Title: Terminology in Health Care and Public Health Settings
1Terminology in Health Care and Public Health
Settings
- Unit 15
- Overview / Introduction to the EHR
2Last Next Ten Years
- Improved Technology
- Government Support
- Receptivity of Healthcare Professionals
- Receptivity of Patients
- Use of Electronic Records
- Amount of Data
3(No Transcript)
4The 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
5Functions 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
6Attributes 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
7Attributes 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
8Data rich and information poor?
9Rights 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
10American 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
11Meaningful 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
12Data 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
13Improve 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
14Engage 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)
15Improve Care Coordination
- Exchange Health Info with other Provider
- Medication Reconciliation
- Summary Care Record for each Transition/Referral
Transfers w/Summary
16Improve Population and Public Health
- e-Submit to Immunization Registries (Hospital
also submits to Department of Public Health) - Syndromic Surveillance to Department of Public
Health
17Final 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
18Summary of Objectives
The Meaningful Use Regulation for Electronic
Health Records. NEJM, July 13th,
2010 http//healthcarereform.nejm.org/?p3732