aap child health informatics center presentation to the pcpcc center for ehealth
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AAP Child Health Informatics Center presentation to the PCPCC Center for eHealth Information, Adoption, & Exchange Jonathan D. Klein, MD, MPH Associate Executive DIrector December 2009. - PowerPoint PPT PresentationTRANSCRIPT
AAP Child Health Informatics Center
presentation to the PCPCC Center for eHealth
Information, Adoption, & Exchange
Jonathan D. Klein, MD, MPHAssociate Executive DIrector
December 2009
The American Academy of Pediatrics (AAP) is an organization of 60,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists.
Our mission is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults.
HIT at the AAP
1980 2010
1985Formation of AAP Section on
Computers and Other Technologies
1991Formation of Task Force on Medical Informatics
2002Merger of SCOT
and TFOMI
2006Merged group renamed Council on
Clinical Information Technology
2009Establishment of
Child Health Informatics Center
Child Health Informatics Center Authorized by AAP Board in October 2009 Advisory Committee, Investigators - in
formation Steve Downs, MD, MD, FAAP
Indianapolis, IN Bill Adams, MD, MPH, FAAP
Boston Medical Center Chris Lehmann, MD,FAAP
Johns Hopkins University Will serve as “home” for health information
technology initiatives within the AAP
AAP CHIC Health Informatics Activities
Council on Clinical Information Technology
Policy, Advocacy, Education, Research
Partnership for Policy Implementation
Collaborative Activities
Research
Integration with AAP Quality Activities
AAP Council on Clinical Information Technology (COCIT)
600 members with special interest or training in applying IT to pediatric practice
11-member Executive Committee
AAP Policy development
Web and educational resources
COCIT Goal - Support pediatric HIT and HIE in actual practice, addressing AAP priorities
Electronic health passport test cases for foster care
Interaction between EHRs and immunization registries
Adolescent confidentiality / privacy
Education of pediatricians Pediatric Office of the Future Pediatric Documentation Challenge Council Program with Scientific Abstracts Technology Learning Center EHR Review Website and EHR Selection Toolkit
Policy and Advocacy
PCPCC Center for eHealth Information, Exchange, & Adoption Meaningful Use; Clinical Decision Support Task Groups
American Recovery & Reinvestment Act of 2009 Health Information Technology Extension Program HIT Policy and Standards Committees
CHIP Reauthorization Act (CHIPRA) Model electronic health record format for children CMS Demonstration grants Agency for Healthcare Research & Quality task order
Education
National conference and workshop sessions
EMR Review Web site (http://www.aapcocit.org/emr)
EMR Toolkit (http://practice.aap.org, under Practice Toolbox)
Research Periodic Survey: Pediatricians Use of EHRs
Basic – 19% (ALL 7 items) Fully functional – 6%(Basic + 11additional functions = ALL 18 items)
Patient demographics Highlights out-of-range lab results
Patient problem lists Clinical notes include medical history, follow-up notes
Orders for prescriptions Orders for laboratory tests
Ability to view lab results Lab orders sent electronically
Ability to view imaging results Warnings of drug interactions, contraindications
Patient medication lists Prescriptions sent to pharmacies
Clinical notes Orders for radiology tests
Radiology orders sent electronically
Electronic images returned
Guideline reminders (preventive)
Guideline reminders (chronic)
AAP Partnership for Policy Implementation (PPI)
To integrate HIT functionality into Academy policy development and implementation
11 pediatrician/informaticians Practicing pediatricians with QI expertise Translate and implement policies
Bright Futures Developmental Screening in the Medical Home
Bronchiolitis; Influenza; Autism
Collaborative Efforts Alliance for Pediatric Quality (APQ)
American Academy of Pediatrics (AAP)
Child Health Corporation of America (CHCA)
National Association of Children’s Hospitals and Related Institutions (NACHRI)
American Board of Pediatrics (ABP)
APQ Collaborative Efforts HL7 Child Health Work Group
Child Health Profile as ANSI Standard Quality Reporting Document Architecture
(currently is a draft standard for trial use) Working on Neonatal Care Report
CCHIT Participation in Child Health and other work groups Child Health add-on certification requirements based on
HL7 Child Health profile and AAP report on Special Requirements for Pediatric EHRs
HL7/CCHIT gap analysis underway between existing and needed requirements.
For more information about the AAP Center for Child Health Informatics, please contact:
Jennifer Mansour Manager, Health Information [email protected] Technology Initiatives 847.434.4229
Beki Marshall Manager, HIT [email protected] Education and Implementation
847.434.4089
Jonathan D. Klein, MD, MPH Associate Executive Director [email protected]