White papers on CCHIT Certified EHRs As adoption of CCHIT Certified EHRs continues to grow, more details about the benefits of CCHIT Certified products come to
light. We
work to highlight these benefits in our white papers and case studies. The following white papers are currently available:
Failure, de-installation of EHRs abound: study Nearly 19% of respondents to the survey this year indicated they either have in the past experienced the de-installation of
an EMR
system (12%) or are now going through a de-installation (7%).
Registries for Evaluating Patient Outcomes: A User's Guide The purpose of this document is to serve as a guide to the design, implementation, analysis, interpretation, and evaluation
of the
quality of a registry for understanding patient outcomes. A patient registry is an organized system that uses observational
study methods to
collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease,
condition, or
exposure, and that serves a predetermined scientific, clinical, or policy purpose(s).
Manage document sharing and preserve document integrity
Collect and communicate security audit trail
Maintain consistent time, by synchronizing system clocks among the systems on a network
Secured communication channel
Entity identity assertion, to validate the identity of people or applications
Access control
Nonrepudiation of information origin
Manage and communicate consent directives from a patient
Impact of Electronic Alerts on Isolation Precautions for Patients With Multidrug-Resistant Bacteria In a 750-bed, acute care university hospital with a patient information system covering the entire hospital, a database that
included all patients with MRB was created and was merged daily with the admission-discharge-transfer application. An electronic
alert was
generated for all new cases of MRB and for all transfers between wards and all readmissions of patients with MRB. Two successive
interventions were implemented based on this alert system. First, alerts were dispatched to medical and staff members in charge
of infection
control in each ward with requests to order isolation precautions for the patients. Second, alerts were dispatched to the
infection control
team, who directly ordered implementation of isolation precautions in electronic nursing records. Awareness of the MRB status
for the nurses
in charge of the patients statistically significantly increased from 24.0% at baseline to 59.4% at 1 year after the first
intervention. This
proportion improved to 93.1% at 1 year after the second intervention. Similarly, the implementation of isolation precautions
statistically
significantly increased from 15.0% at baseline to 50.5% at 1 year after the first intervention and then to 90.2% at 1 year
after the second
intervention.