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Best Practice” patient care in healthcare organizations
1) View the videos below and complete the readings for week 3. The various film festival and discussion thread videos in this course provide a number of examples of “best practice” use of EHRs and health informatics in action. The objective of viewing the multimedia experiences of people and places is for you to more easily remember the impact these systems can have in our lives as each of us and our families interact with the complex healthcare delivery ecosystem.
2) Refer to several of the films. Discuss best practices in patient care delivery in healthcare organizations leveraging information and communication technologies in practice.
– Best practice – describe overall what stands out and is working well (focus most of the discussion here)
– Applications – include specific digital applications (such as lab systems, electronic prescribing and medication safety, digital medical imaging, etc.) have supported processes such as planning, documenting, connecting, and administrating patient care in healthcare organizations
– Connectivity – mention a way that systems are connecting today and using standards (HL7, SNOMED, other standards)
– Privacy/security – include a few comments on what organizations are doing and can do to keep healthcare systems secure/private
Videos
https://www.youtube.com/watch?v=qewOJPxz4-chttps://www.youtube.com/watch?v=JIgKCcBhXjQ
Health IT Simulation Lab
Describe your experience taking an electronic health record (EHR) system for a hands-on test drive. Was this the first time using a system for patient care information? If so, simply describe use of this system. If you have used other similar systems, also please share a few words on your experiences in addition to review of the sim lab. The following link: http://health-it-sim-lab.weebly.com/index.html Follow each of the tabs first viewing the video. In the tab-by-tab section, select the cover sheet and another tab or two of your choice. Please note, if you have a Mac, you can compete this assignment by reviewing additional items in the tab-by-tab section. If you have a Windows PC or laptop, you can also use the “sandbox” open area. Follow the steps provided. The goal here is to show evidence that you have invested some time in the sim lab and have a basic understanding of practical hands-on EHR system use in practice.
(see document attached)
HealthIT Simulation Lab
Click on the following link:
www.health-it-sim-lab.weebly.com
http://www.health-it-sim-lab.weebly.com/
http://www.health-it-sim-lab.weebly.com/
http://www.health-it-sim-lab.weebly.com/
http://www.health-it-sim-lab.weebly.com/
http://www.health-it-sim-lab.weebly.com/
http://www.health-it-sim-lab.weebly.com/
http://www.health-it-sim-lab.weebly.com/
http://www.health-it-sim-lab.weebly.com/
http://www.health-it-sim-lab.weebly.com/
Connecting Health
and Care for the Nation
A Shared Nationwide
Interoperability Roadmap
EXECUTIVE SUMMARY
Version 1.0
2
Executive
Summary
The nation needs an interoperable health system that empowers
individuals to use their electronic health information to the fullest extent;
enables providers and communities to deliver smarter, safer, and more
efficient care; and promotes innovation at all levels. While the Health
Information Technology for Economic and Clinical Health (HITECH) Act
stimulated significant health information technology (health IT) adoption
and exchange of electronic health information with the goal of every
American having access to their electronic health information, 2015’s
interoperability experience remains a work in progress. The vision is a
learning health system where individuals are at the center of their care;
where providers have a seamless ability to securely access and use
health information from different sources; where an individual’s health
information is not limited to what is stored in electronic health records
(EHRs), but includes information from many different sources (including
technologies that individuals use) and portrays a longitudinal picture of
their health, not just episodes of care; where diagnostic tests are only
repeated when necessary, because the information is readily available;
and where public health agencies and researchers can rapidly learn,
develop, and deliver cutting edge treatments.
INTEROPERABILITY
PROGRESS
2004
• National Coordinator for Health IT
position created via Executive
Order 13335
• Decade of Health IT: Delivering
Consumer-centric and Information-
rich Health Care: Framework for
Strategic Action released
2005
to
2008
• Stark exception and anti-kickback
safe harbor enable donations of
health IT products and services
• American Health Information
Community (AHIC) formed
• Health Information Technology
Standards Panel (HITSP) formed
• Nationwide Health Information
Network (NHIN) develops
prototypes for exchange
• C ertification Commission for Health
Information Technology (CCHIT
EHR certification program begins
• ONC-Coordinated Federal Health
IT Strategic Plan 2008-
2012
• Health Information Security and
Privacy Collaboration formed
across 42 states and territories
2009
• State Alliance for e-Health
• HITECH Act
• 16% of hospitals and 21% of
providers adopted basic EHRs
• Data Use and Reciprocal Support
Agreement signed – enables
exchange with federal agencies
2010
• State Health Information
Exchange (HIE) Cooperative
Agreement Program begins
• First ONC rule making for Health
IT Certification program
• Blue Button Initiative, a tool that
provides patients with access to
their electronic health information,
is launched
• Direct Project launched to enable
a secure, standards-based way
to electronically send health
information to known, trusted
recipients over the Internet
If we steadily and aggressively advance our progress we can make it a
reality. We must focus our collective efforts around making standardized,
electronic health information securely available to those who need it and in
ways that maximize the ease with which it can be useful and used.
