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Respiratory Therapy Department Integration to EHR

Respiratory Therapy Department Integration to EHR. November 4, 2009. Best Ever Hospital Best City, IL. MMI – 405: HIT Integration, Interoperability, and Standards Suzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson. Agenda. Where We Left Off Use of Standards

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Respiratory Therapy Department Integration to EHR

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  1. Respiratory Therapy DepartmentIntegration to EHR November 4, 2009 Best Ever Hospital Best City, IL MMI – 405: HIT Integration, Interoperability, and Standards Suzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson

  2. Agenda • Where We Left Off • Use of Standards • Information System Requirements • Next Steps

  3. Where We Left Off Best Ever Hospital Best City, IL

  4. Business Issue • Respiratory Care Services implemented a Respiratory Care Management Information System • Best Ever Hospital has deployed an integrated electronic medical record that does not have a Respiratory Care module • Modules for other ancillary services have been deployed including pharmacy, laboratory, and imaging.

  5. Assumptions RCMIS EHR Access via handheld Order Entry, Update, Discontinue Order Review View RT Results/Progress Note • Access via handheld • RT Charting • Order entry by Respiratory Therapists • RT Order Lists and Work Assignments • Calculate productivity

  6. Use of Standards

  7. Standards

  8. Drawing placeholder

  9. Information System Requirements

  10. Interface Functional Requirements EHR Demographic, Visit, Location Data RCMIS EHR RCMIS Orders Ventilator & Monitoring Equipment RCMIS Data EHR Results RCMIS EHR RCMIS Respiratory care billing MISCELLANEOUS Integrity checking - HIPAA Security Rule Secure data transmission - HIPAA Security Rule & ARRA Privacy Breach Rules

  11. Next Steps

  12. Finalize the Integration of RCMIS and EHR • Diagram of information architecture • Origin of individual data elements • Flow of data sets between systems • Bring the findings back to this group on November 18, 2009

  13. References • University of Connecticut Health Center.Respiratory Therapy Department. Retrieved October, 2009, from http://nursing.uchc.edu/unit_manuals/respiratory/index.html. • Johns Hopkins Medicine. Respiratory Care Services at Johns Hopkins. Retrieved October, 2009, from http://www.hopkinsmedicine.org/respcare. • Medical College of Georgia. Respiratory Therapy. Retrieved October, 2009 from http://www.mcg.edu/sah/respther/index.html. • Quality Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy of Sciences; 2001:39-40,100. • Aspden P, Wolcott JA, Bootman JL et al., eds. Preventing medication errors. Washington,DC: National Academies Press; 2007:4. • Safe practices for better healthcare: a consensus report. Washington, DC: National Quality Forum; 2003. • Joint Commission on the Accreditation of Healthcare Organizations. Proposed revisions to Standards MM.4.10 and MM.8.10. Retrieved October, 2009, from www.jointcommission.org. • Williams, B. 1990. How to do an ROI (return on investment). Healthc Inform 7(2):30-2. • Ford, Richard M. Respiratory Care Management Information Systems. RESPIRATORY CARE. (2004); 49(4): 367-377. • Pullen, EE. Computers help provide better care. RESPIRATORY THERAPY. (1980); 10(4): 25-27. • Nelson, Steven B. Conference Summary: Computers in Respiratory Care. RESPIRATORY CARE. (2004) 49(5): 531-536. • Mussa, CC. Respiratory care informatics and the practice of respiratory care. RESPIRATORY CARE. (2008); 53(4): 488-499. • Clinivision. Mobile Patient Charting System. Retrieved October 2009 from http://clinivision.com/products/. • Unified Medical Language System (UMLS). United States National Library of Medicine National Institutes of Health. Referenced October 2009 from http://www.nlm.nih.gov/research/umls/knowledge_sources/metathesaurus/mapping_projects/loinc.html. • Vawdrey, David, et al. Assessing Data Quality in Manual Entry of Ventilator Settings. J Am Med Inform Assoc. 2007;14:295–303. • ScienceDirect.com; http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B75DF-4BVBRPC-B&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=1076766201&_rerunOrigin=google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=321a5b066da5c9b201c60fb32d8cb5ca

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