1. Configuring Electronic Health Records Meaningful Use and Implementation Lecture b This material (Comp11_Unit8b) was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015.

2. Meaningful Use and Implementation Learning Objectives Describe meaningful use (MU) of health information technology in the context of the Health Information Technology for Economic and Clinical Health (HITECH) Act (Lecture a) Define the criteria for Stage 1 of meaningful use for eligible professionals and eligible hospitals (Lecture a) Demonstrate examples of meaningful use using the VistA Electronic Health Record (EHR) (Lecture b) 2 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

3. Implementing Meaningful Use (MU) Clinical reminders – clinical decision support (CDS) cover sheet view screen, CDS list screen, CDS resolving process view Data entry/document creation – lab order, template editor screen, template field editor view, roll and scroll document creation screen Order sets – diabetes mellitus (DM) order set with lab selected, options for order checks Quality reporting – DM report 3 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

4. Clinical Reminders Coversheet CPRS View (Hersh, 2011) 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

5. Clinical Reminders List CPRS View (Hersh, 2011) 5 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

6. Clinical Reminders Resolution Process CPRS Screen (Hersh, 2011) 6 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

7. Data Entry Lab Order Screen CPRS View (Hersh, 2011) 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

8. Data Entry Template Editor CPRS View (Hersh, 2011) 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

9. Data Entry Template Field Editor CPRS View (Hersh, 2011) 9 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

10. Document Creation “Roll and Scroll” View (Hersh, 2011) 10 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

11. Order Checks Selection CPRS View (Hersh, 2011) 11 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

12. Order Set for Diabetes CPRS View (Hersh, 2011) 12 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

13. Quality Reports Diabetes CPRS View (Hersh, 2011) 13 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

14. Meaningful Use and Implementation Summary – Lecture b Most of the criteria for meaningful use of the EHR can be demonstrated using the VistA EHR of the US Veteran’s Administration This lecture demonstrated the implementation of the following meaningful use criteria in VistA: clinical reminders, data entry/document creation, order sets, and quality reporting 14 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

15. Meaningful Use and Implementation Summary This unit described the meaningful use program of HITECH, eligibility for incentive payments, and the criteria for achieving those payments in Stage 1 of the program It also demonstrated some of the meaningful use criteria from the standpoint of the VistA system 15 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

16. Meaningful Use and Implementation References – Lecture b Images Slide 4: Screenshot showing the cover sheet view in Vista. (Hersh, 2011). Slide 5: Screenshot showing the CPRS view in Vista. (Hersh, 2011). Slide 6: Screenshot showing the events that occur when a particular selection is made in the screen that was described previously in the clinical reminders list CPRS view screenshot. (Hersh, 2011). Slide 7: Screenshot of the Vista electronic record showing the view that a clinical coordinator would see on CPRS, the Windows interface for the electronic health record. (Hersh, 2011). Slide 8: Screenshot showing the CPRS view of the template editor. (Hersh, 2011). Slide 9: Screenshot of the CPRS window that pops up when a data entry template field editor selection is made. (Hersh, 2011). Slide 10: This screenshot shows the process of document creation from the back – end review of our patient. (Hersh, 2011). Slide 11: Screenshot of an order checks selection in CPRS view. (Hersh, 2011). Slide 12: Screenshot describing the sequence of events when a specific order set is selected when a reminder is fired by the system. (Hersh, 2011). Slide 13: Screenshot of the Vista electronic record shows the view that a provider would see on CPRS, the Windows interface for the electronic health record. (Hersh, 2011). 16 Health IT Workforce Curriculum Version 3.0/Spring 2012 Configuring Electronic Health Records Meaningful Use and Implementation Lecture b