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Model Children’s EHR Format

Model Children’s EHR Format. AHRQ 2012 Annual Conference Session #97: Improving Quality of Care for Children Bethesda, MD September 11, 2012. Erin Grace, MHA Senior Manager, Health IT. Overview. CHIPRA Legislation Project Team Scope of the Project Progress Next Steps.

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Model Children’s EHR Format

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  1. Model Children’s EHR Format AHRQ 2012 Annual Conference Session #97: Improving Quality of Care for Children Bethesda, MD September 11, 2012 Erin Grace, MHA Senior Manager, Health IT

  2. Overview • CHIPRA Legislation • Project Team • Scope of the Project • Progress • Next Steps

  3. Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Section 401 (f) Development of a Model EHR Format for Children Enrolled in Medicaid or CHIP By 1/1/2010 the Secretary shall establish a program to encourage the development & dissemination of a model EHR Format for children

  4. By law, the model EHR Format for children must be:

  5. Sponsoring Agencies AHRQ:

  6. Project Team Subcontractors: Prime Contractor: Subcontractors:

  7. What is a “Format?” Requirements for: A minimum set of data elements Applicable data standards Usability Functionality Interoperability

  8. Project Purpose Existing EHR systems often do not optimally support the provision of health care to children Project components • Identify gaps between existing systems and an optimal EHR for children • Design, develop, test, and disseminate a Format based on those gaps • Assess existing products for conformance with the Format • Demonstrate use of the Format in prototype development 8

  9. Model Children’s EHR Format and Meaningful Use • The goal is that the model format will be integrated into the EHR certification requirements for a future stage of Meaningful Use. • MU definition in future stages to include additional pediatric-relevant objectives and clinical quality measures • ONC EHR certification criteria to follow suit 9

  10. Scope of Work • Focus • Requirements for the unique incremental needs of children • Build on existing foundational work • Suitable for existing and potential systems • Primary care and general inpatient needs • Constraints • Schedule for Format development • Not a standards-setting process 10

  11. Technical Expert Panel (TEP) Provide guidance to project Review key documents and deliverables Provide expertise on issues with EHRs used for children Serve as a resource on specific clinical, technical, and child welfare issues 11

  12. TEP Representation Physician Informaticians Children’s health focus More general health focus Non-Physician clinicians Children’s advocacy organizations Medicaid Vendor Federal Agencies (ONC, IHS)

  13. Gap Analysis • Conducted by Intermountain Healthcare • Identified key topic areas • Drafted initial requirements 13

  14. Topics • Activity Clearance • Birth Information • Child Abuse Reporting Form • Child Welfare • Children with Special Health Care Needs • Growth data • Immunizations • Medication Management • Newborn Screening • Parents, Guardians, and Family Relationship Data • Patient (Child) Identifier • Patient Portals – Personal Health Record (PHR) • Prenatal Screening • Primary Care • Quality Measures • Registry Linkages • School-based Linkages • Security and Confidentiality • Special Terminology and Information • Specialized Scales and Scoring • Well Child and Preventive Care

  15. Requirements Development Process For each topic area: • Review findings from gap analysis • Initial requirements for some topics drafted by TEP • Additional requirements drafted by subject matter expert (SME) • Project team review • Outside SME and TEP review(s)

  16. Current Work • Completing conformance testing of select number of existing EHR systems • Adding more robust EPSDT requirements language • Cleaning up database before broad public release • Developing a feedback methodology • Targeted Release Fall 2012

  17. Target Audiences for Format CHIPRA Demonstration grantees Developers of existing EHR products New developers System purchasers Certifying bodies Standards groups Regulators Users/developers of “Meaningful Use” criteria 17

  18. Contact Information Scott Finley, MD, MPHPrincipal Investigator, WestatScottFinley@Westat.com Lois Olinger, MA Project Manager , Westat LoisOlinger@Westat.com Erin Grace, MHA AHRQ Project Officer Erin.Grace@AHRQ.hhs.gov Tom Novak CMS Project Lead Thomas.Novak@CMS.hhs.gov

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