Electronic Health Records Terms & Definitions - Medicine Study Guide

Public Health Informatics

systematic application of information science, computer science, and technology to public health practice, research, and learning

Informatician

plays the coordinating role in public health informatics

5 Step process of development of public health information system

1. Vision and system planning

2. Health Data Standards and Integration

3. Date Privacy and Security

4. Systems Design and Implementation

5. Visualization, Analysis, and Reporting of Health Data

In 2009, Number of optometrists who transitioned to EHR vs. opthalmologist

1/4 optometrist and 1/8 opthalmologist

Number of individuals who die annual due to medical errors

98,000 individuals per year

Average spending on health per capita

US spends way more on healthcare than any other country

Reasons to not adopt EHR

Loss of revenue because expensive to implement, security is complex, have to learn a new system, over-confidence in clinical skills

Disadvantages to paper charts

not interactive and can have more mistakes, reminders/cautions can be more easily overlooked, poor handwriting, records are not standardized and use abbreviations, disorganized, easily lost

Percent of written medical charts that were fully legible

65%

Tools in EHR that help analyze patient data

infobuttons (external resources), Computerized Provider Order Entry (prescriptions), Clinical Decision Support (clinician and patient education)

EHR vs. Personal Health Record

EHR=maintained by health care providers; PHR=maintained by individual patient, but may have interactivity with clinical caregivers

Personal Health Record

allows patients to keep track of their own health informatin, provides educational material to assist in self management of chronic disease, and can incorporate information from home monitoring devices

Physician Quality Reporting Initiative (PQRI)

incentivized use of EHR by providing a bonus to clinical care that use EHR; Bush wanted everyone to transition by 2014; incentive payments for those clinicians and practices meeting certain benchmarks

Meaningful Use

use of certified EHR technology in a meaningul manner

Merit-based Incentive Payment System (MIPS)

meeting benchmarks influences the reimbursement amounts clinicians recieve from Medicare; requires doctors to more robustly report their quality, EHR use, and practice improvement activities to get paid at the highest levels; graded based on 0-100

Registries

databases used to track patients with a particular disease, exposure to a risk factor, or those who have undergone a certain procedure

Clinical data registry

private, secure database that collects and compiles data from compatible EHRs

Two eye related registries

IRIS-Ophthalmology and MORE-AOA

IRIS registry

nations' first comprehensive eye disease clinical database; enabled ophthalmologists to use clinical data to improve care delivery and patient outcomes and helped their MIPS score