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The Role of Content Management in Electronic Health Records (EMR)

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John Wang
John Wang
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THE ROLE OF CONTENT MANAGEMENT IN ELECTRONIC HEALTH RECORDS ,[object Object],[object Object]
THE ROLE OF CONTENT MANAGEMENT IN ELECTRONIC HEALTH RECORDS AIIM GOLDEN GATE CHAPTER May 25, 2010 San Francisco CA Dak Systems Consulting Deborah Kohn, MPH, RHIA, FACHE, CPHIMS
[object Object],[object Object],© 2010 More and more healthcare data are “native” electronic / computer-generated.
ELECTRONIC HEALTH RECORD SYSTEMS ,[object Object],© 2010
ELECTRONIC HEALTH RECORD SYSTEMS ,[object Object],[object Object],[object Object],[object Object],[object Object],© 2010
ELECTRONIC HEALTH RECORD SYSTEMS ,[object Object],[object Object],[object Object],[object Object],[object Object],© 2010
ELECTRONIC HEALTH RECORD SYSTEMS ,[object Object],[object Object],[object Object],© 2010
ELECTRONIC HEALTH RECORD SYSTEMS ,[object Object],[object Object],[object Object],[object Object],© 2010
[object Object],[object Object],© 2010 More and more healthcare data are “native” electronic / computer-generated.
[object Object],[object Object],© 2010 ENTERPRISE CONTENT MANAGEMENT SYSTEMS
[object Object],[object Object],© 2010 ENTERPRISE CONTENT MANAGEMENT SYSTEMS
ENTERPRISE CONTENT MANAGEMENT SYSTEMS ,[object Object],[object Object],[object Object],[object Object],© 2010
[object Object],ENTERPRISE CONTENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],© 2010 ENTERPRISE CONTENT MANAGEMENT SYSTEMS
[object Object],© 2010 ENTERPRISE CONTENT MANAGEMENT SYSTEMS
ELECTRONIC HEALTH RECORD SYSTEMS ,[object Object],[object Object],[object Object],[object Object],© 2010
THE ELECTRONIC HEALTH RECORD SYSTEM Text Data Video Data Audio Data Signal Tracing Data Diagnostic Image Data Discrete, Structured, ASCII Data Document Image Data Handwritten Notes and Drawings Signed Patient Consent Forms Radiology Reports Transcribed Reports UBs and Itemized Bills Ultrasound and Cardiac Catheterization Examinations Heart Sounds EKG/EEG/Fetal Monitoring Pathology Images CR/DR CT MR Nuclear Med Laboratory Orders / Results Medication Orders / MARs Online Charting and Documentation Detailed Charges Voice Dictations & Annotations © 1999 Deborah Kohn
ELECTRONIC HEALTH RECORD COMPONENT INFORMATION SYSTEMS ,[object Object],[object Object],© 2010
ELECTRONIC HEALTH RECORD COMPONENT INFORMATION SYSTEMS ,[object Object],[object Object],[object Object],[object Object],© 2010
ELECTRONIC HEALTH RECORD COMPONENT INFORMATION SYSTEMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© 2010
ELECTRONIC HEALTH RECORD COMPONENT INFORMATION SYSTEMS ,[object Object],[object Object],[object Object],© 2010
ENTERPRISE CONTENT MANAGEMENT SYSTEMS ,[object Object],[object Object],[object Object],[object Object],[object Object],© 2010
[object Object],[object Object],[object Object],ENTERPRISE CONTENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],[object Object],ENTERPRISE CONTENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],ENTERPRISE CONTENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],ELECTRONIC HEALTH RECORD COMPONENT INFORMATION SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],[object Object],ELECTRONIC DOCUMENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTRONIC DOCUMENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],ELECTRONIC DOCUMENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTRONIC DOCUMENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTRONIC DOCUMENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],[object Object],ELECTRONIC DOCUMENT MANAGEMENT SYSTEMS © 2010
[object Object],[object Object],[object Object],[object Object],[object Object],ELECTRONIC DOCUMENT MANAGEMENT SYSTEMS © 2010
[object Object],THE MISCONCEPTIONS © 2010
[object Object],[object Object],[object Object],[object Object],THE CONSEQUENCES © 2010
[object Object],[object Object],WHAT’S REAL © 2010
It’s VERY difficult convincing healthcare decision-makers that enterprise content management and electronic document management are strategic EHR component systems, especially when they don’t know what these systems are and do. WHAT’S REAL © 2010
A PROPOSED STRATEGY Pt. Audio Repository Pt. Dx Image Repository (PACS) Pt. Signal Tracings Repository Pt. Video Repository PT. CLINICAL DATA REPOSITORY Analytic Data Warehouse PT. CONTENT REPOSITORY Physical data and content repositories, logically linked Pt. Document Repository
FOUR ENORMOUS HEALTHCARE MANDATES BEGIN THIS YEAR © 2010
[object Object],[object Object],[object Object],2009 ARRA / HITECH Act I.A. Beginning in October 2010 * © 2010 Medicare / Medicaid Incentive Payments MEANINGFUL USE of CERTIFIED EHRs Providers / Hospitals
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2009 ARRA / HITECH Act I.B. Began in February 2010 * © 2010 HIPAA “TWO” Confidentiality/ Privacy and Security Standards
2009 ARRA / HITECH ACT Key Components © 2010 Work Force Expansion Health Information Exchange Intra- / Inter- Organizational Comparative Effectiveness Research (CER) Quality Outcomes / Reporting I.B. HIPAA “TWO” Confidentiality/ Privacy and Security Standards I.A. Medicare / Medicaid Incentive Payments MEANINGFUL USE of CERTIFIED EHRs Providers / Hospitals Regional Extension Centers Broadband Telemedicine Public Health
II. Compliance on January 1, 2012 ,[object Object],[object Object],[object Object],1996 HIPAA Title II--Administrative Simplification Standards Modifications © 2010
Outpatient ICD-10-CM / PCS Inpatient ,[object Object],© 2010 All Other Physician Long Term Healthcare Laboratory Behavioral Health Hospital
2010 PATIENT PROTECTION and AFFORDABLE CARE ACT (PPACA) (aka Healthcare Reform Act) IV. Beginning in 2010 * * Applies to US Hospitals / Other Providers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© 2010
AVOIDING THE “PERFECT STORM” 5010 ICD-10 CM/PCS 01/01 2010 01/01 2011 01/01 2012 01/01 2013 10/01 2013 01/01 2014 Implementation Testing Implementation Testing ARRA/ HITECH “ Meaningful Use of Certified EHRs” Go Live PPACA 01/01 2015 Go Live Policies / Payers / Providers / Patients © 2010
Deborah Kohn, MPH, RHIA, FACHE, CPHIMS Principal www.daksystemsconsulting.com 650.345.9900 [email_address] © 2010 Dak Systems Consulting
[object Object],[object Object],[object Object],[object Object],AIIM Golden Gate Chapter Where to find us online…
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AIIM Golden Gate Chapter Upcoming events…

