Electronic Health Record Resources
This listing is designed as a reference tool for
AAMC group members interested in electronic
health record (EHR) issues in academic medicine. It includes medical school, teaching hospital, and faculty practice
plan resources, as well as governmental and non-governmental
resources, standards-setting activities, and a selected bibliography.
Federal Government Resources
Government Accountability Office (GAO)
Health Information
Technology: Early Efforts Initiated but Comprehensive Privacy
Approach Needed for National Strategy (PDF) Feb. 1, 2007
HHS Is Continuing
Efforts to Define Its National Strategy (PDF) Sept. 1, 2006
Office of the President / George W. Bush
Executive
Order: Promoting Quality and Efficient Health Care in Federal
Government Administered or Sponsored Health Care Programs, August
2006
Dept. of Health and Human Services (HHS)
President
Bush's Proposed 2008 Budget HHS section refers to President's
agenda for expanding HIT and budget request for Office of the
National Coordinator for Health Information Technology as well
as other HHS agencies.
Department of Health & Human Services (HHS) Agencies, Advisory Bodies, and Sites of Interest
HHS: Health Information
Technology
Contains links to HHS, DoD, and VA HIT initiatives. Also links
to: American Health Information Community (AHIC); Office of the
National Coordinator (ONC); Product Certification; Standards;
Nationwide Health Information Network; Privacy & Security
Agency for Healthcare Research
and Quality (AHRQ) National Resource Center for Health
Information Technology
Includes links to key topics, such as: computerized provider
order entry; electronic medical/health records; electronic prescribing;
Health IT in small and rural communities; health information exchange
policy issues.
Health Resources and
Services Administration (HRSA)
HRSA promotes the widespread availability and use of digital networks
to improve access to health care services for people who are uninsured,
isolated or medically vulnerable.
National Center for Research
Resources (NCRR)
NCRR's mission is to provide laboratory scientists and clinical
researchers with the environments and tools they need to understand,
detect, treat, and prevent a wide range of diseases. As part of
this effort, NCRR is leading a national consortium—funded
through Clinical and Translational Science Awards—that will
transform how clinical and translational research is conducted,
ultimately enabling researchers to provide new treatments more
efficiently and quickly to patients.
Certification Commission for
Health Information Technology (CCHIT)
Three leading HIT industry associations—the American Health
Information Management Association (AHIMA), the Healthcare Information
and Management Systems Society (HIMSS) and The National Alliance
for Health Information Technology (Alliance)—joined forces in
July 2004 to launch CCHIT as a voluntary, private-sector organization
to certify HIT products. The three committed resources to support
CCHIT during its organizational phase.
National Committee
on Vital and Health Statistics (NCVHS)
The public advisory body to the HHS Secretary. Workgroup on
National Health Information Infrastructure: reports, recommendations,
and more
Systemic
Interoperability Commission
Systemic Interoperability Section 1012 of the Medicare Modernization
Act required the Secretary to establish the Commission on Systemic
Operability. The Commission is charged with developing a comprehensive
strategy for the adoption and implementation of health care information
technology standards. Key to this is the establishment of priorities
and a timeline for their operationalization.
Centers for Medicare and Medicaid
Services (CMS)
CMS provides a comprehensive set of established policies, standards,
and guidance that outline and define the Agency's Information
Security Program objectives and requirements. Transactions are
activities involving the transfer of health care information for
specific purposes. Under the Health Insurance Portability and Accountability
Act of 1996 (HIPAA), if a health care provider engages in one
of the identified transactions, they must comply with the standard
for that transaction.
Office
of E-Health Standards and Services (OESS)
Among the charges of this office: develop and coordinate implementation
of a comprehensive e-health strategy for CMS and develop regulations
and guidance materials, and provides technical assistance on the
Administrative Simplification provisions of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA), including
transactions, code sets, identifiers, and security. (See "RTI International: Anti Fraud Requirements for Electronic Health Records" under "Standard-Setting Efforts.")
DHHS Office of Civil Rights
Charged with enforcing the HIPAA Privacy Rule. Medical Privacy-National
Standards to Protect the Privacy of Personal Health Information
Department
of Veteran Affairs
The VA has available VistA (Veterans Health Information Systems
& Technology Architecture), a health information technology system
designed and developed to support a high-quality medical care
environment for the military veterans in the United States. It
is public domain and freely available through the US Freedom of
Information Act (FOIA).
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Non-Governmental Resources
The National Alliance for Health Information Technology (NAHIT)
Alliance activities are largely organized around three programmatic
areas: Interpretation and input on health information technology
policy, technology standardization and adoption of clinical information
technology
AAFP's Center for Health
Information Technology
The Center for Health Information Technology is the focal point
of the AAFP's technical expertise, advocacy, research, and member
services associated with medical office automation and computerization.
American Health Information
Management Association (AHIMA)
AHIMA has established and maintains standards for educational
programs for health information management professionals; standards
for the initial certification and maintenance of certification
of health information management professionals; maintains a complete
and current listing of certified health information management
professionals; promotes the professional development of individuals
in the health information management profession; publishes a Journal
of research information, ideas, and experience, which will serve
the interest of AHIMA members and advance the health information
management profession.
American Medical Informatics Association
(AMIA)
The American Medical Informatics Association (AMIA) is an organization
dedicated to the development and application of medical informatics
in support of patient care, teaching, research, and health care
administration. Medical informatics has to do with all aspects
of understanding and promoting the effective organization, analysis,
management, and use of information in health care.
