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The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License. The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp01Unit10. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.
Judul Asli
01-10C - Introduction to Healthcare and Public Health in the US - Unit 10 - Meaningful Use of Health Information Technology - Lecture C
The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License. The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp01Unit10. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.
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The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License. The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp01Unit10. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.
Hak Cipta:
Attribution Non-Commercial ShareAlike (BY-NC-SA)
Format Tersedia
Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
Meaningful Use of Health Information Technology Lecture c This material (Comp1_Unit10c) was developed by Oregon Health and Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015. Meaningful Use (MU) of Health Information Technology Learning Objectives Define meaningful use of health information technology in the context of the Health Information Technology for Economic and Clinical Health (HITECH) Act (Lecture a) Describe the major goals of meaningful use (Lecture a) Define the criteria for Stages 1 and 2 of meaningful use for eligible professionals and eligible hospitals (Lecture b) Describe the standards specified for Stages 1 and 2 of meaningful use, including those devoted to privacy and security (Lecture c) Define the clinical quality measures (CQMs) for the meaningful use program (Lecture c) 2 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c HITECH, ARRA and Achieving Meaningful Use Standards Privacy and security Clinical quality measures (CQMs)
3 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Standards for Stages 1 and 2 10.21 Chart: Metzger, 2012 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Standards for Stages 1 and 2 (continued) 10.22 Chart: Metzger, 2012
5 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Standards for Stages 1 and 2 (continued) 10.23 Chart: Metzger, 2012
6 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Additional Standards For Stage 2 Amendments to support HIPAA compliance, EHR must accept patient-supplied information in both free text and scanned format and append/amend it to EHR Encryption of data on end-user devices any electronic health information on end-user devices must encrypt such information once it is no longer being actively used View, download and transmit to third party EHR must be able to Transmit ambulatory and inpatient summary to a third party Include patient accessible log to track use of the view, download, and transmit capabilities and make that information available to the patient Cancer case information and transmission to cancer registries EHR must have capability to identify and report cancer cases to a state cancer registry (except where prohibited by law) (menu option for EPs) 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Additional Standards For Stage 2 (continued) Transitions of care EHR must be able to Receive, display and incorporate transition of care/referral summaries Create and transmit transition of care/referral summaries CQMs three new criteria Electronic data capture and export EHR must be able to record data that would be required in order to calculate CQMs, and export the data in the event that an EP, EH, or CAH chooses to use a different certified EHR module to perform the calculation of CQM results Electronic data import and calculation EHR technology must be able to electronically import all of the data elements necessary to calculate CQMs for which it is to be certified Electronic submission of CQM data to CMS EHR must be able to create for electronic transmission CQM results in a data file defined by CMS, i.e., put CQM results into an XML data file and be able to send it 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Stage 2 Requirements For Summary Care Record Patient name and demographic information including preferred language (ISO 639-2 alpha-3), sex, race/ethnicity (OMB Ethnicity) and date of birth Vital signs including height, weight, blood pressure, and smoking status (SNOMED CT) Encounter diagnosis (SNOMED CT or ICD-10-CM) Procedures (SNOMED CT) Medications (RxNorm) and medication allergies (RxNorm) Laboratory test results (LOINC) Immunizations (CVX) Functional status including activities of daily living, cognitive and disability status Care plan field including goals and instructions Care team including primary care provider of record Reason for referral and referring providers name and office contact information (for providers) Discharge instructions (for hospitals) 9 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Required Privacy and Security Standards for Meaningful Use Encryption/decryption Any approved algorithm in FIPS 140-2 HIE requires encryption and integrity-protected link Record actions Date, time, patient, and user recorded for creation, modification, access, and deletion Verification of no alteration in transit SHA-1 algorithm or stronger, as specified in FIPS 180-3 Record TPO disclosures Date, time, patient, and user recorded for HIPAA-allowed activities (from Geek Doctor: geekdoctor.blogspot.com) 10 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Clinical Quality Measures Stage 1 EPs must report on 3 core measures Can substitute alternate core measures if denominator of any core measure is 0 3 of 38 additional measures EHs must report on 15 measures CMS aiming to align all quality reporting programs, i.e., PQRS, e-Rx, HQA, etc. 11 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Eligible Professionals Core Clinical Quality Measures 10.24 Chart: Metzger, 2012
