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Component 7: Working with HIT Systems Image courtesy of Dr. Patti AbbottThis material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000013.

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Introduction & Overview: Components of HIT Systems • Unit 1 will introduce the vocabulary, concepts and common applications of Health Information Technology (HIT) systems • This unit is composed of two parts: Image courtesy of Dr. Patti – Lecture material Abbott – Student application of the lecture material in interactive EHR exercises (hands on) Health IT Workforce CurriculumComponent 7/Unit1 2 Version 2.0/Spring 2011

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Unit 1 Objectives• At the completion of Unit 1, students will be able to: – Define a system and relate systems concepts to HIT – Discuss specific examples of settings where Health IT is used (acute, rural, public health, clinic, office, patient home, etc.) – Identify common components of a clinical HIT system – Demonstrate beginning level competency in maneuvering the demonstration EHRS Health IT Workforce CurriculumComponent 7/Unit1 3 Version 2.0/Spring 2011

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Conceptualizing HIT Use Personal Health Population Healthcare Health Health IT Workforce CurriculumComponent 7/Unit1 4 Version 2.0/Spring 2011

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Concepts of General Systems •Organization of functionally interactive units for the achievement of a common goal. •Inputs, outputs, and feedback. •Working to maintain a basic level of equilibrium. Health IT Workforce CurriculumComponent 7/Unit1 5 Version 2.0/Spring 2011

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HIT Systems (Inpatient) Clinical Decision Support: “Any system designed to improve clinical decision making related to diagnostic or therapeutic processes of care.” Health IT Workforce CurriculumComponent 7/Unit1 6 Version 2.0/Spring 2011

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EHR Health IT Workforce CurriculumComponent 7/Unit1 7 Version 2.0/Spring 2011

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HIT Systems Home Public Health Systems Socially Networked HIT Health IT Workforce CurriculumComponent 7/Unit1 8 Version 2.0/Spring 2011

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The “BIG Picture” of HIT Systems Research Institute State Public Health Community Practice Federal AgenciesBeaconCommunity NHIN Integrated Delivery System Health Information Organization Health Center Image Source: Network http://healthit.hhs.gov Health IT Workforce CurriculumComponent 7/Unit1 9 Version 2.0/Spring 2011 9

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Common Aspects of Clinical HIT Systems Health IT Workforce CurriculumComponent 7/Unit1 10 Version 2.0/Spring 2011

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Summing Up Part 1 of Unit 1• We defined a system and related the concepts to HIT• We provided examples of HIT in a variety of settings –The “H” does not stand only for healthcare –Standards are paramount for information exchange• We identified common components of a clinical HIT system – Similarities and differences between paper and electronic records Health IT Workforce CurriculumComponent 7/Unit1 11 Version 2.0/Spring 2011

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Part 2 of Unit 1: Hands on Application of HIT Concepts Exploring the VistA CPRS (short videos) 1. VistA Interface 2. Exploring the Coversheet 3. Exploring the Tabs 4. Exploring the Tabs – Part 2 5. Reports Tab & Scavenging 6. How to do the Scavenger Hunt Health IT Workforce CurriculumComponent 7/Unit1 12 Version 2.0/Spring 2011

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You Have Completed the Slide Deck for Unit 1 Introduction & Overview: Components of HIT Systems : Components of HIT Systems Completed Health IT Workforce CurriculumComponent 7/Unit1 13 Version 2.0/Spring 2011

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References• AHRQ Glossary. Available from: AHRQ: http://www.psnet.ahrq.gov/glossary.aspx#C• Electronic Health Records Overview. National Institutes of Health. National Center for Research Resources. c2006. Available from: http://www.ncrr.nih.gov/publications/informatics/EHR.pdf• HealthIT. The Office of the National Coordinator for Health Information Technology. Available from: http://healthit.hhs.gov• Nursing Homes Abuse Blog. c2011. Available from: http://www.nursinghomesabuseblog.com• The Office of the National Coordinator website. c2011. Available from: http://healthit.hhs.gov/portal/server.pt?open=18&objID=910684&par entname=CommunityPage&parentid=21&mode=2&in_hi_userid=10 741&cached=true Health IT Workforce CurriculumComponent 7/Unit1 14 Version 2.0/Spring 2011