Despite the use of electronic health records throughout clinical medicine, there are several niches in which current EHRs do not perform well. This may be due to costs of specializing EHRs for small market shares. Many subspecialties are ignored, such as pediatric ICUs. Fortunately, a national standard already exists.
The pediatric NICU has special requirements not addressed in standard EHR.
The Children’s Electronic Health Record (EHR) Format was developed to bridge the gap between the functionality present in most EHRs currently available and the functionality that would more optimally support the care of children. Specifically, the Format provides information to EHR system developers and others about critical functionality, data elements, and other requirements that need to be present in an EHR system to address healthcare needs specific to the care of children, especially those enrolled in Medicaid or the Children’s Health Insurance Program (CHIP). To address these needs, the Format includes a minimum set of data elements and applicable data standards that can be used as a starting point or checklist for EHR developers seeking to create a product that can capture the types of healthcare components most relevant for children. The child-specific data elements and functionality recommendations are sorted into various topic areas, including—
Prenatal and newborn screening tests
Immunizations
Growth data Information for children with special health care needs
Well child/preventive care
The Format allows for interoperable exchange of data, including data collected in school-based, primary, and inpatient care settings; is compatible with other EHR standards; and facilitates quality measurement and improvement through collection of clinical quality data. The Format was authorized by the 2009 Children’s Health Insurance Program Reauthorization Act (CHIPRA) and developed by the Agency for Healthcare Research and Quality (AHRQ) in close collaboration with the Centers for Medicare & Medicaid Services (CMS). For more information on other AHRQ-supported work related to the CHIP Reauthorization Act, click here.
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