Custom Report Data Elements:
2012 IT Database Fields
2
COMPUTERIZED SYSTEM IMPLEMENTATION
3
Bar Coding 3
Computerized Provider Order Entry 3
Decision Support 3
Electronic Clinical Documentation For: 3
Other Functionalities 3
Results Viewing Of: 3
MEANINGFUL USE FUNCTIONALITIES
4
Automated Quality Reporting 4 Discharge Instructions and Care Summary Documents 4 Electronic Clinical Documentation 4
Medication Management 4
Other Functionalities 4
Population Health Management 4
Public Health Reporting 4
HEALTH INFORMATION EXCHANGE FUNCTIONALITIES
5
Clinical/Summary Care Record 5
Laboratory Results 5
Medication History 5
No Patient Data Exchange 5
Other Types of Patient Data 5
Patient Demographics 5
Radiology Reports 5
Other 5
PATIENT ENGAGEMENT FUNCTIONALITIES
6
Method of Providing Patient Info. 6 Patient Access to Health/Medical Records 6
EHR SYSTEM AND IT VENDORS
7
General Information 7
Planned Changes 7
Primary Implementation Challenges 7
Computerized System Implementation
Bar Coding Caregiver verification Patient verification Medication administration Pharmacy verificationComputerized Provider Order Entry
Consultation requests Medications Radiology tests Laboratory tests Nursing orders Decision Support Clinical guidelines Drug allergy alerts
Drug-drug interaction alerts Clinical reminders
Drug dosing support Drug-lab interaction alerts
Electronic Clinical Documentation For:
Advanced directives (doc.) Medication lists (doc.) Patient demographics (doc.) Problem lists (doc.)
Discharge summaries (doc.) Nursing notes (doc.) Physician notes (doc.)
Other Functionalities
Ability to connect mobile devices to EHR Telehealth
Bard coding or Radio Frequency (RFID)
Results Viewing Of:
Consultant reports (view) Diagnostic test results (view) Radiology images (view) Diagnostic test images (view) Lab reports (view)
4
Meaningful Use Functionalities
Automated Quality Reporting
Auto generate hospital meaningful use quality measures by electronic data extract
Auto generate physician meaningful use quality measures calculated from EHR
Auto generate HQA measures for Medicare inpatient update
Discharge Instructions and Care Summary Documents
Electronic copy of discharge instructions upon request
Electronically exchange key clinical information with providers
Summary of care record for relevant transitions of care
Electronic copy of record upon request Include care teams and plan of care in care
summary record
Transition of care summaries to unaffiliated org using different certified EHR vendor
Electronic Clinical Documentation
Family health history as structured data Incorporated as structured data lab results for
>40% of patients admitted
Preferred language for communication with providers of care
Smoking status Vital signs
Gender and date of birth
Medication allergy lists Race and Ethnicity
Time and preliminary cause of death
Medication Management
Automatically track medications with eMAR Compare patient's inpatient & preadmission
med. list
Provide updated med. list at discharge Check inpatient prescriptions against internal
formulary
eRx of discharge medication orders
Other Functionalities
Implement at least 5 Clinical Decision Support interventions related to 4 or more clinical quality measures
Security risk analysis and implement security updates
Population Health Management
Generate lists of patients by condition
Identify and provide patient specific education resources
Public Health Reporting
Reportable lab results to public health agencies To immunization registries or information
systems
Syndromic surveillance data to public health agencies
Health Information Exchange Functionalities
Clinical/Summary Care Record
Clinical Care Record in any format (HIS) Clinical Care Record in any format (AIS) Clinical Care Record in any format (HOS) Clinical Care Record (DNK)
Clinical Care Record in any format (AOS)
Laboratory Results
Laboratory Results (AIS) Laboratory Results (AOS) Laboratory Results (DNK) Laboratory Results (HIS) Laboratory Results (HOS)
Medication History
Medication history (AIS) Medication history (AOS) Medication history (DNK) Medication history (HIS) Medication history (HOS)
No Patient Data Exchange
Do not exchange patient data (AIS) Do not exchange patient data (AOS) Do not exchange patient data (DNK) Do not exchange patient data (HIS) Do not exchange patient data (HOS)
Other Types of Patient Data
Other types of patient data (AIS) Other types of patient data (AOS) Other types of patient data (DNK) Other types of patient data (HIS) Other types of patient data (HOS)
Patient Demographics
Patient Demographics (AIS) Patient Demographics (AOS) Patient Demographics (DNK) Patient Demographics (HIS) Patient Demographics (HOS)
Radiology Reports
Radiology Reports (AIS) Radiology Reports (AOS) Radiology Reports (DNK) Radiology Reports (HIS) Radiology Reports (HOS)
Other
CCR, CDA or CCD format capability
Electronic notification to primary care physician when patient visits ED (DNK)
Electronic notification to primary care physician when patient visits ED (IS)
Electronic notification to primary care physician when patient visits ED (OS)
Electronic sharing of patient-level clinical data Level of HIE or RHIO participation
Provide electronic notification to primary care physician when patient visits ED
Providers able to query electronically for patient health info from sources outside
Sharing of clinical/summary care records with other providers
6
Patient Engagement Functionalities
Method of Providing Patient Info.
None
Other method
Other method description Patient portal
PHR
Secure message
Patient Access to Health/Medical Records
Download information from their health/medical record Health medical records DNK
None
Pay bills online
Request an amendment to change/update their health/medical record Request refills for prescriptions online
Schedule appointments online Submit patient-generated data
EHR System and IT Vendors
General Information
Two factor authentication Hospital uses EMR/EHR system EMR/EHR initial year
EMR/EHR initial year - unknown EHR Description
Certified EHR for Meaningful Use
Planned Changes
Best-of-breed to enterprise architecture Enterprise architecture to best-of-breed Initial deployment
Major change in vendor
Significant additional functionalities Changes Unknown
No major changes planned
Primary Implementation Challenges
Concerns about security/liability for privacy breaches
Lack adequate IT staff Lack of vendor capacity
Meeting all meaningful use criteria on time Obtaining other staff cooperation
Obtaining physician cooperation
Ongoing costs of maintaining/upgrading Other reason
Other reason specified
Uncertainty about certification process Upfront capital costs, or lack of capital Difficulty reaching system-level decision
Vendors
Primary inpatient EHR/EMR vendor Primary inpatient EHR/EMR vendor - other Primary outpatient EHR/EMR vendor Primary outpatient EHR/EMR vendor - other
