Difference between revisions of "Indian Health Service Electronic Health Record"

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[[Background]]:
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== Background: ==
  
 
The Indian Health Service Electronic Health Record (IHS-EHR), also known as the Resource and Patient Management System Electronic Health Record (RPMS-EHR) is the GUI extension of the Resource and Patient Management System (RPMS).  RPMS was developed in the 1970's, and is a direct derivative of the Veterans Health Administration's VistA system.  Subsequent to the VHA's development of a GUI system for VistA, the Computerized Patient Record System (CPRS) in the 1990's, IHS leadership asked the Information Technology Support Center to begin development of an RPMS GUI interface.  Crow Indian Hospital in Montana was the site of a pilot project that took elements of the CPRS GUI to create an IHS specific GUI interface for VistA.  This work was done by an independent IHS contractor, Clinical Informatics Associates.  The goal was to bring most of the features of the "roll and scroll" RPMS system used into a windows interface, including patient look-up; problem lists; results notification; clinical reminders; order entry of pharmaceuticals, labs, and radiology studies; encounter documentation; consult documentation and tracking; and data entry to support billing and coding activities.   
 
The Indian Health Service Electronic Health Record (IHS-EHR), also known as the Resource and Patient Management System Electronic Health Record (RPMS-EHR) is the GUI extension of the Resource and Patient Management System (RPMS).  RPMS was developed in the 1970's, and is a direct derivative of the Veterans Health Administration's VistA system.  Subsequent to the VHA's development of a GUI system for VistA, the Computerized Patient Record System (CPRS) in the 1990's, IHS leadership asked the Information Technology Support Center to begin development of an RPMS GUI interface.  Crow Indian Hospital in Montana was the site of a pilot project that took elements of the CPRS GUI to create an IHS specific GUI interface for VistA.  This work was done by an independent IHS contractor, Clinical Informatics Associates.  The goal was to bring most of the features of the "roll and scroll" RPMS system used into a windows interface, including patient look-up; problem lists; results notification; clinical reminders; order entry of pharmaceuticals, labs, and radiology studies; encounter documentation; consult documentation and tracking; and data entry to support billing and coding activities.   
  
[[Implementation]]:
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== Implementation: ==
  
 
The IHS-EHR was alpha tested at 7 IHS sites and was certified as an official RPMS application on January 21, 2005.  Between 2003 and 2005, 26 IHS sites implemented the IHS-EHR.  According to a survey published in JAMIA, 66% of clinicians saw the implementation experience as a positive one.   
 
The IHS-EHR was alpha tested at 7 IHS sites and was certified as an official RPMS application on January 21, 2005.  Between 2003 and 2005, 26 IHS sites implemented the IHS-EHR.  According to a survey published in JAMIA, 66% of clinicians saw the implementation experience as a positive one.   
  
[[Current Status]]:
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== Current Status: ==
  
As of October 28, 2009, the IHS-EHR has been implemented at 31 federal hospitals, 74 federal health centers, 9 tribal hospitals, 96 tribal health centers, and 5 urban health centers.  7 hospitals and 3 tribal centers have implmeneted the EHR on their inpatient wards.  The ambulatory component of the EHR has acheived CCHIT certification, and the inpatient component is currently being reviewed for certification.
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As of October 28, 2009, the IHS-EHR has been implemented at 31 federal hospitals, 74 federal health centers, 9 tribal hospitals, 96 tribal health centers, and 5 urban health centers.  7 hospitals and 3 tribal centers have implmeneted the EHR on their inpatient wards.  The ambulatory component of the EHR has achieved [[CCHIT]] certification, and the inpatient component is currently being reviewed for certification.
  
[[References]]:
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== References: ==
  
 
1. Hays H.  The IHS Electronic Health Record Project.  The IHS Primary Care Provider.  2003;28:233-236.
 
1. Hays H.  The IHS Electronic Health Record Project.  The IHS Primary Care Provider.  2003;28:233-236.

Revision as of 19:44, 28 April 2015

Background:

The Indian Health Service Electronic Health Record (IHS-EHR), also known as the Resource and Patient Management System Electronic Health Record (RPMS-EHR) is the GUI extension of the Resource and Patient Management System (RPMS). RPMS was developed in the 1970's, and is a direct derivative of the Veterans Health Administration's VistA system. Subsequent to the VHA's development of a GUI system for VistA, the Computerized Patient Record System (CPRS) in the 1990's, IHS leadership asked the Information Technology Support Center to begin development of an RPMS GUI interface. Crow Indian Hospital in Montana was the site of a pilot project that took elements of the CPRS GUI to create an IHS specific GUI interface for VistA. This work was done by an independent IHS contractor, Clinical Informatics Associates. The goal was to bring most of the features of the "roll and scroll" RPMS system used into a windows interface, including patient look-up; problem lists; results notification; clinical reminders; order entry of pharmaceuticals, labs, and radiology studies; encounter documentation; consult documentation and tracking; and data entry to support billing and coding activities.

Implementation:

The IHS-EHR was alpha tested at 7 IHS sites and was certified as an official RPMS application on January 21, 2005. Between 2003 and 2005, 26 IHS sites implemented the IHS-EHR. According to a survey published in JAMIA, 66% of clinicians saw the implementation experience as a positive one.

Current Status:

As of October 28, 2009, the IHS-EHR has been implemented at 31 federal hospitals, 74 federal health centers, 9 tribal hospitals, 96 tribal health centers, and 5 urban health centers. 7 hospitals and 3 tribal centers have implmeneted the EHR on their inpatient wards. The ambulatory component of the EHR has achieved CCHIT certification, and the inpatient component is currently being reviewed for certification.

References:

1. Hays H. The IHS Electronic Health Record Project. The IHS Primary Care Provider. 2003;28:233-236.

2. Sequist TD, Cullen T, Hays H, Taulii MM, Simon SR, Bates DW. Implementation and Use of an Electronic Health Record within the Indian Health Service. JAMIA. 2007;14:191-197.

Submitted by Anthony Dunnigan