pediatrics (AAP) Child Health Corporation of America (CHCA) National Association of Children s Hospitals and Related Institutions (NACHRI) American Board of Pediatrics (ABP)
APQ Collaborative Efforts HL7 Child Health Work Group Child Health Profile as ANSI Standard Quality Reporting Document Architecture (currently is a draft standard for trial use) Working on Neonatal Care Report CCHIT Participation in Child Health and other work groups Child Health add-on certification requirements based on HL7 Child Health profile and AAP report on Special Requirements for Pediatric EHRs HL7/CCHIT gap analysis underway between existing and needed requirements.
CHIC - 6 month work plan AHRQ Request for Task Order Model EHR CMS Demonstration Grants Other time sensitive grant opportunities HITECH Act Coordination National Technical Assistance for Extension Centers IPIP - DOE/DOCSP Medical Director and Advisory Committee Communication with COCIT/other stakeholders PCPCC Education and Policy Agendas Integration with Quality Initiatives
AHRQ RFTO Model EHR Development $4.7M 2 year project Limited eligible bidders AAP Subcontract Technical Expert Panel Environmental scan - content experts Evaluation of existing EHRs Development of model EHR format Dissemination of model (QuINN, CAQI, COCIT) Development of 3 new component/modules
AAP - Model EHR Informatics Team Stephen Downs Williams Adams Chris Lehmann Kevin Johnson Andrew Spooner Ken Mandl COCIT - Joe Schneider, Jeannie Marcus NACHRI - Aileen Sedman, Feliciano Yu APQ - Joy Kuhl
AAP - Model EHR Policy Issues Confidentiality and adolescent services Medical Home Foster care School and community agencies information Newborn metabolic and hearing screenings Quality improvement and measurement Guidelines integration Plain language/literacy
AAP Staff Jennifer Mansour Beki Marshall Sunnah Kim, RN, MS, CPNP Ed Zimmerman, MS Dan Walters Bob Hall, JD Jonathan Klein, MD, MPH Manager, Health Information Technology Initiatives Manager, HIT Education and Implementation Director, Division of Pediatric Practice Director, Department of Practice Division of State Government Affairs, DOCCSA Assistant Director, Department of Federal Affairs Associate Executive Director
For More Information Contact Jen Mansour Manager, Health Information Technology Initiatives, jmansour@aap.org or 847-434-4229 Email the CHIC at chic@aap.org Coming Soon! www.aap.org/chic