Vendor-Specific Systems

Component 14:

Vendor-Specific Systems

Instructor Manual

Version 3.0/Spring 2012

Notes to Instructors

This Instructor Manual is a resource for instructors using this component. Each component is broken down into units, which include the following elements:

Learning objectives
Suggested student readings, texts, reference links to supplement the narrated PowerPoint slides
Lectures (voiceover PowerPoint in Flash format); PowerPoint slides (Microsoft PowerPoint format), lecture transcripts (Microsoft Word format); and audio files (MP3 format) for each lecture
Self-assessment questions reflecting Unit Objectives with answer keys and/or expected outcomes
Application Activities (e.g., discussion questions, assignments, projects) with instructor guidelines, answer keys and/or expected outcomes

Contents

Notes to Instructors

Disclaimer

Component Overview

Component 14/Unit 1

Component 14/Unit 2

Component 14/Unit 3

Component 14/Unit 4

Component 14/Unit 5

Component 14/Unit 6

Component 14/Unit 7

Component 14/Unit 8

Component Acronym Glossary

Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported

Disclaimer

These materials were prepared under thesponsorship of an agency of the United States Government. Neither the United States Government nor any agency thereof, nor any of their employees, makes any warranty, express or implied, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe privately owned rights. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not necessarily constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency thereof. The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof.

Likewise, the above also applies to the Curriculum Development Centers (including Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, University of Alabama at Birmingham, and their affiliated entities).

The information contained in the Health IT Workforce Curriculum materials is intended to be accessible to all. To help make this possible, the materials are provided in a variety of file formats. Some people may not find the Flash video and .SWF files accessible and should instead utilize the PowerPoint slides together with the .mp3 audio file and/or Word transcript to access the lectures. For more information, please visit the website of the National Training and Dissemination Center at or to set up a profile and view the full accessibility statement.

Component Overview

This component will provide an in-depth discussion in Vendor-Specific Systems, focusing specifically in areas such as system and database architectures used in commercial Electronic Health Records (EHRs), vendor strategies for terminology, knowledge management, ways to assess decision support capabilities in EHRs, and finally vendor-specific training (go-live strategies).

Component Objectives

At the completion of this component, students will be able to:

Assess and compare common commercial EHR systems using KLAS ratings in training and organizational decision-making contexts.
Apply CCHIT, meaningful use, Joint Commission and National Patient Safety Goals to decisions about commercial EHR vendor selection, when given typical workplace scenarios.
Evaluate key factors (costs of an EHR, including capital, licensing, maintenance and staffing, and stakeholder needs) into workplace decisions for selecting vendor-specific systems
Analyze the functionality of a vendor EHR system, given a set of user needs
Compare database architectures employed by different vendor applications to evaluate how these impact performance and extensibility
Evaluate EHR systems based on vendor strategies for terminology management, knowledge management and data exchange
Compare decision support capabilities and customizability, given different vendor EHRs
Evaluate training and go-live strategies of different EHR vendors in terms of impact on cost, workflow, and patient safety.

Component Authors

Assigned Institution

Columbia University, New York, NY

Team Lead

David Vawdrey, PhD

Assistant Professor of Clinical Biomedical Informatics in the Department of Biomedical Informatics at Columbia University Medical Center.

Dr. Vawdrey has extensive experience designing, implementing and evaluating health information technology applications, including custom applications within Eclipsys Sunrise Acute Care (the electronic health record used by New York-Presbyterian Hospital) for patient handoff, electronic documentation support, and data integration; a parent-centered Web application for managing children's immunization records and a central repository of immunization data at the hospital level; systems for electronic medication management; and an ongoing evaluation of New York-Presbyterian Hospital’s transition to electronic documentation of provider notes.

