Terminology in Health Care and Public Health Settings - PowerPoint PPT Presentation

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Terminology in Health Care and Public Health Settings

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Terminology in Health Care and Public Health Settings Unit 15 Overview / Introduction to the EHR – PowerPoint PPT presentation

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Title: Terminology in Health Care and Public Health Settings


1
Terminology in Health Care and Public Health
Settings
  • Unit 15
  • Overview / Introduction to the EHR

2
Last Next Ten Years
  • Improved Technology
  • Government Support
  • Receptivity of Healthcare Professionals
  • Receptivity of Patients
  • Use of Electronic Records
  • Amount of Data

3
(No Transcript)
4
The Electronic Health Record
  • Common acronyms for electronic records for
    patient data
  • EHR electronic health record (across the
    lifespan)
  • CBMR computer based medical record
  • CPR computerized patient record
  • EMR electronic medical record
  • EPR electronic patient record
  • PHR personal health record

5
Functions of the Health Record
  • Document patient care
  • Provide communication among healthcare team
    members
  • Financial and legal record
  • Research and continuous quality improvement
  • Repository of the clinical thought processes
    recording ideas and impressions over the period
    of care
  • Single point at which all clinical data are
    archived for long-term use

6
Attributes of the EHR
  • Enormous capabilities of data storage in a small
    space
  • Accessible from remote sites to multiple people
    at the same time
  • Information retrieval can be almost instantaneous
  • Provide clinical alerts, expert systems, and
    reminders

7
Attributes of the EHR
  • Can link the clinician to protocols
  • Create customized views
  • Improve risk management
  • Provide outcomes assessment
  • More accurate capture of financial charges and
    billing efficiency
  • Increases patient satisfaction

8
Data rich and information poor?
9
Rights of Information
  • Right information must be accurate, free from
    error, and meaningful
  • Right person communicated to the person who will
    respond to them
  • Right time crucial to the health of an
    individual, give to the decision-maker within a
    few minutes or hours
  • Right place must be accessible at the point of
    care
  • Right amount decisions can be made faster when
    only the information desired is available

10
American Recovery and Reinvestment Act (ARRA)
  • 19B for HITECH Health Information Technology
    for Economic and Clinical Health
  • Center for Medicaid and Medicare Services (CMS)
  • Incentive Payment, Meaningful Use
  • Office of the National Coordinator for Health
    Information Technology (ONC)
  • Certification Standards

11
Meaningful Use
  • The effective use of information to support
    better decision-making and more effective care
    processes that improve health outcomes and reduce
    cost growth
  • Data Capture and Sharing
  • Advanced Clinical Processes
  • Improved Outcomes

The Markel Foundation Connecting for Health,
Achieving the Health IT Objectives of the
American Recovery and Reinvestment Act April 2009
12
Data Capture and Sharing
  • Improve Quality, Safety and Efficiency
  • Engage Patients and Families
  • Improve Care Coordination
  • Improve Population and Public Health
  • Ensure Privacy and Security Protections

13
Improve Quality
  • Use CPOE
  • Formulary Checks
  • Problem List
  • e-Prescribe
  • Rx List
  • Rx Allergy List
  • Record Demographics
  • Record physiological data
  • Growth charts for children between 2 and 20
  • Record Smoking (gt 13 Yrs)
  • Structured Lab Results
  • List Patient by Condition
  • Report Quality Measures
  • Patient Reminders (50 Yrs or gt)
  • Clinical Decision Support ("Relevant to Clin
    Quality Measures)
  • Check Eligibility
  • Submit Electronic Claims

14
Engage Patients and Families
  • Patient e-Access on Request (Including Discharge
    Summary/ Instructions from hospital)
  • Patient e-Access to Record (Patient Portal)
  • Clinical Summaries each Visit (Portal, email, CD,
    USB, Paper)

15
Improve Care Coordination
  • Exchange Health Info with other Provider
  • Medication Reconciliation
  • Summary Care Record for each Transition/Referral
    Transfers w/Summary

16
Improve Population and Public Health
  • e-Submit to Immunization Registries (Hospital
    also submits to Department of Public Health)
  • Syndromic Surveillance to Department of Public
    Health

17
Final Revisions to the ARRA Meaningful Use Rule
  • Final revisions to the rule July 13, 2010
  • http//www.ofr.gov/OFRUpload/OFRData/2010-17210_PI
    .pdf

18
Summary of Objectives
The Meaningful Use Regulation for Electronic
Health Records. NEJM, July 13th,
2010 http//healthcarereform.nejm.org/?p3732
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