EHR & Healthcare

EHR & Healthcare By Nainil Chheda nainil@eliteral.com http://www.nainil.com

This Presentation Contains • EHR Industry Trends • HIPAA • CCR • CCHIT

Percentage Of Office-Based Physicians Using Electronic Medical Records, By Specialty

Probability Of Using Electronic Medical Records (EMRs) By Practice Size And Ownership

Degree Of Electronic Health Record (EHR) Implementation, By Practice Size, 2005

Perceived Benefits Of Electronic Health Records (EHRs) To The Practice, 2005

HIPAA • What is HIPAA? – Health Insurance Portability and Accountability Act of 1996 (HIPAA), also known as the Kennedy/Kassebaum Act – Primary purpose was to improve health insurance accessibility for people changing employers or leaving the workforce – HIPAA also included “Administrative Simplification” provisions to encourage and protect the electronic transmission of health-related data

What are the HIPAA Administrative Simplification Provisions? • 1. National standards for electronic data transmission • 2. Unique health identifiers for providers, employers, plans, and individuals • 3. Security standards to protect electronically maintained health information • 4. Privacy and confidentiality provisions for individually identifiable health care data

Who must comply with HIPAA? 1.Health care providers or any other person or organization that furnishes, bills, or is paid for health care in its normal course of business 2.Health plans that provide or pay the cost of medical care, including Medicare and Medicaid 3.Health care clearinghouses that process data elements or transactions

Continuity of Care Records (CCR) • The CCR, or Continuity of Care Record, is a standard specification being developed jointly by: – ASTM International, – the Massachusetts Medical Society (MMS), – the Health Information Management and Systems Society (HIMSS), – and the American Academy of Family Physicians (AAFP).

Goal of CCR • To create a CCR that will enable the next provider to easily access the information outlined above at the beginning of a first encounter and easily update the information when the patient goes on to another provider, in order to support the safety, quality, and continuity of patient care.

Uses of CCR • The CCR may be used as a vehicle to exchange clinical information among providers, institutions, or other entities. • It may also be used by the patient as a brief summary of recent care.

Conceptual Model of CCR Conceptual Model of the CCR 1 Document Identifying Information “From/To” info re Provider/Clinician “ Optional Reason for Referral/Transfer Extension 2 Patient Identifying Optional Information Extension 3 Extension Eligibility, Co-payment, etc. Insurance and Financial Info 4 Health Status of Patient Extension Med. Specialty-specific Info Diagnosis/Problems/Conditions Adverse Reaction/Alerts Current Medications Extension Disease Management-specific Info Immunizations Personal Health Record Info Vital Signs Extension Documented by the Patient Lab Results Procedures/Assessments Extension Med. Specialty-specific Info 5 Care Documentation Extension Disease Management-specific Info Extension Institution-specific information Extension Care Documentation for Payers (Attachments) Extension Personal Health Record Info Documented by the Patient 6 Care Plan Recommendation Version 6– 10/31/03 Mandated Core Elements of the CCR

CCR Benefits • The next healthcare provider will not have to search for or guess about a patient’s allergies, medications, or current and recent past diagnoses and other pertinent information. • The next healthcare provider will be informed about the patient’s most recent healthcare assessment and services. • The next healthcare provider will be informed about recommendations of the caregiver who last treated the patient. • As patient demographics will be provided, time and effort will be saved by not having to repeatedly ask a patient for demographic information in detail. Rather, this information can be more quickly and easily verified. • A patient’s insurance status will be more easily established. Over time, this can be expanded within the system. • Costs associated with the patient’s care will be reduced, for example through avoiding repetitive tests and basic information gathering. • The effort required to update the patient’s most essential and relevant information will be minimized

What is CCHIT? • CCHIT – Certificate Commission for Health Information Technology • CCHIT's mission: To accelerate the adoption of health information technology by creating an efficient, credible and sustainable product certification program

CCHIT’s Goal • Reduce the risk of HIT investment by physicians and other providers • Ensure interoperability (compatibility) of HIT products • Assure the participants that the ROI will be improved quality • Protect the privacy of patients' personal health information

Who would benefit from CCHIT • Physicians & Hospitals • Health Systems • Vendors • Healthcare consumers (accurate & secure record of health) • Standards development experts (CCR) • Quality Improvement Organizations (CCHIT)

Thank You • Nainil Chheda • www.nainil.com

Copyright Information No part of this publication may be reproduced or transmitted in any form or for any purpose without the express permission of Nainil Chheda (nainil@eliteral.com). The information contained herein may be changed without prior notice. Data contained in this document serves informational purposes only. The information in this document is proprietary to Nainil Chheda. This document is a preliminary version and not subject to other agreement with Nainil Chheda. Nainil assumes no responsibility for errors or omissions in this document. Nainil does not warrant the accuracy or completeness of the information, text, graphics, links, or other items contained within this material. Nainil shall have no liability for damages of any kind including without limitation direct, special, indirect, or consequential damages that may result from the use of these materials.

http://www.nainil.com	134
http://nainil.com	19
http://www.slideshare.net	9
http://informaticamedicacl.blogspot.com	6
http://desarrollodenegociosti.blogspot.com	1
http://online.twu.edu	1

EHR & Healthcare

by Nainil Chheda on Oct 20, 2008

Accessibility

Categories

Tags

Upload Details

Usage Rights

6 Embeds 170

Statistics

EHR & Healthcare — Presentation Transcript