Ehr As We See It

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IBM Global Healthcare Consumerism Leader

The document discusses several key points about electronic health records (EHRs): 1) Currently, none of the EHR vendors meet federal requirements because their systems are not interoperable between each other. 2) For EHRs to have value, they must be interconnected and allow information to be shared between different providers and organizations through regional and national health information networks. 3) A network of interconnected EHRs has much higher value than individual systems that are not connected.

Health & Medicine Business

EHR—Electronic Health Records Why Should I Be Worried?

EHR—What Should I Know? ,[object Object],[object Object],[object Object]

EHR—What Should I Know? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EHR—What Should I Know? ,[object Object],[object Object],[object Object],[object Object],[object Object]

EHR—What Should I Know? ,[object Object],[object Object],[object Object],[object Object]

EHR—Exponential Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EHR—Fail Safe Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EHR—Fail Safe Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EHR—Ambulatory Practices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Electronic Health Record (EHR) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EHR is Wide Open ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EHR Barriers—Magnitude of staffing barrier is grossly underestimated Barriers to Electronic-Records Adoption (NEMJ)

EHR Facilitators—will not have the desired impact Facilitators of Electronic-Records Adoption (NEMJ)

EHR Costs—to pass the interoperability test are understated ,[object Object],[object Object],[object Object]

EHR—if it doesn’t connect, it doesn’t work ,[object Object],[object Object],[object Object],[object Object],[object Object]

EHR—if this was reality TV, there’d be no winners ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],EHR Enablers—who’s watching the business processes?

EHR Readiness Methodology EHR Readiness Methodology has a 6 phase scorecard.

Enterprise Readiness Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]

EHR Implementation Playbook ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Enterprise Risk Assessment ,[object Object],[object Object],[object Object],[object Object]

EHR Cost Benefit/Funding Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object]

EHR Implementation Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Healthcare Consulting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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WEEK 2 SEMINAR HI300 - Unit 2 Adapted from AHIMA Press AGENDA Week 1 Review Announcements and Reminders Week 2 Topics Overview Week 2 Assignments * Read the Unit 2 Reading Resources Participate on the Discussion Board Attend Seminar Complete the Unit 2 Assignment Unit 2- What Should You Be Doing? Before Electronic Health Records….. http://www.youtube.com/watch?v=dTs0CwQcU14&list=PL397565867520650B * IntroductionAmerican Recovery and Reinvestment Act of 2009’s definition of “qualified EHR”: A qualified EHR “includes patient demographic and clinical health information, such as medical history and problem lists, and has capacity to provide clinical decision support, support physician order entry, capture and query information relevant to health care quality, and exchange health information with and integrate such information from other sources.” What’s The Difference? * https://www.youtube.com/watch?v=y85HfTG4UpU EHR VS. EMRElectronic Health Record (EHR)An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards that can be created, managed and consulted by authorized clinicians and staff across more than one healthcare organization. Electronic Medical Record (EMR)An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one healthcare organization. * EHR SystemsBegins with acquiring source systems. Source systems supply the EHR and other applications with data. Examples of Source Systems: Administrative and Financial SystemsRegistration, admission, discharge and transfer (R-ADT)Patient financial systems (PFS)Many of these transactions mandated HIPAA, Affordable Care ActAncillary or Departmental SystemsLaboratory Information SystemsRadiology Information SystemsPharmacy Information Systems Core EHR Applications5 components to consider with EHR Results management: enables diagnostic study of results to be reviewed as a report and processed. Allows users to compare, trend and graph results. Lab results most common. Clinical documentation: Point of care charting. Use of templates to gather patient information. Closed-loop medication management: ensures patient safety from beginning to end (ordering drug ---- administering drug). E-prescribing, medication reconciliation, Medication 5 Rights Clinical decision support : helps physicians, nurses and other clinical staff make decisions about patient care Analytical Reporting : Processing data to reveal new information. EHR can provide more robust functions to analyze data Evolution of EHRIn 1980s, the Institute of Medicine recommended new technologies were needed to improve state of medical records.Quality of care and patient safety focal points!Many hospitals started early! Physicians wanted electronic access from their offices to the hospital’s labs to view test results.Frustration gre ...

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Connecting Patient Monitoring Devices to EHRs An electronic health record (EHR) is a computer-readable record of health-related information on an individual. The compiled data in an EHR can include information about patient demographics, medical history, family history, immunization records, labotary data, ongoing health problems, progress notes, medications, vital signs, and radiology reports. Ideally, EHRs incorporate data from all healthcare facilities a patient uses, making the data easily accessible to healthcare professionals. EHRs hold out the promise of improving health care and reducing costs, but for now, many hospitals are struggling to automate the capture of raw data from the various patient monitoring devices - such as vital sign monitors, ventilators, and electrocardiagram machines - and pass the data directly into each patient\'s EHR. This task is made more difficult because different devices and/or vendors often use different standards for communicating over the network. As a result, specialized software is required to receive the data and translate it into a form suitable for updating the EHR. Until communications standards implemented across the healthcare industry, each new piece of monitoring equipment that outputs a nonstandard signal requires a new interface with the EHR. So if a promising new vital sign monitoring device is developed, some hospitals looking to use the device may be required to create a new software middleware layer to connect the new device to the EHR. Connecting monitoring devices and EHRs is expected to become a major business growth area over the next decade. Many software vendors and device manufacturers are moving quickly to capitalize on the opportunities involved with automating the many clinical-support activities that involve minotoring devices. THe center for Medical Interoperability has enlisted many of the nation\'s largest healthcare systems as part of its effort to strongly encourage device vendors to adopt communications standards that will ease the problems with interoperablity. The FDA is working to encourage the development of interoperable devices by defining some 25 device standards. Solving the interoperability problem will require an agreement on standards through the cooperation of multiple shareholders. 1. What benefits can be achieved through the successful implementation of EHRs? What additional benefits will be gained by feeding data directly from patient monitoring devices directly into EHRs? 2. Can you identify any legal, ethical, or social concerns with the use of EHRs? What additional concerns arise from connecting patient monitoring devices to the IoT? 3. What actions need to be taken by EHR software vendors, patient monitoring device vendors, government agencies, and hospital administrators to enable patient monitoring devices to be safely and reliably connected to EHRs? Solution Question 1 What benefits can be achieved through the successful implementation of EHRs? Wha.

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