Desiging Real-WorldElectronic Health Record Systems.pptVIP

Designing Real-World Electronic Health Record Systems Kenneth S. Rubin Enterprise Architect, EDS ken.rubin@ Presentation Overview Introduction The role of Health Databases Operational systems EHR Analytics EHRs: A Look at Functional and Technical Requirements Designing an EHR Presentation Overview This session will focus on the design and implementation of an electronic health record.? EHR systems face a number of challenges atypical from other system implementation activities.? The systems must be capable of supporting day-to-day clinical decision-making, yet maintain relevance and viability for extended periods of time.? In addition, EHR systems must feed analytic data sources such as warehouses for epidemiology and development of clinical practice guidelines.? Perhaps most importantly, EHR systems do not live in a vacuum--they must be capable of interoperating with peer EHR systems as part of the delivery of care to the beneficiaries for whom data is stored.? This session will explore these topics, focused on the tradeoffs and implementation approaches capable of addressing these concerns.? To be discussed are areas such as clinical terminologies, information and data modeling, representation and structure of complex clinical concepts for persistence in the EHR, interoperability and the affect it has on design, impacts of data longevity, data versioning, and encapsulation.? The emphasis of the session will favor the architectural and design aspects affecting implementations over?database?technology?details.? Introduction A little personal background… Over 15 years of IT experience; 8 years in health informatics Current role of Health Information “Application” Architect for the Veterans Health Administration 8 years involvement in Health Level Seven (HL7) and Object Management Group (OMG) Standards Communities Senior advisor to VHA Health Data Repository and Health Information Modeling teams First, a little about VHA* Business View Largest care provider i