Electronic medical records

QualityTools

Health Information Technology Toolkit for Critical Access and Small Hospitals 07/22/10

The Health Information Technology (HIT) Toolkit for Critical Access and Small Hospitals helps these health care organizations assess their readiness and plan, select, implement, make effective use of, and exchange important information about the clients they serve. The toolkit contains numerous resources, including tools for telehealth, health information exchange, and personal health records.

The toolkit supplies a variety of tools for use at different points in HIT adoption. It...

Electronic Health Record Selection Toolkit for Community Health Centers 04/28/10

This toolkit describes the differences between commercial and community health centers, and identifies the electronic health record system requirements that are unique to community health centers. It provides a practical list of functional criteria that should be considered when evaluating vendors that sell electronic health record systems to community health centers.

The toolkit includes the following worksheets:

  • Worksheet A: Functional criteria
  • Worksheet...
Pediatric Documentation Templates 04/28/10

These templates for acute and chronic conditions can assist providers when documenting a visit in an electronic health record by increasing the efficiency with which a visit is documented and enhancing adherence to clinical guidelines for those conditions. The templates are based on national guidelines and may be modified to suit a particular clinical practice’s needs.

Template examples available for download:

  • Attention deficit hyperactivity disorder diagnosis and...
Pediatric Rules and Reminders 04/27/10

These tools for physicians and clinicians provide information needed to improve adherence to clinical guidelines in electronic health record systems. This type of clinical decision support can improve health care quality and safety.

The rules and reminders are based on guidelines at both the national and State level, as well as local expert consensus.

Reminders available for download are:

  • Attention deficit hyperactivity disorder, overdue for followup
  • ...
Electronic Health Record Adoption Process 04/01/10

This Web site provides support for physician offices and other health care settings in the adoption and use of health information technology and electronic health record (EHR) systems. It offers tools, links to resources, and suggestions for increasing the likelihood of a successful and complete EHR implementation.

The process of EHR adoption is explained in the following sections:

  • EHR planning/assessment of clinic readiness
  • EHR workflow software
  • Vendor...
Newborn Screening Coding and Terminology Guide 10/07/09

This guide for State health officials and physicians promotes and facilitates the use of electronic health data standards in recording and transmitting newborn screening test results. The Web site provides physicians with standard codes and terminology for newborn tests and the conditions infants are screened for to reduce variations in how screenings are conducted and results are recorded.

Use of these standards can:

  • Speed the delivery of newborn screening reports...
Time and Motion Database 02/19/09

This database for health care providers accurately captures time and motion data to evaluate whether and to what extent health information technology applications—including computerized provider order entry, electronic prescribing, and electronic health records—help physicians and clinicians perform routine tasks faster.

The site also includes a user’s guide for the tool.

Microsoft ® Access 2000 or 2003 is required to run the database.

Healthcare Cost & Utilization Project (HCUP) 12/17/07

The Healthcare Cost and Utilization Project (HCUP) is a family of health care databases and related software tools and products developed through a Federal-State-industry partnership. The HCUP databases, which are available for purchase, bring together the data collection efforts of State data organizations, hospital associations, private data organizations, and the Federal government to create a national information resource of patient-level health care data. HCUP databases contain a core...

Health Information Technology Costs & Benefits Database 12/17/07

This database contains literature articles about the costs and/or benefits of health information technology (HIT) and is searchable in a variety of ways. The Web site also contains information about how the database was developed and about barriers to the implementation of HIT.

This Web page includes the following sections:

  • Search database according to the following criteria:
    • HIT elements
    • Institute of Medicine categories
    • Types of health...

Pages

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.