Skip Navigation Archive: U.S. Department of Health and Human Services U.S. Department of Health and Human Services
Archive: Agency for Healthcare Research Quality
Archival print banner

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to for current information.

EHR = Meaningful Use? (Text Version)

Slide presentation from the AHRQ 2009 conference.

On September 15, 2009, Kelly Templeton made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (647 KB). 

Slide 1

EHR = Meaningful Use?

Kelly Templeton, Application Specialist
Citizens Memorial Healthcare
Bolivar Missouri


Slide 2

Citizens Memorial Healthcare

  • 55 acute care beds
    • Medical/Surgical
    • ICU
    • The BirthPlace
    • Geriatric Wellness
  • Emergency Services
    • Levell III trauma center
    • Ambulance Services
    • Air Ambulance onsite
    • Home Health, Hospice, Home Medical Equipment, Health Transit Services
  • Long Term Care Facilities
  • Residential Care Facility
  • Physician Clinics
  • Outpatient Services
    • Rehab
    • Sleep Lab
    • Cardiac Cath Lab
    • Visiting Specialists
  • Ambulatory Surgery Center
  • Carrie J. Babb Cancer Center


Slide 3

Project InfoCare Vision

  • Enable a patient to enter anywhere into the continuum of care and have a personal identity that is maintained across that continuum
  • Physicians and other caregivers will have access to all of that patient's medical information within the healthcare continuum
  • Providers will be able to document efficiently within the software system, which will free them to have more time to spend with patients
  • The investment of time, talent and money will enable CMH to be a technologically advanced healthcare organization poised to grow and offer new services to our patients and the community at large


Slide 4

  • EMR that crosses continuum
  • 100% use of CPOE
  • No paper charts


Slide 5

  • Himss Davies Award
  • Citizens Memorial Healthcare
  • Himss Analytics Innovative Research Informed Decisions


Slide 6


  • CPOE
  • E-Prescribing
  • Patient Portal
  • Health Maintenance
  • Quality Measure Research


Slide 7

Quality Reporting/AHRQ Grant

  • Standardize and integrate data capture for quality measurement into the normal documentation of care within the ambulatory EMR
  • Implementation of an automated system for data extraction including valid, reliable reports that provide actionable insight for the measurement, analysis and improvement of care


Slide 8

Research Results: Coding 4 Diabetic Measures

  • 64 cases qualified for the measures,
    • Coders manually coded 16 qualified & 7 cases unqualified (only 25%)
    • The 16 cases should have had 64 codes; only coded 46 of the 64, (70%) were reported
  • Automated data extraction identified all 64 cases reporting 256 codes (100%)


Slide 9

Challenges with Meaningful Use

  • User utilization
  • Submitting code to CMS
  • Maintaining the changing quality measures
  • Difficult to build into documentation
  • Not consistent
Current as of December 2009
Internet Citation: EHR = Meaningful Use? (Text Version). December 2009. Agency for Healthcare Research and Quality, Rockville, MD.


The information on this page is archived and provided for reference purposes only.


AHRQ Advancing Excellence in Health Care