{"title":"QRDA--technology overview and lessons learned.","authors":"Srinivas Velamuri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Quality of healthcare is a high priority for several years but there was no standard until recently. The standards body, HL7 released draft standard for Quality Reporting Document Architecture (QRDA) with an aim to develop an electronic data standard for healthcare information systems to use in communicating patient level quality measurement data across disparate systems. This standard would enable Healthcare providers those use Electronic Health Record (EHR) systems to generate Quality Reporting documents to be consumed by payer agencies such as Centers Medicare and Medicaid Services (CMS) replacing proprietary file formats that existed in this space previously, This paper discusses various features of this new standard, which promotes interoperability and easy adoption, the three categories proposed by the QRDA standard and their application in different contexts, measure sets and measures and finally the relationship of this QRDA standard to the HQMF (eMeasure) standard proposed by National Quality Forum (NQF) in collaboration with HL7 to standardize the Quality Measures across the healthcare landscape. This paper also provides high-lights on early adoption of QRDA standard by Centers Medicare and Medicaid Services (CMS) for their Physician Quality Reporting Initiative (PQRI) program.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 3","pages":"41-8"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29160218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Debra L Andreen, Linda J Dobie, Jan C Jasperson, Thomas A Lucas, Cathryn L Wubbenhorst
{"title":"The conversion to electronic hospital notes at Mayo Clinic. Overcoming barriers and challenges.","authors":"Debra L Andreen, Linda J Dobie, Jan C Jasperson, Thomas A Lucas, Cathryn L Wubbenhorst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes the conversion to electronic hospital notes at a large, multi-specialty group practice: Mayo Clinic in Rochester, Minnesota. Because of the size of the institution and the barriers to the adoption of electronic notes, the process was a gradual one that took several years. Making a convincing case for change to institutional leaders and maintaining their support was crucial to success. Equally vital was the careful investigation of user requirements and the development of software features that allowed providers to complete their notes quickly in the fast-paced hospital environment. Care providers discovered the value of having immediate access to legible hospital notes throughout the campus and from remote locations.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 3","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29162748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EHR adoption--Are financial incentives enough?","authors":"Richard D Lang","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 2","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28926073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"My license agreement says what? Have the appropriate license rights in your software license agreements.","authors":"Bob Doe","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 2","pages":"17-8"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28926079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health IT certification. The elusive seal of approval.","authors":"Richard D Lang","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 1","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28650188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"E-prescribing: where health information and patient care intersect.","authors":"Patti Brooks, Chris Sonnenschein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medication therapy management can play a key role in the rising costs of healthcare, as it relates to both workflow efficiency and patient safety. E-prescribing allows for prescribing the most medically appropriate and cost effective prescription at the point of care and transmitting the prescription electronically to the patient's choice of pharmacy. E-prescribing can helpeliminate medication errors, improve patient safety, andreduce costs by making the medication therapy management process more efficient.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 2","pages":"53-9"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28927087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HIT standardization--too much, too soon?","authors":"Richard D Lang","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 3","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29160208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pro-active audits of information system activity.","authors":"Gerry Blass, Susan A Miller","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 2","pages":"15-6"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28926078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Service-oriented architecture in public health.","authors":"Noam H Arzt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Public health systems have been developed over many years and are costly to maintain or replace. Service-oriented architectures (SOA) have provided a way for these systems to remain viable and responsive to increasing demands for information and analysis. As healthcare entities look for strategies to effectively achieve \"meaningful use:\" of their EHR systems, SOA will emerge as one key technical strategy for enabling this functionality. This paper offers two case studies of core public health systems in different jurisdictions and the strategies used with SOA to extend system life and to enable new and important features.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 2","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28927086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The business end of HIE. Despite recent developments, exchanges face daunting obstacles to success.","authors":"Rick Krohn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"24 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28650190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}