Electronic Health Record useRiverside Regional Medical Center, Riverside Tappahannock Hospital and Riverside Walter Reed Hospital were all accepted in the Medicare Electronic Health Record Program for their adoption of computerized technology on April 19, 2011. The Federal program requires hospitals and physicians to meet stringent "meaningful use" guidelines in deploying technology in the care of their patients. Governmental requirements for this program will increase over a 5 year period. Riverside is the first in Virginia, and among the earliest in the country to receive this important recognition.

"The federal government is encouraging health systems and physicians to embrace Electronic Health Record technology to deliver quality patient care, increase patient safety and provide seamless transitions as patients move from one part of the health sector to another" John Stanley, Senior Vice President and Chief Information Officer said. "Riverside has been deploying and increasing Electronic Health Record technology for years and yesterday Riverside was able to be acknowledged as one of the industry leaders." Stanley continued.

Legislation establishing "Meaningful Use" regulations is based on the economic stimulus package of February 2009. Based on this legislation, incentives and penalties are awarded to hospitals and physicians who "meaningfully use" computer technology.

Core Criteria for an Electronic Health Record

  • Use CPOE (computerized physician ordering) for medication orders
  • Implement drug-drug & drug-allergy checks
  • Maintain problem lists
  • Implement one clinical decision rule & track
  • Collect & report 15 quality measures
  • On request, provide patients with electronic record
  • On request, provide patients with electronic. discharge instructions.
  • Maintain active medication list
  • Maintain active allergy list
  • Record vital signs
  • Record patient demographics
  • Record smoking status categories
  • Perform exchange of records with another entity
  • Put privacy & security systems in place and conduct audit

Optional Criteria to be demonstrated electronically (5 out of 10)

  • Implement drug-formulary checks
  • Incorporate lab test results
  • Generate patient lists by specific conditions for quality
  • Use EHR to identify patient education resources
  • Perform medication reconciliation
  • Provide summary document for referred/transferred pts
  • Electronically submit immunizations to registries
  • Electronically submit lab data to public health agencies
  • Electronically submit syndromic surveillance data
  • Record advance directives


Published: April 20, 2011