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Holistic Approach to EHR Functional Needs Assessment

This chapter discusses the importance of identifying and meeting specific functional requirements for Electronic Health Record (EHR) systems. It covers the sources of functional requirements, the key capabilities outlined by various organizations, and the reasons for conducting a functional needs assessment. By detailing the process of identifying functional needs, organizations can ensure effective utilization of EHR systems for improved healthcare delivery.

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Holistic Approach to EHR Functional Needs Assessment

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  1. Chapter 8 Functional Needs Assessment

  2. Purpose • Describes key capabilities or application requirements for achieving the benefits of the EHR as the organization has envisioned it • Process assessment • Focuses on specific tasks • Functional assessment • Focuses on overall purposes vs.

  3. Information Infrastructure • EHR system • Has many interrelationships with applications • Must be integrated with other components of information infrastructure • To achieve the desired output, • The right input must be provided • The right (analytical) processing tools and technology must be used • Internal and external uses and users must be accommodated

  4. Functional Requirements Sources • Institute of Medicine • Original patient record study (1991, 1997) • Key capabilities (2003) • HL7 EHR System Functional Model (FM) (2007) • CCHIT EHR Certification Criteria (2006–present)

  5. IOM Key Capabilities • EHR System includes: • Longitudinal collection of health information • Immediate access to information by authorized users • Knowledge and decision support for improved patient safety and quality of care • Support efficient healthcare delivery processes • This work was contributed to HL7 development of EHR System

  6. Health Level 7 • HL7 EHR System Functional Model • Draft Standard for Trial Use (DSTU) 2004 • Standard is visionary and voluntary • Final, ANSI accredited standard 2007

  7. CCHIT • Certification Commission on Health Information Technology • 2004: President’s call for HIT • Created Office of the National Coordinator for Health Information Technology (ONC) • July 2004: Framework of Strategic Action • August 2006: Executive Order establishes Recognized Certification Body (RCB) designation and designates CCHIT as first RCB

  8. Why Functional Needs Assessment? • Each organization needs to define its own requirements • Different vantage point • Different needs • Vendors have different approaches • Other elements of product selection

  9. Identifying Functional Requirements • Utilize resources (e.g., IOM, HL7, CCHIT) • Survey users • Create use cases • Verify user requirements

  10. Conclusion • Because the EHR is not a single product, but a system of applications integrated with appropriate technology that supports analytical tools to create information that contributes to improvement of health care, • Understanding the information infrastructure and thoroughly understanding and specifying functional needs ensures benefits realization

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