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EHR Initiatives Provincial Updates

EHR Initiatives Provincial Updates. NHIMA Committee Meeting June 10, 2009. BC Key EHR initiatives. Canada Health Infoway EHR Implementations - Facility/Regional levels BC Cancer Agency – hybrid record Ministry of Health – Enterprise Master Patient Index

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EHR Initiatives Provincial Updates

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  1. EHR Initiatives Provincial Updates NHIMA Committee Meeting June 10, 2009 NHIMA In-person Meeting June 10, 2009

  2. BC Key EHR initiatives • Canada Health Infoway • EHR Implementations - Facility/Regional levels • BC Cancer Agency – hybrid record • Ministry of Health – Enterprise Master Patient Index • In conjunction with the Ministry’s Client Registry, the EMPI’s will be used for the provincial EHR & e-Health initiatives • PITO – Physician Information Technology Office • Telehealth • Google & other providers –store personal health information online for access by permission • Regional solutions/common platforms (ie: Cerner) NHIMA In-person Meeting June 10, 2009

  3. BC HIM Professional Involvement in EHR Initiatives • Ministry of Health – Enterprise Master Patient Index • EHR Implementation • Regional and facility level participation in the movement towards the EHR • SNOMED • Automated coding • Developing interface for data NHIMA In-person Meeting June 10, 2009

  4. CHALLENGES Getting invited to the table.   Determining the most effective way to engage in the planning and decision making processes. Tendency for projects to be technology driven and view of HIM as non technical Competing priorities Difficulty identifying those who have an interest, the time to commit, time to work on committees, & advocate Challenging to educate users as to the importance of the work they do. Keeping the communication open and flowing Lack of resources Maintaining & addressing privacy concerns with the movement towards mobile computing & web-based technology STRATEGIES Infoway Passport – sign up to receive the latest news, share ideas, and learn about how to contribute to EHR network Speak up – engage in email/verbal communication with leaders; provide information, volunteer; get your foot in the door! Align with Information Management and Clinicals; HIM has an opportunity to be an important link between the two groups. BCChallenges and successful strategies in becoming involved in EHR initiatives NHIMA In-person Meeting June 10, 2009

  5. BC Action Plan for increased HIM involvement in EHR initiatives Describe three (3) things the HIM professional should do to become and stay involved in EHR Initiatives • Remain active with professional associations such as HRABC, CHIMA & AHIMA and stay up to date on new publications, articles, etc. • Regularly visit the Canada Health Infoway website to stay tuned and connected on national endeavors • Educate yourself – stay on top of what is new! • Be visible – engage in conversation, highlight skill/profession, and volunteer • Work collaboratively with various departments (ie: Decision Support, system analysts, clinicians, administration, etc.) It is good for networking! • Get out of your comfort zone – be prepared to take a risk. • Participate in development of standards & other backbone endeavors • Participate in Data Quality committees that span the continuum of care • Subscribe to e-mailouts to be informed • Have e-health initiatives as a regular business item at monthly HIM meetings NHIMA In-person Meeting June 10, 2009

  6. NB Key EHR initiatives in your province • Client Registry • iEHR • Diagnostic Imaging • Workload Measurement • Med Continuum • Drug Information System NHIMA In-person Meeting June 10, 2009

  7. NB HIM Professional Involvement in EHR Initiatives • Committee Member – Client Registry Working Group • Leading the province in the right direction around data entry and datat integrity within the CR and what would be required • Consulting/Support • RFP Development • Aiding in the creation test cases • Aiding the technical staff with what is required with data cleanup, etc. • Project Team • Testing ++ • Providing feedback on outcomes • Integrity Checks • Checking data within the CR to make sure accurate with source systems • Training • Training HIM staff on task resolution • Resolution of tasks within the CR • Overlays • Duplicates • Linkages • Policy Development • Developing policies around task resolutions • Guidelines regarding data entry in source systems • Privacy & Security NHIMA In-person Meeting June 10, 2009

  8. CHALLENGES Lack of resources Time Restraints STRATEGIES NB Challenges and successful strategies in becoming involved in EHR initiatives in your province NHIMA In-person Meeting June 10, 2009

  9. NB Action Plan for increased HIM involvement in EHR initiatives Describe three (3) things the HIM professional should do to become and stay involved in EHR Initiatives 1. Become informed – be aware of what EHR initiatives are being implemented and if the HIM profession may need to be involved and if so, what may be required with that involvement 2. Make ourselves visible – share our knowledge and expertise to allow others to understand what we have to offer to the EHR initiatives 3. Act as a team member/resource – be an active member of the team/a resource to aid all parties with the HER project at hand NHIMA In-person Meeting June 10, 2009

