EHR and Healthcare Facts and Figures

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

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

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

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

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

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

7. 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

8. 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

9. 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

10. 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).

11. 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.

12. 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.

13. 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

14. 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

15. 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

16. 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

17. 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)

18. Thank You
• Nainil Chheda
• www.nainil.com

19. 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.