Sunday, March 27, 2022

Detailed overview of Health information technology

What Is Health IT? 

The  term  “health  information  technology”  (health  IT)  refers  to  the  electronic systems health care professionals – and increasingly, patients – use to store, share, and analyze health information. Health IT includes: 

Electronic  health  records  (EHRs).  EHRs  allow  doctors  to  better  keep track of your health information and may enable them to see it when you have a problem even if their office is closed. EHRs also make it easier for your doctor to share information with specialists, so that specialists who need your information have it available when it’s needed. 

Personal  health  records  (PHRs).  A  PHR  is  a  lot  like  an  EHR,  except  that  you  control  what  kind  of  information  goes  into  it.  You  can use a PHR to keep track of information from your doctor visits, but the PHR can also reflect your life outside the doctor’s office and your health priorities, such as tracking what you eat, how much you exercise, and your blood pressure. Sometimes, your PHR can link with your doctor’s EHR. 

Electronic prescribing (E-prescribing). A paper prescription can get lost or misread. E-prescribing allows your doctor to communicate directly with your pharmacy. This means you can go to the pharmacy to pick up medicine without having to bring the paper prescription. 

Privacy and security. All of these electronic systems can increase the protections of your health information. For example, electronic information  can  be  encrypted  so  that  only  authorized  people  can  read it. Health IT can also make it easier to record and track who has accessed your information. 


HEALTH INFORMATION TECHNOLOGY (HIT)

A. CCBHC providers must have HIT systems in place that:
1. Include Electronic Health Records (EHRs);
2. Capture demographic information, diagnoses and medications lists;
3. Provide clinical decision support;
4. Electronically transmit prescriptions to the pharmacy;
5. Allow reporting on data and quality measures required by the CCBHC program;
6. Allow the system to conduct activities such as population health management, quality improvement, disparity reduction, outreach and research; and
7. If the HIT is newly established, can also send and receive the full common data set for all summary of care records to support capabilities including transitions of care, privacy and security and to meet the Patient List Creation criterion (45 CFR 170.314(a)(14)) established by the Office of the National Coordinator (ONC) for ONC’s Health IT Certification Program.


QUALITY ASSURANCE

A. CCBHCs must have in place a HCQC approved written Continuous Quality Improvement (CQI) Plan. CCBHCs must:

1. Comply with this plan and all other HCQC requirements to ensure on-going quality care;
2. Ensure the plan includes a description of how the public is made aware of the availability of CCBHC services;
3. Submit all required and requested data, quality and fidelity measures reports to comply with the requirements of the CCBHC program timely; and
4. Provide oversight and monitoring of all their DCOs to ensure services provided meet the requirements of the CQI plan; they are enrolled as an Ordering,


PROVIDER QUALIFICATIONS

A. CCBHC services are provided by qualified individuals in an interdisciplinary treatment team approach. The CCBHC treatment team is comprised of individuals who meet the qualifications of direct care providers under the relevant MSM chapter and who collaborate to provide and coordinate medical, psychosocial, emotional, therapeutic and recovery support services to the recipients served. All direct care providers of CCBHC services must be able to provide services under the CCBHC delivery model and meet the qualification as specified in the relevant MSM chapter.

B. CCBHCs must also ensure all DCO providers are qualified and compliant with the requirements of the CCBHC program, this chapter and all relevant MSM Chapters and the Addendum.


TARGET POPULATIONS

The CCBHC target populations are the primary populations of focus. These groups include: COD, Seriously Emotionally Disturbed (SED)/Non-SED, Severely Mentally Ill (SMI)/Non-SMI and
SUD. SED/Non-SED and SMI/Non-SMI are defined in the MSM Addendum. COD and SUD are defined above.


 RECIPIENT ELIGIBILITY

A. Admission Criteria: To be eligible for CCBHC services, a recipient must meet criteria for one of the six target groups.

B. Continuing Stay Criteria: The recipient continues to meet admission criteria and needs restoration for the best possible functioning or is at risk of relapse and a higher level of care.

C. Discharge Criteria: The recipient no longer meets admission and continuing stay criteria; no longer wishes to receive services; or their care has been transferred, the discharge summary has been provided and the coordination of care has been completed with the new provider.

Health IT covers following areas; 

1.EMR/EHR/PHR all are one and same with little difference 2.Telemedicine 3.Digital health knowledge resource e.g. Digital Medical Library 4.Hospital Information management system 5.e-learning technologies and application in health Science 6.Biomedical informatics for biomedical research applications 7.Artificial Intelligence in clinical medicine and health management 8.Public health informatics 9.Medical Internet 10.Virtual Reality and Simulation for health

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