  10. NL Key EHR initiatives in your province Identify: Our Acute Care Facility, day surgery and Emergency Departments are moving forward toward the advancement of the EHR. Most of our typed reports are in PCI eg. Diagnostic Imaging, Lab, Path, Discharge Summaries and O.R. reports with a lot of our house staff E-signing. We are also scanning our Emerg, endo and SDC written reports as well as our NICU nursing notes. We are on Go Forward basis with the HER. Other initiatives outside Hospital settings. Client Registry, PACS, Pharmacy Network. Peer to Peer Network. Newfoundland and Labrador Center for Health Information (NLCHI) has a mandate to implement all funded Components of NL EHRby March 31, 2011. The Centre is working with a number so stakeholders including the Regional Health Authorities, provincial government, Canada Health Infoway, health professionals and regulatory bodies to build the NL EHR. Funding for development, implementation and operation of the NL EHR is provided by the Government of NL and Canada Health Infoway NHIMA In-person Meeting June 10, 2009

  11. NL HIM Professional Involvement in EHR Initiatives (your province) HIM Professionals in our facility use the EHR for Coding and Abstracting purposes. NLCHIis involved with several projects eg. Panorama , Client registry , Health information Network and Telehealth Pharmacy Network and PACS. HIM professional participate in these initiatives. • We have a manager with Health Information Services and Informatics whose sole responsibility is the implementation of the EHR. The Centre for Health Information in involved I in the implementation of EHR projects. NHIMA In-person Meeting June 10, 2009

  12. CHALLENGES Computer Programs that are user friendly in accessing the EHR information (Cost is sometimes a stumbling block because of budget restrains) Convince stakeholders to buy into the concept and maybe providing some funding. STRATEGIES NLChallenges and successful strategies in becoming involved in EHR initiatives EMPHAZIZE IMPORTANCE of these two statements: HER is a secure and private lifetime record of an individual’s health and care history, available electronically to authorized health providers. It facilitates the sharing of data-across the continuum of care, across healthcare delivery organizations and across geographies. Patients/residents/clients/and their relatives (better care, better health outcome) NHIMA In-person Meeting June 10, 2009

  13. NL Action Plan for increased HIM involvement in EHR initiatives Describe three (3) things the HIM professional should do to become and stay involved in EHR Initiatives in your province: • Involvement in the process and the implementation of the EHR • Consultation and input into the development of the computer program and its user friendly capability. 3. Updated frequently on the changes to the EHR and if these changes need to be modified. NHIMA In-person Meeting June 10, 2009

  14. Slide 1: Key EHR initiatives in NOVA SCOTIA • Canada Health Infoway EHR Projects (Client Registry,Provider Registry) first phase at standardizing registration across the province of NS; looking at what patients are registered and the information collected upon registration within each health district. • SHARE – Provincial Portal Secure Access to the Health Recordlooking at a secure access for healthcare professionals in the province to access information from hospitals (lab tests, x-ray, health record documentation from hospital visits) • Provincial Policy Standardization – PHIPS Provincial standardizing policies from each health district to enable the development of provincial policies for healthcare • Health Information Policy Sub-committee developing provincial policies relating to health information • Legal Definition of a Health Record defining what constitutes a health record and the information contained within it. • Provincial registration standards developing provincial standards for registration where patient registration is shared between hospitals and updated when the patient presents at each facility; ensuring each facility is responsible for their own information and changes are made at the site level as needed. • Provincial Privacy and Access Standards developing provincial standards regarding access to information keeping with privacy legislative requirements • CCI Clean-up – Patient Alerts global decision making for patient alerts in the Admitting & Discharge Systems across the province; what constitutes and alert; when they are updated and how long they are stored NHIMA In-person Meeting June 10, 2009

  15. Slide 2: HIM Professional Involvement in EHR Initiatives (NOVA SCOTIA) • Clinical Care Indictors Sub-Committee- Committee Representative a sub-committee of PHIPS formed around clinical indicators, alerts entered during registration that notify staff of information they should be aware of during a patient’s stay (ex. staff alerts, infection control alert, advanced directives) • Provincial EHR Client Registry/Provider Registry – Business Contact Representative (see slide1) • SHARE – Provincial Portal Secure Access to the Health Record – Ad Hoc Member (see slide1) • NS Provincial Data Quality Committee – Committee Member standardization of provincial data collection elements in alignment with Canadian Standards. • HIM Program Advisory Committee- Facility Representative provide provide advice and support for the development, implementation, and operation of the NSCC-Health Information Program • Clean-up Provincial Patient Alerts – Project Team Member (see slide1) • Definition of Legal Health Record – Project Team Member (see slide1) NHIMA In-person Meeting June 10, 2009

