EHR safety reporting system launched
A new <a href="/directory/electronic-health-record-ehr" target="_blank" class="directory-item-link"><a href="/directory/electronic-health-record-ehr" target="_blank" class="directory-item-link">electronic health record (EHR) safety reporting system that will allow healthcare providers to report issues related to the implementation and use of EHRs was launched Monday by not-for-profit iHealth Alliance.
EHRevent.org uses a standardized online format that will collect reports from physicians and other healthcare providers who use EHRs and create reports that medical societies, professional liability carriers and government agencies, such as the U.S. tration-fda" target="_blank" class="directory-item-link">Food and Drug Administration (FDA), will use to help educate providers on the potential challenges that EHR systems may bring.
"Electronic health records are being adopted at record rates and present an opportunity to advance patient care," said Nancy Dickey, MD, iHealth Alliance chair and former president of the American Medical Association. "As with any new system, there is a learning curve for the software providers and for the doctors who use these systems. EHRevent will help us all get smarter about EHRs and assure that patient care advances are also patient-safe advances."
The system will be available directly via the Internet and also integrated into the websites of participating liability carriers, medical societies, PDR Network and other partners, including EHR system vendors.
Health alliance is composed of medical society and professional liability carrier executives in collaboration with federal agencies and PDR Network. The PDR Network offers an integrated suite of safety, risk communication and regulatory compliance services that deliver real-time, easily-accessed drug information from manufacturers to prescribers using multiple communication platforms.
"EHRs can impact both the care that is delivered and the record of that care," said David Troxel, MD, medical director for the Doctors Company, which is the country's largest professional liability carrier. "EHRs can play a major role in advancing the practice of good medicine, but there are often unanticipated consequences when new technologies are deployed and it is important to collect and disseminate EHR user experience as these powerful systems are adopted."
EHRevent was modeled after other national reporting systems, including the system used in the aviation industry, and its reports include issues related to software problems, inadequate user training, security breaches and near-misses. Reports will be confidential but officials say they will be used to better understand challenges associated with the adoption and implementation of EHRs and to improve patient safety.
"Our experience indicates that EHRs have the capacity either to induce or to reduce medical errors in very unique ways, and we have seen data that indicates that EHR adoption may reduce physician liability," added Alan Lembitz, MD, vice president of Patient Safety and Risk Management for COPIC Insurance Company. "It will be increasingly important to understand best practices to improve patient safety for EHRs and for their users, and EHRevent will help both."
EHRevent is also working directly with EHR vendors as well as Regional Extension Centers (RECs), which are federally designated groups that assist physicians with EHR selection and adoption. Participating EHR vendors and RECs will help educate physicians regarding the importance of EHR event reporting and will receive reports as EHRevent partners.
"Patient safety is at the core of our mission to assist in the adoption of EHRs," said Kathy Mechler, co-director and chief operating officer for the Texas A&M Health Science Center Rural and Community Health Institute, which includes the CentrEast REC. "We look forward to working with the many EHRevent partners to help educate providers and drive safe EHR adoption."
"EHRs have tremendous potential to improve the quality and efficiency of healthcare, but like any tool they must be designed and implemented in a way that uses best practices that strive to eliminate medical errors," added Michael Stearns, MD, president and CEO of e-MDs, Inc., an EHR vendor, and board president of the Texas e-Health Alliance. "We are anxious to collaborate with the EHRevent effort and we encourage all EHR vendors to participate because we believe that EHRevent can be an important communication platform to improve patient safety related not only to EHRs but to medical devices and drugs."
Data collected by EHRevent will also be used by the FDA to help evaluate any safety issues that may arise during the widespread implementation of this technology.<br />
"We applaud the efforts of the iHealth Alliance to help assure the safety of EHRs," said Jeffrey Shuren, MD, director of the FDA's Center for Devices and Radiological Health. "We look forward to working with the iHealth Alliance to encourage physicians and EHR vendors to report information on their experiences with electronic health records to EHRevent and other appropriate reporting systems."
EHRevent and a similar service for reporting adverse drug events via EHRs will be governed by the iHealth Alliance, with network operations provided by PDR Network. "EHRevent, and RxEvent for adverse drug events, will collect information using online forms that include the Common Format developed by the Agency for Healthcare Research and Quality (AHRQ) and will keep the information confidential through PDR Secure, a Patient Safety Organization, allowing only participating organizations to access the reports," explained Edward Fotsch, MD, PDR Network CEO.
"We know that clinicians and health care organizations want to participate in efforts to improve patient care," said William Munier, MD, director for the Center for Quality Improvement and Patient Safety, AHRQ. "Patient Safety Organizations (PSOs) facilitate a shared-learning approach that supports effective interventions to reduce risk of harm to patients and improve quality. We are collaborating in efforts to facilitate reporting to PSOs those adverse events that are related to EHRs and other health information technology, in order to facilitate the development of safer health information technology solutions."