HEALTH INFORMATION TECHNOLOGY OVERVIEW Amy Cooper, MPHFebruary 28, 2013.
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HEALTH INFORMATION TECHNOLOGY OVERVIEW Amy Cooper, MPH February 28, 2013
Transcript of HEALTH INFORMATION TECHNOLOGY OVERVIEW Amy Cooper, MPHFebruary 28, 2013.
HEALTH INFORMATION TECHNOLOGY OVERVIEWAmy Cooper, MPH February 28, 2013
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My Background
Formal training: MPH: HMP, Instructor at PCC, PSU
Areas of experience HIT Project Management
Practice Management and EHR installation
Health Information Exchange HIT Consulting
HIT strategic planning –safety net clinics
Quality Corp-Environmental Scan
What is Health Informatics?
Health informatics (HI) is the development and assessment of methods and systems for the acquisition, processing, and interpretation of patient data with the help of knowledge from scientific research and computers
Essentially – health IT (HIT) provides tools to health professionals and health care organizations to better manage data and utilize information
Why HIT is so Important
Quality Safety Cost Goal for health information managers is to
identify and ensure that IT is best used in various health care settings
However, there are numerous barriers to the use of IT in health care
Examples of Administrative Applications
Patient administration systems Admission, discharge, and transfer (ADT) Registration Scheduling Patient billing or accounts receivable Utilization management (e.g. appropriateness of
care) Financial management systems
Accounts payable General ledger Personnel management Materials management Payroll Staff Scheduling
Examples of Clinical Applications
Ancillary information systems Laboratory Radiology Pharmacy
Other clinical information systems Nursing documentation Electronic medical record (EMR) Computerized provider order entry Telemedicine and telehealth Medication administration
Health Care Information Systems
• Financial management systems• Accounts payable: monitors debts
incurred and outgoing costs• General ledger: monitors financial
management and reporting to feds, state and other key financial stakeholders
• Personnel management: manages HR information for staff (e.g. salaries, payroll, benefits, education, training, among other HR issues)
Health Care Information Systems
• Best of Breed vs. Integrated HCIS• Historical development• Piecemeal factor in development of HCIS• Therefore need to build interfaces or
integrate data amongst various silo or stand alone systems
• System integration remains a primary challenge for many HCOs
• Enterprise-wide system from single vendor• Any advantages?• Any disadvantages?
Numerous Health IT Systems
EHR E-prescribing Disease Management Registries Computerized Physician Order Entry
(CPOE) Clinical Decision Support System (CDSS) Picture Archiving and Communication
Systems (PACS) Telemedicine and Telehealth
Access and Authentication
Paper-based MR system relies on sign-in sheets, ID badges, and copies of handwritten signature
EHR requires account management, password management, and signature code management
Auditing capabilities greatly enhanced with use of an EHR system
However, passwords and log-in access are continuously being changed
Value of EHR
• Improved quality, outcomes and safety• Computerized reminders and alerts• Improved compliance with practice guidelines• Reduction in medical errors
• Improved efficiency, productivity, and cost reduction• Readily available test results• Prompting physicians to use generic and formulary drugs• Savings from elimination of transcription services• Improved coding practices (or higher reimbursements)
• Improved service and satisfaction• Patient satisfaction • User satisfaction• Less stress• Improved job satisfaction• Quality of documentation
HITECH Act
The Health Information Technology for Economic andClinical Health Act (HITECH) Medicare Incentives ($44K per eligible
provider) Medicaid Incentive programs (State run-
$63,750 per eligible provider) Regional Extension Centers
O-HITEC (www.ohitec.org) HIT Workforce programs
OHSU Curriculum Dissemination Center Community College Consortiums
Meaningful Use of EHR
EHRs use by providers to achieve significant improvements in care. The legislation ties payments specifically to the achievement of advances in health care processes and outcomes.
Stage 1 (July 2010 rules out- 2012 reporting) Electronic reporting of data for quality of
care Stage 2 (2014)
Adds Health Information Exchange (HIE) Stage 3
Meaningful Use as a Building Block (From Nov 8, 2012 Trailblazers National Strategy Webinar)
Stage 2 MU ACOsStage 3 MU
Robust CDS (evidenced based medicine &
practice goals)
Patient centered, team based care
Structured data utilized
Care coordination
Structured data utilized
Case management & longitudinal viewing
Robust CDS (evidenced based medicine &
practice goals)
Patient centered, team based care
CQM data utilized to improve delivery and
outcomes
Structured data utilized
Case management & longitudinal viewing
Utilization of clinical decision support
Performance and population
management
Patient engagement
Stage 1 MU
Basic EHR functionality, structured data
Patient informed
Utilize technology
Access to information
Transformation
Improved population health
CQM data utilized to improve delivery and
outcomes
Performance and population
management
Improved population health
Enhanced access and continuity
