Introduction

What is Meaningful Use? Why is it important?

  • Meaningful use definition
  • Data from EHR can be utilized to manage chronic patient conditions, examine patient populations, and ensure preventative care (Thurston, 2014). Paper documentation was not capable of achieving the same outcomes.

Introduction

Independence Medical Center’s Current State of Compliance

  • Compliance with the use of EHR to assist with meaningful use.

Current HIS

  • Opus is the current, main EHR system used by Vila, implemented in 2008 (Capella University, n.d.).
  • Other systems are in use but none are integrated with Opus (PACS, CPOE, Pharmacy system, and Lab system) (Capella University, n.d.).

EHR Issues Administration

  • Billing issues
  • Supply charge issues
  • Wireless syncing issues
  • Training for numerous systems

EHR Issues Clinical Management and Staff

  • EHR not communicating with other systems
  • Issue with results
  • Staff using multiple systems
  • Lack of support with workflows
  • EHR untrustworthy and incomplete
  • Excessive time required for documentation
  • Incomplete documentation and results

Upgrades and Improvements

  • Meaningful Use
  • HITECH Act
  • Implement a new EHR or upgrade the current one
  • More user-friendly interface
  • Integration with other systems

EHR Improvements/Upgrades

  • One screen view
  • Pulling previous information into the current visit
  • Prepopulating information into a note
  • Hard stops for required information
  • Notification of abnormal information in a different text color
  • Automatic entry of results
  • Drug interaction and allergy alerts

Upgrades and Improvements Approaches for Keeping Compliance

  • Benefit of Meaningful Use
  • Yearly training
  • Continuously promoting goals
  • Gradual transition from paper to digital
  • Ensures collaboration
  • Open communication

References

Capella University. (n.d.). Vila Health Activity Analysis of an EHR System. https://media.capella.edu/CourseMedia/mha-fpx5016element237415/transcript.asp

Joneidy, S., & Burke, M. (2019). Towards a deeper understanding of meaningful use in electronic health records. Health Information & Libraries Journal, 36(2), 134-152. https://doi.org/10.1111/hir.12233

 


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