12 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Eligible Professionals Alternate Core Clinical Quality Measures 10.25 Chart: Metzger, 2012
13 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Eligible Professionals Additional Clinical Quality Measures (1-12) Anti-depressant medication management: (a) Effective Acute Phase Treatment, (b)Effective Continuation Phase Treatment Appropriate Testing for Children with Pharyngitis Asthma Assessment Asthma Pharmacologic Therapy Breast Cancer Screening Cervical Cancer Screening Chlamydia Screening for Women Colorectal Cancer Screening Controlling High Blood Pressure Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL- Cholesterol Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD
14 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Eligible Professionals Additional Clinical Quality Measures (13-24) Diabetes: Blood Pressure Management Diabetes: Eye Exam Diabetes: Foot Exam Diabetes: Hemoglobin A1c Control (<8.0%) Diabetes: Hemoglobin A1c Poor Control Diabetes: Low Density Lipoprotein (LDL) Management and Control Diabetes: Urine Screening Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation 15 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Eligible Professionals Additional Clinical Quality Measures (25-38) Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a) Initiation, b) Engagement Ischemic Vascular Disease (IVD): Blood Pressure Management Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Low Back Pain: Use of Imaging Studies Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients Pneumonia Vaccination Status for Older Adults Prenatal Care: Anti-D Immune Globulin Prenatal Care: Screening for Human Immunodeficiency Virus (HIV) Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients Smoking and Tobacco Use Cessation, Medical Assistance: a) Advising Smokers and Tobacco Users to Quit, b) Discussing Smoking and Tobacco Use Cessation Medications, c) Discussing Smoking and Tobacco Use Cessation Strategies Use of Appropriate Medications for Asthma 16 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Eligible Hospitals Clinical Quality Measures Anticoagulation overlap therapy Emergency Department Throughput admitted patients Admission decision time to ED departure time for admitted patients Emergency Department Throughput admitted patients Median time from ED arrival to ED departure for admitted patients Incidence of potentially preventable venous thromboembolism Intensive Care Unit venous thromboembolism prophylaxis Ischemic or hemorrhagic stroke Antithrombotic therapy by day 2 Ischemic or hemorrhagic stroke Rehabilitation assessment Ischemic or hemorrhagic stroke Stroke education Ischemic stroke Anticoagulation for atrial fibrillation/flutter Ischemic stroke Discharge on anti-thrombotics Ischemic stroke Discharge on statins Ischemic stroke Thrombolytic therapy for patients arriving within 2 hours of symptom onset Platelet monitoring on unfractionated heparin Venous thromboembolism discharge instructions Venous thromboembolism prophylaxis within 24 hours of arrival
17 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Clinical Quality Measures Starting In 2014 For All Stages 10.26 Chart: Metzger, 2012
18 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c National Quality Strategy Domains Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Healthcare Resources Clinical Processes/Effectiveness 19 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Results of Stage 1 Adoption Through August, 2012 10.27 Chart: Metzger, 2012
20 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Informatics Now Lives In A HITECH World Although not all of biomedical and health informatics, HITECH and MU are now the major drivers HITECH brings use of EHRs, quality reporting, etc. to mainstream of healthcare Leading to better ways to learn about MU? (Courtesy of Ross Martin, MD, formerly of ONC) http://www.youtube.com/watch?v=Gv1s8fM3mMk http://vimeo.com/20923483
21 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Meaningful Use of Health Information Technology Summary Lecture c
In addition to meaningful use objectives required of eligible professionals and hospitals, there are various standards for structure of the data and its security The clinical quality measures for meaningful use must be reported to receive the incentive payments, and the new measures that will be unveiled in 2014 will be required of all eligible professionals and hospitals no matter the current stage 22 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Meaningful Use of Health Information Technology Summary
The HITECH Act of ARRA legislated incentives for the meaningful use (MU) of health IT MU means that criteria for use of IT are tied back to goals of the health care system These criteria are met by eligible professionals and eligible hospitals to receive incentive payments for use of EHRs 23 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c Meaningful Use of Health Information Technology References Lecture c References Blumenthal, D. (2010). Launching HITECH. New England Journal of Medicine, 362, 382-385. Blumenthal, D., & Tavenner, M. (2010). The meaningful use regulation for electronic health records. New England Journal of Medicine, 363, 501-504. Metzger, J. and Rhoads, J. (2012). Summary of Key Provisions in Final Rule for Stage 2 HITECH Meaningful Use. Falls Church, VA, Computer Sciences Corp. http://assets1.csc.com/health_services/downloads/CSC_Key_Provisions_of_Final_Rule_for_Stag e_2.pdf.
Charts, Tables, Figures 10.21 10.27 Charts: Metzger, J. and Rhoads, J. (2012). Summary of Key Provisions in Final Rule for Stage 2 HITECH Meaningful Use. Falls Church, VA, Computer Sciences Corp. http://assets1.csc.com/health_services/downloads/CSC_Key_Provisions_of_Final_Rule_for_Stage _2.pdf. (By Permission)
24 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Healthcare and Public Health in the US Meaningful Use of Health Information Technology Lecture c