Electronic Health Records Based on Alliance for Health Reform Toolkit on Health Information...
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Electronic Health Electronic Health Records Records Based on Alliance for Health Based on Alliance for Health Reform Toolkit on Health Reform Toolkit on Health Information Technology Information Technology Narrated by Leonel V. Baliton Narrated by Leonel V. Baliton
Electronic Health Records Based on Alliance for Health Reform Toolkit on Health Information Technology Narrated by Leonel V. Baliton
Electronic Health Records Based on Alliance for Health Reform
Toolkit on Health Information Technology Narrated by Leonel V.
Baliton
Slide 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
Slide 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
Slide 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
Slide 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
Slide 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
Slide 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
Slide 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
Slide 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
Slide 10
Course on Project Management National Health Information
Network (NHIN) Technologies Technologies Standards Standards Laws
Laws Policies Policies Programs Programs Practices Practices
Slide 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
Slide 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
Slide 13
Course on Project Management Clinicians maintain an Electronic
Health Record
Slide 14
Course on Project Management Health Information Exchanges
Slide 15
Course on Project Management This creates a Regional Health
Information network
Slide 16
Course on Project Management Several RHIOs make up elements of
the National Health Information Network
Slide 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
Slide 18
CPOE Reduced Medication Errors 55 percent
Slide 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
Slide 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
Slide 21
Course on Project Management Why Adoption Has Been Slow?
Interoperable Interoperable Cost Cost Privacy Privacy
Slide 22
Course on Project Management Why Adoption Has Been Slow?
Interoperable Interoperable Cost Cost Privacy Privacy
Slide 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
Slide 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
Slide 25
Course on Project Management Why Adoption Has Been Slow?
Interoperable Interoperable Cost Cost Privacy Privacy $150
Billion
Slide 26
Course on Project Management Why Adoption Has Been Slow?
Interoperable Interoperable Cost Cost Privacy Privacy Stark Law
Privacy and security obligations Liability exposure
Slide 27
Lack of trained IT personnel People who understand both the
technology and the business
Slide 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
Slide 29
Take Home Lesson Health IT may reform the entire health care
system.