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EHR and Healthcare Facts and Figures
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This Presentation Contains
• EHR Industry Trends
• HIPAA
• CCR
• CCHIT
Percentage Of Office-Based Physicians Using Electronic Medical Records, By
Specialty
Probability Of Using Electronic Medical Records (EMRs) By Practice Size And
Ownership
Degree Of Electronic Health Record
(EHR) Implementation, By Practice
Size, 2005
Perceived Benefits Of Electronic
Health Records (EHRs) To The
Practice, 2005
HIPAA
• What is HIPAA?
– Health Insurance Portability and Accountability Act of
1996 (HIPAA), also known as the Kennedy/Kassebaum Act
– Primary purpose was to improve health insurance accessibility for people changing employers or leaving
the workforce
– HIPAA also included “Administrative Simplification”provisions to encourage and protect the electronic
transmission of health-related data
What are the HIPAA Administrative
Simplification Provisions?
• 1. National standards for electronic data
transmission
• 2. Unique health identifiers for providers,
employers, plans, and individuals
• 3. Security standards to protect electronically
maintained health information
• 4. Privacy and confidentiality provisions for
individually identifiable health care data
Who must comply with HIPAA?
1.Health care providers or any other person or organization that furnishes, bills, or is paid for health care in its normal course of business
2.Health plans that provide or pay the cost of medical care, including Medicare and Medicaid
3.Health care clearinghouses that process data elements or transactions
Continuity of Care Records (CCR)
• The CCR, or Continuity of Care Record, is a standard specification being developed jointly by:
– ASTM International,
– the Massachusetts Medical Society (MMS),
– the Health Information Management and
Systems Society (HIMSS),
– and the American Academy of Family
Physicians (AAFP).
Goal of CCR
• To create a CCR that will enable the next provider to easily access the information outlined above at the beginning of a first encounter and easily update the information when the patient goes on to another provider, in order to support the safety, quality, and continuity of patient care.
Uses of CCR
• The CCR may be used as a vehicle to exchange clinical information among providers, institutions, or other entities.
• It may also be used by the patient as a brief summary of recent care.
Conceptual Model of CCR
Conceptual Model of the CCR
Document Identifying Information“From/To” info re Provider/ClinicianReason for Referral/Transfer“
Patient Identifying Information
Insurance and Financial Info
Health Status of PatientDiagnosis/Problems/ConditionsAdverse Reaction/AlertsCurrent Medications
ImmunizationsVital SignsLab ResultsProcedures/Assessments
Extension
Care Documentation
Extension
Optional Extension
Extension Eligibility, Co-payment, etc.
Med. Specialty-specific Info
Disease Management-specific Info
Extension
Extension
Extension
Extension
Extension
Extension
Institution-specific information
Med. Specialty-specific Info
Disease Management-specific Info
Personal Health Record Info Documented by the Patient
Care Documentation for Payers (Attachments)
Personal Health Record Info Documented by the Patient
Care Plan Recommendation
Optional Extension
1
2
3
4
5
6
Mandated Core Elements of the CCRVersion 6– 10/31/03
CCR Benefits
• The next healthcare provider will not have to search for or guess about a patient’s allergies, medications, or current and recent past diagnoses and other pertinent information.
• The next healthcare provider will be informed about the patient’s most recent healthcare assessment and services.
• The next healthcare provider will be informed about recommendations of the caregiver who last treated the patient.
• As patient demographics will be provided, time and effort will be saved by not having to repeatedly ask a patient for demographic information in detail. Rather, this information can be more quickly and easily verified.
• A patient’s insurance status will be more easily established. Over time, this can be expanded within the system.
• Costs associated with the patient’s care will be reduced, for example through avoiding repetitive tests and basic information gathering.
• The effort required to update the patient’s most essential and relevant information will be minimized
What is CCHIT?
• CCHIT – Certificate Commission for Health Information Technology
• CCHIT's mission: To accelerate the adoption of health information technology by creating an efficient, credible and sustainable product certification program
CCHIT’s Goal
• Reduce the risk of HIT investment by physicians and other providers
• Ensure interoperability (compatibility) of HIT products
• Assure the participants that the ROI will be improved quality
• Protect the privacy of patients' personal health information
Who would benefit from CCHIT
• Physicians & Hospitals
• Health Systems
• Vendors
• Healthcare consumers (accurate & secure record of health)
• Standards development experts (CCR)
• Quality Improvement Organizations (CCHIT)
Thank You
• Nainil Chheda
• www.nainil.com
Copyright Information
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The information in this document is proprietary to Nainil Chheda. This document is a preliminary version and not subject to other agreement with Nainil Chheda. Nainil assumes no responsibility for errors or omissions in this document. Nainil does not warrant the accuracy or completeness of the information, text, graphics, links, or other items contained within this material. Nainil shall have no liability for damages of any kind including without limitation direct, special, indirect, or consequential damages that may result from the use of these materials.