  16. CHALLENGES Awareness issues within large facilities with limited HIM Professionals Project Management Three EHR Systems exist within province, namely, Meditech(Districts 1 to 8 and HITS NS), Meditech Magic(IWK), McKesson (CDHA) Software does not communicate with each other. Nine Districts, plus IWK = 10 CEO’s Lack of standardization. STRATEGIES Expansion of networking opportunities to improve communication Alignment & prioritization of facility projects with provincial initiatives Slide 3: Challenges and successful strategies in becoming involved in EHR initiatives in NOVA SCOTIA NHIMA In-person Meeting June 10, 2009

  17. Slide 4: Action Plan for increased HIM involvement in EHR initiatives in NOVA SCOTIA Describe three (3) things the HIM professional should do to become and stay involved in EHR Initiatives in your province: • Maintain knowledge/awareness of provincial EHR initiatives 2. Become involved in facility systems projects & upgrades 3. Continuously explore options to maintain & expand HIM education NHIMA In-person Meeting June 10, 2009

  18. OntarioKey EHR initiatives in your province Canada Health Infoway EHR Projects (e.g. Client Registry, Diagnostic Imaging, Telehealth, SNOMED CT, iEHR) • EHR Implementations (Facility / Regional / Jurisdictional level) • Other • Ontario is involved in all of the above but each hospital and/or LHIN are involved at different levels depending on LHIN focus, geographical area and money allotted. The Ministry of Health and Long Term Care does have staff involved with CHI EHR Projects but I am not involved on those teams so can not comment on what levels of involvement NHIMA In-person Meeting June 10, 2009

  19. OntarioHIM Professional Involvement in EHR Initiatives (your province) List the ways that HIM Professionals have been involved (leading, consulting, participating ) in any EHR initiatives in your province. This could be at the facility, regional, jurisdictional, or provincial level. -conducting PIA’s for the PAC system -RFP participation for Scanning of Documents -Participation (lead or team member) on new ADT implementations in preparation for the EHR. Policy Development, Training and support in same. -Participation (lead or team member) on implementation of other software (e.g. transcription system, vendor software) in preparation for the EHR. Policy Development, Training and support in same -Involvement on the SCWG groups Examples: committee member, project team member, involved in RFP development, implementation support, policy development, training. NHIMA In-person Meeting June 10, 2009

  20. CHALLENGES Knowing where, when, who and how the eHR initiatives are taking place in the province. Being recognized as one the experts to be selected for the team. Taking on more work with an already busy work schedule. Because the HIM is not involved in these initiatives, most do not feel qualified nor what avenue to go to feel more comfortable with it and qualified. STRATEGIES Become more aggressive in making people aware of the HIM Skill set. Informing management that we are interested in sitting on these teams Finding ways to learn about the EHR in order to feel qualified and comfortable. OntarioChallenges and successful strategies in becoming involved in EHR initiatives NHIMA In-person Meeting June 10, 2009

  21. Ontario Action Plan for increased HIM involvement in EHR initiatives Describe three (3) things the HIM professional should do to become and stay involved in EHR Initiatives in your province: 1.Participation on LHIN, Provincial or National committees 2. Continued awareness and education around Informatics and IT/EHR initiatives 3. Support provincial associations with news letters/articles pertaining to experiences obtained from above points. NHIMA In-person Meeting June 10, 2009

  22. MB Key EHR initiatives • Manitoba eHealth with eHealth Services at WRHA • Hospital Information System Project • St Boniface General Hospital (implementation EHR) • Long Term Planning (EHR, shared information between community hospitals and LTC) • Interoperable Electronic Health Record • Linking of information from clinics, hospitals and other care facilities • Provincial Lab Information System (LIS) • Provincial Radiology Information System/Picture Archiving and Communications Systems (RIS/PACS) • Clinical Supply Chain Information System (CSCIS) • Primary Data Centre (PDC) • Security Planning • Sterile Instrument Tracing System (SITS) • Surgical Information Management System (SIMS) • Emergency Department Information System (EDIS) • Provincial Client Registry • Utilization Management System (UM System) NHIMA In-person Meeting June 10, 2009

