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Pediatric Health Information Technology in the American
Academy of PediatricsChristoph Lehmann, MD, FAAP
HL7 Child Health Meeting, OrlandoMay 16, 2011
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Council on Clinical Information Technology (COCIT)
Comprised of 500 members with special interest and training in applying HIT to pediatrics
11-member executive committee
Instrumental in the development of the Academy’s Child Health Informatics Center (CHIC) and remains in close collaboration
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Child Health Informatics Center (CHIC)
Authorized by AAP Board in October 2009
Serves as the AAP “home” for HIT initiatives
Directed by Christoph U. Lehmann, MD, FAAP (founding Medical Director)
Governed by an 7-person Project Advisory Committee (Chaired by Stephen Downs, MD MS FAAP)
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HIT Mission and Goals Provide strategic direction/leadership for the promotion of
affordable, child-friendly HIT and HIE solutions
Increase awareness of HIT as it relates to improved quality and efficiency of pediatric care
Advocate for pediatricians’ HIT needs
Provide resources and education about EHR adoption/implementation
Support the translation and spread of knowledge for integration into electronic format
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HIT & Pediatrics
Approximately 25% of pediatricians report using an EHR system, compared to 43% of adult providers
Systems often designed for adult care
Systems are expensive
Systems lack the functionality necessary to support pediatric care
Pediatric health system is not optimizing long-term health and financial returns on investments HIT
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Pediatrics is SpecialChildren have different needs
Immunization management Weight-based dosing
Guardianship considerationsVariability in care location and setting Specific functionality is more important in pediatrics
Age Identification Guardianship Privacy
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Meaningful Use and Meaningful Use
ARRA Legislation & Meaningful Use
Approximately 59% of pediatricians will not quality for Meaningful Use Incentives
Regardless of incentives, the Meaningful Use of HIT has implications for long term improvements in efficiency, quality, safety and cost savings to pediatric practice
AAP has tools to help pediatricians with TRUE meaningful use
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Meaningful Use Tools
Child Health Informatics Center Website and Resource Library
Electronic Health Record Evaluation Site
Immunization Information Systems Toolkit
Child Health Informatics Advocacy Toolkit
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Child Health Informatics Center Website & Resource Library
www.aap.org/CHIC
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Electronic Health Record Evaluation Site
Offers the ability to research various EMR products with pediatrician reviews
Currently the site hosts 150 reviews on 31 different products
Buddy List feature = links pediatricians with peers to assist with EHR implementation
www.aapcocit.org/emr/
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Immunization Information Systems (IIS) Toolkit
IIS are known as Immunization Registries
Legal statutes/regulation and funding usually at the state level.
Standards are available for exchanging data between IIS and EHRs; not all IIS use the standards
IIS Toolkit is for AAP chapters and other local advocates with a resource for discussions with IIS administrators and public health agencies
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Child Health Informatics Advocacy Brief
Conveys the state and federal advocacy message around child health informatics
Includes background information and a menu of talking points to pull the most appropriate ideas depending on audience
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Model EHR Format for Children AHRQ Grant Development of a Model EHR Format
$4.7M – 2 year project (Limited eligible bidders) AAP Subcontract from Westat
• Technical Expert Panel • Environmental scan - content experts• In-depth Interviews• Development and review of model EHR format
requirements• Dissemination of Model EHR Format
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Electronic Translation of Academy Clinical Content (eTACC)
Develop a mechanism and process to translate key Academy clinical content into formats suitable for use within electronic systems Review of content and extraction of actionable guidelines (e.g.
assessment, screening, referrals, counseling, etc)
Ranking of critical clinical and psychosocial areas traditionally addressed in an office visit for format development
Translation and development of toolkit
Prioritizing of actionable items
Testing and integration feasibility
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EHR Vendor Consortium – June 2011 Investigate ways to partner with the vendor
community Distribute AAP knowledge and expertise in an
electronic format that can be linked to, or embedded within, electronic health records
• Bright Futures (Guidelines, Toolkit)
• Clinical Practice Guidelines/Policy statements
• Safe & Healthy Beginnings
• Toolkits (Autism, ADHD, etc)
• Patient Education Online
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AAP REC Meeting
AAP Regional Extension Center Meeting 2 day meeting to:
• Provide pediatric specific education to RECs
• Connect AAP members with REC resources
• Explore local collaboration between pediatric experts and RECs
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ONC Knowledge Self Assessment
American Board of Pediatrics Grant Encourage and facilitate continuous professional
development Round 1 – Value of HIT in care Round 2 – Safety and HIT AMIA provided literature review Multi-specialty writing group CHIC Director chairs Item Writing Committee
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ARRA | Meaningful Use CHIC Website: Meaningful Use Overview -
www.aap.org/informatics/AAPOverview.html
Standards HIT Standards Committee -
http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__health_it_standards_committee/1271
Health Level Seven International (HL7) - http://www.hl7.org/
Health Information Exchanges (HIE) and Regional Extension Centers (REC) CHIC Website: State Pages - www.aap.org/informatics/StateResource.html Regional Extension Centers -
http://healthit.hhs.gov/portal/server.pt/community/hit_extension_program/1495/home/17174
Continued Education COCIT Educational Programs -
www.aap.org/informatics/COCITEducationalPrograms.html
Toolkit Topics and Links