Through the American Recovery and Reinvestment Act (ARRA), the government estimates that it will pay incentives between $7B and $10B in the next four years to hospitals that demonstrate meaningful-use of a certified Electronic Health Record (EHR). Offering a perioperative EHR, SIS can help you receive your share of this incentive.
With SIS, you can be sure that you have partner that will do everything possible to help you gain the most possible benefit for your organization. SIS is committed to delivering a solution that will help our client’s meet meaningful use requirements as applicable to the perioperative department.
With SIS, you can be sure that you have partner that will do everything possible to help you gain the most possible benefit for your organization. SIS is committed to delivering a solution that will help our client’s meet meaningful use requirements as applicable to the perioperative department.
“Just buying a certified EHR is not meaningful use. One of the things we need to do is measure meaningful use – the certified system needs to be able to produce the data to prove it.”
Dr. Mark Leavitt, chairman, CCHIT
Dr. Mark Leavitt, chairman, CCHIT
December 30, 2009, the Department of Health and Human Services (HHS) released two documents important to establishing meaningful-use of an EHR as law. These documents are available for comment for 60-days. A final rule is expected in late spring 2010.
Program Stages
Definitions of an EHR
SIS qualifies as an EHR module under these definitions. At this time, no certifying organizations have been identified. As HHS certifications become available, SIS is confident in our ability to achieve any certification available for an EHR module in the perioperative department.
Stage 1: 2011 Meaningful-Use Criteria Specific to a Perioperative EHR
*SIS maintains or contributes to each of these 17 criteria
2011-2012 Clinical Quality Measures Required for Electronic Submission by Eligible Hospitals Specific to Surgery
*SIS enables reporting for each of these 8 clinical quality measures.
Please visit the Interoperability page to look at what SIS has been and continues to do to support interoperability.
- The Notice of Proposed Rule Making (NPRM). This document outlines proposed provisions governing the EHR incentive programs, including defining the central concept of “meaningful use” of EHR technology.
- The Interim Final Rule (IFR). This document sets initial standards, implementation specifications, and certification criteria for EHR technology.
HHS EHR Incentive Program & Meaningful-use Highlights
Program Stages
- Stage I – Electronic capture of health information in a coded format; tracking key clinical conditions and communicating outcomes for care coordinating; implementing clinical decision support tools to facilitate disease and medication management; and reporting outcomes for public health purposes.
- Stage II – Encourages the use of health IT to enhance computerized provider order entry; transitions in care; electronic transmission of diagnostic test results; and, research.
- Stage III – Promotes improvements to quality and safety; focuses on clinical decision support at a national level by encouraging patient access and involvement; and, improved population health data.
Definitions of an EHR
- Qualified EHR: An electronic record of health-related information on an individual that: (A) includes patient demographic and clinical health information, such as medical history and problem lists; and (B) has the capacity to provide clinical decision support, to support physician order entry, to capture and query information relevant to health care quality, and to exchange electronic health information with, and integrate such information from other sources.
- EHR Module: Any service, component, or combination thereof that can meet the requirements of at least one certification criterion adopted by the Secretary.
- Certified EHR Technology: A Complete EHR or a combination of EHR Modules that meet the requirements included in the definition of a Qualified EHR; and has been tested and certified in accordance with the certification program. The use of EHR Modules may enable an eligible professional or eligible hospital to create a combination of products and services that, taken together, meets the definition of Certified EHR Technology.
SIS qualifies as an EHR module under these definitions. At this time, no certifying organizations have been identified. As HHS certifications become available, SIS is confident in our ability to achieve any certification available for an EHR module in the perioperative department.
Stage 1: 2011 Meaningful-Use Criteria Specific to a Perioperative EHR
- Implement drug-drug, drug-allergy, drug-formulary checks
- Maintain an up-to-date problem list of current and active diagnoses based on ICD-9 or SNOMED
- Maintain an active medication list
- Maintain an active medication allergy list
- Record demographics
- Record & chart vital signs
- Record smoking status
- Incorporate lab-test results into EHR as structured data
- Generate lists of patients by specific conditions
- Report hospital quality measures to CMS
- Implement 5 clinical decision support rules
- Provide patients with an electronic copy of their health information upon request
- Provide patients with an electronic copy of their discharge instructions and procedures at time of discharge, upon request
- Exchange key clinical information among providers of care and patient authorized entities electronically
- Provide summary care record for each transition of care and referral
- Perform medication reconciliation at relevant encounters and each transition of care
- Protect electronic health information created or maintained by the certified EHR technology
*SIS maintains or contributes to each of these 17 criteria
2011-2012 Clinical Quality Measures Required for Electronic Submission by Eligible Hospitals Specific to Surgery
- VTE prophylaxis within 24 hours of arrival
- VTE discharge instructions
- Incidence of potentially preventable VTE: patients diagnosed with confirmed VTE during hospitalization (not present on arrival) who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnostic testing order date.
- Infection SCIP Inf-2 Prophylactic antibiotics consistent with current recommendations: Surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).
- Iotrogenic pneumothorax in non-neonates (pediatric up to 17 years of age): Percent of medical and surgical discharges with ICD-9-CM code of iatrogenic pneumothorax in any secondary diagnosis field.
- Foreign body left after procedure, age under 18 years: Discharges with foreign body accidentally left in during procedure per 1,000 discharges
- Infection SCIP Inf-1 Prophylactic antibiotic received within 1 hour prior to surgical incision
- Infection SCIP Inf-3 Prophylactic antibiotics discontinued within 24 hours after surgery end time
*SIS enables reporting for each of these 8 clinical quality measures.
Please visit the Interoperability page to look at what SIS has been and continues to do to support interoperability.