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1
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- Prime Time for Primary Care!
- Kevin B. Johnson, MD, MS
- Vanderbilt University Medical Center
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2
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- When you come to a fork in the road…
- Take it!
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3
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- Institute of Medicine (Patient Safety Data Standards Subcommittee)
- eHealth Initiative
- Markle Foundation
- NAPCI (National Alliance for
Primary Care Informatics
- AAFP (American Academy of Family Practice)
- HL 7 (Health Level 7)
- Etc.
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4
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- To the IOM: Define the near term,
intermediate term, and long range minimal functionality of the EHR that
supports patient safety (reduction of errors of commission and
omission?)
- To HL7: develop a Functional Model and Standard to describe a set of
desired functionality for an electronic health record.
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5
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- Report generation
- Basic demographic info
- Lab results
- eprescribing
- Defined sets of health info
- Clinical guideline support
- Care plan implementation
- Information exchange
- Some regional EHRs
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6
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- Vision
- Consumers, health care providers, and those responsible for population
health will have ready access to timely, relevant, reliable and secure
information and services through an interconnected, electronic health
information infrastructure to support better health and healthcare.
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7
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- As part of our vision, we would like to see:
- Interoperable, electronic health records in the office of every
clinician and healthcare organization;
- The use of data standards and connectivity to enable secure exchange of
data amongst practicing clinicians, hospitals and other healthcare
organizations, public health, payers and other key stakeholders;
- Clinicians who have the information they need to make the best clinical
decisions at the right time;
- Consumers, patients and caregivers who have the information they need
to manage and address their own health care needs.
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8
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- Connecting for Heath, an extraordinary collaboration of more than 100
public and private stakeholders representing every part of the health
care system, has just released the results of its effort to bring
electronic connectivity to healthcare to improve patient care, lower
costs and protect privacy. Their achievements in just nine months toward
the adoption of healthcare data standards represents progress that has
eluded the healthcare industry for more than a decade. Despite a pace
and a set of goals that many thought hard to achieve, Connecting for
Health announced unprecedented progress in several key areas ….
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9
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- Visibility, involvement, evangelism of primary care issues
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10
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- VISIBILITY: Defining Primary Care
Informatics (PCI)
- INVOLVEMENT: Research Issues in
PCI
- EVANGELISM: Practice Issues that
relate to PCI
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