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Improving Drug Abuse Treatment Delivery Through Adoption of Harmonized Electronic Health Record Systems.

Substance Abuse and Rehabilitation 2011;2:125-131 [doi: 10.2147/SAR.S23030]

Udi Ghitza, PhD (Center for the Clinical Trials Network, NIDA),Steven Sparenborg, PhD (Center for the Clinical Trials Network, NIDA), Betty Tai, PhD (Center for the Clinical Trials Network, NIDA).

This article is a product of the CTN Electronic Medical Records Special Interest Group. A great divide currently exists between mainstream health care and specialty substance use disorders (SUD) treatment, concerning the coordination of care and sharing of medical information. Improving the coordination of SUD treatment with other disciplines of medicine will benefit SUD patients. The development and use of harmonized electronic health record systems (EHR) containing standardized person-level information will enable improved coordination of healthcare services. We attempt here to illuminate the urgent public health need to develop and implement at the national level harmonized EHR including data fields containing standardized vocabulary/terminologies relevant to SUD treatment. The many advantages and barriers to harmonized EHR implementation in SUD treatment service groups, and pathways to their successful implementation, are also discussed.

As the US Federal Government incentivizes Medicare and Medicaid Service providers nationwide for “meaningful use” of health information technology (HIT) systems, relevant stakeholders may face relatively large and time-consuming processes to conform their local practices to meet the federal government’s “meaningful use” criteria unless they proactively implement data standards and elements consistent with those criteria. Incorporating consensus-based common data elements and standards relevant to SUD screening, diagnosis, and treatment into the federal government’s “meaningful use” criteria is an essential first step to develop necessary infrastructure for effective coordination of HIT systems among SUD treatment and other healthcare service providers to promote collaborative-care implementation of cost-effective, evidence-based treatments and to support program evaluations. (Article (Peer-Reviewed), PDF, English, 2011)

Keywords: Common data elements | Community health services | Data collection | Data management | Electronic health records (EHR) | Integrated medical and behavioral health care | Substance Abuse and Rehabilitation (journal)

Document No: 707, PMID: 21822398, PMCID: PMC3149797

Submitted by Udi Ghitza, PhD, Center for the Clinical Trials Network (7/20/2011).

Ghitza, Udi search mail
Sparenborg, Steven search mail
Tai, Betty search mail

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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Updated 8/2011 --