  23. MB Professional Involvement in EHR Initiatives It is difficult for me to discuss the HIM professionals involvement in EHR initiatives as my involvement has been limited. However, what I do know is that most initiatives have involved the HIM professional. Representatives from all regions have been asked to sit as a committee member. NHIMA In-person Meeting June 10, 2009

  24. CHALLENGES Communication and Awareness at all levels Education There exists a split between IT and Health Information Change in mindset – not all HIM professionals are motivated to do more than code Development of new role for the HIM professional Change in expectations and culture STRATEGIES CHIMA publications Two levels of HIM professional Degree with a equal focus on information technology and health information Diploma for health information and administration Change in education will draw different individuals and there will be a gradual change in culture More workshops for front line pertaining to the growth and initiatives being undertaking re EHR (try to make it interesting we’re talking dry material here) MB Challenges and successful strategies in becoming involved in EHR initiatives NHIMA In-person Meeting June 10, 2009

  25. MBAction Plan for increased HIM involvement in EHR initiatives Describe three (3) things the HIM professional should do to become and stay involved in EHR Initiatives in your province: Initiatives must be undertaken by the managers of the Health Information Departments. CEOs need to be onboard as well, to encourage, educate and promote so we can meet the needs of the EHR. 1. Upgrade computer skills 2. Be Informed 3. Initiate projects at the facility level. NHIMA In-person Meeting June 10, 2009

  26. SK Key EHR Initiatives Three main areas of project work: 1. Integrated Clinical Systems – common suite of health region systems 2. EMR Systems for physician offices and integrated primary care teams 3. Provincial Electronic Health Record Strategy _______________________________________ The current EHR projects underway: • Pharmacy Information Program (PIP) • Saskatchewan Electronic Health Record (iEHR) & Lab Results • Public Health Surveillance (Panorama) - Planning • Primary Health Care (PHC) and Physician EMR Systems • Client & Provider Registry Systems (SCI & PRS) SCI (Saskatchewan Shared Client Index) PRS (Provider Registry System) • Radiology Information System and PACS Project NHIMA In-person Meeting June 10, 2009

  27. SK: HIM Professional Involvement in EHR Initiatives • Staff and consultants with HIM credentials have been involved with the EHR initiatives in the following ways: • They have led certain projects • Served as subject matter experts • Have been involved in design and implementation efforts • HIM’s play an important role in ongoing management of EHR data holdings (ie: Client and Provider Registries) and • Managing clinical repositories • HIM staff in health regions are involved in design teams for several projects and are essential resources at the regional level to ensure local systems interact appropriately with provincial EHR systems. NHIMA In-person Meeting June 10, 2009

  28. Saskatchewan is making good progress in implementing all aspects of the EHR, but is staging implementations according to clinical and health system priorities Saskatchewan is working closely with Canada Health Infoway and collaborating with other jurisdictions in developing and implementing the components of the EHR. Leadership for the implementation of the EHR is provided by Health Information Solutions Centre at Saskatchewan Health who works with the health regions, professional associations and other important stakeholders. SK Challenges and successful strategies in becoming involved in EHR initiatives NHIMA In-person Meeting June 10, 2009

  29. RIS/PACS: Phase 1 focuses on the 11 larger referral centres - installation of the new systems is complete in 6 hospitals and will be completed in all 11 by 2010. Pharmacy Information Program (PIP): Phase 1 (secure access to patient drug profiles) was completed in 2006-07. The e-prescribing component of PIP is now available through a secure web browser and integration with pharmacy vendor software is now being implemented using pan-Canadian CeRx messaging standards. Shared Client Index and Provider Registry: Significant effort has gone into populating both registries with quality data and in managing the linkage of the various identifiers an individual will typically have. Additional improvements will focus on further integrating registries with both source systems (e.g. ADT systems in hospitals and EMRs) and clinical data repositories in the EHR. iEHR and Lab Results: Implementation of the EHR and its infrastructure is occurring is stages, with the initial emphasis being on the distribution of lab results from the larger labs to approved EMR systems and primary health care sites. SK: Challenges and successful strategies in becoming involved in EHR initiatives NHIMA In-person Meeting June 10, 2009

