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Information Management and Informatics Competencies

Page history last edited by PBworks 15 years, 11 months ago

Information Management/Informatics Competencies

 

    1. Information Management/Informatics Competencies
    2. Proposed:  Adopt the ANSI/HL7 Electronic Health Record-System (EHR-S) Functional Model
    3. Information Management/Informatics Competencies
      1. Direct Care
      2. DC.2 (Clinical Decision Support)
      3. DC.3 (Operations Management and Communication)
      4. Supportive
      5. Information Infrastructure

 

Proposed:  Adopt the ANSI/HL7 Electronic Health Record-System (EHR-S) Functional Model

The HL7 EHR-S functional model is primarily focused on how to interact with an electronic health record.  The competencies that the TIGER team identified correlated very closelyto this model, as indicated below when matched up to the HL7 EHR-S model.

 

The HL7 EHR-S model has the following graphic depiction:

 

 

 

The ANSI/HL7 EHR-S Functional model overview is available online

EHR_FM_Overview_R1_2007FEB.pdf 

 

Source File of Competencies - DDulong 5/21/08

TIGER_Competencies_InfoMgt.xls 

 

Information Management/Informatics Competencies

 

Direct Care

  • DC.1 (Care Management)

    • DC.1.1 (Record Management)

      • Functionality
        • Chalkboard (29)
        • Build/update/maintain (1)
        • Manipulate system
          • Recall (176, 503)
          • Process (65, 92, 98, 103, 117, 140, 182, 184, 206, 311, 701, 706, 753, 955)
          • Edit/Undo (95, 140, 142, 144, 178, 179, 220, 352, 358, 457, 467, 505, 508, 509)
          • Navigate (356, 440, 446, 461, 462, 466, 495, 496, 502, 505, 511)
    • DC.1.2 (Manage Patient History)
      • Admission History (447, 448, 591, 595, 949)
      • Admission (24, 45, 310)
        • enter admission data
        • includes quick registration function
        • can differentiate the difference between the hospital information system and a departmental system
    • DC.1.3 (Preferences, Directives, Consents and Authorizations)
      • Advanced Directives (274)
    • DC.1.4 (Summary Lists) i.e. Manage Allergy, Intolerance and Adverse Reaction List
    • DC.1.5 (Manage Assessments)
      • Data types
        • ADLs (140, 148, 149, 604)
        • I & O (43, 144, 149, 255, 256, 604)
        • EFM (31)
        • Vital signs (50, 78, 81, 147, 255, 256, 360, 450, 529, 547, 558, 593, 604, 711)
        • Medication Administration (50)
        • Physical Assessment (50, 116, 449, 582, 598, 706)
        • PCA/Epidural (52)
        • Blood Transfusion (52)
        •  IV (50, 52, 452)
        • Ad Hoc (58, 172, 496, 502)
        • Screening (58, 277, 278)
        • Medication Reconciliation (61, 269, 457)
        • Triage (61, 285)
        • ED forms (62, 65, 319, 320)
        • Pain (78, 147, 529)
        • Allergies (116, 150, 181, 182, 368, 518, 519, 520, 521, 591, 595, 600)
        • Activity (140, 148, 453)
        • Free text (149, 180)
        • Ht/Wt (360, 547, 591, 593, 600)
        • Consult (600)
        • Restraints (604)
        • Calculations (615)
    • DC.1.6 (Care Plans, Treatment Plans, Guidelines, and Protocols)
      • Care Management
        • Advanced Directives (274)
        • Education Teaching (320)
        • Admission History (447, 448, 591, 595, 949)
        • Discharge (41, 706, 710, 949)
        • Plan of care (42, 50, 52, 58, 183, 184, 280, 456, 706, 709, 710)
        • ADT (600)
      • Plan of care (42, 50, 52, 58, 183, 184, 280, 456, 706, 709, 710)
    • DC.1.7 (Orders and Referrals Management)
      • Find, filter, and view orders (317, 567, 571, 592, 596)
    • DC.1.8 (Documentation of Care, Measurements and Results)
      • Data types
        • ADLs (140, 148, 149, 604)
        • I & O (43, 144, 149, 255, 256, 604)
        • EFM (31)
        • Vital signs (50, 78, 81, 147, 255, 256, 360, 450, 529, 547, 558, 593, 604, 711)
        • Medication Administration (50)
        • Physical Assessment (50, 116, 449, 582, 598, 706)
        • PCA/Epidural (52)
        • Blood Transfusion (52)
        • IV (50, 52, 452)
        • Ad Hoc (58, 172, 496, 502)
        • Screening (58, 277, 278)
        • Medication Reconciliation (61, 269, 457)
        • Triage (61, 285)
        • Immunizations (61, 116, 278)
        • ED forms (62, 65, 319, 320)
        • Pain (78, 147, 529)
        • Allergies (116, 150, 181, 182, 368, 518, 519, 520, 521, 591, 595, 600)
        • Activity (140, 148, 453)
        • Free text (149, 180)
        • Ht/Wt (360, 547, 591, 593, 600)
        • Consult (600)
        • Restraints (604)
        • Calculations (615)
    • DC.1.9 (Generate and Record Patient-Specific Instructions)
      • Education Teaching (320)

