New data elements enhancements are needed to capture and export patient information to satisfy The Centers for Medicare and Medicaid Services (CMS) standards and criteria for EHRs to be certified and to demonstrate that they are meaningfully using the EHRs by meeting certain thresholds.

The Admission Discharge Transfer (ADT) system will document admittance from a VA Ambulatory Surgery Unit or from a non-VA Ambulatory Surgery Center to the hospital.

New data element will be added to standardize the interpretation of the results of radiology and imaging procedures.  A temporary measure will be implemented to collect data for certification purposes via the use of a data capture utility.

This RSD will also address New Data Elements for use in clinical decision support and standard data collection.  This is a critical component of VHAs efforts to evaluate performance electronically across VHA.  Currently Health Factors, Exams, Treatments, and Education Topics are important elements used by the Clinical Reminders package, but the focus of this request is for enhancements to these electronic data components.  The New Data Elements will also be used for the identification of a common process to support data collection via VA StandardHealth Factors, for purposes of standardization as well as for national review/reporting.
