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Administrative Processes
- The electronic scheduling, billing and claims management systems including
- electronic scheduling for inpatient and outpatient visits and procedures,
- electronic insurance eligibility validation, claim authorization and prior
- approval, identification of possible research study participants and drug
- recall support
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Connectivity
- Ability to hook up to the electronic resources necessary to meet the user's needs; ability to use computers networks to link to people and resources; the unbiased transmission or transport of IP packets between two end points
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Decision Support
- A single recommendation or series of recommendations implying next steps based on care protocols; the computer reminders and alerts to improve the diagnosis and care of a patient including screening for correct drug selection and dosing, medication interactions with other medications, preventive health reminders in areas such as vaccinations, health risk screening and detection and clinical guidelines for patient disease treatment
-
Electronic Communication
- The online communication among healthcare team members, their care partners and patients including e-mail, web messaging, and an integrated health record
- within and across settings, institutions and telemedicine
-
Electronic Health Record (EHR)
- A data warehouse or repository of information regarding the health status of a
- client, replacing the former paper-based medical record; it is the systematic
- documentation of a client’s health status and healthcare in a secured digital
- format, meaning that it can be processed, stored, transmitted and accessed by
- authorized interdisciplinary professionals for the purpose of supporting
- efficient, high quality healthcare across the client’s healthcare continuum;
- (also known as an Electronic Medical Record): An electronic health or
- medical record is a computer-based patient medical record that can be used to
- collect and look up patient data by physicians or health professionals at
- various locations such as doctor’s offices or hospitals. The record
- includes information such as patient problems, medications, allergies,
- laboratory results, etc.
-
Healthcare Information
- The processed data required to make sound clinical decisions including demographics, medical and nursing diagnoses, medication lists, allergies and test results
-
Healthcare Data
The patient data required to make sound clinical decisions including demographics, medical and nursing diagnoses, medication lists, allergies and test results
-
Order Entry Management
- The ability for a clinician to enter medication and other care orders directly into
- a computer including laboratory, microbiology, pathology, radiology, nursing,
- supply orders, ancillary services and consults
-
Patient Support
- The patient education and self-monitoring tools including interactive computer
- based patient education, home telemonitoring and telehealth systems
-
Population Health Management
- The data collection tools to support public and private reporting requirements
- including data represented in a standardized terminology and machine-readable
- format (IOM, 2003); realizing the most advantageous cost and clinical outcomes.
-
Reporting
- - Developing the documents or reports and conveying information;
- the data collection tools to support public and private reporting
- requirements including data represented in a standardized terminology and
- machine-readable format
-
Results Management
- The ability to manage results of all types electronically including laboratory and radiology procedure reports, both current and historical
-
Decision support
- is the computer reminders and alerts to improve the diagnosis and care of a
- patient
-
Electronic communication and connectivity
is the online communication among healthcare team members, their care partners and patients including e-mail, web messaging, and an integrated health record within and across settings, institutions and telemedicine
-
National Coordinator for Health Information Technology (ONCHIT)
was established to address these nuances and gaps in defining an EHR.
- *The primary mission
- of ONCHIT is to assure users of health information technology systems that
- those systems “provide needed capabilities, securely manage information and
- protect confidentiality and work with other systems without reprogramming”
-
EHR advantages
include simple benefits such as no longer having to interpret poor penmanship and handwritten orders to reduced turn-around-time for lab results in an emergency department and to administration of the first dose of antibiotics in an inpatient nursing unit
-
•The Process’ of EHR
- *The first step of ownership is typically a vendor selection process.
- Pre-acquisition phase should also concentrate on understanding the current state of the health information technology industry in order to identify appropriate questions and next steps in your selection process
- *The second step of the selection process is to select a system based on the
- organization’s current and predicted needs. The criteria should include both subjective and objective items that cover topics such as common clinical workflows, decision support, reporting, usability, technical build and maintenance of the system. Implementation planning should occur concurrently with the selection process, particularly the assessment of the scope of the work, initial sequencing of the EHR components to be implemented and resources required. The implementation plan should also account for the long term optimization of the EHR
-
Flexibility and Expandability
- •There is not yet an electronic health record
- system available
- •Most healthcare organizations do not yet have
- the capacity to implement and maintain systems in all care areas
•Financial and patient privacy hurdles
- •The Department of Health and Human Services
- recently loosened regulations
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Flexibility and Expandability of Patient privacy and Health Exchanges
Patient privacy is a pivotal issue to determining how far and how easy it will be to share data across healthcare organizations.For health exchanges such as these to reach their full potential the public must be able to trust that their privacy will be protected, or else risk that patients may not share a full medical history or worse yet may not seek care, effectively making the exchange useless.
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