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AHRQ & CMS Announce New EHR Format for Pediatrics

Posted by Matthew Smith on Feb 7, 2013 10:17:00 AM

EHR, Pediatrics, Health ITThe Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare & Medicaid Services (CMS) have officially announced an EHR format for children's healthcare.

The format includes recommendations for child-specific data elements such as vaccines and functionality that will enable EHR developers to broaden their products to include modules tailored to children's health.

"Healthcare for children is a calling that carries special challenges," said AHRQ Director Carolyn Clancy, M.D. "This new children's EHR format will help software developers meet the needs of health care providers for children by combining best practices in clinical care, information technology and the contributions of health care providers who treat children every day."

The children's EHR format was authorized by the 2009 Children's Health Insurance Program Reauthorization Act (CHIPRA) and developed by AHRQ and CMS. The format is intended to improve care for children, including those enrolled in Medicaid and the Children's Health Insurance Program (CHIP), by guiding EHR developers to understand the types of information that should be included in EHRs for children. The format is designed for EHR developers and providers who wish to augment existing systems with additional features or to build new EHR systems for the care of children.

The format includes a minimum set of data elements and applicable data standards that can be used as a blueprint for EHR developers seeking to create a product that can capture the types of health care components most relevant for children. Child-specific data elements and functionality recommendations are sorted into topic areas that include prenatal and newborn screening tests, immunizations, growth data, information for children with special healthcare needs and child abuse reporting. The EHR format provides guidance on structures that permit interoperable exchange of data, including data collected in school-based, primary and inpatient care settings. The format is compatible with other EHR standards and facilitates quality measurement and improvement through the collection of clinical quality data.

AHRQ and CMS led development of the children's EHR format by multiple experts including the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians. The format is built on specifications from sources that include the HL7 EHR-S Functional Model, the HL7 Child Health Work Group's Child Health Functional Profile and the HHS Health Resources and Services Administration's Health IT for Children Toolbox. 

Next steps include testing by two CHIPRA quality demonstration grantees, the Commonwealth of Pennsylvania and the State of North Carolina. As part of the longer term vision, CMS will work toward integration of the format into future editions of the Office of the National Coordinator for Health Information Technology's EHR Standards and Certification Criteria. This would be required for achieving "meaningful use" of certified EHR technology in future stages of the Medicare and Medicaid EHR incentive programs.

For more information about the children's EHR format, please visit

Topics: EHR, EMR, Electronic Health Records, Electronic Medical Records, Health IT, EHR Design, HealthIT

ONC Announces Winning EHR (Re)Designs

Posted by Matthew Smith on Jan 17, 2013 4:47:00 PM
EHR Design Contest

The Office of the National Coordinator for Health IT has selected the winning designs of printed health records to help patients better understand and use their electronic health records (EHRs).

The designs and formats were a response to an ONC challenge contest to make EHRs valuable to patients and their families. Patients who are engaged in their healthcare treatments have better outcomes, according to Farzad Mostashari, MD, the national health IT coordinator.

“The design challenge winners all proposed patient-friendly designs that will help to translate technical health information into easy-to-understand information that will help patients work closely with their doctors to manage their care,” he said in a Jan. 15 announcement.

Winners of the Health Design Challenge, which had more than 230 entries submitted, include:

  • Best Overall Design – “Nightingale” - Amy Guterman, Stephen Menton, Defne Civelekoglu, Kunal Bhat, Amy Seng, and Justin Rheinfrank from gravitytank in Chicago, Ill.
  • Best Medication Section – “M.ed” - Josh Hemsley from Orange County, Calif., presented a modern and intuitive design to help patients better understand how to properly adhere to their medication

  • Best Medical/Problem History – “Grouping by Time” – Mathew Sanders from Brooklyn, N.Y., aimed to provide more context by listing items in chronological order instead of grouping by functional type so cause and effect can be seen

  • Best Lab Summaries – “Health Summary” – Mike Parker, Dan McGorry, and Kel Smith from HealthEd in Clark, N.J., brought life to lab summaries through an aggregate health score and rich graphs of lab values

The Best Overall Design winner will receive $16,000, while the winners in the remaining categories will each receive $5,000.

"This challenge was unique because it engaged professionals and students inside and outside of the healthcare industry to participate and propose real solutions," said Ryan Panchadsaram, presidential innovation fellow for ONC.

Let's see how this competition jump-starts real-world design change for EHRs.

View the full showcase at:

Topics: EHR, EMR, HIT, Health IT, EHR Design

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