The Iraq RFP Blueprint: 2000 questions that saved millions

Functional General Features 

• For multiple office locations 
• For multiple users simultaneously 
• Multiple encounter records on the same patient to be open simultaneously (e.g., phone call plus office visit) 
• Multiple patient records to be open simultaneously 

Workflow Management Tools 

• Provider schedules 
• Prioritized task lists by user 
• On-screen flags to indicate patient visit status 
• Customized work flows by provider/clinician 

Documentation Methods Example

• Note templates 
• Templates customizable by practice and or provide 
• Pick lists customizable by practice and or provider 
• Free-hand drawings 
• Scanned images 
• Annotations to images and video imaging 
• Support repeat vital signs readings on the same visit (e.g., repeat pulse, blood pressure) 
• Support error checking for vital sign data entry

Documentation/results reporting types 

• Chart notes for visits 
• Emergency room reports 
• Lab results, radiology reports, consultation reports, discharge summaries 
• Medication lists, Allergy lists,  Prescriptions 
• Referral letters and Letter summaries for referring physicians 
• Ability to create custom forms for any purpose 
• Prompts, Alerts & Reminders 
• Unfinished patient chart documentation 
• Provider alerts for missing charting elements 

Medical History and Charting

• Capture of history, family history, physical exam data, risk factor tracking, allergy types, etc.
• Current health status, problem lists, progress notes etc.

Medication/ Prescription Writing 

• Drug database, cost information, dosage algorithms
• Maintains multiple formularies 
• Formulary linked to patient benefits 
• Drug–allergy checking, drug-drug interaction, drug-food checking, weight-based dosing, BSA & MBR calculations, etc.

 
Order Management 

• On-line ordering, order cancellation, common-list of orders, auto suggestion of orders, notifications, etc.
• Graphing of results to medications and other clinical data
• Printing & Transmission Of Full Patient Record 
• Print full patient record, transmit records electronically, encryption, print only selected items/fields 

Coding 

• Current diagnosis and procedure codes built-in 
• Coding updates 
• E&M coding advice to providers based on documentation 
• Automated translation of the following codes to data: CPT (4 and 5), ICD9-CM, ICD-10, SNOMED, etc. 
• Procedure & diagnosis to patient age and gender 
• Signing/ Authentication 
• Electronic signatures, signing of individual sections, records locked after signature, co-signature of records 
• Authentication required when medication ordered, when orders transmitted, etc.

Clinical Reporting 

Comparative reports 

Query function and customizable report writer, mail merge, ability to schedule reports for regular production 

Exporting of data for further analysis 

Clinical Decision Support 

• Point of care decision support tools 
• Patient registry and outreach reports 
• Practice analysis tools & reports 
• Plotter support capability

Practice Management (PM) 

• Integrated with PM system 
• Demographics uni-directional interface (PM to EMR) 
• Demographics bi-directional interface 
• Billing / coding interface (EMR to PM) 
• Access to PM financial / insurance information 
• Access to PM appointments and scheduling

Other Interfaces & EDI

• Lab orders and results between lab & EMR
• Radiology orders and reports between X-ray & EMR
• Diagnostic images (X-ray to EMR) 
• Other diagnostic tests
• Electronic payer connectivity 

Display Options (In addition to text) & Custom Views 

HIPAA compliant access audit trail

Views customizable by user such as patient name, ID, account number, Social Security number, EMR number, etc.
Data Searching 

By date, by problem, by encounter, etc. 

Access limited by encounter type 

Screen time-outs 

Security 

• Support inquiry, update and delete capabilities for all information entered based on user security level 
• Provide multiple levels of security with definable levels of privilege (e.g., application, function, job function, functional group, screen, user)

Support a security reporting function including, but not limited to: 

• User audit trail 
• All users who have used a given function 
• All users who have updated a given record 
• Provide security to control remote access (e.g., dial back, VPN) 
• Support the creation and use of “profile templates” and provide a method for defining access privileges for groups of users 
• Report Writer

Here you can define all the requirements for generating reports. Such as

• Provide one integrated report writer with access to all fields within all modules 
• Provide a report writer that is menu driven
• Provide templates (e.g., “Query for Example”) for customization and the creation of new reports 
• supports Boolean logic included as a report writer capability including:  

Hardware 

• Support the use of portable devices (e.g., pen tablets) for the collection of data for subsequent upload to the appropriate module 
• System fully integrates and supports web based technology. 
• Allow reports to be viewed on-line? 

Network Access 

User authentication is supported for data access 

Application can be executed in a thin client environment such as Citrix. 

System allows for full automated backups 

System allows for incremental automated backups 

System able to send messages to users through the corporate mail server 

Firewall between Internet and corporate network 

Documentation and Tutorials 

• Provide summarized user guides for screens, templates, dictionary, self-paced training, etc.

On-Line Help 

• Provide on-line prompting for menu-screen selections, on-line help & support, etc. 
• Provide “pull-down” menus for screen prompting