Meaningful use
Who is Kathleen Sebelius?
Former Secretary of Health and Human Services
Who is the current Secretary of Health and Human Services
Sylvia Burwell, BA
Who is Vivek Murthy?
19th Surgeon General of the United States.
Background of Meaningful Use
2004: President Bush sets goal for all Americans to have an EHR by 2014 2008: 38.4% of office-based physicians used some type of EHR 2009: 48.3% 2009: HITECH Act of 2009
What HITECH Does
2011-2016: eligible physicians participating in Medicare and Medicaid can receive incentives for demonstrating meaningful use of a EHR system •Medicare & Medicaid HER Incentive Programs •Possible penalties starting in 2015 if don't meet meaningful use stage 2 goals •Stage 3 goals due out March 2015 2009: established RECs (Regional Extension Centers) to help physicians adopt and implement an EHR system •62 RECs nationally •Georgia: Georgia Health Information Technology Regional Extension Center (GA-HITREC), Morehouse School of Medicine, Atlanta
2015 Goal
90% of physicians and 70% of hospitals will be meaningfully using an EHR system
Who Oversees meaningful Use?
CMS
CMS
Centers for Medicare and Medicaid Services
CCHIT
Certification Commission for Health Information Technology (HIT); Group started by HIMSS and others to certify EHR technology since 2006, ONC approved
CCD
Continuity of Care Document; Basically an EHR record formatted in the standard XML (Extensible Markup Language) to make exchange with other facilities possible
Who is Thomas Frieden?
Director of the U.S. Centers for Disease Control and Prevention (CDC) and Acting Administrator of the Agency for Toxic Substances and Disease Registry (ATSDR).
EHR Vs. EMR
Electronic medical records (EMRs) are a digital version of the paper charts in the clinician's office. An EMR contains the medical and treatment history of the patients in one practice. EMRs have advantages over paper records. Electronic health records (EHRs) do all those things—and more. More comphrensive. EHRs focus on the total health of the patient—going beyond standard clinical data collected in the provider's office and inclusive of a broader view on a patient's care. EHRs are designed to reach out beyond the health organization that originally collects and compiles the information. They are built to share information with other health care providers, such as laboratories and specialists, so they contain information from all the clinicians involved in the patient's care.
HIMSS
Healthcare Information and Management Systems Society;
ONC
Office of National Coordinator for HIT; Office in HHS created in 2004 and written into HITECH, among other things the office certifies EHR software packages
PACS
Picture Archiving and Communications System
RPACS or R-PACS
Radiology PACS; Systems to store and retrieve digital x-rays, MRIs, etc.
Different Stages
The Stage 1, 2, and 3 model used by CMS for meaningful use and EHR adoption incentives is NOT the same stages as the HIMSS model.
HITECH Act
The pivotal US legislation involving EHRs/EMRs Part of the ARRA (American Recovery and Reinvestment Act) to stimulate the US economy $19.5 billion for health IT (HIT) adoption, EHRs, and HIE Federal incentives to increase physician use of EHR systems...then penalties Must meet minimum criteria for meaningful use
CDSS
clinical decision support system; A system to help physicians make treatment decisions
CPOE
computerized physician-order entry; Electronic prescriptions and lab orders
EP
eligible professional; Medical provider eligible for Federal HER incentive programs
HITECH Act of 2009
enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into law on February 17, 2009, to promote the adoption and meaningful use of health information technology.
Who is Oveta Culp Hobby?
first secretary of the US Department of Health, Education and Welfare
ancillaries
provides necessary support to primary activities; In this context: radiology, labs, and pharmacy
ambulatory care
treatment performed on an outpatient basis; Literally, the patient "walks or ambles" in
Meaningful use
using certified electronic health record (EHR) technology to: Improve quality, safety, efficiency, and reduce health disparities. Engage patients and family. Improve care coordination, and population and public health. Maintain privacy and security of patient health information.
HIMSS Stage Model
•Predates HITECH Act •HIMSS (Healthcare Information and Management Systems Society) •1962: Founded as the Hospital Management Systems Society affiliated with the American Hospital Association •2004: HIMSS Analytics founded