门诊、住院患者共享基本数据集.pptVIP

门诊、住院患者共享基本数据集 EMR Adoption Model Q1 2006 * Standard Understanding the level of electronic medical record (EMR) capabilities in hospitals is a challenge in the US healthcare IT market today. HIMSS AnalyticsTM has created an EMR Adoption Model that identifies the levels of EMR capabilities ranging from limited ancillary department systems through a paperless EMR environment. HIMSS Analytics has developed a methodology and algorithms to automatically score more than 4,000 hospitals in our database relative to their IT-enabled EMR Adoption status, to provide peer comparisons for hospital organizations as they strategize their path to a complete EMR and participation in an electronic health record (EHR). The stages of the model are as follows: Stage 1: Major ancillary clinical systems are installed (i.e., pharmacy, laboratory, radiology). Stage 2: Major ancillary clinical systems feed data to a CDR that provides physician access for retrieving and reviewing results. The CDR contains a controlled medical vocabulary, and the clinical decision support/rules engine. Information from document imaging systems may be linked to the CDR at this stage. Stage 3: Clinical documentation (e.g. vital signs, flow sheets) is required; nursing notes, care plan charting, and/or the electronic medication administration record (eMAR) system are scored with extra points, and are implemented and integrated with the CDR for at least one service in the hospital. The first level of clinical decision support is implemented to conduct error checking with order entry (i.e., drug/drug, drug/food, drug/lab conflict checking normally found in the pharmacy). Some level of medical image access from picture archive and communication systems (PACS) is available for access by physicians outside the Radiology department via the organization’s intranet. Stage 4: Computerized Practitioner/Physician Order Entry (CPOE) for use by any clinician is added to the nursing and CDR environment along with the second l