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MHA 705 Exam
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MHA 705 Exam 3 2024-2025Electronic health records (EHRs)
In January 2004, the President Bush raised the profile of __________________________ in
his State of the Union address by outlining a plan to ensure that most Americans would
have an EHR by 2014.
This goal was reaffirmed by President Obama
American Recovery and Reinvestment Act of 2009
included the HITECH Act to specifically incentivize health organizations and providers
to become "meaningful users" of EHRs.
ARRA Requirements
To receive this expanded reimbursement incentive, providers and hospitals must use an
approved EHR via a predetermined set of standard functional definitions.
The Department of Health and Human Services (HHS)
Initially recognized two entities that could certify EHRs, these are: The Drummond
Group and the Certification Commission for Healthcare Information Technology.
-2015 There are five accredited testing and certification bodies for EHRs
Certification Criteria
are those developed by the National Institute of Standards and Technology and adopted
by the Office of the National Coordinator for Health Information Technology for EHRs.
The
45 initial certification criteria
include a range from the basic ability to record patient demographics, document vital
signs, and maintain an up-to-date problem list to more complex functions, such as
electronic exchange of clinical information and patient summary records.
Higher stages of the Electronic Medical Record Adoption Model include
, more sophisticated use of decision support tools and medication administration tools,
through Stage 7, where the EMR has data sharing and warehousing capabilities and
complete interface with emergency and outpatient facilities
Stage 1 meaningful use criteria
focus on data capture and sharing
Stage 2 (by 2014) criteria
advance several clinical processes and promote health information exchange (HIE) and
more patient controlled data
Stage 3 Rule (by 2016) requirements
emphasis on better results for individual and populations and on patient
self-management tools
replaces paper-based medical record
A data warehouse or repository of information regarding the health status of a client;
The systematic documentation of a client's health status and health care
- In a secure electronic format, that is accessible and usable by authorized
interdisciplinary professionals, for the purpose of supporting efficient, high-quality
health care, across the client's health care continuum
Health information and data
the patient information necessary to make informed clinical decisions, which includes
demographics, medical and nursing diagnoses, medications lists allergies and test
results
Results management
the ability to manage results of all types electronically, including laboratory and
radiology procedure reports, both current and historical
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