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This is an important relationship to establish, as this person will also know if the practice needs additional external support.Module 2 in this handbook discusses some of the challenges that safety net practices face in implementing and optimizing health IT.If you work with a practice that is still paper based, the longitudinal record is an important concept for the practice to keep in mind when choosing an ambulatory care EHR.In addition, not all ambulatory practices are the same.The need for skills in health information technology (IT) has never been greater.With the increasing implementation of electronic health records (EHRs) and the use of disease registries to monitor and track patient populations, practice facilitators will need to have a working knowledge of EHRs and registries and how to use them most effectively.It is important to understand that in an outpatient setting, as opposed to inpatient, a medical record covers the lifetime of a patient, not one episode of care (an inpatient stay).

Regardless of which EHR a practice uses, the practice facilitator should immediately determine how hardware and software are supported and by whom.For example, EHRs only help practices manage population health if they have the features and capabilities that let them analyze data across groups of patients.If all or a portion of the EHR is resident (supported by the organization that purchased the EHR), the internal IT support person is often the key to leveraging the EHR for project needs.He or she should be the first contact for IT-related questions.

Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals and hospitals as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.

The incentive programs are designed to support providers in the transition to electronic health records and to encourage the meaningful use of EHRs to improve safety, quality and efficiency in patient health care.

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