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Implementation of Electronic Health Records at Choctaw General Hospital. Lisa Sims November 12, 2012. EHR Needs Assessment. The American Recovery and Reinvestment Act (ARRA) of 2009 and the Health Information Technology for Economic and Clinical Health (HITECH) act established five goals:
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Implementation of Electronic Health Records at Choctaw General Hospital Lisa Sims November 12, 2012
EHR Needs Assessment • The American Recovery and Reinvestment Act (ARRA) of 2009 and the Health Information Technology for Economic and Clinical Health (HITECH) act established five goals: • Improve quality, safety and efficiency; reduce disparities • Engage patients and families • Improve care coordination • Improve population health • Ensure privacy and security
What is Meaningful Use? • The American Recovery and Reinvestment Act of 2009 specifies three main components of Meaningful Use: • The use of acertified EHR in a meaningful manner, such as e-prescribing. • The use ofcertified EHR technology for electronic exchange of health information to improve quality of health care. • The use ofcertified EHR technology to submit clinical qualityand other measures. • Simply put, "meaningful use" means providers need to show they're using certified EHR technology in ways that can bemeasured significantly in quality and in quantity.
Theories of Change • Lewin’s Theory • Lippitt’s Theory • Havelock’s Theory
Stakeholders • Employees • Physicians • Patients • Visitors • Investors • Board of Directors • Community
Issues with Implementation of EHR • Up to date training for employees • Interface issues with other departments • Log In ID and password issues • Limited access to needed areas of charting • Physician resistance to EHR • Internet connection problems
Human Drivers / Resistors Drivers • Rush Health Systems • Administration • Information Technology • Case Management Resistors • Physicians
Resources • EHR Incentive Programs | Centers for Medicare & Medicaid Services • McKesson Corporation (2010). McKesson’s horizon clinical receives ONC-ATCB certification via drummond group: Advanced electronic health record to help providers achieve meaningful use and more. Retrieved from http://www.mckesson.com/en_us/McKesson.com/About%2BUs/Newsroom/Press%2BReleases%2BArchives/2010/McKesson%2527s%2BHorizon%2BClinicals%2BReceives%2BONC-ATCB%2BCertification%2Bvia%2BDrummond%2BGroup.html