12 - Electronic health records, computerized physician order entry (CPOE) and electronic prescribing Flashcards
Describe the historical evolution of the medical record
JUST Diagnosis & Treatment
then
Paper-Based Medical records
many issues
2000s –> wave of medical errors / deaths
ELECTRONIC HEALTH RECORDS
2009 -> Obama –> EHR requirements
then
2014 –> 70% of PCP with EHR
•Define types of electronic patient records and systems
Electronic Medical Record = EMR
medical record in digital format = standard medical/clinical data
Electronic Health Record = EHR
ULTIMATE LEVEL in computerized parient reords
has comprehensive patient history –> accessed by patients
across >1 health care organization
Personal Health Records = PHR
just managed by patient
•List potential benefits of electronic health records (EHR)
File Sharing
Test Results UPDATED
FILING
correct / chronological order
filed in one place
EASILY RETRIEVABLE
•List potential CHALLENGES of electronic health records (EHR)
Lack of USER-FRIENDLINESS
lack of Interoperability
COST
inability to CUSTOMIZE w/o ventdor help
INTERFERENCE w/ patient information
•Identify the required functions of a comprehensive EHR
“Meaningful Use”
Medicare EHR Insentive Program
defined as the use of EHR in a meaningful manner:
–Improving quality, safety, efficiency, and reducing health disparities
–Engage patients and families in their health
–Improve care coordination
–Improve population and public health
–Ensure adequate privacy and security protection for personal health information
•Describe trends in adoption of EHR in the US
- *INCREASED SIGNIFICANTLY**
- *4/5 hospitals** have basic EHR system
due to
PAYMENT INCENTIVES
from the government
Record Adoption / Meaningful Use
HITECH
The Health Information Technology for Economic and Clinical Health Act
provided HHS with the authority to establish programs
to IMPROVE
health care quality / safety / efficiency
through the
PROMOTION OF HEALTH TECHNOLOGY
Incentive payments through MEDICARE / MEDICAID
when they use EHR’s privately/securely
MEANINGFUL USE OF EHR
ONC
Office of the National Coordinator of Health IT
HEALTH IT CERTIFICATION PROGRAM
came in response to HITECH from HHS
containing many detailed requirements,
designed primarily to assure that such technology could support provider qualification for federal incentives
under the CMS EHR Incentive Programs
(health and human services)
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
END of the Meaningful Use Program Incentives
VVV
integrated into the
Medicare Quality Payment Program = QPP
MIPS
Merit Based Incentive Payment System
that integrated:
Meaningful Use = Medicare EHR Incentive Program
+
VBPM = Value Based Payment Modifier
+
PQRS = Physician Quality Reporting Program
Federal HIT Strategic Plan, 2015-2020
Health Information Technology’s
Plan to
guide the nation’s shift toward focusing on better health and delivery system reform
SHARED UNDERTAKING
need efforts of state / local / other stakeholders
Key principles to guide future oversight framework
Health IT & Digital Health
encourage INNOVATION
be RISK-BASED
be STABLE + PREDICTABLE
be ACCOUNTABLE to the public & be enforceable
LEANRING HEALTH SYSTEM
continuous improvement / innovation
Disadvanteges of EHR to
practice’s daily operations
Spending too much time ENTERING DATA
that is NOT directly related to patient care/outcomes
Disrupt practice workflow
EYE CONTACT –> patients
Benefits of PHR
Patient Health Records
EMPOWER patients to be more involved with own Healthdecisions
PROMOTES SELF CARE & RESPONSIBILITY
Challenges of PHR
Patient Health Record
CONSUMER
Awareness / Literacy / Access
Percieved advantages / TRUST
INDUSTRY
EMR inter-operability
certification / security+privacy
sustainability
