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Component 7:
           Working with HIT Systems



                                                  Image courtesy of Dr. Patti Abbott


This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National
                         Coordinator for Health Information Technology under Award Number IU24OC000013.
Introduction & Overview:
        Components of HIT Systems
 • Unit 1 will introduce the vocabulary,
   concepts and common applications             of
   Health Information Technology (HIT)
   systems
 • This unit is composed of two parts:
                                                      Image courtesy of Dr. Patti

    – Lecture material                                Abbott




    – Student application of the lecture material in
      interactive EHR exercises (hands on)

                     Health IT Workforce Curriculum
Component 7/Unit1                                                                   2
                        Version 2.0/Spring 2011
Unit 1 Objectives
• At the completion of Unit 1, students
  will be able to:
       – Define a system and relate systems concepts to HIT
       – Discuss specific examples of settings where Health IT
         is used (acute, rural, public health, clinic, office,
         patient home, etc.)
       – Identify common components of a clinical HIT system
       – Demonstrate beginning level competency in
         maneuvering the demonstration EHRS



                          Health IT Workforce Curriculum
Component 7/Unit1                                            3
                             Version 2.0/Spring 2011
Conceptualizing HIT Use

                                Personal
                                 Health




                                                    Population
                    Healthcare
                                                      Health



                         Health IT Workforce Curriculum
Component 7/Unit1                                                4
                            Version 2.0/Spring 2011
Concepts of General Systems

                                      •Organization of
                                      functionally interactive
                                      units for the achievement
                                      of a common goal.

                                      •Inputs, outputs, and
                                      feedback.

                                      •Working to maintain a
                                      basic level of equilibrium.

                    Health IT Workforce Curriculum
Component 7/Unit1                                              5
                       Version 2.0/Spring 2011
HIT Systems (Inpatient)
                                                         Clinical Decision Support:
                                                         “Any system designed to
                                                         improve clinical decision making
                                                         related to diagnostic or
                                                         therapeutic processes of care.”




                        Health IT Workforce Curriculum
Component 7/Unit1                                                                    6
                           Version 2.0/Spring 2011
EHR




                    Health IT Workforce Curriculum
Component 7/Unit1                                    7
                       Version 2.0/Spring 2011
HIT Systems



                                                                      Home

             Public Health Systems




                                                                             Socially
                                                                             Networked
                                                                             HIT
                                     Health IT Workforce Curriculum
Component 7/Unit1                                                                   8
                                        Version 2.0/Spring 2011
The “BIG Picture” of HIT Systems
                    Research Institute            State Public Health


                                                                 Community
                                                                 Practice     Federal
                                                                              Agencies

Beacon
Community




                                  NHIN
     Integrated
     Delivery
     System

                                                                Health Information Organization

                        Health Center                                          Image Source:
                        Network                                                http://healthit.hhs.gov



                           Health IT Workforce Curriculum
Component 7/Unit1                                                                                9
                              Version 2.0/Spring 2011
                                                                                                         9
Common Aspects of Clinical
                HIT Systems




                    Health IT Workforce Curriculum
Component 7/Unit1                                    10
                       Version 2.0/Spring 2011
Summing Up Part 1 of Unit 1
• We defined a system and related the concepts
  to HIT
• We provided examples of HIT in a variety of
  settings
    –The “H” does not stand only for healthcare
    –Standards are paramount for information
      exchange
• We identified common components of a clinical
  HIT system
    – Similarities and differences between paper
       and electronic records
                    Health IT Workforce Curriculum
Component 7/Unit1                                    11
                       Version 2.0/Spring 2011
Part 2 of Unit 1: Hands on
              Application of HIT Concepts
                    Exploring the VistA CPRS (short videos)
                       1. VistA Interface
                       2. Exploring the Coversheet
                       3. Exploring the Tabs
                       4. Exploring the Tabs – Part 2
                       5. Reports Tab & Scavenging
                       6. How to do the Scavenger Hunt




                                   Health IT Workforce Curriculum
Component 7/Unit1                                                   12
                                      Version 2.0/Spring 2011
You Have Completed the Slide
           Deck for Unit 1

           Introduction & Overview:
         Components of HIT Systems :
                    Components of HIT Systems


                                   Completed




                         Health IT Workforce Curriculum
Component 7/Unit1                                         13
                            Version 2.0/Spring 2011
References
• AHRQ Glossary. Available from: AHRQ:
  http://www.psnet.ahrq.gov/glossary.aspx#C
• Electronic Health Records Overview. National Institutes of Health.
  National Center for Research Resources. c2006. Available from:
  http://www.ncrr.nih.gov/publications/informatics/EHR.pdf
• HealthIT. The Office of the National Coordinator for Health
  Information Technology. Available from: http://healthit.hhs.gov
• Nursing Homes Abuse Blog. c2011. Available from:
  http://www.nursinghomesabuseblog.com
• The Office of the National Coordinator website. c2011. Available
  from:
  http://healthit.hhs.gov/portal/server.pt?open=18&objID=910684&par
  entname=CommunityPage&parentid=21&mode=2&in_hi_userid=10
  741&cached=true

