The Affect ARRA will Have On Hospitals Adopting
The Affect the American Recovery and Reinvestment Act of 2009 Will Have On Hospitals Adopting Electronic Medical Records – UIC Webinar Series
Johnny Roldan, UIC health informatics graduate student, presents on the topic of ARRA. His presentation received accolades from UIC faculty, and entertained great response during the UIC sponsored webinar, held during the summer of 2010.
ARRA – The American Recovery and Reinventment Act (ARRA) of 2009
- Signed into law February 17, 2009
- Created an incentive program through Medicare for hospitals to adopt technology for electronic medical records (EMR)
- Empowered the Office of the National Coordinator to establish a list of meaningful-use guidelines for hospitals to achieve over the next five years (HIMSS, 2009)
Analyze The Affect ARRA Will Have on Hospitals Adopting EMR
Analyzing
- Some of the meaningful-use objectives of certified EMR technology
- 2011
- 2013
- 2015
- Current adoption trends of two key components of an EMR system
- Clinical Decision Support System (CDSS) – application that offers clinicians treatment suggestions
- Computerize Practitioner Order Entry (CPOE) – application that manages medical orders
- Meaningful-use objectives in relation to the HIMSS Analytics EMR Adoption Model
Meaningful-use Objectives for Hospitals
2011
- Enter in 10 percent of all orders through CPOE
- Implement drug-drug, drug-allergy, and drug-formulary checks for drug interactions
- Maintain an up-to-date problem list of current diagnosis based on the International Classification of Diseases, Ninth Revision (ICD-9)
- Capability to exchange clinical information electronically among other health care providers
- (PPM, 2009)
Meaningful-use Objectives for Hospitals
2013
- Enter in all order types through CPOE
- Record clinical documentations in the EMR
- Utilize clinical decision support at the point-of-care
- Conduct closed-loop medication management, including
- electronic Medication Administration Records (eMAR)
- Retrieve and fill prescriptions electronically
- (PPM, 2009)
Meaningful-use Objectives for Hospitals – 2015
2015
- Implement CDSS
- Achieve medical-device interoperability
- Implement clinical dashboards that improve the quality of care
- (PPM, 2009)
HIMSS Analytics EMR Adoption Model
Scores hospitals using an 8 step scale that charts the path to a fully paperless environment
- 50.9% at Stage 3
- 7.4% at Stage 4
- 3.8% at Stage 5
- 0.7% at Stage 7
The affect ARRA will have on hospitals adopting EMR
- 51 percent of hospitals are currently not using CPOE and will need to be by 2011
- 58.3 percent of hospitals will need to be at a Stage 5 to meet meaningful-use objective of 2013
- 2015 all hospitals will need to be at a Stage 7
- As of January 2010 there are 39 hospitals at Stage 7
- Hospitals have a lot of work to do if they are to meet all meaningful-use objectives of a certified EMR
Work Cited
CDC. (2009) International Classification of Diseases, Ninth Revision. Centers for Disease Control and Prevention. National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/icd/icd9.htm
Davis M. (2009) The State of U.S. Hospitals Relative to Achieving Meaningful Use Measurements. HIMSS Analytics White Paper.
EMRAM (2010). EMR Adoption Model. HIMSS Analytics. Retrieved from http://www.himssanalytics.org/stagesGraph.html
HIMSS (2009). The American Recovery and Reinvestment Act of 2009: Summary if Key Health Information Technology Provisions. The Health Information and Management System Society (HIMSS) White Paper.
HIMSS Analytics (2010). CPOE, CDSS, CDR Market Share Reports. Standard Reports. HIMSS Analytics Database. Retrieved from http://www.himssanalytics.org/
PPM (2009). July 2009 Debate Over “Meaningful Use”. Precision Practice Management (PPM) and Health and Human Services. Retrieved from http://www.precisionpractice.com/PPM-Pages-July2009.htm
