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Overview

This section contains resources that help health centers to successfully implement EHRs, including leadership teams needed, workflow adoption, transitioning between EHRs, meaningful use, and patient safety issues.

Implementing EHR
Accessing your Data: Questions to Consider with your Electronic EHR Vendor
Accessing your Data: Questions to Consider with your Electronic EHR Vendor

Accessing your Data: Questions to Consider with your Electronic EHR Vendor

This checklist describes the steps health center quality improvement and IT staff can take to ensure they are maximizing the population health management capacity of their current EHR system. It is intended to assist health centers in ensuring they are utilizing the full capabilities of the current system and assessing the need for additional population health management tools. Included are questions around the system itself, report generation, training, and resulting data, as well as considerations before and after you contact your vendor. 

Creating a Leadership Team for Successful EHR Implementation
Creating a Leadership Team for Successful EHR Implementation

Creating a Leadership Team for Successful EHR Implementation

This resource is intended to aid providers and health IT implementers in identifying a leadership team for a successful EHR implementation.  Selecting the right people for an EHR implementation team is a critical step in a successful implementation. In general, members of the team should be enthusiastic, well-respected and forward thinking. Team members should bring differing perspectives on how the EHR will be used and provide a wide array of skills and knowledge. The size of a practice will determine the size of the implementation team. For smaller practices, one person may be managing several of the areas of responsibility included. 

EHR Optimization Guides
EHR Optimization Guides

EHR Optimization Guides

Million Hearts® EHR Optimization Guides help healthcare professionals leverage their EHR systems to excel in the ABCS. Through helpful step by step instructions, the Guides illustrate how providers can use their EHR products to find, use, and improve data on the Million Hearts® clinical quality measures. Ultimately, these guides facilitate the identification of at-risk patients, helping clinical teams across the country protect their patients from heart attacks, strokes, and other cardiovascular events.

A Record to Rely On: A Workshop on the Intersection of Electronic Health Records, Health Law, Payment, and Oversight
A Record to Rely On: A Workshop on the Intersection of Electronic Health Records, Health Law, Payment, and Oversight

A Record to Rely On: A Workshop on the Intersection of Electronic Health Records, Health Law, Payment, and Oversight

ONC is holding a 1-day workshop focused on the use of clinical documentation—as captured by EHRs—in legal, payment, and oversight contexts. The workshop will bring together panels of experts to discuss the current landscape around how EHRs have been used as a record in the legal environment and for purposes such as medical documentation, claims support, audit trail records, and fraud identification.

EHR Transition Tips – Implementation
EHR Transition Tips – Implementation

EHR Transition Tips – Implementation

This resource shares guidance and tips from other health centers on how to implement the transition between EHRs.

EHR Transition Tips – Implementation
EHR Transition Tips – Implementation

EHR Transition Tips – Implementation

This resource shares guidance and tips from other health centers on how to implement the transition between EHRs.

Enabling Services Data Collection
Enabling Services Data Collection

Enabling Services Data Collection

This Enabling Services Implementation Packet, from AAPCHO, serves as a guide for health centers who wish to codify and track enabling services. The packet was developed as a standardized data collection model to improve data collection on these essential services, and better understand them and their impact on health care access and outcomes.

Health Center Health IT/ EHR Assessment Tool
Health Center Health IT/ EHR Assessment Tool

Health Center Health IT/ EHR Assessment Tool

HITEQ created this template to assist HCCNs, PCAs, or other organizations in conducting health IT assessments of multiple health centers. 

How to Improve Electronic Health Record Usability and Patient Safety
How to Improve Electronic Health Record Usability and Patient Safety

How to Improve Electronic Health Record Usability and Patient Safety

Please join us to discuss new recommendations on how to improve the design and testing of electronic health record systems to prevent medical errors, improve clinician workflow and enhance the quality of care.

This webinar features the following speakers to discuss these recommendations and next steps:

• Dr. Andy Gettinger, Chief Medical Information Officer, Office of the National Coordinator for Health IT
• Dr. Peter Pronovost, Senior Vice President for Patient Safety and Quality, Johns Hopkins Medicine
• Dr. Josh Rising, Director, Healthcare Programs, The Pew Charitable Trusts

Optimizing the Presentation and Visualization of Health Data for Patients and Providers
Optimizing the Presentation and Visualization of Health Data for Patients and Providers

Optimizing the Presentation and Visualization of Health Data for Patients and Providers

This webinar will discuss methods for optimizing the presentation of health data for both providers and patients. Presenters will discuss methods for presenting meaningful displays of medical test result data to patients for improved understanding and describe two EHR usability studies around navigators and clinical note organization to improve the efficiency of provider documentation. 

