EHR and Patient Care Systems Audit
To meet tight deadlines, many healthcare providers are moving quickly to implement EHRs and patient care information systems (HCIS) to support improved care, avoid penalties and reap expected financial incentives from recent legislation. Yet in the midst of such significant changes, it is important to be certain that your current EHR and HCIS approach can evolve well to meet the new and significant challenges of “quality driven” patient care and increasing regulatory demands – without substantial rework or re-implementation.
Jacobus Consulting provides an EHR & Patient Care Systems Audit to analyze HCIS design, build, and strategies, to determine if they are well positioned to support upcoming Meaningful Use stages, expanded Quality core measures, and advanced initiatives like Accountable Care. The analysis is performed by skilled Clinical Informaticists to ensure a provider is strategically positioned for a quality and efficiency transformation that will deliver the best care at the lowest cost.
Jacobus EHR and Patient Care Systems Audit
Jacobus Clinical Informatics experts analyze EHR and patient care systems with best practice and a “big picture” outcome in mind - going beyond Meaningful Use to recognize the role that systems will play in quality driven healthcare. Jacobus Informaticists are experts in evidence based practice and the capabilities of today’s leading HCIS systems to ensure they meet clinician and patient needs for longitudinal continuity across the continuum of care.
Audit dimensions include:
- Analysis of functionality needed for Meaningful Use – Stages I through the outcomes intended in Stages II & II, including:
- Standardized language and documentation standards
- Appropriate use of taxonomies, coding and data sets
- Legal record and other regulatory compliance, including best documentation practices and information continuity
- Policy and Procedures for system, information, and clinical decision making
- Elements for support of multidisciplinary clinician practice, including:
- Patient centric clinical workflow and processes
- Information availability to support care decisions
- Outcomes based decision making
- Ability to support quality data sets and expending reporting requirements
- Flow of information to multi-disciplinary caregivers to “reflect the patient’s story,” as well as to other stakeholders such as physicians, outside reviewers, and ultimately to other members as found in ACO models
- “Usability” and “Supportability” of the system
- Ability to support performance improvement based on department specific information
- Ability to support patient handoff and transfer with appropriate information
- Ability to meet the specific ARRA/Meaningful Use criteria for each stage
The Audit can be customized to the unique needs of a provider’s organization from the matrix of options below, in order to reflect each provider’s unique needs and level of current or planned implementation.
