1. electronic health In January 2004, the President Bush raised the profile of
records (EHRs) __________________________ in his State of the Union address by outlining a
plan to ensure that most Americans would have an EHR by 2014.
This goal was reaffirmed by President Obama
2. American Recov- included the HITECH Act to specifically incentivize health organizations and
ery and Reinvest- providers to become "meaningful users" of EHRs.
ment Act of 2009
3. ARRA Require- Providers and hospitals must use a certified EHR that meets a set of standard
ments functional definitions to be eligible for the increased reimbursement incentive.
4. The Department initially granted two organizations the authority to accredit EHRs: The Drummond
of Health and Group and the Certification Commission for Healthcare Information Technology.
Human Services -In 2015, there are five recognized bodies for testing and certifying EHRs
(HHS)
5. Certification Cri- Developed by the National Institute of Standards and Technology (NIST) and en-
teria dorsed by the Office of the National Coordinator for Health Information Technology
for EHRs
6. 45 initial certifica- that range from the basic ability to record patient demographics, document vital
tion criteria signs, and maintain an up-to-date problem list, to more complex functions, such
as electronic exchange of clinical information and patient summary records
7. Higher stages more sophisticated use of decision support tools and medication administration
of the Electron- tools, through Stage 7, where the EMR has data sharing and warehousing capa-
ic Medical Record bilities and complete interface with emergency and outpatient facilities
Adoption Model
include
8. Stage 1 meaning- focus on data capture and sharing
ful use criteria
, MHA 705 Exam 3
9. Stage 2 (by 2014) advance several clinical processes and promote health information exchange (HIE)
criteria and more patient controlled data
10. Stage 3 (by 2016) focus on improved outcomes for individuals and populations and on patient
criteria self-management tools
11. replaces pa- A data warehouse or repository of information regarding the health status of a
per-based med- client;
ical record
12. The systemat- in a secured digital format, meaning that it can be processed, stored, transmitted
ic documentation and accessed by authorized interdisciplinary professionals for the purpose of sup-
of a client's porting efficient, high-quality health care across the client's healthcare continuum
health status and
health care
13. Health informa- the patient data required to make sound clinical decisions, including demograph-
tion and data ics, medical and nursing diagnoses, medication lists, allergies, and test results
14. Results manage- the ability to manage results of all types electronically, including laboratory and
ment radiology procedure reports, both current and historical
15. Order entry man- the ability for a clinician to enter medication and other care orders directly into
agement a computer, including laboratory, microbiology, pathology, radiology, nursing,
supply orders, ancillary services, and consults
16. Decision support computer reminders and alerts to improve the diagnosis and care of a patient
17. Electronic com- the online communication among healthcare team members, their care partners,
munication and and patients, including email, Web messaging, and an integrated health record
connectivity within and across settings, institutions, and telemedicine
18. Patient support patient education and self-monitoring tools, including interactive computer-based
patient education, home telemonitoring, and telehealth systems