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EHR Implementation

EHR Implementation. Component 11/Unit 9b Acute Care. Understanding the Acute Care Setting. Acute care hospitals have: Inpatient beds Diagnostic and therapeutic services Around-the-clock care Critical Access Hospitals Small hospitals in rural areas

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EHR Implementation

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  1. EHR Implementation Component 11/Unit 9b Acute Care

  2. Understanding the Acute Care Setting • Acute care hospitals have: • Inpatient beds • Diagnostic and therapeutic services • Around-the-clock care • Critical Access Hospitals • Small hospitals in rural areas • Different reimbursement regulations apply Health IT Workforce Curriculum Version 1.0/Fall 2010

  3. Acute Care Accreditation and Licensure • State Licensure • Certification for Medicare participation • Accreditation Health IT Workforce Curriculum Version 1.0/Fall 2010

  4. EHR Components in Acute Care • Results Management • Point-of-Care Documentation • Patient Safety • Electronic Medication Administration • Computerized Provider Order Entry • Clinical Decision Support • Picture Archiving and Communication Systems (PACS) • Patient-Flow Management • Supply Chain Management Systems Health IT Workforce Curriculum Version 1.0/Fall 2010

  5. Meaningful Use in Acute Care • More than 80% of patients must have records in certified EHR technology • Eligible hospitals must report on 19 of 24 meaningful-use objectives Health IT Workforce Curriculum Version 1.0/Fall 2010

  6. Sample Meaningful-Use Objectives • Implement CPOE • Report hospital clinical quality measures to CMS or the state • Protect electronic health information • Record advance directives for patients age 65 and older • Provide a summary of the care record for each transition of care or referral Health IT Workforce Curriculum Version 1.0/Fall 2010

  7. Workflow Analysis • Identify the boundaries of a process • Establish a common understanding of its triggers, steps, and results among stakeholders • Analyze how the current process functions • Understand where it can be streamlined and otherwise improved • Develop use cases that will guide the design, development, and support of the new system that automates the process Health IT Workforce Curriculum Version 1.0/Fall 2010

  8. Resources • Health Policy Brief: Meaningful Use of Electronic Health Records, August 24, 2010, from HealthAffairs • Washington, Lydia. “Analyzing Workflow for a Health IT Implementation.” Journal of AHIMA 79, no. 1 (January 2008): 64-65 • Peden, Ann H., Comparative Records for Health Information Management, Albany, NY: Thomson Learning, 1998 • Amatayakul, Margaret K., Electronic Health Records: A Practical Guide for Professionals and Organizations, Fourth Edition, Chicago: AHIMA, 2009. • Johns, Merida L., Health Information Management Technology: An Applied Approach, Second Edition, Chicago: AHIMA, 2007 Health IT Workforce Curriculum Version 1.0/Fall 2010

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