Primary Contributing Authors

Bob Sideli, MD

Chief Information Officer and an Associate Clinical Professor in the Department of Biomedical Informatics, Columbia University and Columbia-Presbyterian Medical Center

Sarah Collins, RN, PhD

Content Specialist, Department of Biomedical Informatics, Columbia University

Lecture Narration

Joel Richards

Sound Engineer

Acacia Graddy-Gamel

Columbia University, New York, NY

Team Members

Syncia Sabain, EdD

Project Manager, Columbia University

Elizabeth Oliver, BCC

Content Specialist, Bronx Community College

Madhabi Chatterji, PhD

Curriculum Developer, Teachers College, Columbia University

John Allegrante, PhD

Curriculum Developer, Teachers College, Columbia University

John Zimmerman, DDS

Instructional Designer, Columbia University

Cindy Smalletz, MA

Instructional Designer, Columbia University

Lynda Carlson, PhD

Content Specialist, Borough of Manhattan Community College

Michael Buck, PhD

Content Specialist, NYC Department of Health and Mental Hygiene (NYCDHMH)

Component 14/Unit 1

Unit Title

Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care Settings

Unit Description

This unit will provide an introduction to common commercial electronic health record systems used in ambulatory and in patient care, and provide ratings to facilitate organizational decision making.

Unit Objectives

By the end of this unit, the student will be able to:

Describe the most common commercial electronic health record (EHR) systems used in ambulatory and inpatient care settings
List Health Information and Management Systems Society (HIMSS) resources available on EHR systems
Describe functions and applications of HIMSS resources available on EHR systems
Describe functions and applications of KLAS ratings available on EHR systems
Apply KLAS rating system to evaluate software selections for ambulatory and acute care EHRs.
Provide a summary of inpatient and ambulatory vendors

Unit Topics /Lecture Titles

1. Common commercial electronic health record (EHR) systems used in ambulatory and inpatient care settings.

2.Health Information and Management Systems Society (HIMSS)

3. KLAS ratings

4. Summary of inpatient and ambulatory vendors

Unit References

(All links accessible as of1/1/2014)

Websites

Retrieved June 20, 2010, from
Retrieved June 20, 2010 from
Retrieved June 20, 2010 from
Retrieved June 20, 2010 from
Retrieved June 20, 2010 from
Retrieved June 20, 2010 from

Suggested Readings

None

StudentApplication Activities

comp14_unit1_self-assess.doc

comp14_unit1_self-assess_key.doc

comp14_unit1_discuss.doc

comp14_unit1_discuss_key.doc

Component 14/Unit 2

Unit Title

Certification of Commercial EHRs

Unit Description

This unit will focus on quality of certification of commercial EHRs, and how to apply Certification Commission for Health Information Technology (CCIHT), Joint Commission and National Patient Safety goals to decisions about commercial EHR vendor selections.

Unit Objectives

By the end of this unit the student will be able to:

Describe the Certification Commission for Health Information Technology (CCHIT) and its role in the certification of commercial EHRs
Describe or give examples illustrating how CCHIT criteria are used for certification of HER systems
Identify the benefits of ‘meaningful use’ of EHRs and identify examples of ‘meaningful use’ of EHRs in given scenarios
Identify the three stages of implementation requirements for ‘meaningful use’ of EHRs
Identify the role of governing bodies certifying commercial EHRs, including FDA oversight, the Joint Commission, and National Patient Safety Goals

Unit Topics / Lecture Titles

1. Certification of commercial Electronic Health Records (EHR)

2. CCHIT

3. Meaningful use

4. Safety/FDA oversight/Joint Commission/National Patient Safety Goals

Unit References

(All links accessible as of 1/1/2014)

Websites

Retrieved June 15, 2010 from
Retrieved June 15, 2010 from
Retrieved June 15, 2010 from
Office of the National Coordinator for Health Information Technology, Department of
Health and Human Services. (2010). Establishment of the temporary certification program for health information technology: Department of Health and Human Services. Retrieved June 15, 2010 from
Egerman P, Probst M. (2010). Adoption-Certification Letter HIT Safety: HIT Policy
Committee to the National Coordinator for Health IT. Retrieved June 15, 2010 from healthit.hhs.gov/...0.../2011-07-06_policy_transcript_final.pdf