Home' The Source : Fourth Quarter 2010 Contents a very long time, but you just have to trust us that this is a better way
of doing business.' You have to set aside a lot of time for just figuring
out, 'Are we going to play in the same sandbox together?' "
As the move to EHR promises to a ect every area of health care,
purchasing is not exempt. In fact, those who have been there say
that an e ective transition will drastically alter the art of supply
First, those who are making purchasing decisions must be aware
of EHR standards and ensure that vendors meet requirements. To
comply with new regulations, every vendor will be required to
meet certification criteria set by the Certification Commission for
Health Information Technology (CCHIT), the certification arm of
the Department of Health and Human Services.
"Some of the certification criteria are still in a state of flux, but
any vendor with products related to EHR needs to understand who
CCHIT is and how to get certified for meaningful use," Lewis says.
"And purchasing personnel need to make sure they aren't using a
vendor that is not EHR-certified."
In addition to understanding and paying attention to the certifi-
cation process for vendors, supply chain sta must also make sure
that any vendor they work with signs agreements that show their
products are interoperable, meaning they will integrate with and
communicate with the systems used in the hospital, Lewis says.
As the EHR transition process moves forward, Laker says the
savings from standardization in both costs and time will become in-
creasingly apparent and should a ect all purchasing decisions across
the hospital. For instance, St. Francis is working to standardize the
formulary available in its pharmacies, and eventually will stock the
same medicines in hospital pharmacies across the organization.
"The more we eliminate variation, the more we help improve
processes and outcomes," Laker says. "As we do that, we'll narrow
and reduce the number of items stocked in pharmacies, and we
need to eventually do the same thing with equipment across the
hospitals." For instance, some hospitals may have Siemens equip-
ment while others in the same system are stocked with equipment
from another brand-name company, with each requiring a separate
interface. Purchasing and maintaining the same equipment across
the board becomes less expensive and more e cient.
"We should be able to buy a quantity from one vendor at a discount
rather than one or two machines at a time," Laker says. "Supply
chain people need to think about how we start pooling all of our
equipment needs and purchase together." S
All three ancillary systems (Lab, Radiology, Pharmacy) not installed
All three ancillary systems (Lab, Radiology, Pharmacy) installed
Clinical Data Repository (CDR) software, Controlled Medical
Vocabulary, Clinical Decision Support System (CDSS), may have
Document Imaging, Health Information Exchange (HIE) capable
Nursing/clinical documentation (flow sheets), CDSS-error
checking, Picture Archiving and Communication System (PACS)
available outside Radiology
Computerized Physician Order Entry (CPOE), CDSS-clinical
Closed loop medication administration
Physician documentation (structured templates),
full CDSS-variance and compliance, full R-PACS
Complete EMR: Continuity of Care Document (CCD)
transactions to share data; Data warehousing; Data continuity
with Emergency Department, Ambulatory, Outpatient
© UYEN LE/ISTOCKPHOTO.COM
continued from page 33
The Pathway to an EHR HIMSS Analytics created the following electronic medical record (EMR) adoption model that
identifies the levels of EMR capabilities ranging from limited ancillary department systems through a paperless EMR environment.
HIMSS Analytics has developed a methodology and algorithms to automatically score more than 5,000 hospitals in its database on
their IT-enabled clinical transformation status to provide peer comparisons for hospital organizations as they strategize their path to a
complete EMR and participation in an electronic health record (EHR).
© Data from HIMSS Analytics Database 2010
hospitals at each
34 Fourth Quarter 2010 | The Source
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