comp 14 - special topics in vendor- specific systems unit 5 - system and database architectures used...
TRANSCRIPT
Comp 14 - Special Topics in Vendor- Specific Systems
Unit 5 - System and Database Architectures Used in
Commercial EHRs
This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
Objective
• Compare database architectures employed by various vendor applications, for fulfilling different user purposes
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 20112
After this completing this unit, you should be able to:
• Demonstrate concept knowledge of system and database architectures used in commercial EHRs
• Describe the health information systems landscape, including how EHRs exchange information with ancillary systems such as Pharmacy, Laboratory, etc.
• Identify the differences between thick and thin-client EHR deployments
• Compare different operating systems and databases used by EHRs
• Explain how database architecture can impact performance and extensibility
• Articulate how system and database architectures impact security, auditing and performance monitoring
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 20113
What is an Electronic Health Record (EHR)?
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 20114
Sample EHR Architecture
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 20115
EHR Hardware Platform
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 20116
EHR Hardware Platform (cont.)
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 20117
Example EHR Hardware Configuration Using Citrix
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 20118
EHR Software Platform
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 20119
Databases
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201110
Relational Databases
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201111
Hypothetical Relational Database Model
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201112
Hierarchical Databases
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201113
Hypothetical Hierarchical Database Model
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201114
Vendor Comparison of System Architectures
• Inpatient EHR– Epic, Eclipsys, Quadramed
• Ambulatory EHR– NextGen, eClinicalWorks
• http://onlinebuyersguide.himss.org/
• http://www.klasresearch.com/Search/Browse.aspx?t=2
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201115
HIMSS Online Buyer’s Guide
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201116
KLAS Research, LLC
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201117
Epic
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201118
Epic (cont.)
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201119
Epic (cont.)
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201120
Eclipsys
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201121
Eclipsys (cont.)
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201122
Quadramed CPR
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201123
NextGen EMR
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201124
eClinicalWorks EHR (ECW)
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201125
eClinicalWorks Small Practice Technical Requirements
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201126
Monitoring the EHR
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201127
Security
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201128
Recommended EHR Security Features
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201129
AHIMA e-HIM Work Group on Security of Personal Health Information. "Ensuring Security of High-Risk Information in EHRs" Journal of AHIMA 79, no.9 (September 2008): 67-71.
System Use
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201130
Who Reads Whose Notes?
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201131
System PerformancePrototype dashboard for real-time monitoring of EHR system use and performanceCourtesy of Roger Corman, Corman Technologies, Inc.
Comp 14/Unit 5Health IT Workforce Curriculum
Version 2.0/Spring 201132