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Apr 3, 2024

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1 Electronic Health Record (EHR) Implementation Student, Health Care Administration, and Service Management Program Health Information Management Fundamentals Electronic Health Record (EHR) Implementation “Electronic health record (EHR) is a secure lifetime record of your health history. It gives your healthcare team, including family doctors, nurses, emergency room clinicians, and specialists, real-time access to your relevant medical information so that they can provide the best care for you. eHealth Ontario has built the provincial system that gives thousands of health care providers at hospitals, family practices, long-term care homes,
2 and pharmacies more access to their patients’ EHRs so they can quickly look up a patient’s health history.” (eHealth Ontario, 2023, para. 1). Relevant health information includes diagnosis, medications, laboratory results, clinical visit notes, and more. An EHR can be used by healthcare institutions to electronically receive, collect, store, manage, display, output, and share patient medical information both inside and outside of their own facility. (Government of Canada, 2022, para. 3). Its aim is to make the circulation and sharing of clinical information in healthcare easy. Benefits of Electronic Health Records The implementation of electronic health records helps to: Care Coordination: Healthcare teams can make faster and more accurate treatment decisions when equipped with complete and up-to-date information, and patients would no longer have to repeat their medical history more frequently. (eHealth Ontario, n.d, para. 2). Access to lab results by a healthcare provider can lead to a reduction in duplicate tests, resulting in a more streamlined healthcare experience for patients. (eHealth Ontario, n.d, para. 2). Can reduce the cost of paper-based medical records. Lifecycle Phases The lifecycle phase used to implement eHealth Records is as follows: Information Management Planning: The healthcare organization sets goals and objectives for deploying an EHR during the planning phase that determines the scope
3 and outlines the duties of the project team to create a project plan with a budget and risk management strategy. Access, Use, and Disclosure: “Given the unique EHR context, special definitions of collection, use, and disclosure by custodians apply. For example, an individual first visits hospital A that contributes information about the individual to the EHR. The individual later visits Hospital B, which looks at the individual’s record in the EHR. In this case: Hospital B collects personal health information the first time it views, handles, or deals with the information that was contributed to the EHR by Hospital A. Hospital B uses personal health information any subsequent time it views, handles, or deals with the information that was contributed to the EHR by Hospital A. Hospital A discloses personal health information only when Hospital B collects the information from the EHR not when hospital A first contributes the information to the EHR.” (IPC, 2021, p. 4). Data The specific data that is involved with EHR is Clinical Data. Clinical data: is very crucial to EHR, and it includes patient demographics, medical history, diagnoses, treatments, outcomes, and family medical history. It collects and stores these data in electronic format, which gives healthcare providers a thorough understanding of a patient’s health and medical record to give the best treatment and improve decision-making. Data Collected/Method The method of data collection in EHR varies, and they include:
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