Goals and Priorities for Health Care Organizations to ...

May 2016

Goals and Priorities for Health

Care Organizations to Improve

Safety Using Health IT

Revised Report

Prepared for

U.S. Department of Health and Human Services

Office of the National Coordinator

for Health Information Technology

Office of Policy and Planning

330 C Street SW, Rm 1200

Washington, DC 20201

Prepared by

Mark L. Graber

Robert Bailey

Doug Johnston

RTI International

3040 E. Cornwallis Road

Research Triangle Park, NC 27709

Contract Number HHSP23320095651WC; Order Number HHS P23337047T ONC

Health IT Safety Center Road Map

RTI Project Number 0212050.042.000.004 Task 9

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Contents

Section

Page

1.

Background

1

2.

General and National Goals and Priorities for Health IT Safety

1

3.

Goals and Priorities for Health Care Organizations and Practices

3

3.1

4.

5.

6.

Health IT Safety Recommendations from Current Research ..............................5

Part A. Specific Recommendations for Adoption and Implementation

8

4.1

Leadership ............................................................................................... 12

4.2

Culture and Engagement ........................................................................... 12

4.3

Planning and Readiness ............................................................................. 13

4.4

Installation .............................................................................................. 14

4.5

Training and Proficiency Support ................................................................. 14

4.6

Upgrades and Conversions ......................................................................... 15

Part B. Specific Recommendations for Use in Practice

15

5.1

Clinical Documentation .............................................................................. 18

5.2

Data ....................................................................................................... 18

5.3

Workflow ................................................................................................. 19

5.4

Communication ........................................................................................ 19

5.5

Medication Management ............................................................................ 20

Summary and Conclusions

References

20

21

iii

Figures

Number

1-1.

Page

IOM Sociotechnical Model of Health IT ................................................................4

iv

Tables

Number

Page

4-1.

Goals, Priorities, and Recommendations on the Safe Use of Health IT during

Adoption and Implementation ......................................................................... 10

5-1.

Goals, Priorities, and Recommendations on the Safe Use of Health IT in

Practice ........................................................................................................ 17

v

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