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The State of the Electronic Health Record in the US

The State of the Electronic Health Record in the US. Presentation by: Margaret A. Skurka, MS, RHIA, CCS, FAHIMA President Elect, IFHRO, 2007-10 Co-Chair, JC of the WHO-FIC/IFHRO Educator in HIM in the US. The EHR. Steady but not explosive growth in the US

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The State of the Electronic Health Record in the US

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  1. The State of the Electronic Health Record in the US • Presentation by: • Margaret A. Skurka, MS, RHIA, CCS, FAHIMA • President Elect, IFHRO, 2007-10 • Co-Chair, JC of the WHO-FIC/IFHRO • Educator in HIM in the US

  2. The EHR • Steady but not explosive growth in the US • AHIMA working to address the issues of implementation • Office for National Health Information Technology has been created • Most significant issues those for interoperability and COST

  3. Charge by President Bush in ‘04 • By computerizing health records, we can avoid dangerous medical mistakes, reduce costs and improve care

  4. What is an EHR system? • The electronic system that: • Improves patient safety and quality • Increases efficiency • Reduces cost • Emphasizes privacy, security and confidentiality

  5. Essential EHR Functions • Patient identification • Identification of all users • Organizational Identification • Logs of activities • Standards for format and terminology

  6. Federal Initiatives • Center for Medicare Services will pay 1200 physician practices for using an EHR to meet quality targets. • 5 year project • Success will influence others to adopt an EHR

  7. What percent of physician’s offices use the EHR? • 29% • Up 17% in a 3 year period

  8. Why the resistance? • Cost, cost and cost • Uncertain benefits • Lack of interoperability with the hospital system or an internal electronic system

  9. What is the fix? • Pay for performance system • Rewarding physicians for documenting and reporting quality measures • Examples: Acute vs chronic, with or without a bleed, controlled vs. out of control

  10. CCHIT • What? The Certification Commission for Healthcare Information Technology • Why? To test criteria for inpatient EHR’s • Reason? To certify EHR systems at a rigorous level • Who? Inpatient and ambulatory systems

  11. HL7, the PHR and other obstacles • HL7 EHR model being enhanced in 2008 • Able to do a better job of exchanging information between a PHR and an electronic record. • HL7 is a foundation for the EHR allowing exchange of data between pharmacy, radiology and the laboratory

  12. HIPAA Privacy Rules • Permits amending the health record in the US • Needs easy viewing of corrections, and an audit trail • Possibly an increasing amount of amendments with an electronic system • Positive outcome

  13. Many US issues • Hybrid records are the norm • Interoperability • Progress continuous • Desire is there in the HIM community!!!!

  14. Questions??

  15. Thank you for your attention Come to visit!!

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