Transcript Based on www.healthit.gov Health Information Technology Economic and Clinical Health (HITECH) Act 2009: Encouraging for Use, Protecting Privacy, Supporting Research Gives hospitals and doctors estimated.

Based on www.healthit.gov
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Health Information Technology
Economic and Clinical Health
(HITECH) Act 2009: Encouraging
for
Use, Protecting Privacy, Supporting Research
Gives hospitals and doctors estimated $20 billion to
support their installing and using EHRs.
Hospitals and doctors must demonstrate they are
using EHR systems to actually improve care in
specific ways per strict guidelines established by
Office of the National Coordinator (ONC) for
Health Information Technology.
ONC also promotes use of health IT in ways that
improve care. Source: http://www.healthit.gov/patients-families/government-health-it
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Digital (computerized) versions of
patients‘ paper charts with benefits
of digitization.
Real-time, patient-centered records
“Whenever and wherever it is
needed”
Everything about a patient's
health in one place
Contains information about a patient's medical
history, diagnoses, medications, immunization dates,
allergies, radiology images, and lab and test results
Source: http://www.healthit.gov/providers-professionals/learn-basics-ehrs
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Access to evidence-based
tools that helps providers make
decisions about patient's care
Automates and streamlines providers' workflow
Provides single resource created, managed and
consulted by authorized providers and staff
across more than one health care organization.
Authorized providers include:
Current and past doctors, emergency facilities,
school and workplace clinics, pharmacies,
laboratories, and medical imaging facilities.
Source: http://www.healthit.gov/providers-professionals/learn-basics-ehrs
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Reduces patient and provider
paperwork
Places PHI accurately into the
hands of people who need it
Helps physicians coordinate care and protect
safety
Reduces unnecessary tests and procedures.
Provides patients with direct access to health
records
Source: http://www.healthit.gov/patients-families/health-it-and-health-care-quality
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My Type-1 Diabetes Could Be Managed More Effectively with EHRs
Lilianne Wright is a mother of two from Tucson, AZ. After she survived a nearfatal diagnosis of Type-1 Diabetes in 2002, she found that one of the obstacles
to managing her disease was an inaccessibility to her paper medical records.
Today, her two children are benefiting from a new generation of medical tools:
electronic health records (EHRs), technology she hopes her own providers will
adopt.
Read more about this story at: http://www.healthit.gov/patients-families/liliannewright
Source: http://www.healthit.gov/patients-families/lilianne-wright
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--Jennifer Brull, M.D.
I Found Cancer in Patients Earlier
Jennifer Brull, M.D., is a family physician in the rural town of Plainville, KS. Her
EHR has allowed Dr. Brull to track quality measures to make sure that patients
are getting the right screenings when they need it.
“…we put a reminder in the EHR that automatically notifies me [if someone has
not had the colon cancer screening test]. I am not perfect now, but I’m at about
81 percent, which is a lot better than 37 percent. “
Read more at: http://www.healthit.gov/patients-families/dr-jennifer-brull
Source: http://www.healthit.gov/patients-families/dr-jennifer-brull
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Same Federal health information
privacy protections that apply to
paper records also apply to EHRs
Health Insurance Portability
and Accountability Act of 1996 (HIPAA)
U.S. Department of Health and Human Services
established standards for protecting privacy and
security of certain health information, whether it is
stored on paper or electronically.
Source: http://www.healthit.gov/providers-professionals/privacy-security
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HIPAA Privacy Rule and HIPAA
Security Rule provide Federal
protections for individually
identifiable health information
called “protected health
information” (PHI).
Privacy Rule protects paper, electronic, and
oral information.
Security Rule applies only to information
maintained in electronic form, sometimes
referred to as e-PHI. This includes information
in EHRs.
Source: http://www.healthit.gov/providers-professionals/privacy-security
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Two studies support HIT goal
to improve quality of care
1. Texas: More advanced health IT led to
fewer deaths and fewer problems with care
Texas Hospitals Study found hospitals with advanced health IT
produced better patient results than hospitals with less
advanced health IT.
2. Cleveland: EHRs led to more recommended care
Better Health Greater Cleveland: Facilities using EHRs: 51% of
patients with diabetes received all recommended care vs.
facilities using paper-only records—7%.
Source: http://www.healthit.gov/patients-families/health-it-and-health-care-quality
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1. Helping Healthcare Providers
Transition to EHRs
2. Establishing Health
Information Organizations
3. Connecting through a
Statewide/Nationwide
Exchange
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NJ-HITEC
Providing all New Jerseyans
with electronic health records
is the core mission of the New
Jersey Health IT Program.