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The Role of Content Management in Electronic Health Records (EMR)

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  • 2. THE ROLE OF CONTENT MANAGEMENT IN ELECTRONIC HEALTH RECORDS AIIM GOLDEN GATE CHAPTER May 25, 2010 San Francisco CA Dak Systems Consulting Deborah Kohn, MPH, RHIA, FACHE, CPHIMS
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  • 17. THE ELECTRONIC HEALTH RECORD SYSTEM Text Data Video Data Audio Data Signal Tracing Data Diagnostic Image Data Discrete, Structured, ASCII Data Document Image Data Handwritten Notes and Drawings Signed Patient Consent Forms Radiology Reports Transcribed Reports UBs and Itemized Bills Ultrasound and Cardiac Catheterization Examinations Heart Sounds EKG/EEG/Fetal Monitoring Pathology Images CR/DR CT MR Nuclear Med Laboratory Orders / Results Medication Orders / MARs Online Charting and Documentation Detailed Charges Voice Dictations & Annotations © 1999 Deborah Kohn
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  • 37. It’s VERY difficult convincing healthcare decision-makers that enterprise content management and electronic document management are strategic EHR component systems, especially when they don’t know what these systems are and do. WHAT’S REAL © 2010
  • 38. A PROPOSED STRATEGY Pt. Audio Repository Pt. Dx Image Repository (PACS) Pt. Signal Tracings Repository Pt. Video Repository PT. CLINICAL DATA REPOSITORY Analytic Data Warehouse PT. CONTENT REPOSITORY Physical data and content repositories, logically linked Pt. Document Repository
  • 39. FOUR ENORMOUS HEALTHCARE MANDATES BEGIN THIS YEAR © 2010
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  • 42. 2009 ARRA / HITECH ACT Key Components © 2010 Work Force Expansion Health Information Exchange Intra- / Inter- Organizational Comparative Effectiveness Research (CER) Quality Outcomes / Reporting I.B. HIPAA “TWO” Confidentiality/ Privacy and Security Standards I.A. Medicare / Medicaid Incentive Payments MEANINGFUL USE of CERTIFIED EHRs Providers / Hospitals Regional Extension Centers Broadband Telemedicine Public Health
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  • 46. AVOIDING THE “PERFECT STORM” 5010 ICD-10 CM/PCS 01/01 2010 01/01 2011 01/01 2012 01/01 2013 10/01 2013 01/01 2014 Implementation Testing Implementation Testing ARRA/ HITECH “ Meaningful Use of Certified EHRs” Go Live PPACA 01/01 2015 Go Live Policies / Payers / Providers / Patients © 2010
  • 47. Deborah Kohn, MPH, RHIA, FACHE, CPHIMS Principal www.daksystemsconsulting.com 650.345.9900 [email_address] © 2010 Dak Systems Consulting
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