Comparing the Certification Criteria for CCHIT-Certified Ambulatory EHR with the SNUBH's EHR Functionalities

Autor: Eun Young Heo, Hee Hwang, Eun Hye Kim, Eun Young Cho, Kee Hyuck Lee, Tae Hun Kim, Ki Dong Kim, Rong Min Baek, Sooyoung Yoo
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Healthcare Informatics Research, Vol 18, Iss 1, Pp 57-64 (2012)
Druh dokumentu: article
ISSN: 2093-3681
2093-369X
DOI: 10.4258/hir.2012.18.1.57
Popis: ObjectivesThis study aims to investigate the suitability of electronic health record (EHR) systems in Korea for global certification and to propose functions for future global systems by comparing and analyzing the certification criteria for Certification Commission for Health Information Technology (CCHIT) Certified Ambulatory EHR with BESTCare, which is the EHR system at Seoul National University Bundang hospital.MethodsDomain expert groups were formed to analyze the inclusion of BESTCare functions and the types of differences for each of the CCHIT Certified 2011 Ambulatory EHR Certification Criteria. The types of differences were divided into differences in functions (F), differences in business processes (B), and differences in government policies (P).ResultsGenerally, the criteria that showed differences in functions pertained to the connection between the diagnosis/problem list and order, the alert and warning functions for medication-diagnosis interactions, and the reminder/instruction/notification messages related to the patient's immunization status; these absent functions were enhanced clinical decision support system (CDSS) functions related to patient safety and healthcare quality. Differences in government policies were found in the pharmacy's electronic prescription functions, while differences in business processes were found in the functions constrained by the local workflow or internal policy, which require some customization.ConclusionsFunctions that differed between the CCHIT certification criteria and the BESTCare system in this study should be considered when developing a global EHR system. Such a system will need to be easily customizable to adapt to various government policies and local business processes. These functions should be considered when developing a global EHR system certified by CCHIT in the future.
Databáze: Directory of Open Access Journals