  30. SK: Action Plan for increased HIM involvement in EHR initiatives • Continue to be engage HIMs in the design, implementation and operation of new eHealth solutions. • Increase awareness and understanding of the EHR concepts. We have a core group of HIMs that have been involved in EHR projects and ongoing support. Many have had to learn the new concepts ‘on the job’ by being involved in projects, but their knowledge needs to extend into other aspects of the EHR that will be pertinent to their work, and to find ways to provide more up-front training and education for HIMs practicing throughout the province who may not have been as exposed to EHR components as yet. • Continue to plan forward to better understand impacts of the EHR on records management and implement new practices that are pertinent in today and tomorrow’s electronic environment and ensure good quality data and sound information management practices as the EHR and its supporting systems evolve. NHIMA In-person Meeting June 10, 2009

  31. AB Key EHR initiatives in Alberta Provincial: • Alberta Netcare Portal – DI, Lab, Transcribed Reports • Pharmacy Information Network • Diagnostic Imaging • Registries • POSP/EMR • pHIE • Identity Access Management • Health Network Architecture • Alberta Clinical Vocabulary Initiative • CHI, CIHI, IHTSDO NHIMA In-person Meeting June 10, 2009

  32. AB Key EHR initiatives in Alberta Alberta Health Services: EHR Implementation Teams • HIM leadership for the following Committees or Projects: • Legal EHR Committee • Enterprise Content Management Core Team/Steering Committee • Taxonomy Working Group • Business Process Working Group • Forms Naming Conventions Working Group • E-Record Data Integrity Working Group • ‘Paper-Lite’ Committee NHIMA In-person Meeting June 10, 2009

  33. AB Key EHR initiatives in Alberta Alberta Health Services: • HIM representation on one or more levels of each EHR projects, including: • Enterprise Content Management Working Groups • Clinibase ADT Rollouts across multiple sites • Encounter Management Committee (under Patient Identification & Encounter Management Project) • E-Summary Working Group • PCIS-Sunrise Clinical Manager (SCM) Core Clinical Design Group • New facility planning teams – now designed without paper record processing, file rooms or archival storage space NHIMA In-person Meeting June 10, 2009

  34. AB HIM Professional Involvement in EHR Initiatives in Alberta • HIM professionals are involved as executive sponsors, project managers, committee members, project team members, involved in RFP development, implementation support, application specialists, subject matter experts, policy developers and trainers/training content providers • Leading data integrity teams for registries • Represented on provincial Terminology Asset Management Team for clinical vocabulary mappings and code sets • Committees – HISCA, ACV Business Team NHIMA In-person Meeting June 10, 2009

  35. CHALLENGES Political, i.e. Understanding the difference between the IT enablers and the business owner roles. (HIM is business owner) STRATEGIES Talk to everyone about who they may know that may be involved in similar subject matter – all EHR/system projects overlap in many ways; increase breadth and depth of your contacts before you take action ABChallenges and successful strategies in becoming involved in EHR initiatives in Alberta NHIMA In-person Meeting June 10, 2009

  36. AB Action Plan for increased HIM involvement in EHR initiatives • Volunteer to be on project work teams • Be willing to work extra hours, without compensation if need be, in order to further your exposure, further your knowledge and further your value to the organization • Ask your HIM leaders if there are EHR activities underway that could use your time and contribution as an HIM subject matter expert • Data Quality monitoring and remediation • Data Integrity, appropriate integration and context setting within EHR setting; e.g. match to right patient, provider, facility • Consultation on rate of change for new coding standards; e.g. SNOMED CT within context of operational and EHR environment NHIMA In-person Meeting June 10, 2009

  37. NL Key EHR initiatives in your province Identify: Our Acute Care Facility, day surgery and Emergency Departments are moving forward toward the advancement of the EHR. Most of our typed reports are in PCI eg. Diagnostic Imaging, Lab, Path, Discharge Summaries and O.R. reports with a lot of our house staff E-signing. We are also scanning our Emerg, endo and SDC written reports as well as our NICU nursing notes. We are on Go Forward basis with the HER. Other initiatives outside Hospital settings. Client Registry, PACS, Pharmacy Network. Peer to Peer Network. Newfoundland and Labrador Center for Health Information (NLCHI) has a mandate to implement all funded Components of NL EHRby March 31, 2011. The Centre is working with a number so stakeholders including the Regional Health Authorities, provincial government, Canada Health Infoway, health professionals and regulatory bodies to build the NL EHR. Funding for development, implementation and operation of the NL EHR is provided by the Government of NL and Canada Health Infoway NHIMA In-person Meeting June 10, 2009

