By the end of this unit the student will be able to: 1. Define a system and relate systems concepts to Health IT (HIT) 2. Discuss specific examples of settings where HIT is used (acute, rural, public health, clinic, office, patient home, etc.) 3. Identify common components of a clinical HIT system 4. Demonstrate beginning level competency in maneuvering the demonstration EHRS

1. Component 7:
Working with HIT Systems
Image courtesy of Dr. Patti Abbott
This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National
Coordinator for Health Information Technology under Award Number IU24OC000013.

2. Introduction & Overview:
Components of HIT Systems
• Unit 1 will introduce the vocabulary,
concepts and common applications of
Health Information Technology (HIT)
systems
• This unit is composed of two parts:
Image courtesy of Dr. Patti
– Lecture material Abbott
– Student application of the lecture material in
interactive EHR exercises (hands on)
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3. Unit 1 Objectives
• At the completion of Unit 1, students
will be able to:
– Define a system and relate systems concepts to HIT
– Discuss specific examples of settings where Health IT
is used (acute, rural, public health, clinic, office,
patient home, etc.)
– Identify common components of a clinical HIT system
– Demonstrate beginning level competency in
maneuvering the demonstration EHRS
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4. Conceptualizing HIT Use
Personal
Health
Population
Healthcare
Health
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5. Concepts of General Systems
•Organization of
functionally interactive
units for the achievement
of a common goal.
•Inputs, outputs, and
feedback.
•Working to maintain a
basic level of equilibrium.
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6. HIT Systems (Inpatient)
Clinical Decision Support:
“Any system designed to
improve clinical decision making
related to diagnostic or
therapeutic processes of care.”
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7. EHR
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8. HIT Systems
Home
Public Health Systems
Socially
Networked
HIT
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9. The “BIG Picture” of HIT Systems
Research Institute State Public Health
Community
Practice Federal
Agencies
Beacon
Community
NHIN
Integrated
Delivery
System
Health Information Organization
Health Center Image Source:
Network http://healthit.hhs.gov
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9

10. Common Aspects of Clinical
HIT Systems
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11. Summing Up Part 1 of Unit 1
• We defined a system and related the concepts
to HIT
• We provided examples of HIT in a variety of
settings
–The “H” does not stand only for healthcare
–Standards are paramount for information
exchange
• We identified common components of a clinical
HIT system
– Similarities and differences between paper
and electronic records
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12. Part 2 of Unit 1: Hands on
Application of HIT Concepts
Exploring the VistA CPRS (short videos)
1. VistA Interface
2. Exploring the Coversheet
3. Exploring the Tabs
4. Exploring the Tabs – Part 2
5. Reports Tab & Scavenging
6. How to do the Scavenger Hunt
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13. You Have Completed the Slide
Deck for Unit 1
Introduction & Overview:
Components of HIT Systems :
Components of HIT Systems
Completed
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14. References
• AHRQ Glossary. Available from: AHRQ:
http://www.psnet.ahrq.gov/glossary.aspx#C
• Electronic Health Records Overview. National Institutes of Health.
National Center for Research Resources. c2006. Available from:
http://www.ncrr.nih.gov/publications/informatics/EHR.pdf
• HealthIT. The Office of the National Coordinator for Health
Information Technology. Available from: http://healthit.hhs.gov
• Nursing Homes Abuse Blog. c2011. Available from:
http://www.nursinghomesabuseblog.com
• The Office of the National Coordinator website. c2011. Available
from:
http://healthit.hhs.gov/portal/server.pt?open=18&objID=910684&par
entname=CommunityPage&parentid=21&mode=2&in_hi_userid=10
741&cached=true
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