The New Jersey Health
Information Technology
Extension Center (NJ-HITEC),
which was granted Federal
funds to establish a statewide
regional extension center,
assists physician offices of ten
physicians or less with the
adoption and us of EHRs.
NJ-HITEC: www.njhitec.org
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New Jersey Health
Information Network (NJHIN)
will exchange health
information to authorized
physicians and hospitals
across HIOs and with state
databases such as
Immunization.
The Network of networks
within the state will also share
information with authorized
providers in other states
across the country.
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Talking to Your Patients
About EHRs
Health IT: Advancing
America’s Health Care
www.healthit.gov
Protecting Your
Privacy and
Security
What Patients Need to Know About EHRs -- Trifold
Note: All four documents are available at
www.nj.gov/njhit
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www.nj.gov/njhit
www.njhitec.org
New Jersey Health IT
Program Overview
www.nj.gov/njhit/ehr
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Health information technology (IT) is the use of computer hardware and software to privately and securely store, retrieve, and
share patient health and medical information.
Electronic health record (EHR) is a digital record of a patient’s health information (formerly kept in a paper format or “chart”)
that can provide the patient’s health care team with comprehensive health information about the patient. More than just a
computerized version of a paper medical chart, over time, it can allow a patient’s providers to share important information,
across different health care settings, while maintaining EHR patient confidentiality in accordance with federal and state privacy
and security requirements. The patient health information in an EHR includes allergies, radiology images, lab and test results,
medical history, diagnoses, medications, and immunization dates. Today, a small but growing number of doctors and hospitals
use EHRs—and more are converting to these systems every day. EHRs are growing in popularity in the health care industry, in
part because they can be safer and easier to use than paper, and in part because the Federal government is giving doctors and
hospitals incentives to use them to improve care.
Electronic medical record (EMR) refers to a digital version of a patient’s health information that is only located in one hospital or
physician practice.
Health Information Exchange (HIE) is the movement of health information electronically across multiple organizations.
Exchanging health information is important in order to make sure that a patient’s health care providers have access to the most
up to date information about the patient so they can make more informed decisions about the patient’s care. HIE can improve
the coordination of care for a person who is seeing multiple providers by enabling providers to share important health
information.
Health Information Organization (HIO) is an organization that oversees and governs the exchange of health-related information
among organizations according to nationally recognized and state standards.
Personal Health Record (PHR) is like an EHR, except a patient sets up and controls their information. The patient does not have
to wait for their doctor to build an electronic system into his or her practice. Some health care or health insurance providers may
already offer a PHR for patient use. A patient can also create a PHR through other software and online services. Much like the
EHR, the PHR can be an electronic storage center for a patient’s most important health information, such as: emergency
contacts, allergies, illnesses or conditions, medications, immunization dates, lab and test results. A PHR may also have its own
"apps" – programs that are used on smartphones – that can help a patient monitor or improve their health by linking with other
devices such as a web-enabled digital scale or pedometer. Ideally, a patient should be able to link their PHR with their doctor's
EHR, making it a personal health care "hub," although most doctors may not be technologically ready for this quite yet. PHRs can
be maintained in a variety of formats, such as a USB "memory stick" or on a password-protected Internet site.
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Electronic Prescribing
E-prescribing enables a doctor to enter a patient’s prescription into a computer database. The order for the medication is then
sent over a network to the patient’s pharmacy, which can fill it immediately. Some larger hospitals already have e-prescribing.
Many large drug store chains are getting ready to install systems or already have systems in place with this capability. Eprescribing requires that the doctor and pharmacy be linked electronically. Some doctors may not be able to do this today—but it
is becoming increasingly common.
HIPAA Privacy Rule, short for The Health Insurance Portability and Accountability Act of 1996 Privacy Rule, provides patients with
health information privacy rights. These rights are important for every patient to know. Patients can exercise these rights, ask
questions about them, and file a complaint if a patient thinks their rights are being denied or their health information isn't being
protected.
A patient’s health information rights include:
Right to access your health information
Right to an accounting of disclosures of your health information
Right to correct or amend your health information
Right to notice of privacy practices
Right to file a complaint
The HIPAA Privacy Rule gives every patient the right to inspect, review, and receive a copy of their health and billing records that
are held by health plans and health care providers covered under HIPAA.
The HIPAA Security Rule, short for The Health Insurance Portability and Accountability Act of 1996 Security Rule, details the
steps a patient’s health care providers and others must take to keep a patient’s electronic protected health information secure.
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