California
Healthcare Foundation (CHCF)
iHealth and Technology: Reports and Initiatives
Center for Studying Health
System Change
HSC is a nonpartisan policy research organization that designs
and conducts studies focused on the U.S. health care system to
inform the thinking and decisions of policy makers in government
and private industry. Health Information Technology is identified
as one of the "hot issues." Resources free to the public include
an Issue Brief, "Clinical Information Technology Gaps Persist
Among Physicians," Nov. 2006.
eHealth
Initiative
A non-profit affiliated organizations whose missions are to drive
improvement in the quality, safety, and efficiency of health care
through information and information technology. Includes access
to Connecting Communities Toolkit; an advocacy center; information
on the policy landscape.
Healthcare Information and Management
Systems Society (HIMSS)
The HIMSS is the health care industry's membership organization
exclusively focused on providing global leadership for the optimal
use of health care information technology and management systems
for the betterment of health care.
Markle
Foundation
In 2002 the Markle Foundation initiated Connecting for Health,
a public-private collaborative designed to address the barriers
to development of an interconnected health information infrastructure.
The focus is on realizing the full potential of information technology
in health and health care, while protecting patient privacy and
the security of personal health information.
The Massachusetts
Health Data Consortium
The Massachusetts Health Data Consortium collects data, publishes
comparative reports, promotes electronic standards, and educates
through information exchange events and research.
Medical Group Management Association
(MGMA)
Searchable site, though many documents only available to members.
Can access compilation of U.S. EHR
system companies.
Standard-Setting Efforts (Governmental
and Non Governmental)
ANSI Healthcare Information Technology
Standards Panel
The mission of the Healthcare Information Technology Standards
Panel (HITSP) of the American National Standards Institute (ANSI) is to serve as a cooperative partnership between
the public and private sectors for the purpose of achieving a
widely accepted and useful set of standards specifically to enable
and support widespread interoperability among health care software
applications, as they will interact in a local, regional and national
health information network for the United States.
Health Level Seven, Inc.
"HL7" refers to Health Level Seven, Inc., an all-volunteer, not-for-profit
organization involved in development of international health care
standards. "HL7" is also used to refer to some of the specific
standards created by the organization (i.e. HL7 v2.x, v3.0, HL7
RIM, etc.). Health Level Seven is a Standards Developing Organization
(SDO) that is accredited by the American National Standards Institute
(ANSI). The standards, which support clinical practice and the
management, delivery, and evaluation of health services, are the
most commonly used in the world.
RTI
International: Anti Fraud Requirements for Electronic Health Records
Under contract the Office of National Coordinator, has developed
proposed guidelines for anti-fraud measures for EHRs. While not
yet adopted by the federal government, the proposed guidelines
are a useful compilation of features that should be considered
for inclusion in an EHR.
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Selected Bibliography (April 2007 - June 2007)
Adler, K.G. and Edsall, R.L. (2007). "Electronic health records:
the 2007/FPM user-satisfaction survey." Family Practice Management.
2007 Apr;14(4):27-30.
Brown, B. (2007). "The number of online personal health records
is growing, but is the data in these records adequately protected?"
Journal of Health Care Compliance. 9(3):35.
Brown, E.V. (2007). "Planning makes perfect." Health Management
Technology. 28(5):12.
Burda, D. (2007). "Hey, you asked for IT." Modern Healthcare.
37(5):25.
Conn, J. (2007). "Does not compute?" Modern Healthcare. 37(21):12.
DoBias, M. (2007). "Searching for funding." Modern Healthcare.
37(14):8.
Draper, A. (2007). "Closing the IT loop between physician practices
and hospitals." Trustee. 60(4): 34.
Ewing, L. M. (2007). "Electronic health records." Searcher. 15(5):49.
Feder, H. M. (2007). "CMS and QIOs encourage physician use of
EHRs." Journal of Health Care Compliance. 9(3):41.
Frey J. J., III. (2007). "At a loss for words." Jama. 297(16):1751.
Havenstein, H. (2007). "Planning, early support key to E-health
success, execs say." Computerworld. 41(21):10
(2007). "Insurer linking e-health records in four states."Computerworld.
41(18):14.
Hurd, A. (2007). "Will big brother save healthcare?" Health Management
Technology. 28(5):48.
Krishna, R., Kelleher, K. and Stahlberg, E. (2007). "Patient
confidentiality in the research use of clinical medical databases."
American Journal Public Health. 2007 Apr;97(4):654-8. Epub 2007
Feb 28.
Laytham, R. T. (2007). "Patient data downsizing." Health Management
Technology. 28(4):26.
Lobarch, D. F. and Detmer, D. E. (2007). "Research challenges
for electronic health records." American Journal of Preventative
Medicine. 2007 May;32(5 Suppl):S104-11.
Menachemi, N., Matthews, M. C., Ford E. W. and Brooks, R. G.
(2007). "The influence of payer mix on electronic health record
adoption by physicians." Health Care Management Review. 32(2):111.
Robeznieks, A. (2007). "Getting personal." Modern Healthcare.
37(21):40.
Swartz, K. (2006). "Electronic medical records - Federal standards
needed." Inquiry - Excellus Health Plan, 43(4):307.
Terry, K. (2007). "Watch out for EHR audit pitfalls." Medical
Economics. 84(8):32.
Thielst, C. B. (2007). "The new frontier of electronic, personal,
and virtual health records." Journal of Healthcare Management.
52(2):75.
Win, K. T. and Fulcher, J. A. (2007). "Consent mechanisms for
electronic health record systems: a simple yet unresolved issue."
Journal of Medical Systems. 2007 Apr;31(2):91-6.
Bibliography Archive
January 2006 - March 2007
(PDF, 3 pages)
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