model children’s ehr format erin grace, mha senior manager, health it ahrq 2012 annual conference...
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Model Children’s EHR Format
Erin Grace, MHASenior Manager, Health IT
AHRQ 2012 Annual ConferenceSession #97: Improving Quality of Care for Children
Bethesda, MDSeptember 11, 2012
Overview
CHIPRA Legislation Project Team Scope of the Project Progress Next Steps
Children’s Health Insurance Program Reauthorization Act of 2009
(CHIPRA)
Section 401 (f) Development of a Model EHR Format for Children Enrolled in Medicaid or CHIP
By 1/1/2010 the Secretary shall establish a program to encourage the development & dissemination of a model EHR Format for children
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By law, the model EHR Format for children must be:
• Compatible with other EHR standards
• Usable by Caregivers to assure care appropriateness and quality
• Designed to allow interoperable exchanges
• Accessible to Caregivers for school and leisure compliance (e.g. immunizations) Accessible
Interoperable
Compatible
Viewable
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Sponsoring Agencies
AHRQ:
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Project Team
Subcontractors:
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Prime Contractor:
Subcontractors:
What is a “Format?”
Requirements for: A minimum set of data elements Applicable data standards Usability Functionality Interoperability
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Project Purpose
Existing EHR systems often do not optimally support the provision of health care to childrenProject components
■ Identify gaps between existing systems and an optimal EHR for children
■ Design, develop, test, and disseminate a Format based on those gaps
■ Assess existing products for conformance with the Format
■ Demonstrate use of the Format in prototype development
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Model Children’s EHR Format and Meaningful Use
The goal is that the model format will be integrated into the EHR certification requirements for a future stage of Meaningful Use.– MU definition in future stages to include
additional pediatric-relevant objectives and clinical quality measures
– ONC EHR certification criteria to follow suit
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Scope of Work
Focus– Requirements for the unique incremental
needs of children– Build on existing foundational work– Suitable for existing and potential systems– Primary care and general inpatient needs
Constraints– Schedule for Format development– Not a standards-setting process
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Technical Expert Panel (TEP)
Provide guidance to project Review key documents and deliverables Provide expertise on issues with EHRs
used for children Serve as a resource on specific clinical,
technical, and child welfare issues
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TEP Representation
Physician Informaticians–Children’s health focus–More general health focus
Non-Physician clinicians Children’s advocacy organizations Medicaid Vendor Federal Agencies (ONC, IHS)
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Gap Analysis
Conducted by Intermountain Healthcare Identified key topic areas Drafted initial requirements
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Topics
Activity Clearance Birth Information Child Abuse Reporting Form Child Welfare Children with Special Health
Care Needs Growth data Immunizations Medication Management Newborn Screening Parents, Guardians, and
Family Relationship Data Patient (Child) Identifier
Patient Portals – Personal Health Record (PHR)
Prenatal Screening Primary Care Quality Measures Registry Linkages School-based Linkages Security and Confidentiality Special Terminology and
Information Specialized Scales and
Scoring Well Child and Preventive
Care
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Requirements Development Process
For each topic area: Review findings from gap analysis Initial requirements for some topics
drafted by TEP Additional requirements drafted by
subject matter expert (SME) Project team review Outside SME and TEP review(s)
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Current Work
Completing conformance testing of select number of existing EHR systems
Adding more robust EPSDT requirements language
Cleaning up database before broad public release
Developing a feedback methodology Targeted Release Fall 2012
Target Audiences for Format
CHIPRA Demonstration grantees Developers of existing EHR products New developers System purchasers Certifying bodies Standards groups Regulators Users/developers of “Meaningful Use”
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Contact Information
Scott Finley, MD, MPHPrincipal Investigator, [email protected]
Lois Olinger, MA Project Manager , Westat
Erin Grace, MHA AHRQ Project Officer [email protected]
Tom NovakCMS Project Lead [email protected]
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