  38. NL HIM Professional Involvement in EHR Initiatives (your province) HIM Professionals in our facility use the EHR for Coding and Abstracting purposes. NLCHIis involved with several projects eg. Panorama , Client registry , Health information Network and Telehealth Pharmacy Network and PACS. HIM professional participate in these initiatives. • We have a manager with Health Information Services and Informatics whose sole responsibility is the implementation of the EHR. The Centre for Health Information in involved I in the implementation of EHR projects. NHIMA In-person Meeting June 10, 2009

  39. CHALLENGES Computer Programs that are user friendly in accessing the EHR information (Cost is sometimes a stumbling block because of budget restrains) Convince stakeholders to buy into the concept and maybe providing some funding. STRATEGIES NLChallenges and successful strategies in becoming involved in EHR initiatives EMPHAZIZE IMPORTANCE of these two statements: HER is a secure and private lifetime record of an individual’s health and care history, available electronically to authorized health providers. It facilitates the sharing of data-across the continuum of care, across healthcare delivery organizations and across geographies. Patients/residents/clients/and their relatives (better care, better health outcome) NHIMA In-person Meeting June 10, 2009

  40. NL Action Plan for increased HIM involvement in EHR initiatives Describe three (3) things the HIM professional should do to become and stay involved in EHR Initiatives in your province: • Involvement in the process and the implementation of the EHR • Consultation and input into the development of the computer program and its user friendly capability. 3. Updated frequently on the changes to the EHR and if these changes need to be modified. NHIMA In-person Meeting June 10, 2009

  41. NHIMA Action Plan for Increased HIM Involvement in EHR Initiatives 1. Remain active with professional associations and stay up to date on new publications, articles, etc. 2. Regularly visit the Canada Health Infoway website to stay tuned and connected on national endeavors 3. Educate yourself – stay on top of what is new! **(19,23) 4. Be visible – engage in conversation, highlight skill/profession, volunteer (*12) 5. Work collaboratively with various departments (ie: Decision Support, system analysts, clinicians, administration, etc.) It is good for networking! 6. Get out of your comfort zone – be prepared to take a risk 7. Participate in development of standards & other backbone endeavors 8. Participate in Data Quality committees that span the continuum of care 9. Subscribe to e-mailouts to be informed (***11,16,17) 10. Have e-health initiatives as a regular business item at monthly HIM meetings NHIMA In-person Meeting June 10, 2009

  42. NHIMA Action Plan for Increased HIM Involvement in EHR Initiatives 11. Become informed – be aware of what EHR initiatives are being implemented and if the HIM profession may need to be involved and if so, what may be required with that involvement 12. Make ourselves visible – share our knowledge and expertise to allow others to understand what we have to offer to the EHR initiatives 13. Act as a team member/resource – be an active member of the team/a resource to aid all parties with the EHR project at hand (****14,15,18,26) 14. Involvement in the process and the implementation of the EHR 15. Consultation and input into the development of the computer program and its user friendly capability 16. Updated frequently on the changes to the EHR and if these changes need to be modified 17. Maintain knowledge/awareness of provincial EHR initiatives 18. Become involved in facility systems projects & upgrades NHIMA In-person Meeting June 10, 2009

  43. NHIMA Action Plan for Increased HIM Involvement in EHR Initiatives 19. Continuously explore options to maintain & expand HIM education 20. Participation on LHIN, Provincial or National committees 21.Continued awareness and education around Informatics and IT/EHR initiatives 22. Support provincial associations with news letters/articles pertaining to experiences obtained from above points. 23. Upgrade computer skills 24. Be Informed 25. Initiate projects at the facility level 26. Continue to be engaged. 27. Increase awareness and understanding of the EHR concepts. 28. Plan forward to better understandthe impact of the EHR on Records Management. NHIMA In-person Meeting June 10, 2009

  44. NHIMA Action Plan for Increased HIM Involvement in EHR Initiatives 29. Volunteer to be on project work teams 30. Be willing to work extra hours, without compensation if need be, in order to further your exposure, further your knowledge and further your value to the organization 31. Ask your HIM leaders if there are EHR activities underway that could use your time and contribution as an HIM subject matter expert 32. Data Quality monitoring and remediation 33. Data Integrity, appropriate integration and context setting within EHR setting; e.g. match to right patient, provider, facility 34 Consultation on rate of change for new coding standards; e.g. SNOMED CT within context of operational and EHR environment NHIMA In-person Meeting June 10, 2009

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