1 / 18

Health Information Technology

Health Information Technology. Sharona Hoffman. Why is HIT important?. Health care reform depends on lower costs improved outcomes EHR systems are seen as vital to achieving these goals. Overview of presentation. EHR systems – benefits & risks Oversight Need to ensure safety

neil
Télécharger la présentation

Health Information Technology

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Health Information Technology Sharona Hoffman

  2. Why is HIT important? • Health care reform depends on • lower costs • improved outcomes • EHR systems are seen as vital to achieving these goals

  3. Overview of presentation • EHR systems – benefits & risks • Oversight • Need to ensure safety • Need to ensure privacy & security • What regulations are in place? • Research potential • Comparative effectiveness

  4. EHR systems • Record systems • Clinical alerts and reminders • Decision aids • Links to medical literature • Computerized physician order entry • Secure messaging & PHRs • Data analysis tools (enable searches) • Interoperability

  5. Benefits of EHR systems • Reduce errors • Improve patient safety • Improve preventive care • Facilitate communication • Cost savings • Optimistic estimate: $77 billion annually

  6. Adopting EHR systems • Cost & burden of adopting EHR systems • $33,000 per dr. for purchase & $1500 per dr. per month for maintenance • Only 17% of physicians & 12% of hospitals have multi-functional EHR systems • Training • Work habit adjustments

  7. EHR system shortcomings • Information overload • Data display issues • Cut & paste • The challenges of decision support • Software defects • Computer shut-downs

  8. Other concerns • Time constraints & system demands • Relying on others’ diagnoses • Input errors • Electronic communication • Patient access to PHRs

  9. Litigation concerns • Increased litigation & liability? • Will use of decision support be a defense? • Will EHR system vendors always be sued in medical malpractice cases? • How will failures of complex EHR systems be proven? • Will fragmented displays, incomplete data, etc. impede record review?

  10. litigation advantages • Faithfully recording all medical interventions can facilitate discovery of truth • EHR systems will allow for electronic searches of medical records

  11. Summer 2010 regulations • Financial incentives for meaningful users of certified EHR systems • $27 billion total • $44,000/$63,750 per clinician

  12. Meaningful use – phase 1 • What do providers need to do to be considered meaningful users? • 15 core objectives + 5 out 10 additional • Basic data entry requirements • Electronic transmission of drug orders • Decision support

  13. Certification criteria • What do EHR systems need to feature to enable providers to be meaningful users?

  14. Temporary certification program • Who will certify? • Authorized Testing and Certification Bodies (ATCB) overseen by HHS • Use test tools & procedures approved by ONC • Sunset 12/31/11

  15. Critique • No clinical safety testing • At medical facilities for significant time • No continuing review of EHR systems after certification • No adverse event reporting • How closely will ATCBs be monitored? • Conflict of interest; uniform rigor; competence of all members

  16. The promise of HIT • Tremendous research potential

  17. Comparative effectiveness • PPACA Sec. 6301 calls for CER • “research comparing the benefits and harms of different interventions and strategies to prevent, diagnose, treat, and monitor health conditions in ‘real world’ settings”

  18. Research uses of EHRs • De-identified EHRs stored in research database • Permits large-scale observational studies • Fill knowledge gaps and promote evidence-based medicine

More Related