 

DC.2 (Clinical Decision Support)

    • EFM (30, 46)

      • Demonstrate how to view patient fetal strips: live, stored, strip view: surveillance setup, FHR notifications, alerts
    • Find, filter, and view results/reports (53, 219, 289, 317, 362, 363, 367, 567, 571, 573, 592, 596)
      • Labs
      • Radiology
      • Case manager/Social services
      • Physician progress notes
      • H&P
    • Find, filter, and view clinical data (30, 46, 317, 522, 353, 355, 567, 571)
      • Demographics
      • Clinical notes
      • Allergies
      • Flowsheets
      • eMAR
      • Biomedical device data
    • Find, filter, and view orders (317, 567, 571, 592, 596)
  • DC.2.1 (Manage Health Information to Provide Decision Support)
  • DC.2.2 (Care and Treatment Plans, Guidelines and Protocols)
    • Plan of care (42, 50, 52, 58, 183, 184, 280, 456, 706, 709, 710)
  • DC.2.3 (Medication and Immunization Management)
    • DC.2.3.1 (Support for Medication and Immunization Ordering)
      • Find, filter and view medication orders (388,
    • DC.2.3.1.1 (Support for Drug Interaction Checking)
    • DC.2.3.1.2 (Support for Patient Specific Dosing and Warnings)
    • DC.2.3.1.3 (Support for Medication Recommendations)
    • DC.2.3.2 (Support for Medication and Immunization Administration)
      • Scan patient (77, 171)
      • Medication documentation (528, 534, 382, 487)
        • Allergy documentation (513, 583)
        • Task list (538)
        • Add doses (531)
        • E-MAR (104, 108, 106, 512, 583, 603)
          • Various medication types (106,151,57)
            • IVs (186, 192, 57, 387, 108)
            • Scheduled
            • Unscheduled, PRNs (105)
          • Missing doses (429)
          • Add doses (531)
          • Change schedule (532)
        • Medication dispensing cabinets (920, 921)
        • Pain response/documentation (151, 152, 153)
        • Accuchecks (94)
        • Access medication information resources (246, 244, 247, 245, 369, 922)
  • DC.2.4 (Orders, Referrals, Results and Care Management)
    • Find, filter, and view orders (317, 567, 571, 592, 596)
  • DC.2.5 (Support for Health Maintenance: Preventive Care and Wellness)
  • DC.2.6 (Support for Population Health)
  • DC.2.7 (Support for Knowledge Access)

 

DC.3 (Operations Management and Communication)

  • DC.3.1 (Clinical Workflow Tasking)
    • Process Flow (322, 753, 923, 936, 955)
  • DC.3.2 (Support Clinical Communication) i.e. Support for Inter-Provider Communication

 

 

