EMR Planning To Improve North Iowa Health Care

描述（由申请人提供）：本申请是一个为期一年的医疗信息技术规划项目，由汉考克县纪念医院牵头，与贝尔蒙德医疗中心、埃尔斯沃斯市立医院、富兰克林综合医院、霍华德县地区卫生服务中心、科苏斯地区卫生中心、新汉普顿Mercy医疗中心、米切尔县地区卫生中心和帕洛阿尔托县卫生系统合作。通过这个项目，爱荷华州北部的这9个小型农村医疗中心将在一名医疗信息顾问和一名农村医疗信息技术顾问的协助下，遵循一个六步计划流程，设计一项三年计划，为其医院和21个附属医生保健组织诊所实施综合电子健康记录系统。他们还将与密切附属的二级转诊中心——北爱荷华慈善医疗中心和9个县公共/社区卫生机构合作，开发兼容的医疗信息技术基础设施、标准化协议和程序，以有效和安全地交换患者信息。该项目有两个主要目标。1)完成一个成功的全系统、以患者为中心的规划过程，该过程由医生、护士和其他临床医生领导，与管理人员、信息系统工作人员和专家顾问合作。2)制定一个全面的、可实现的三年电子病历实施计划，该计划将：a)在合作伙伴不同的医疗保健环境（急症护理、门诊、诊所、家庭健康、临终关怀和长期护理）内部和之间有效、保密和安全地交换患者信息；B)增加循证护理实践；c)在患者安全和护理质量方面带来显著的、可衡量的和可持续的改善，并提高组织和财务效率。

DESCRIPTION (provided by the applicant): This application is for a one-year healthcare information technology planning project led by Hancock County Memorial Hospital in partnership with Belmond Medical Center, Ellsworth Municipal Hospital, Franklin General Hospital, Regional Health Services of Howard County, Kossuth Regional Health Center, Mercy Medical Center-New Hampton, Mitchell County Regional Health Center, and Palo Alto County Health System. Through this project, these nine small, rural, north Iowa medical centers will follow a six-step planning process with the assistance of a medical informatics consultant and a rural healthcare information technology (HIT) consultant to design a three-year plan to implement an integrated electronic health record (EHR) system for their hospitals and 21 affiliated physician health organization clinics. They will also collaborate with Mercy Medical Center-North Iowa, a closely affiliated secondary referral center, and nine county public/community health agencies to develop compatible HIT infrastructures, standardized protocols, and procedures for effectively and securely exchanging patient information. The project has two major goals. 1) To complete a successful system-wide, patient-centered planning process led by physicians, nurses, and other clinicians across these organizations in collaboration with administrators, information system staff, and expert consultants. 2) To produce a comprehensive, achievable three-year EHR implementation plan that will: a) effectively, confidentially, and securely exchange patient information within and across the partners' diverse healthcare settings--acute care, outpatient, clinic, home health, hospice, and long-term care; b) increase evidence-based care practices; and c) lead to significant, measurable, and sustainable improvements in patient safety and quality of care, as well as increased organizational and financial efficiencies.