                          Health IT Workforce Curriculum
Component 7/Unit1                                                  14
                             Version 2.0/Spring 2011

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Course 7 Unit 1 – Introduction & Overview: Components of HIT Systems

  • 1. Component 7: Working with HIT Systems Image courtesy of Dr. Patti Abbott This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000013.
  • 2. Introduction & Overview: Components of HIT Systems • Unit 1 will introduce the vocabulary, concepts and common applications of Health Information Technology (HIT) systems • This unit is composed of two parts: Image courtesy of Dr. Patti – Lecture material Abbott – Student application of the lecture material in interactive EHR exercises (hands on) Health IT Workforce Curriculum Component 7/Unit1 2 Version 2.0/Spring 2011
  • 3. Unit 1 Objectives • At the completion of Unit 1, students will be able to: – Define a system and relate systems concepts to HIT – Discuss specific examples of settings where Health IT is used (acute, rural, public health, clinic, office, patient home, etc.) – Identify common components of a clinical HIT system – Demonstrate beginning level competency in maneuvering the demonstration EHRS Health IT Workforce Curriculum Component 7/Unit1 3 Version 2.0/Spring 2011
  • 4. Conceptualizing HIT Use Personal Health Population Healthcare Health Health IT Workforce Curriculum Component 7/Unit1 4 Version 2.0/Spring 2011
  • 5. Concepts of General Systems •Organization of functionally interactive units for the achievement of a common goal. •Inputs, outputs, and feedback. •Working to maintain a basic level of equilibrium. Health IT Workforce Curriculum Component 7/Unit1 5 Version 2.0/Spring 2011
  • 6. HIT Systems (Inpatient) Clinical Decision Support: “Any system designed to improve clinical decision making related to diagnostic or therapeutic processes of care.” Health IT Workforce Curriculum Component 7/Unit1 6 Version 2.0/Spring 2011
  • 7. EHR Health IT Workforce Curriculum Component 7/Unit1 7 Version 2.0/Spring 2011
  • 8. HIT Systems Home Public Health Systems Socially Networked HIT Health IT Workforce Curriculum Component 7/Unit1 8 Version 2.0/Spring 2011
  • 9. The “BIG Picture” of HIT Systems Research Institute State Public Health Community Practice Federal Agencies Beacon Community NHIN Integrated Delivery System Health Information Organization Health Center Image Source: Network http://healthit.hhs.gov Health IT Workforce Curriculum Component 7/Unit1 9 Version 2.0/Spring 2011 9
  • 10. Common Aspects of Clinical HIT Systems Health IT Workforce Curriculum Component 7/Unit1 10 Version 2.0/Spring 2011
  • 11. Summing Up Part 1 of Unit 1 • We defined a system and related the concepts to HIT • We provided examples of HIT in a variety of settings –The “H” does not stand only for healthcare –Standards are paramount for information exchange • We identified common components of a clinical HIT system – Similarities and differences between paper and electronic records Health IT Workforce Curriculum Component 7/Unit1 11 Version 2.0/Spring 2011
  • 12. Part 2 of Unit 1: Hands on Application of HIT Concepts Exploring the VistA CPRS (short videos) 1. VistA Interface 2. Exploring the Coversheet 3. Exploring the Tabs 4. Exploring the Tabs – Part 2 5. Reports Tab & Scavenging 6. How to do the Scavenger Hunt Health IT Workforce Curriculum Component 7/Unit1 12 Version 2.0/Spring 2011
  • 13. You Have Completed the Slide Deck for Unit 1 Introduction & Overview: Components of HIT Systems : Components of HIT Systems Completed Health IT Workforce Curriculum Component 7/Unit1 13 Version 2.0/Spring 2011
  • 14. References • AHRQ Glossary. Available from: AHRQ: http://www.psnet.ahrq.gov/glossary.aspx#C • Electronic Health Records Overview. National Institutes of Health. National Center for Research Resources. c2006. Available from: http://www.ncrr.nih.gov/publications/informatics/EHR.pdf • HealthIT. The Office of the National Coordinator for Health Information Technology. Available from: http://healthit.hhs.gov • Nursing Homes Abuse Blog. c2011. Available from: http://www.nursinghomesabuseblog.com • The Office of the National Coordinator website. c2011. Available from: http://healthit.hhs.gov/portal/server.pt?open=18&objID=910684&par entname=CommunityPage&parentid=21&mode=2&in_hi_userid=10 741&cached=true Health IT Workforce Curriculum Component 7/Unit1 14 Version 2.0/Spring 2011