AAP Child Health Informatics Center

presentation to the PCPCC Center for eHealth

Information, Adoption, & Exchange

Jonathan D. Klein, MD, MPHAssociate Executive DIrector

December 2009

The American Academy of Pediatrics (AAP) is an organization of 60,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists.

Our mission is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults.

HIT at the AAP

1980 2010

1985Formation of AAP Section on

Computers and Other Technologies

1991Formation of Task Force on Medical Informatics

2002Merger of SCOT

and TFOMI

2006Merged group renamed Council on

Clinical Information Technology

2009Establishment of

Child Health Informatics Center

Child Health Informatics Center Authorized by AAP Board in October 2009 Advisory Committee, Investigators - in

formation Steve Downs, MD, MD, FAAP

Indianapolis, IN Bill Adams, MD, MPH, FAAP

Boston Medical Center Chris Lehmann, MD,FAAP

Johns Hopkins University Will serve as “home” for health information

technology initiatives within the AAP

AAP CHIC Health Informatics Activities

Council on Clinical Information Technology

Policy, Advocacy, Education, Research

Partnership for Policy Implementation

Collaborative Activities

Research

Integration with AAP Quality Activities

AAP Council on Clinical Information Technology (COCIT)

600 members with special interest or training in applying IT to pediatric practice

11-member Executive Committee

AAP Policy development

Web and educational resources

COCIT Goal - Support pediatric HIT and HIE in actual practice, addressing AAP priorities

Electronic health passport test cases for foster care

Interaction between EHRs and immunization registries

Adolescent confidentiality / privacy

Education of pediatricians Pediatric Office of the Future Pediatric Documentation Challenge Council Program with Scientific Abstracts Technology Learning Center EHR Review Website and EHR Selection Toolkit

Policy and Advocacy

PCPCC Center for eHealth Information, Exchange, & Adoption Meaningful Use; Clinical Decision Support Task Groups

American Recovery & Reinvestment Act of 2009 Health Information Technology Extension Program HIT Policy and Standards Committees

CHIP Reauthorization Act (CHIPRA) Model electronic health record format for children CMS Demonstration grants Agency for Healthcare Research & Quality task order

Education

National conference and workshop sessions

EMR Review Web site (http://www.aapcocit.org/emr)

EMR Toolkit (http://practice.aap.org, under Practice Toolbox)

Research Periodic Survey: Pediatricians Use of EHRs

Basic – 19% (ALL 7 items) Fully functional – 6%(Basic + 11additional functions = ALL 18 items)

Patient demographics Highlights out-of-range lab results

Patient problem lists Clinical notes include medical history, follow-up notes

Orders for prescriptions Orders for laboratory tests

Ability to view lab results Lab orders sent electronically

Ability to view imaging results Warnings of drug interactions, contraindications

Patient medication lists Prescriptions sent to pharmacies

Clinical notes Orders for radiology tests

Radiology orders sent electronically

Electronic images returned

Guideline reminders (preventive)

Guideline reminders (chronic)

AAP Partnership for Policy Implementation (PPI)

To integrate HIT functionality into Academy policy development and implementation

11 pediatrician/informaticians Practicing pediatricians with QI expertise Translate and implement policies

Bright Futures Developmental Screening in the Medical Home

Bronchiolitis; Influenza; Autism

Collaborative Efforts Alliance for Pediatric Quality (APQ)

American Academy of Pediatrics (AAP)

Child Health Corporation of America (CHCA)

National Association of Children’s Hospitals and Related Institutions (NACHRI)

American Board of Pediatrics (ABP)

APQ Collaborative Efforts HL7 Child Health Work Group

Child Health Profile as ANSI Standard Quality Reporting Document Architecture

(currently is a draft standard for trial use) Working on Neonatal Care Report

CCHIT Participation in Child Health and other work groups Child Health add-on certification requirements based on

HL7 Child Health profile and AAP report on Special Requirements for Pediatric EHRs

HL7/CCHIT gap analysis underway between existing and needed requirements.

For more information about the AAP Center for Child Health Informatics, please contact:

Jennifer Mansour Manager, Health Information jmansour@aap.org Technology Initiatives 847.434.4229

Beki Marshall Manager, HIT bmarshall@aap.org Education and Implementation

847.434.4089

Jonathan D. Klein, MD, MPH Associate Executive Director jklein@aap.org847.434.4322