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Electronic Health Records

Cypress: Meaningful Use Stage 2 Toolkit

Clinical Quality Measure Testing And Certification

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From the ONC Cypress website:

Cypress is the rigorous and repeatable testing tool of Electronic Health Records (EHRs) and EHR modules in calculating Meaningful Use (MU) Stage 2 Clinical Quality Measures (CQMs). The Cypress tool is open source and freely available for use or adoption by the health IT community including EHR vendors and testing labs. Cypress serves as the official testing tool for the 2014 EHR Certification program supported by the Office of the National Coordinator for Health IT (ONC).

Breaking Up (With an EHR) Is Hard to Do

But experts say not cutting ties leads to a worse fate.

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From the article in For the Record: 

"Lack of sufficient vendor support. Workflow inefficiencies. Changing needs.

The motivations may vary, but more health care organizations seem to be coming to the same conclusion: It’s time for a new EHR. We’re not talking your typical paper-to-electronic transformation either. This is a one-EHR-to-a-hopefully-better-EHR transition.

It’s not as uncommon as one may think. In fact, based on results from a recent survey of 17,000 EHR users in which almost one-quarter of respondents cited enough dissatisfaction with their current system to consider switching to a new EHR vendor, Black Book Rankings is calling 2013 “The Year of the Great EHR Switch.”

What are the contributing factors to EHR disenchantment and, more importantly, what considerations should health care organizations take into account before making such a mammoth decision?"

Toolkit for the Safe Use of Copy and Paste

A toolkit published by the ECRI Institute

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From the ECRI Institute website:

"The Partnership for Health IT Patient Safety has established workgroups for in-depth study of health IT events. The issue of copying and pasting health information (e.g., orders, notes, labels) was chosen for the first workgroup. Copy and paste is widespread, often underreported, and has the potential to cause adverse patient safety events.
Four safe practice recommendations were agreed upon and endorsed by the multidisciplinary group of stakeholders:
Recommendation A: Provide a mechanism to make copy and paste material easily identifiable.
Recommendation B: Ensure that the provenance of copy and paste material is readily available.
Recommendation C: Ensure adequate staff training and education regarding the appropriate and safe use of copy and paste.
Recommendation D: Ensure that copy and paste practices are regularly monitored, measured, and assessed.
Additional information about safe practice recommendations and implementation strategies are available for dissemination to the healthcare community through the distribution of a free publicly-available toolkit."

Tips on Open Source EHR Systems in the Safety Net Community

A YouTube video from HRSA

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From the HRSA YouTube Channel:

This webinar focuses on open source Electronic Health Records (EHR) for the safety net community. Open Source EHRs are systems that are either free or very low cost to implement. The presenters will provide an overview of the types of open source systems, the benefits and challenges of using open source EHRs, and how these systems can be used effectively to meet the Meaningful Use requirements and provide high quality care to meet population health needs. In addition, one speaker will present on how his rural federally qualified health center selected the use of RPMS (a free EHR system which was developed by Indian Health Service) to support its clinical services. A second presenter will talk about his health center's selection of Worldvista (Based on the Veterans Administration EHR System) and how it supports UDS reporting requirements. 

The presenters include: Jason Goldwater, M.A., M.P.A., Health IT Program Manager, NORC; Matthew King, M.D., VistAdoc,LLC and former Chief Medical Officer of Clinica Adelanta; Sarah Chouinard, M.D., Clinical Lead
Community Health Network of West Virginia

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