Supportive

  • S.1 (Clinical Support)
    • S.1.1 (Registry Notification)
    • S.1.2 (Donor Management Support)
    • S.1.3 (Provider Information)
    • S.1.4 (Patient Directory) i.e. Patient Demographics
    • S.1.5 (De-Identified Data Request Management)
    • S.1.6 (Scheduling)
      • Policies and Procedures
      • Protocols (58, 60, 276, 936)
    • S.1.7 (Healthcare Resource Availability)
      • Process Flow (322, 753, 923, 936, 955)
    • S.1.8 (Information View)
      • EFM (30, 46)
        • Demonstrate how to view patient fetal strips: live, stored, strip view: surveillance setup, FHR notifications, alerts
        • Find, filter, and view results/reports (53, 219, 289, 317, 362, 363, 367, 567, 571, 573, 592, 596)
          • Labs
          • Radiology
          • Case manager/Social services
          • Physician progress notes
          • H&P
        • Find, filter, and view clinical data (30, 46, 317, 522, 353, 355, 567, 571)
          • Demographics
          • Clinical notes
          • Allergies
          • Flowsheets
          • eMAR
          • Biomedical device data
        • Find, filter, and view orders (317, 567, 571, 592, 596)
 
o        S.2 (Measurement, Analysis, Research, and Reports)
 
o        S.3 (Administrative and Financial)
    • S.3.1 (Encounter/Episode of Care Management)
    • S.3.2 (Information Access for Supplemental Use)
    • S.3.3 (Administrative Transaction Processing)
    • S.3.4 (Manage Practitioner/Patient Relationships)
    • S.3.5 (Subject to Subject Relationship) i.e. Related by Genealogy
    • S.3.6 (Acuity and Severity)
      • Acuity (931)
    • S.3.7 (Supportive Function Maintenance) i.e. Patient Education Material Updates
      • Education Teaching (320)
         
 

Information Infrastructure

o    IN.1 (Security)
  • IN.1.1 (Entity Authentication)
    • Security (128, 155, 607, 626, 1017)
      • Knowledge of security requirements
      • Maintain security standards
      • Follows policies and procedures related to security standards
    • Access
      • Understands “necessary access”
  • IN.1.2 (Entity Authorization)
    • Data Integrity (678, 752, 756)
      • Assures integrity
      • Understands data integrity implications
    • Security (128, 155, 607, 626, 1017)
      • Knowledge of security requirements
      • Maintain security standards
      • Follows policies and procedures related to security standards
    • Access (752, 885)
      • Understands “necessary access”
  • IN.1.3 (Entity Access Control)
    • Access (752, 885)
      • Understands “necessary access”
 
 
  • IN.1.4 (Patient Access Management)
    • Rights (732, 909, 1017)
      • Describes patient rights
  •  IN.1.5 (Non-Repudiation)
  •  IN.1.6 (Secure Data Exchange)
    • Confidentiality (155, 626, 679, 796, 809, 1017)
      • Ensure protection and thereby guard confidentiality of protected health information in electronic health records
      • Follows policies and procedures to protect confidentiality
  • IN.1.7 (Secure Data Routing)
  • IN.1.8 (Information Attestation)
    • Legal (756, 885)
      • Understands legal implications
  •  IN.1.9 (Patient Privacy and Confidentiality)
    • Privacy (155, 607. 626, 1017)
      • Maintains privacy standards
    • Confidentiality (155, 626, 679, 796, 809, 1017)
      • Ensure protection and thereby guard confidentiality of protected health information in electronic health records
      • Follows policies and procedures to protect confidentiality
      • Informed Consent (626)
      • Follows policies and procedures to supply informed consent
    • HIPPA (155, 271)
      •  Understands the use of the HIPPA statement
  • IN.2 (Health Record Information and Management)
  • IN.2.1 (Data Retention, Availability, and Destruction)
  • IN.2.2 (Auditable Records)
  • IN.2.3 (Synchronization)
  • IN.2.4 (Extraction of Health Record Information)
  • IN.2.5 (Store and Manage Health Record Information)
  • IN.3 (Registry and Directory Services)
  • IN.4 (Standard Terminologies and Terminology Services)
  • IN.5 (Standards-based Interoperability)
  • IN.6 (Business Rules Management)
  • IN.7 (Workflow Management)

 

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