This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator.

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This material 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 IU24OC Component 11: EHR Implementation In Specific Settings Unit 9: EHR Implementation in Specific Settings Lecture 2

Understanding the Acute Care Setting Acute care hospitals have: –Inpatient beds –Diagnostic and therapeutic services –Around-the-clock care Critical Access Hospitals –Small hospitals in rural areas –Different reimbursement regulations apply Component 11/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Acute Care Accreditation and Licensure State Licensure Certification for Medicare participation Accreditation Component 11/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

EHR Components in Acute Care Results Management Point-of-Care Documentation Patient Safety –Electronic Medication Administration –Computerized Provider Order Entry Clinical Decision Support Picture Archiving and Communication Systems (PACS) Patient-Flow Management Supply Chain Management Systems Component 11/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Sample Meaningful-Use Objectives Implement CPOE Report hospital clinical quality measures to CMS or the state Protect electronic health information Provide a summary of the care record for each transition of care or referral Component 11/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Interfacing with Other Care Settings Disclosure of health information to other care settings must follow state and federal laws. Protection of health information and secure measures for exchanging information is important. Each facility has legal responsibility for compliance with state and federal regulations and must maintain policies and procedures to manage exchange of information. Component 11/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Workflow Analysis Identify the boundaries of a process Establish a common understanding of its triggers, steps, and results among stakeholders Analyze how the current process functions Understand where it can be streamlined and otherwise improved Develop use cases that will guide the design, development, and support of the new system that automates the process AHIMA [homepage on the Internet]. Chicago, IL. [updated 2008, January; cited 2011, March 10]. Available from: Component 11/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring

Resources Amatayakul, Margaret K., Electronic Health Records: A Practical Guide for Professionals and Organizations, Fourth Edition, Chicago: AHIMA Press, Health Policy Brief: Meaningful Use of Electronic Health Records, August 24, 2010, from Health Affairs Johns, Merida L., Health Information Management Technology: An Applied Approach, Second Edition, Chicago: AHIMA, 2007 Peden, Ann H., Comparative Health Information Management, Albany, NY: Thomson Learning, 2005 Washington, Lydia. “Analyzing Workflow for a Health IT Implementation.” Journal of AHIMA 79, no. 1 (January 2008): Component 11/Unit 9-2 Health IT Workforce Curriculum Version 2.0/Spring