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Slide Presentation of the 2007 Annual Meeting of AHRQ

Exhibit A-1. Types of HIT Applications and Functionalities (Based on Stakeholder Descriptions and TEP Input)

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HIT Application	Functionality	PAC/LTC Setting
Census Management	Census Management is the foundation for patient demographics and can be a stand-alone module. It provides real-time information on resident transfers, discharges, admissions, pre admissions, payor changes and staff scheduling.	Nursing Home/Home Health
Support Documentation	Touch screen kiosk or portable device that allows staff to enter all supportive documentation at the point of care. Supportive documentation may have workflow management functionalities. Workflow management allows tracking of patient information as he/she moves through an organization.	Nursing Home/Home Health
Point of Care (POC)	Hand-held or portable tool for staff to enter all documentation and clinical notes at the POC. It can be linked to census management. POC can be implemented with workflow management functionality.	Nursing Home/Home Health
Assessment and Care Planning	Tool used to generate care plan/treatment plan based on patient data input. It can be linked to supportive documentation, POC, and decision-support.	Nursing Home/Home Health
Electronic Prescribing	Hand-held or personal computer devices to review drug and formulary coverage and to transmit prescriptions to a printer or to a local pharmacy. E-prescribing can be implemented with or without decision-support and can be linked to assessment and care planning.	Nursing Home/Home Health
Computerized Physician Order Entry (CPOE) with or without e-prescribing	A computer application that allows a physician's orders for diagnostic and treatment services to be entered electronically by a prescriber or nurse agent. CPOE can be implemented with or without an electronic medication administration record (e-MAR).	Nursing Home/Home Health
Electronic Health Record	Real-time patient health information that often includes ability to document care, view and manage results and may include order entry capability, and workflow management along with varying levels of decision-support.	Nursing Home/Home Health
Telehealth/Telemedicine	Computerized devices that connect patients and providers via phone lines and enable the delivery of care remotely (for example, some devices allow the patient to take vital statistics that are transmitted to physician computers). These applications can have HL7 interfaces clinical information systems with decision-support.	Nursing Home/Home Health

Source: U.S. Department of Health and Human Service (HHS) Assistant Secretary for Planning and Evaluation (ASPE) Office of Disability, Aging and Long-Term Care Policy "Evaluation Design of the Business Case of Health Information Technology in Long-Term Care." http://aspe.hhs.gov/daltcp/reports/2006/BCfinal.pdf

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