Pediatric EHR: Accomplishments and Reports
Reviewed 492 requirements in three phases
- For the majority of practices, EPSDT support is the priority training and system development topic area
- 83% of requirements deemed medically relevant
- 51% of requirements met by EHR systems, and of those features 91% are in regular use
- EHR Coaches averaged 8.5 visits per practice, with 6.2 of those visits directly relating to the Model Format, including review of gaps and providing training. The rest of the visits were for recruitment and orientation.
Developed 16 measures across 5 topic areas
- Alignment with NQF measures where possible
- Involvement with national workgroup (PMCoE at Northwestern U.) to develop and test three developmental screening and referral measures
- View the full eMeasures here
Worked with practices and EHR vendors to make some key changes to EHR systems
Drivers of that change were gaps identified by practice and vendor surveys of EHR capability. Two examples of such product improvements are Office Practicum’s (OP) incorporation of Oral Health functionality and improvements in referral tracking features. OP created the dental form as a survey for providers to complete, so the entire process is now captured as discrete data and part of the patient record. OP also created referral by specialty capability so that clinicians can now organize referrals by categories that can be used for tracking and coordination, particularly community-based, non-specialist referral types.
Anecdotally measured the effect of Model Format and eMeasures as drivers of EHR development
It is hoped that the emeasures will serve as vendor guidance for EHR development. See OP vendor highlight for examples.
Designed and executed patient satisfaction surveys to measure patient perception as EHR systems evolve
Supported work of Research Triangle Institute (RTI) in further refining Model Format for national uses
By acting as consultants to RTI on requirements and practice and vendor priorities. Note: Research Triangle Institute (RTI) was awarded an 18-month AHRQ contract in 2014 to develop EHR certification recommendations based on our work here in NC and in PA.
Supported state-wide Health Information Exchange efforts in both infrastructure and data standardizations
By aligning the data to be captured in the CCNC Informatics Center with the eMeasures that were developed for CHIPRA Category-D.