The EHR (Electronic Health Record) is a collection of all citizen health information, from prenatal to pre-natal, including post-mortem fertilization information such as autopsy, landfill, etc. Which is stored electronically continuously over time and will be available to authorized persons, in whole or in part, without any need for a specific location or time.

The ability to integrate health care activities with technology and communications advances and benefit from improvements to improve health care can be considered a success in the implementation of the EHR .

An electronic health record receives information from different sources and generates information for different sources.

For the time being, electronic health record information is being stored throughout a person's lifetime, but among the organs providing this information will be the most important HIS , which in addition to producing the largest amount of information, is the most important system to use the stored information. It will also be on the EHR .

In the United States , a timed program is encouraged in the United States to encourage HIS manufacturing companies to produce systems that can have an acceptable impact on EHR production , with hospitals using approved software. Placed. The incentive program will be reversed after 2015 and will penalize hospitals that use unverified software. The program is described below

 

Meaningful use

The state-run Center for Medical Care (CMS.org) has provided funding to organizations that can make meaningful use of electronic health records to improve the quality of health care as part of an incentive program. . In fact, a health care provider must demonstrate that he or she is significantly using the electronic health record and that it has achieved the minimum defined in this definition.

The CMS government has set goals for this award for three groups of audiences, including:

• Eligible Professionals

• Eligible Hospitals

• Critical Access Hospitals

 

Requirements necessary to meet the requirement of Meaningful being provided in two phases with the second phase to get the audience should have won the first stage, the conditions set in two sets Core and option provided that it is given in the Appendix.

The number of eligibility requirements as well as the length of time required for eligibility of these eligibility varies among the three target groups. Regarding the amount of this incentive program, it can be mentioned that if a hospital receives $ 2 million in basic qualifications and $ 200 per patient discharged it will be up to 23,000 patients!

So in short, an organization such as a hospital would need to have an effective electronic health record in order to be able to use the Meaningful Incentive Award , which would require an HIS system that would enable this capability. Slow.

But can the use of the EHR system by any one of the health care providers' organizations be able to fall into this category? Obviously, to qualify for the EHR system in question, electronic health record provider applications must be approved by the National Coordinator for Health Information Technology (ONC) , the Authorized Testing and National Coordinator for Health Information Technology .

The CCHIT or Health Information Technology Approval Commission has been designated by the ONC-ATCB to review and validate EHR systems . Starting CCHIT of 2006. The body uses rules and set of conditions that are constantly being updated to grant its certification to EHR applications . The latest version of the conditions announced by the body, which is currently testing the EHR system , was released in 2011 and the next version will be released in 2014.

We will now review the requirements for obtaining a CCHIT certification . Depending on whether the information system is designed for a hospital or for other healthcare providers, the set of requirements for testing this system will vary.

Corresponding to the Meaningful discussion, which consisted of two stages of the rules, the CCHIT certification also has two levels, namely Core and option approvals .

Requires optional certifications to receive Emergency Department , Inpatient , Ambulatory certifications from the software company. In this set of conditions, information sharing capabilities that are part of the EHR basics are considered.

For example, the Ambulatory group is asked several questions in different groups, some of which are as follows.

• Identify and maintain a patient record

• Manage patient demographics

• Manage Practitioner / Patient Relationships

• Manage problem list

• Manage medication list

• Manage allergy and adverse reaction list

• Manage patient history

• Manage clinical documents and notes

• Capture external clinical documents

• Generate and record patient-specific instructions

• Order medication

• Order diagnostic tests

• Orders and Referral Management

• Order Set Templates

• Manage results

• Manage consents and authorizations

• Manage patient advance directives

• Support for standard care plans, guidelines, protocols

• Support for drug interaction

• Support for non-medication ordering (referrals, care management)

 

The reference to each of the questions refers to one or more of the older clinical data exchange standards such as HLY or ISO , HIPAA or CEN , which are the standards that formed the basis of the openEHR standard that underlies the creation of EHR systems .

Companies that receive Core Group certification can apply for other certificates that are optional and include private groups from the patient community.

 

Optional certifications include:

• Behavioral Health

• Cardiovascular Medicine

• Child Health

• Clinical Research

• Dermatology

• Oncology

• Women's Health

• outpatient clinics

• Long Term and Post Acute Care

 

To increase the reliability and reliability of this software various tests are performed in real time and when used

So in short, when the verse suite announces that it has released HIS + EHR in version 8 , it means that the HIS produced by it has received CCHIT certification , and so the hospitals that use this HIS are subject to the plan. Meaningful government will benefit from the intended incentive bonus. One point to keep in mind is that if a hospital does not decide quickly to select a CCHIT- approved HIS, it will be fined from 2015 onwards for failing to comply with the EHR .

 

Source: kowsarhis