Implementation of Meaningful Use Criteria

Implementationof Meaningful Use Criteria

Implementationof Meaningful Use Criteria

Outline

  1. Role of standard language in selecting a commercial vendor for EHR System

  2. Examples of key standard languages and coding systems

  3. Adoptability f old EHR systems into new systems

  4. Preparation necessary before purchase of a new EHR system

  5. Preparation for introduction of new terms in standard language

Answersto Case Study Questions

Q.1

Forthe case study, it is important to consider the efficiency of the newelectronic health records (EHR) system in linking togetherinformation within a database using the standard language of choice(Kruse et al., 2014). A standard language in the healthcare systemcomprises a series of terminology and codes that enable healthcarepractitioners within a health institution to locate, use, and shareinformation effectively (Kruse et al., 2014). Standard languages aidin care coordination, ease entry and location of information withinan EHR system, and allow tracking of pertinent health conditions andpatient information within the healthcare institution

Q.2

Someof the key standard languages and coding systems to incorporate inthe new coding system include SNOMED-CT and ICD-10 (Kruse et al.,2014). Incorporation of such recent coding systems and languagesensures easy sharing of information using a system that is up todate, both within the institution and outside the institution, incases where practitioners require help in diagnostics or developingappropriate patient interventions.

Q.3

Itis possible to incorporate the work done in building the screens anddeveloping the terms into the new system. However, it would not makesense to incorporate and outdated system such as ICD-9-CM, whichsupports a significant amount of free text information into anupdated terminology system such as the SNOMED-CT (Kruse et al.,2014). Therefore, doing so would render a large percentage of theinformation redundant and create difficulty accessing it throughsearch results.

Q.4

Itis important for the clinical staff to be aware that the new EHRsystem will be applying latest standard languages and that theyshould therefore, be open minded in their search. They shouldconsider the efficiency of a system and not cling to theirfamiliarity of an older system.

Q.5

Preparationfor new and possibly different terms is important in avoidingconfusion, especially since the in-house clinical staff isresponsible for information input in the EHR system in theinstitution. Conducting research on new terms prior to theinstallation of the new system will enable the staff to learn toreplace old terms with new ones. The research process will alsoenable the staff to learn their proper usage, as well as ways to linkinformation for easy searches within the system.

Summary

Fromthe case study, it is clear that the CIO and the rest of the hospitalstaff are aware of the necessity of an EHR system within theirinstitution. Although the hospital has done a remarkable jobexecuting stage 1 of the system’s implementation, acquisition ofnew hospitals under the organizational umbrella will requiresignificant change to the current EHR system to enhance efficiencyand synchronize records for patients within the differentinstitutions. Seeking the services of a commercial vendor wouldeliminate the need to continue the development of the current systemand reduce the amount of time the staff would spend fine tuningsystem for proper care coordination. However, there are severalconsiderations the CIO and staff should consider during theacquisition process. First, the staff should understand theimportance of adopting a standard language in improving the extent ofmeaningful use of the data in the system. The current use of freetext hinders access to a significant percentage of information, whichcould be detrimental to the provision of quality care. Secondly, itis crucial for in-patient clinical staff and staff responsible forselection of the new system to prepare for changes in language andcoding systems before the incorporation of a new system. Learning therequirements of the new system would ease the transition process andprevent instances of confusion that may affect the quality ofinformation input. Thirdly, the staff in charge of the site visitsand testing of new systems should keep an open mind as opposed toclinging to familiarity of the old system. Some of the key standardlanguages and coding systems to consider include SNOMED-CT andICD-10. Even though adoption of the old system into the new one ispossible, it would create a redundancy of terms in the formerstructure hence, negating the necessity for the move.

References

Kruse,C. S., Mileski, M., Alaytsev, V. et al (2014). Adoption factorsassociated with electronic health record among long-term carefacilities: A systematic review. BMJ5(1)