EHRs and accreditation: A dynamic duo for public health

Background and Issues: Public health departments should not say “if” they plan to adopt electronic health records (EHRs) and apply for accreditation, but “when” they will proceed. Since 2004, two US presidents issued executive orders that all health care providers will adopt EHRs; 2014 is currently identified as the adoption deadline. The Public Health Accreditation Board was incorporated in 2007, and expects to accredit the first health departments in 2012. Description: Implementation of meaningful EHRs and meeting accreditation standards are two processes that share three fundamental similarities. First is a focus on evidenced-based practice. Accreditation focuses on public health nurses and all staff providing high quality care based on research/best practices. If health departments adopt EHRs based on a standardized terminology such as the Omaha System, they can effectively track quality of care. Second is a focus on quantified documentation. EHRs and accreditation standards are intended to help health departments generate measurable data about services, staff, and programs that can be compared across states and nationally. Third is a focus on commitment. Extensive work is required to successfully adopt EHRs and to apply for and maintain accreditation. Health department teamwork is needed during the initial, implementation, and maintenance phases for both. Lessons Learned: This session will describe the accreditation and EHR experiences of two health departments, emphasizing steps to increase success. Recommendations: Public health nurses, managers, and directors must become well informed about the benefits, power, and best approaches to EHR adoption and accreditation.