Bowes Watson A
Intermountain Healthcare and Department of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
AMIA Annu Symp Proc. 2011;2011:144-51. Epub 2011 Oct 22.
Intermountain Healthcare hospitals and providers are eligible for approximately $95 million in incentives from the Health Information Technology for Economic and Clinical Health Act (HITECH), which requires that hospitals and providers use a certified electronic health record (EHR) in a meaningful way. This paper describes the our progress in readying legacy systems for certification, including measuring, and filling gaps in (EHR) functionality. Also addressed are some of the challenges and successes in meeting meaningful use. Methods for measuring and tracking levels of clinician meaningful use behaviors, and our most recent results impacting meaningful use behaviors in a large integrated delivery network are described. We identified 20 EHR requirements we can certify now, 16 requirements with minor issues to resolve, and 38 requirements which are still in some state of development. We also identified 6 meaningful use workflows that will require significant work to bring all of our hospitals and providers above the measure requirement.
山间医疗保健系统旗下的医院和医疗服务提供者有资格从《经济和临床健康的健康信息技术法案》（HITECH）获得约9500万美元的激励资金，该法案要求医院和医疗服务提供者以有意义的方式使用经过认证的电子健康记录（EHR）。本文描述了我们在使遗留系统达到认证要求方面所取得的进展，包括对（EHR）功能进行测量以及填补其中的差距。还讨论了在满足有意义使用要求方面的一些挑战和成功经验。描述了测量和跟踪临床医生有意义使用行为水平的方法，以及我们在一个大型综合医疗服务网络中影响有意义使用行为的最新结果。我们确定了20项目前可以认证的EHR要求，16项存在小问题有待解决的要求，以及38项仍处于某种开发状态的要求。我们还确定了6个有意义使用工作流程，要使我们所有的医院和医疗服务提供者都达到测量要求，还需要开展大量工作。
