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Pharm 5018 ETSU

ch 11 Information Technology & technology

American Recovery and Reinvestment Act Doctors of nurse practice must be meaningful users. Increase patient safety and reduce cost.
American Recovery and Reinvestment Act Reimbursement is connected to use of electronic health record (EHR), computerized provider order entry (CPOE), and clinical decision support systems (CDSSs)/Changes in patient privacy
Electronic Health Record most practice areas can improve care using EHRs/ Cost is a determinate for most practices: up-front and re-coop/Goal: exchange of patient information between practice sites and hospitals and across regions
Information Storage and Exchange Vast amounts of patient data with EHRs Data aggregation with clinical warehouse EHR vs. electronic medical record: difference in capability for re-purposing data
Information Storage and Exchange Regional health information organizations allow for data sharing and exchange. Health information exchanges allow for added information sharing.
Computerized Provider Order Entry (CPOE) Embedded within the EHR for order entry Increase safety by reducing the medication errors found with paper-based systems.
Computerized Provider Order Entry (CPOE) Implementation and adoption slow in the United States due to cost and changes in workflow Based on the formulary of the organization
Clinical Decision Support Systems CDSS alerts to guide the provider in decision making Alerts require two patient data points from vital signs to laboratory data and medication history.
Clinical Decision Support Systems CDSSs use elements of artificial intelligence and machine learning to function. Risk “alert fatigue” by having too many alerts for workflow
Medication Reconciliation Required as part of meaningful use and to be done each encounter
Medication Reconciliation Technology using EHR and personal health record (PHR) can facilitate this requirement. Reduces the risk of error with poor historians or when medications are not with the patient
Patient Privacy Health Insurance Portability and Accountability Act standard for patient privacy/Now includes patient rights and privacy/Patients can have a copy of their records in electronic format.
Personal Health Record (PHR) Patient-owned and maintained health record Commercial products available or simple spreadsheet
Personal Health Record (PHR) PHRs can be connected to EHRs and include in-patient data. Encouraged to prevent lost health information during national disasters
Patient Education Materials can be standardized and printed off the EHR or kept in electronic format. Electronic versions can also be edited for specific patient issues.
Patient Education Applications for smart phones can be recommended by providers for education. Internet with screening can be a good source of information.
Role as Clinical Leader Serve as provider with patient care and keep medication records in EHR/Assess practice for safety and quality with pharmacotherapeutics/Explore issues with medications as quality and safety issue.
Summary Meaningful use and need to use technology with pharmacotherapeutics EHR, CPOE, CDSSs: Each function together to increase patient safety.
Summary Medication reconciliation using technology and PHR Patient privacy includes provisions, including their EHRs.
Created by: palmerag