Standards: The underlying infrastructure to the success of EHRs

American Recovery & Reinvestment Act

Health Information Technology for Economic and Clinical Health

(HITECH) Act

Dr. Nick van Terheyden

Dr. Nick van Terheyden brings a distinctive blend of medical practitioner and business strategist, both national and international, to the realm of healthcare technology. A graduate of the Royal Free Hospital School of Medicine, University of London, Dr. van Terheyden is a pioneering creator in the evolution of healthcare technology. After several years as a medical practitioner in London and Australia, he joined an international who's who in healthcare, academia and business, in the development of the first electronic medical record in the early 1990's and later, as a business leader in one of the first speech recognition Internet companies.

In addition to writing and lecturing on futuristic trends in healthcare technology, his advice and counsel is sought by hospitals, physicians and other allied healthcare professionals -- all of whom are trying to figure out how to integrate and use technology to make the healthcare system work from the perspectives of quality and financial success.

History of ARRA/HITECH Legislation

Electronic Health Record Universe

Critical to the success of EHRs is to reconcile two opposing needs◦ Enterprise need for

structured and coded information capture

◦ Physician’s practical need for a fast and easy method for creating clinical notes.

Slide courtesy of M*Modal

The Players

The Players

What are standards?

Standards

Meaningful Clinical Documents

Meaningful Clinical Documents are a blend between free form text and fully structured documentation that◦ represent the thought process, and ◦ capture the clinical facts

EHR Repository

HIM Applications

Clinical Applications

SNOMED CTDisease, DF-00000

Metabolic Disease, D6-00000

Disorder of glucose metabolism, D6-50100

Diabetes Mellitus, DB-61000

Type 1, DB-61010

Insulin dependant type IA, DB-61020

Neonatal, DB75110

Carpenter Syndrome, DB-02324

Disorder of carbohydrate metabolism, D6-50000

Meaningful Clinical Documents

Organizations promoting health care standards

Health Story Project

Project MembersPromoter

Participant All Type | Dictation Services Group | Healthline, Inc.MD-IT | Broward Sheridan Technical Center

Contributor Aprima Software | Digitech SystemsScribe Healthcare Technologies

Projects

Successes

Summary

Technorati http://technorati.com/people/technorati/nvt1RSSSpeech Understanding http://speechunderstanding.blogspot.com/feeds/posts/defaultMyBlogLog http://www.mybloglog.com/buzz/members/nvtLinkedIn http://www.linkedin.com/in/nickvtPlaxo http://nvt.myplaxo.comFaceBook http://profile.to/drnickDigg http://digg.com/users/nvt1Delicious http://delicious.com/nvt1

Contact Information

Dr. Nick van TerheydenChief Medical Officer, M*ModalE-Mail: nvt@mmodal.comPhone: (301)355-0877Twitter: twitter.com/drnic1

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the success of EHRs

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