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Howard Hays, MD, MSPH RPMS Program Manager, IHS World VistA Community June 16, 2007
Indian Health Service ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indian Health Service ,[object Object],[object Object],[object Object]
Data Needs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Data Issues in IHS ,[object Object],[object Object],[object Object],[object Object]
RPMS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What is RPMS?
VistA and RPMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IHS is not VHA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RPMS Integrates Multiple Clinical Systems
The EHR Challenge for IHS ,[object Object],[object Object],[object Object],[object Object],[object Object]
RPMS – Elements of an EHR for over 20 Years ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RPMS Electronic Health Record ,[object Object],[object Object],[object Object],[object Object]
The EHR Componentized Framework
The EHR Componentized Framework
The EHR Componentized Framework
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
RPMS EHR Commonalities with CPRS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IHS-Specific EHR Components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other RPMS Capabilities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immunization Data Exchange ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reference Lab Interface ,[object Object],[object Object],[object Object],[object Object],[object Object]
Well Child Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prenatal Care (in development) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RPMS Behavioral Health System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RPMS Behavioral Health System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BH GUI Screenshot
IBH Screenshot
SRF Screenshot
RPMS Case Management Applications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
iCare Population Management GUI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
iCare provides the ability to create multiple, predefined and easy-to-define patient panels.  Panels are customizable and unique to the individual user.
A Panel’s Patient List
Modifying Panels Modifications made to individual panels affect that panel only Users choose which columns they’d like displayed and in  what order.  Each panel can  have a different design
“ Tags” iCare utilizes logic  written for other clinical applications to “tag”  individuals with pre- defined diagnoses and  conditions
“ Flags” ,[object Object],[object Object],[object Object],[object Object],[object Object]
Individual “GPRA” View User’s select which GPRA measures they’d like to view and then check to see if the measure is met for any individual patient on the panel.
Aggregated “GPRA” Statistics iCare uses  “ official”  GPRA  report logic on  user-defined  populations that  are not currently  available in the  Clinical Reporting  System (CRS)
Patient Record iCare pulls all available patient data and displays it in one view
iCare will generate nationally-defined general prevention and  disease/condition specific healthcare reminders that are integrated to  display most stringent criteria applicable to the patient’s chronic  condition(s)
CRS  (Clinical Reporting System) ,[object Object],[object Object],[object Object],[object Object]
CRS  ,[object Object],[object Object],[object Object]
CRS 2007 Clinical Measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sample Performance Summary
Quality Measurement in IHS ,[object Object],[object Object],[object Object],[object Object]
Advantages of RPMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disadvantages of RPMS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Discussion

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