About Health IT/HIE
How HIT is used in LTPAC
Health IT can play a vital role in helping LTPAC providers improve the quality of care, collaborate with other providers, and become more efficient. In addition to electronic health records, other technologies exist to serve providers, including telehealth, remote monitoring and assistive devices.
LTPAC Information Technology
LTPAC information technology consists of more than electronic charts. An LTPAC system can also manage:
- Sales & marketing (customer relationship management)
- Census management (patient demographics, admissions, discharges, transfers, leaves)
- Financial management
- Billing & Accounts Receivable
- General Ledger
- Accounts Payable
- Electronic Health Record (EHR)
- Workflow and alerts
- Analytical analysis capabilities
The above capabilities may exist in a single integrated system or via multiple best-of-breed applications.
Electronic Health Records (EHRs)
An EHR is the heart of any LTPAC information system. A few functional areas to expect in an EHR include:
- Assessments, including the OASIS and MDS
- Physician orders, administrations and results
- Care plans
- Vital signs
- Clinical notes
- Clinical alerts and decision support
- Telehealth, remote monitoring, assistive devices
- Document management
- Point of care documentation, including visit notes, ADLs, etc.
Most importantly, a true EHR has the ability to share information with other providers, utilizing industry standards. Interoperable EHRs will be necessary to participate in new models, including Accountable Care Organizations (ACOs) and payment bundling.
Sources for HIT functionality
Several organizations have developed detailed LTPAC HIT capabilities lists.
- CCHIT Certified ® 2011 criteria for LTPAC. The Certification Commission for Health Information Technology (CCHIT) has developed functional criteria for home health, skilled nursing facilities, hospice, inpatient rehab facilities and long-term acute care providers. http://www.cchit.org/certify/2011/cchit-certified-2011-long-term-post-acute-care-ltpac-ehr
More information on LTPAC certification can also be found at: http://www.ltpachealthit.org/content/ehr-certification-ltpac
- HL7 Long-Term Care System Nursing Home Functional Profile. A consortium of stakeholders created a functional list specific for nursing facilities. Health Level 7 (HL7) is an international standards development organization for the healthcare industry. http://aspe.hhs.gov/daltcp/reports/2008/LNEHRSFP1.htm
- HHS ASPE Nursing Home Survey. The Health & Human Services Assistant to the Secretary for Planning & Evaluation (HHS ASPE) developed a survey to gauge EHR adoption in nursing facilities. http://aspe.hhs.gov/daltcp/reports/2010/ehrques.htm