The Office of the National Coordinator for Health IT (ONC) is committed to
advancing this vision expeditiously, systematically and in a sustainable
fashion. We first laid out this vision in Connecting Health and Care for the
Nation: A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure
and followed with a draft Shared Nationwide Interoperability Roadmap and
Interoperability Standards Advisory. Working collaboratively with federal
partners, states, consumers, and the private sector, we developed this
shared, comprehensive interoperability agenda and action plan described in
http://www.healthit.gov/sites/default/files/ONC10yearInteroperabilityConceptPaper
http://www.healthit.gov/sites/default/files/ONC10yearInteroperabilityConceptPaper
http://www.healthit.gov/sites/default/files/nationwide-interoperability-roadmap-draft-version-1.0
http://www.healthit.gov/sites/default/files/2015interoperabilitystandardsadvisory01232015final_for_public_comment
|| Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap
E X E C U T I V E S U M M A R Y
3
detail in the Shared Nationwide Interoperability Roadmap (the Roadmap). It is
meant to build upon and shore up the existing foundation of health IT, move
quickly to short-term success, and also lay out a longer term set of drivers and
policy and technical components that will achieve the outcomes necessary to
achieve the vision. ONC will continue to work with our partners as we
coordinate the Roadmap’s implementation, which is also a critical part of
achieving the Federal Health IT Strategic Plan’s vision of high-quality care,
lower costs, healthy population, and engaged people.
The Roadmap identifies near-term (i.e., by the end of 2017) actions and
roles that health IT stakeholders should perform to make immediate progress
and impacts with respect to interoperability. It also emphasizes that we
should use and build on the technology and investments made to date,
while continuing to seek out ways to support innovation and move beyond
EHRs as the sole data source for electronic health information to a wide
range of health information technologies used by individuals, providers,
and researchers. The Roadmap’s three high-level goals for health IT
interoperability each reflect the progress we need to make in order to achieve
a learning health system by 2024. Consequently, the short-term goal is
focused on sending, receiving, finding, and using priority data domains, so
that we can have an immediate impact on the care and health of individuals.
The goals are:
• 2015-2017: Send, receive, find and use priority data domains to
improve health care quality and outcomes.
• 2018-2020: Expand data sources and users in the interoperable
health IT ecosystem to improve health and lower costs.
• 2021-2024: Achieve nationwide interoperability to enable a
learning health system, with the person at the center of a system that
can continuously improve care, public health, and science through
real-time data access.
The Roadmap focuses deeply on the first priority goal and its
accompanying milestones, critical action items, and commitments. To
address current challenges, the Roadmap identifies four critical pathways
that health IT stakeholders should focus on now in order to create a
foundation for long-term success:
INTEROPERABILITY
PROGRESS
2011
• F ederal Health Information
Technology Strategic Plan
2011-
2015
• Meaningful Use Stage 1 begins
• 27% of hospitals and 34% of
providers adopted EHRs
• Blue Button Initiative Pledges from
the Private Sector begin 2012
2012
• The Consolidated Clinical Document
Architecture (CDA), a unified
standard for summary care records
is created
• Healtheway is launched
2013
• CommonWell, an industry-led
Network Service Provider, is
launched
• 51% of hospitals can electronically
query other organizations for health
information
• The Department of Health and
Human Services (HHS) HIE
Acceleration Strategy Released
2014
• Carequality, a public-private
collaborative, is formed
• The Argonaut project is launched
to develop a first-generation
Fast Healthcare Interoperability
Resources (FHIR) based application
programming interface and core
data specification
• A 10-Year Vision to Achieve
an Interoperable Health IT
Infrastructure released
• 80% of hospitals can electronically
query other organizations for health
information
• Meaningful Use Stage 2
attestations began
2015
• The Draft Shared Nationwide
Interoperability Roadmap 1.0
released for public comment
• Additional State HIE Cooperative
Agreement funds awarded for
breakthrough innovations
• Federal Health IT Strategic Plan
2015-2020 released
• The 2015 Interoperability Standards
Advisory released
4 || Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap
E X E C U T I V E S U M M A R Y
• Improve technical standards and implementation guidance for priority data domains and associated elements.
In the near-term, the Roadmap focuses on using commonly available standards, while pushing for greater
implementation consistency and innovation associated with new standards and technology approaches, such as
the use of APIs.
• Rapidly shift and align federal, state, and commercial payment policies from fee-for-service to value-based
models to stimulate the demand for interoperability.
• Clarify and align federal and state privacy and security requirements that enable interoperability.
• Coordinate among stakeholders to promote and align consistent policies and business practices that support
interoperability and address those that impede interoperability.
The Roadmap is organized into three sections starting first with “Drivers,” which are the mechanisms that can propel
development of a supportive payment and regulatory environment that relies on and deepens interoperability. The
next section addresses “Policy and Technical Components,” which are essential items stakeholders will need to
implement in similar or compatible ways in order to enable interoperability, such as shared standards and
expectations around privacy and security. The last section addresses “Outcomes,” which serve as the metrics by
which stakeholders will measure our collective progress on implementing the Roadmap. Each section includes
specific milestones, calls to action, and commitments that will support the development of a nationwide, interoperable
health IT infrastructure.
The Roadmap is intended to be a living document. As we move forward to create a learning health system, the
Roadmap will be updated and new versions will be created when milestones are met and new challenges emerge.
Future Roadmap versions will continue to be informed by and incorporate stakeholder feedback. ONC’s website will
list calls to actions and commitments mapped out by stakeholder group so that all stakeholders can identify and do
their part.
- Connecting Healthand Care for the Nation: A Shared Nationwide Interoperability Roadmap
EXECUTIVE SUMMARY — Version 1.0
Executive Summary
Interoperability Progress Timeline
2004 through 2010
2011 through 2015
Drivers, Policy & Technical Components and Outcomes
Accessibility Report
Filename:
Roadmap-Executive Summary-100115-4pm99
Report created by:
Rae Benedetto, Accessibility and Remediation Specialist, rbenedetto@manilaconsulting.net
Organization:
Manila Consulting Group
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Detailed Report
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