2. Meaningful Use is part of the HITECH Act
Health Information Technology for Economic and
Clinical Health Act
•Investing $20 billion in health
information technology
• Saving $10 billion, through care
coordination, reductions in
medical errors and duplicative
care.
• Strengthening Federal privacy
and security law to protect
health information
4. Why Use Certified Electronic Health Records (EHR)
• Capture accurate and complete
health information to provide
the best possible care.
• Better coordination and sharing
of health information.
• Safer care at a lower cost –
diagnose problems sooner and
reduce medical errors.
5. The Priorities of Meaningful Use
1. Increase 22. Engage
quality, safety, patients and
efficiency, and families
reduce health
disparities
4. Improve
3. Improve population
care health
coordination
5. Ensure privacy and security protections
7. Meaningful Users
Working together as a team to improve
quality, safety and efficiency!
- Physicians
- Nursing
- Medical Records
- Registration
- Pharmacy
- Laboratory
- Information Services
8. PHYSICIANS
• Maintain problem list with assistance
from medical coders
• Perform CPOE
• Use clinical decision support
9. NURSING
• Record vital signs
• Maintain medication allergy list
• Record smoking status
• Use EHR to provide education
resources
• Perform medication reconciliation
• Record advanced directives
• Record smoking status
10. MEDICAL RECORDS
• Provide patients with electronic copies
of health information
• Use clinical data to target patient
specific conditions
• Report on clinical quality measures
11. REGISTRATION
• Record patient demographic
information including
Preferred language
Race & ethnicity
Gender
Preliminary cause of death
12. PHARMACY
• Verify drug formulary compliance
• Establish drug to allergy interaction
checking
• Confirm drug to drug interaction
checking
13. LABORATORY
• Incorporate lab results into EHR
• Electronically transmit lab results to
Illinois Department of Public Health
21. CLINICAL QUALITY MEASURES
(CQM)
Moving forward from manual
abstraction process to electronic
Capability of sending information
directly to other facilities or
governmental agencies for treatment
or reporting purposes
22. ED Throughput
Procedures and tests performed
during the visit
New medications ordered and
changes to old prescriptions
Discharge Instructions
Principal diagnosis at discharge or
chief complaint
Follow up care
23. ED Additional Measures
Median time from ED arrival to ED
departure
Admit decision to ED departure
Focus:
Reduction in time patient is in the
Emergency room and increase the speed
of initial treatment
24. Stroke
Timing and use of thrombolytic therapy
Statin therapy for high cholesterol levels
Patient education
Rehabilitation assessments
25. VTE
(Blood Clot Risk)
Prevention and Treatment any where in the
hospital
Patient Discharge instructions
Preventable measures – Hospital Status
compared to other hospitals across the
country