Meaningful Use of Electronic Health Record Sharing System (eHRSS) - - PowerPoint PPT Presentation

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Feb 10, 2023 188 likes •380 views

Asia Pacific Electronic Health Records Conference 2019 16-19 October, 2019 Convention Centre 3, Hong Kong Science Park, Shatin, New Territories, Hong Kong Meaningful Use of Electronic Health Record Sharing System (eHRSS) Allergy Record to

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Lau Connie Shuk Man1, Wong ACK1, Ma MKM2, Chan MKF2, Tong ELH1, Chan HKC2, Wong WN1

1Health Informatics Department, Information Technology and Health Informatics Division, Head Office, Hospital Authority, HKSAR 2Information Technology Department, Information Technology and Health Informatics Division, Head Office, Hospital Authority, HKSAR

Asia Pacific Electronic Health Records Conference 2019

16-19 October, 2019 Convention Centre 3, Hong Kong Science Park, Shatin, New Territories, Hong Kong

Meaningful Use of Electronic Health Record Sharing System (eHRSS) Allergy Record to Enhance Medication Safety in Private Healthcare Sectors in Hong Kong

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Drug Allergy

Allergic reactions to drugs can result in serious and life-threatening consequences.

12%

Medication error due to lack of understanding of drug allergies1

8-13%

Medication errors preventable if allergy documented at the time of prescribing 2

Drug allergy information is important.

1. Lesar TS, Briceland L, Stein DS. Factors related to errors in medication prescribing. JAMA 1997;277:312–17. 2. Kuperman GJ, Marston E, Paterno M, et al. Creating an enterprise-wide allergy repository at Partners HealthCare System. AMIA Annu Symp Proc 2003:376–80.

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Medication Decision Support

Indication Contraindications Dosage Treatment duration Allergy profile Side effects

56%

due to known allergies after implementing computerised provider order entry with clinical decision support (CDS) of allergy alerts3

Dosing Frequency

3. Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998;280:1311–

16.

Reduction in medication errors

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Components of a Drug Allergy Checking System

Drug allergy checking system (knowledge-based of semantic links between ingredients)

Patient’s allergy profile

1

Medication orders (e.g. CPOE applications)

2 3

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Gap of a effective Drug Allergy Checking System

Patient’s allergy profile Medication orders (e.g. CPOE applications)

1 2

Drug allergy checking system (knowledge-based of semantic links between ingredients)

3

How to acquire a complete allergy profile for an effective drug allergy checking system?

eHRSS is filling the Gap.

Complete Accurate Updated Allergy Profile

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Viewer

Local eMR CMS Adaptation CMS Adaptation HA CMS CMS On-ramp

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eHR Viewer

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Viewer

Local eMR CMS Adaptation CMS Adaptation HA CMS CMS On-ramp How can I share allergy records if I don’t have a local eMR in my clinic??

No local electronic medical record (eMR) System

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Search by keyword Input details and [Save]

1 2

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Record reflected in eHR Viewer immediately

Built-in-smart search Efficient documentation Able to update and delete

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Oct 2018 Mar 2016

38

HCPs

created records

100+

records created

284

Cumulative access May 2019 Today

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Gap of a effective Drug Allergy Checking System

Patient’s allergy profile Medication orders (e.g. CPOE applications)

1 2

Drug allergy checking system (knowledge-based of semantic links between ingredients)

3

How to make use of complete eHRSS allergy profile in a drug allergy checking system?

eHRSS is filling the Gap.

Records in local eMR Records in eHRSS

Complete, accurate and update allergy profile

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= +

Local medical record system (eMR)

Structured Alert Adaptation Module (SAAM) with allergy download function

Allergy & ADR

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87% 13%

Allergy record distribution

No Allergy record Have Allergy record

197,389

Allergy records in eHRSS

72%

Allergy records are structured and encoded

Conclusion

Data Quality of eHRSS allergy records

Allergy & ADR Record in eHR Viewer

Statistics as of June 2018

Rea ead an and rec ecognized by y system dir directly ly

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Automated Drug allergy checking system Structured Alert Adaptation Module (SAAM) Medication Order Entry Module (MOE)

Point to note

Non-structured record (28%) are not covered. Measures have to be considered for a clear checking scope to users.

SLIDE 17

Structural documentation

f Allergy record

Directly input allergy records in eHR Viewer

Data sharing in eHRSS

eHR Sharing System

Access to the shared record

Allergy Download

Meaningful use of data

Apply in Medication Decision Support

Conclusion

Conclusion: Meaningful Use of Allergy Record

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