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expands to include all functions related to the EHR; these functions will be such things as billing and claims support, decision support, various reporting functions
History of EHR-S/IOM
Michael Leavitt, Secretary of HHS, requested the IOM committee take a couple of days to define an initial set of functions that would be required as part of an EHR-S to provide value
History of EHR-S/HL7
a draft standard for trial use was published within one year and that standard evolved into a normative standard and was approved by ANSI in 2007
EHR - FM definition
provides a reference list of functions that shall, should or may be present in an EHR-S; enables common understanding of functions sought or available in any given setting ; and includes functions considered essential in at least one care setting
EHR - FM/Direct Care subsets
1. care management
2. clincial decision support
3. operational and administrative functions engaged in direct patient care
EHR - FM/Direct Care functions users
authorized healthcare providers; the patient will access certain functions to view and even make corrections to his/her EHR
EHR - FM/Support Section
include a close tie with direct patient care and are labeled clinical support; data components include measurement, analysis, research and reports; administrative and financial
EHR - FM/Information Infrastructure Section
includes those functions that define the heuristics of a system necessary for reliable, secure and interoperable computing; not involved in the provision of healthcare, but are necessary to ensure that the EHR system provides safeguards for patient safety, privacy and information security as well as operational efficiencies and minimum standards for interoperability
EHR - FM/Information Infrastructure components
2. health record information and management
3. registry and directory services
5. standards based interoperability
6. business rules management
7. workflow management
Uses of the EHR-S FM
describes end-user benefits such as patient safety, quality outcomes and cost efficiencies in terms of standard EHR-S functions; provide desired functionality for developers and vendors to include in their products; and provide framework from which you can select functionalities to implement
Details EHR functional model
one of the most important uses of the EHR-FM; to help in selecting product and understanding what you want to implement; supports comparison of systems and is useful in selecting an EHR system; it aids in understanding commonality;permits identification of real and settings differences
identify a set of functionalities to enable an EHR in a specific setting; include functions as defined by the standard, care settings and priorities
Registered profiles with HL7
behavioral health, child health, long term care, legal EHR, regulated clinical research and vital statistics reporting
Value of registration
the profile becomes a standard and can be used by others; is an important step in the widespread adoption of this standard, because EHR systems conform to profiles rather than the model itself
Child health functional profile
is already valued and being utilized in healthcare industry; it is a key resource for the new Child health expert panel within the Certification Commission for healthcare Information Technology (CCHIT) as the panel works to define new child health certification criteria for EHR systems; five major functional topics immunization management, growth tracking, medication dosing, data norms and privacy
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