Electronic Health Records Based on Alliance for Health Reform Toolkit on Health Information Technology Narrated by Leonel V. Baliton.

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Electronic Health Records Based on Alliance for Health Reform Toolkit on Health Information Technology Narrated by Leonel V. Baliton.

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Presentation transcript:

Electronic Health Records Based on Alliance for Health Reform Toolkit on Health Information Technology Narrated by Leonel V. Baliton

Course on Project Management Credit For the source see /Health_information_technology /health_information_technology_toolkit.asp#keyfactshttp:// /Health_information_technology /health_information_technology_toolkit.asp#keyfacts

Course on Project Management Health Information Technology (HIT) Information processing Information processing Hardware and software Hardware and software For For Entry Entry Storage Storage Retrieval Retrieval Sharing Sharing Use Use Components: Components: Electronic Medical Records Electronic Medical Records Computerized Physician Order Entry Computerized Physician Order Entry

Course on Project Management Electronic Medical Record (EMR) Patient's legal medical record Patient's legal medical record Stored in digital format Stored in digital format

Course on Project Management Electronic Health Record (EHR) Subset of EMR Subset of EMR Integrated into a larger network Integrated into a larger network Owned by the patient Owned by the patient

Course on Project Management Fully Operational Electronic Health Record Core functionality Core functionality Storage & retrieval Storage & retrieval Result management Result management Order entry & support Order entry & support Decision support Decision support Other functionality Other functionality Electronic communication Electronic communication Patient access Patient access Administrative support Administrative support Population reporting Population reporting

Course on Project Management Personal Health Record (PHR) Owned by a patient Owned by a patient Maintained by a patient Maintained by a patient

Course on Project Management Health Information Exchange (HIE) Move clinical information across organizations Move clinical information across organizations Maintain the meaning of the information Maintain the meaning of the information

Course on Project Management Regional Health Information Network (RHIO) Multi-stakeholder organization Multi-stakeholder organization Operating in a specific geographical area Operating in a specific geographical area Enables the exchange of health information Enables the exchange of health information

Course on Project Management National Health Information Network (NHIN) Technologies Technologies Standards Standards Laws Laws Policies Policies Programs Programs Practices Practices

Course on Project Management Computerized Physician Order Entry (CPOE) Computerized system Computerized system Physicians to enter their own orders Physicians to enter their own orders

Course on Project Management Consumers can maintain a personal health record From Blumenthal and Glaser, New England Journal of Medicine Vol. 356: 24, June 2007

Course on Project Management Clinicians maintain an Electronic Health Record

Course on Project Management Health Information Exchanges

Course on Project Management This creates a Regional Health Information network

Course on Project Management Several RHIOs make up elements of the National Health Information Network

Course on Project Management High Hopes for HIT Hospitals want to reduce medical errors Hospitals want to reduce medical errors Providers hope to work easily Providers hope to work easily Governments and businesses hope to save money Governments and businesses hope to save money Save $77 billion per year after a 15-year adoption period Save $77 billion per year after a 15-year adoption period

CPOE Reduced Medication Errors 55 percent

Course on Project Management Adoption Rate of Physicians and Health Centers ( Data) "Health Information Technology in the United States: The Information Base for Progress" Robert Wood Johnson Foundation, October 2006 :

Course on Project Management Adoption Rate of Physicians by Practice Size ( Data) "Health Information Technology in the United States: The Information Base for Progress" Robert Wood Johnson Foundation, October 2006 :

Course on Project Management Why Adoption Has Been Slow? Interoperable Interoperable Cost Cost Privacy Privacy

Course on Project Management Why Adoption Has Been Slow? Interoperable Interoperable Cost Cost Privacy Privacy

Course on Project Management Why Adoption Has Been Slow? Interoperable Interoperable Cost Cost Privacy Privacy $44,000 per full- time provider $8,500 annual maintenance

Course on Project Management Why Adoption Has Been Slow? Interoperable Interoperable Cost Cost Privacy Privacy Who Should Pay? Lack of a business case for HIT

Course on Project Management Why Adoption Has Been Slow? Interoperable Interoperable Cost Cost Privacy Privacy $150 Billion

Course on Project Management Why Adoption Has Been Slow? Interoperable Interoperable Cost Cost Privacy Privacy Stark Law Privacy and security obligations Liability exposure

Lack of trained IT personnel People who understand both the technology and the business

Course on Project Management Jury is Still Out Examples of Success Exist Department of Veterans Affairs Department of Veterans Affairs Improved quality of care Improved quality of care Easy recovery Easy recovery

Take Home Lesson Health IT may reform the entire health care system.