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Configuring Electronic Health Records

Learn how to configure and implement Electronic Health Records for Meaningful Use in healthcare. Understand the criteria and examples using VistA EHR system.

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Configuring Electronic Health Records

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  1. Configuring Electronic Health Records Meaningful Use and Implementation Lecture b This material (Comp11_Unit8b) was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015.

  2. Meaningful Use and ImplementationLearning Objectives • Describe meaningful use (MU) of health information technology in the context of the Health Information Technology for Economic and Clinical Health (HITECH) Act (Lecture a) • Define the criteria for Stage 1 of meaningful use for eligible professionals and eligible hospitals (Lecture a) • Demonstrate examples of meaningful use using the VistA Electronic Health Record (EHR) (Lecture b) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  3. Implementing Meaningful Use (MU) • Clinical reminders – clinical decision support (CDS) cover sheet view screen, CDS list screen, CDS resolving process view • Data entry/document creation – lab order, template editor screen, template field editor view, roll and scroll document creation screen • Order sets – diabetes mellitus (DM) order set with lab selected, options for order checks • Quality reporting – DM report Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  4. Clinical Reminders Coversheet CPRS View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  5. Clinical Reminders List CPRS View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  6. Clinical Reminders Resolution Process CPRS Screen (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  7. Data Entry Lab Order Screen CPRS View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  8. Data Entry Template Editor CPRS View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  9. Data Entry Template Field Editor CPRS View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  10. Document Creation “Roll and Scroll” View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  11. Order Checks Selection CPRS View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  12. Order Set for Diabetes CPRS View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  13. Quality Reports Diabetes CPRS View (Hersh, 2011) Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  14. Meaningful Use and ImplementationSummary – Lecture b • Most of the criteria for meaningful use of the EHR can be demonstrated using the VistA EHR of the US Veteran’s Administration • This lecture demonstrated the implementation of the following meaningful use criteria in VistA: clinical reminders, data entry/document creation, order sets, and quality reporting Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  15. Meaningful Use and ImplementationSummary • This unit described the meaningful use program of HITECH, eligibility for incentive payments, and the criteria for achieving those payments in Stage 1 of the program • It also demonstrated some of the meaningful use criteria from the standpoint of the VistA system Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

  16. Meaningful Use and ImplementationReferences – Lecture b Images Slide 4: Screenshot showing the cover sheet view in Vista. (Hersh, 2011). Slide 5: Screenshot showing the CPRS view in Vista. (Hersh, 2011). Slide 6: Screenshot showing the events that occur when a particular selection is made in the screen that was described previously in the clinical reminders list CPRS view screenshot. (Hersh, 2011). Slide 7: Screenshot of the Vista electronic record showing the view that a clinical coordinator would see on CPRS, the Windows interface for the electronic health record. (Hersh, 2011). Slide 8: Screenshot showing the CPRS view of the template editor. (Hersh, 2011). Slide 9: Screenshot of the CPRS window that pops up when a data entry template field editor selection is made. (Hersh, 2011). Slide 10: This screenshot shows the process of document creation from the back – end review of our patient. (Hersh, 2011). Slide 11: Screenshot of an order checks selection in CPRS view. (Hersh, 2011). Slide 12: Screenshot describing the sequence of events when a specific order set is selected when a reminder is fired by the system. (Hersh, 2011). Slide 13: Screenshot of the Vista electronic record shows the view that a provider would see on CPRS, the Windows interface for the electronic health record. (Hersh, 2011). Configuring Electronic Health Records Meaningful Use and Implementation Lecture b

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