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

2. Course on Project Management Credit For the source see http://www.allhealth.org/Publications /Health_information_technology /health_information_technology_toolkit.asp#keyfactshttp://www.allhealth.org/Publications /Health_information_technology /health_information_technology_toolkit.asp#keyfacts

3. 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

4. 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

5. 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

6. 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

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

8. 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

9. 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

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

11. 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

12. 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

13. Course on Project Management Clinicians maintain an Electronic Health Record

14. Course on Project Management Health Information Exchanges

15. Course on Project Management This creates a Regional Health Information network

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

17. 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

18. CPOE Reduced Medication Errors 55 percent

19. Course on Project Management Adoption Rate of Physicians and Health Centers (2005-2006 Data) "Health Information Technology in the United States: The Information Base for Progress" Robert Wood Johnson Foundation, October 2006 : www.rwjf.org/newsroom/newsreleasesdetail.jsp?id=10439www.rwjf.org/newsroom/newsreleasesdetail.jsp?id=10439

20. Course on Project Management Adoption Rate of Physicians by Practice Size (2005-2006 Data) "Health Information Technology in the United States: The Information Base for Progress" Robert Wood Johnson Foundation, October 2006 : www.rwjf.org/newsroom/newsreleasesdetail.jsp?id=10439www.rwjf.org/newsroom/newsreleasesdetail.jsp?id=10439

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

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

23. 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

24. 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

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

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

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

28. 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

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