electronic health record core requirements（电子健康记录核心需求）.docVIP

HIMSS Electronic Health RecordDefinitional ModelVersion 1.0 Prepared by HIMSS Electronic Health Record CommitteeThomas Handler, MD. Research Director, GartnerRich Holtmeier, President, Berdy SystemsJane Metzger, VP of Emerging Practices, First ConsultingMarc Overhage, MD. PhD., Regenstrief InstituteSheryl Taylor, RN, BSN, VP of Nursing Informatics, PerSeCharlene Underwood, MBA, Global Marketing Manager, Siemens Medical Solutions Health Services Background The HIMSS Electronic Health Record committee chartered this effort to support measurement of the penetration of electronic health records in health systems and physician practices by 2010. The EHR Definition Model includes an operational EHR definition, key attributes, essential requirements to meet attributes, and measures used to assess the extent to which an organization is using an EHR.  Electronic Health Record Attributes and Essential Requirements Purpose: To develop a definitional model of a fully functional Electronic Health Record (EHR) that includes: EHR definition Key attributes and essential requirements Evidence for each attribute that will demonstrate the essential requirements have been met. Mandatory evidence is bolded. This definitional model will be the basis of assessing the extent to which an organization is using an EHR by 2010. Definition: The Electronic Health Record (EHR) is a secure, real-time, point-of-care, patient-centric information resource for clinicians. The EHR aids clinicians’ decision-making by providing access to patient health record information where and when they need it and by incorporating evidence-based decision support. The EHR automates and streamlines the clinician’s workflow, closing loops in communication and response that result in delays or gaps in care. The EHR also supports the collection of data for uses other that clinical care, such as billing, quality management, outcomes reporting, resource planning, and public health disease