Health Information Technology
HIT at the AAP
1980 2010
1985
Formation of AAP Section on Computers and Other Technologies
1991
Formation of Task Force on Medical Informatics
2002
Merger of SCOT and TFOMI
2006
Merged group renamed Council on Clinical Information Technology
2009
Establishment of Child Health Informatics Center
Child Health Informatics Center (CHIC)
• Authorized by AAP Board in October 2009
• Will serve as “home” and the “coordinator” for HIT initiatives within the AAP
• Chris Lehmann, MD, FAAP – CHIC Medical Director
• Neonatologist and Director of Clinical Information Technology and Associate Professor of Pediatrics & Health Sciences Informatics at Johns Hopkins
University.
• Project Advisory Committee - in formation
• Will help set the agenda and advise the AAP
• Chair - Steve Downs, MD, MD, FAAP Riley Hospital for Children
Regenstrief Institute
CHIC Health Informatics Activities
•
Council on Clinical Information Technology
•
Policy, Advocacy, Education, Research
•
Integration with AAP Quality and Medical Home
Activities
• Steering Committee on Quality Improvement and Management (SCOQIM)
• Partnership for Policy Implementation (PPI)
• CAQI and QuIIN
• National Center for Medical Home Improvement
•
Internal and External Collaborative Activities
AAP Council on Clinical Information
Technology (COCIT)
•
600 members with special interest
or training in applying HIT to pediatrics
•
Goal - Support pediatric HIT
and HIE in actual practice, addressing
AAP priorities AAP Policy development
• Electronic health passport
• Interaction between EHRs and immunization registries
• Web based services - immunization registry project
• Adolescent confidentiality / privacy
Policy and Advocacy
•
PCPCC
• Center for eHealth Information, Exchange, & Adoption
• Meaningful Use; Clinical Decision Support Task Groups
•
American Recovery & Reinvestment Act of 2009
•
Health Information Technology (HITECH)
• Medicaid EHR adoption incentives
• Extension Program
• HIT Policy and Standards Committees
•
Comparative Effectiveness Research
• IOM priority conditions
Policy, Advocacy, and Research
•
CHIP Reauthorization Act (CHIPRA) Quality provisions
• Core measure set, mandated metrics, & reporting
• CMS Demonstrations
• Model pediatric EHR format for children
• Quality Measures Development Program
• IOM report
Education
•
National conference and workshop sessions
• Pediatric Office of the Future
• Pediatric Documentation Challenge
• Peds-21
• COCIT Council Program and Scientific Abstracts
• Technology Learning Center
•
EMR Review Web site
(http://www.aapcocit.org/emr)•
EMR Toolkit
(http://practice.aap.org), under Practice
Research
Periodic Survey: Pediatricians Use of EHRs
Basic – 19% (ALL 7 items) Fully functional – 6%
(Basic + 11additional functions = ALL 18 items)
Patient demographics Highlights out-of-range lab results
Patient problem lists Clinical notes include medical history, follow-up notes Orders for prescriptions Orders for laboratory tests
Ability to view lab results Lab orders sent electronically
Ability to view imaging results Warnings of drug interactions, contraindications Patient medication lists Prescriptions sent to pharmacies
Clinical notes Orders for radiology tests
Radiology orders sent electronically Electronic images returned
Guideline reminders (preventive) Guideline reminders (chronic)
Integration with Quality Activities
•
AAP Partnership for Policy Implementation (PPI)
• To integrate HIT functionality into Academy policy development and implementation
• Practicing pediatricians and pediatric informaticians with QI expertise
• Translate and implement policies
• Bright Futures Developmental Screening in the Medical Home
• Bronchiolitis; Influenza; Autism
•
CAQI and QuINN
Collaborative Efforts
•
Alliance for Pediatric Quality (APQ)
•
American Academy of Pediatrics (AAP)
•
Child Health Corporation of America (CHCA)
•
National Association of Children’s Hospitals and
Related Institutions (NACHRI)
APQ Collaborative Efforts
•
HL7 Child Health Work Group
• Child Health Profile as ANSI Standard
• Quality Reporting Document Architecture (currently is a draft standard for trial use)
• Working on Neonatal Care Report
•
CCHIT
• Participation in Child Health and other work groups
• Child Health add-on certification requirements based on HL7 Child Health profile and AAP report on Special
Requirements for Pediatric EHRs
•
HL7/CCHIT gap analysis underway between existing
CHIC - 6 month work plan
•
AHRQ Request for Task Order – Model EHR
•
CMS Demonstration Grants
•
Other time sensitive grant opportunities
• HITECH Act Coordination
• National Technical Assistance for Extension Centers
• IPIP - DOE/DOCSP
•
Medical Director and Advisory Committee
•
Communication with COCIT/other stakeholders
•
PCPCC
•
Education and Policy Agendas
AHRQ RFTO – Model EHR Development
•
$4.7M – 2 year project – Limited eligible bidders
•
AAP Subcontract
• Technical Expert Panel
• Environmental scan - content experts
• Evaluation of existing EHRs
• Development of model EHR format
• Dissemination of model (QuINN, CAQI, COCIT)
AAP - Model EHR – Informatics Team
•
Stephen Downs
•
Williams Adams
•
Chris Lehmann
•
Kevin Johnson
•
Andrew Spooner
•
Ken Mandl
•
COCIT - Joe Schneider, Jeannie Marcus
•
NACHRI - Aileen Sedman, Feliciano Yu
AAP - Model EHR – Policy Issues
•
Confidentiality and adolescent services
•
Medical Home
•
Foster care
•
School and community agencies information
•
Newborn metabolic and hearing screenings
•
Quality improvement and measurement
•
Guidelines integration
AAP Staff
Jennifer Mansour Manager, Health Information Technology Initiatives
Beki Marshall Manager, HIT
Education and Implementation
Sunnah Kim, RN, MS, CPNP Director, Division of Pediatric Practice Ed Zimmerman, MS Director, Department of Practice
Dan Walters Division of State Government Affairs, DOCCSA
Bob Hall, JD Assistant Director,
Department of Federal Affairs Jonathan Klein, MD, MPH Associate Executive Director
For More Information
Contact Jen Mansour – Manager, Health
Information Technology Initiatives,
jmansour@aap.org
or 847-434-4229