Objectives:
  1. Describe the challenges patients face in understanding medical test data and present evidence-based methods to overcome these barriers and help patients make sense of the data, manage their health, and make choices about their care.
  2. Describe findings around EHR navigator usage and clinical note organization with usability studies to support improved provider workflow.
Provider Engagement for Health Centers: Turning EHR from A Barrier to Benefit
Provider Engagement for Health Centers: Turning EHR from A Barrier to Benefit

Provider Engagement for Health Centers: Turning EHR from A Barrier to Benefit

Click here to listen to the archived recording of the January 26th HITEQ/STAR² Center webinar. 

This webinar discusses health center provider engagement from the three pillars of executive sponsorship, training and education, and governance throughout the life-cycle management of the electronic health record (EHR) system. The presenter discusses the four phases of EHR lifecycle - EHR selection, EHR implementation, EHR functionality deployment, and EHR optimization. This webinar is a HITEQ/STAR² Center collaboration.

SAFER-1 High Priority Practices
SAFER-1 High Priority Practices

SAFER-1 High Priority Practices

The High Priority Practices SAFER Guide identifies “high risk” and “high priority” recommended safety practices intended to optimize the safety and safe use of EHRs. It broadly addresses the EHR safety concerns discussed in greater detail in the other eight SAFER Guides.

SAFER-2 Organizational Responsibilities
SAFER-2 Organizational Responsibilities

SAFER-2 Organizational Responsibilities

The Organizational Responsibilities SAFER Guide identifies individual and organizational responsibilities (activities, processes, and tasks) intended to optimize the safety and safe use of EHRs. A safe EHR implementation is critically dependent on the people involved.

SAFER-3 Contingency Planning
SAFER-3 Contingency Planning

SAFER-3 Contingency Planning

The Contingency Planning SAFER Guide identifies recommended safety practices associated with planned or unplanned EHR unavailability—instances in which clinicians or other end users cannot access all or part of the EHR. Occasional temporary unavailability of EHRs is inevitable, due to failures of software and hardware infrastructure, as well as power outages and natural and man-made disasters. Such unavailability can introduce substantial safety risks to organizations that have not adequately prepared.

SAFER-4 System Configuration
SAFER-4 System Configuration

SAFER-4 System Configuration

The System Configuration SAFER Guide identifies recommended safety practices associated with the way EHR hardware and software are set up (“configured”). EHR configuration includes the creation and maintenance of the physical environment in which the system will operate, as well as the implementation of the required hardware and software infrastructure.

SAFER-5 System Interfaces
SAFER-5 System Interfaces

SAFER-5 System Interfaces

The System Interfaces SAFER Guide identifies recommended safety practices intended to optimize the safety and safe use of system-to-system interfaces between EHR-related software applications. Many healthcare organizations are involved in planning, implementing, or maintaining enterprise- or community-wide clinical information systems that require integration.

SAFER-6 Patient Identification
SAFER-6 Patient Identification

SAFER-6 Patient Identification

The Patient Identification SAFER Guide identifies recommended safety practices associated with the reliable identification of patients in the EHR. Accurate patient identification ensures that the information presented by and entered into the EHR is associated with the correct person. Processes related to patient identification are complex and require careful planning and attention to avoid errors.

SAFER-7 Computerized Provider Order Entry with Decision Support
SAFER-7 Computerized Provider Order Entry with Decision Support

SAFER-7 Computerized Provider Order Entry with Decision Support

The Computerized Provider Order Entry with Decision Support SAFER Guide identifies recommended safety practices associated with Computerized Provider Order Entry (CPOE) and Clinical Decision Support (CDS). Completing this self-assessment in collaboration with a multi-disciplinary team will help an organization optimize the safety and safe use of CPOE with CDS in the EHR.

SAFER-8 Test Results Reporting and Follow-Up
SAFER-8 Test Results Reporting and Follow-Up

SAFER-8 Test Results Reporting and Follow-Up

The Test Results Reporting and Follow-Up SAFER Guide identifies recommended safety practices intended to optimize the safety and safe use of processes and EHR technology for the electronic communication and management of diagnostic test results. Processes relating to test results are fragile, requiring careful planning, implementation, and maintenance to deliver correct information promptly to the intended recipients.

Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.

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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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