EHR Impact

The U.S. Department of Health and Human Services (HHS) states that in order to realize meaningful use of the EHR technology, healthcare providers are obliged to apply the technology in a approach that enriches quality, safety, and efficiency of healthcare delivery; ebbs healthcare inconsistencies; involves patients and families; enriches care coordination; expands population and public health; and guarantees sufficient privacy and security guards for personal health information. (U.S Department of Health and

As the national health care system transitions to the electronic health record (EHR), it is important to recall the impetus to this reform. Prior to the implementation of the electronic health record, the national health care system encountered many problems that impeded quality patient care. There was not a standardized formal structure with the process. Consequently, it lacked communication across disciplines and among providers and

Muhammed H. (2015) conducted a study to determine the relationship between EHRs and patient safety. According to the researcher, EHRs are healthcare applications that digitize patient information and clinical workflows. It may be considered as a data repository that stores patient data, and assists providers by providing reference information and recommendations for care. Furthermore it enables providers to electronically place orders and consolidate clinical notes across hospital departments. The results showed that about 70% of hospitals in PA adopted advanced EHRs since 2012 and there has been a 27% decline in patient safety events

As the emergence of electronic health records (EHRs), the subject of transforming the delivery method of healthcare is prominent in the United States. The use of EHRs is a major key in the way physicians practice in healthcare organizations through communication and management of patient information. Henricks (2011) points out that EHRs are a part of an objective aimed at improving all aspects of health care and reducing health disparities, making the healthcare of patients and families appealing to them, refining the direction of healthcare, along with population and public health improvement, continuation of privacy maintenance and the security of health information, and finally reducing costs. In the perspective of health information technology

Use of EHR (electronic health records) in United States has increased in past years and have gained widespread use in the country. The use of EHR-Electronic Health Records or EMR-Electronic Medical Records and the systems that support them have gained standardized collection of health information and data for patient and healthcare providers. Because of these technologies, healthcare providers now have information about their patients at their fingertips, which has led to better and more accurate care. There are debates on using EHR. According to Mushtaq (2015), one of the most common debate is the use of EHR compliance and the value of these technologies that surround them (Mushtaq, 2015). Providers wonder if EHR use is useful and what is to be gained for the HCP-Healthcare provider. In regards to such debates and ongoing conversations, it is important to understand the definition of meaningful use and whether these technologies have resulted in meaningful use. According to Burchell (2016), The government developed the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which incorporates the meaningful use program (Burchell, 2016). The program has goals that tell us how to use the meaningful use with EMR or EHR. It helps HCP and organizations alike attain, use and keep goals like patient and clinical outcomes, individual patient autonomy, and increased transparency for providers. When these goals are attained and kept it will greatly

Today, the patient will visit the same doctor and the doctor will enter the data into a tablet or pc. The EHR is a designed very similar to the paper chart, but is programmed to collect and segregate the information in different formats to transmit securely to the necessary partners. Those partners include insurance carriers, public health entities, clearinghouses, laboratories, and pharmacist. This data is collected and stored on secure servers. In most EHR’s today, a doctor who has a private practice, and maybe affiliated with a hospital has the ability to allow the hospital to access a patient’s record, if that patient has agreed to release their information to the hospitals. So if the patient is taken to the local hospital, the hospital can have access to the patient’s records if an authorization is in place. The EHR will not only collect the patient medical information, it will track the medical information. Providers are required to secure the information and track the medical records activity via a built-in audit system that will show the medical records history and the name of all parties that access the patient’s records. Poor EHR system design and improper use can cause EHR-related errors that jeopardize the integrity of the information in the EHR, leading to errors that endanger patient safety or decrease the quality of care. These unintended consequences also may increase fraud and abuse and can have

Combined with data analytics, aggregate-level EHR enable examination and development of effective medicines and therapies for chronic diseases (Kohli & Tan, 2016). There are several forces that are driving many of the changes to the EHR including health and safety concerns with the number of preventable deaths from medical errors , a changing society, the internet, with an increasing amount of mobile patients, as well as government response (Gartee, 2011) The response to the IOM report was swift and positive, within both the government and private sectors (Gartee, 2011). The government responded with establishing a position of the National Coordinator for Health Information Technology, under the U.S. Department of Health and Human Services (HHS) to “develop, maintain, and direct the implementation of a strategic plan to guide the nationwide implementation of interoperable health information technology in both the public and private health care sectors that will reduce medical errors, improve quality, and produce greater value for health care expenditures (Gartee,

The federal government established a nationwide health information technology (HIT) infrastructure which requires all health care facility personnel to use an electronic health record (EHR). According to Sewell & Thede, in 2004, President Bush called for adoption of interoperable electronic health records for most Americans by 2014. Electronic health records (EHR) is an automated system created by healthcare providers or organizations, such as a hospital in documenting patient care. In addition, EHR is an interoperable healthcare record that can comprise of multiple EMRs data and the personal health record (PHR). Furthermore, electronic health records can be created, managed, and accessed by approved clinicians and staff across more than one health care society (Sewell & Thede, 2013, p. 231-232). On the patients’ perspective, EHR will be used to support healthcare by providing electronic record of patients’ vital signs, demographics, allergies, medications, diagnoses, and smoking status. Consequently, on the providers’ perspective, EHR will support healthcare by use of decision support tools, enter clinical orders, such as prescriptions, provide patients with electronic versions of their health information, use systems that protect the privacy and security of HER patient data. Another meaningful use of EHR is to support activities such as conducting drug formulary checks, including clinical laboratory test results, recording advance directions for patient 65 years and

Electronic Health Records (EHRs) is another version of a patient’s medical history, that is maintained by the healthcare facilities or provider over time, and may include all of the key administrative clinical data relevant to that persons care under particular healthcare facilities, including demographics, progress notes, medication, x-rays, surgical history, and etc.(CMS,2012). While the adoption of the electronic health record system seems promising for the healthcare community and having a positive impact on the HIM field with better care and decreased in healthcare cost, and other promising aspects. However, poor EHR system design and improper use can cause EHR-related errors put at risk to honesty of the information in the EHR; causing or leading healthcare facilities and hospital to break that confidential bond they have with the patient. This will cause EHRS to have errors that endanger patient safety or decrease the quality of care that the patients expect from the hospital or healthcare facility (Bowman, 2013). In the paper I will discussed the topics along the lines like managing the Transition from Paper to EHRs, EHRs to redefine the role of doctors, and other ways how EHRs impact will have on the HIM community.

Studies that concentrated on the identification of patient safety risks and the electronic medical record found that certain types of medical facilities are at greater risk than others for certain types of EHR related errors. Surveys and simulations were helpful in identifying such risk factors

At a time when so many health care organizations were seeing decreased reimbursements, the promise of additional incentive funds to support the bottom line were very tempting. However, many organizations struggled with the implementation of technology and the EHR. Poor workflows and system designs have created in many cases an EHR that is a financial application with a patient added on. This was of great concern for the Joint Commission (TJC), in 2015 they released Sentinel Event Issue #54, that discusses examples of EHR errors that can potentially lead to patient harm as a direct result of technology. The most common concerns reported to the TJC as a result of technology were usability issues, followed by workflow, and clinical appropriateness of clinical decision support (The Joint Commission [TJC],

Hospitals rely on information to be their lifeblood of modern medicine and health information technology is destined to be its circulatory

Ultimately, the goal of health information is to create a bridge among healthcare organizations or patients that helps them exchange information. For this purpose, the health informatics

Electronic health records (EHR’s) have many advantages, but there are plenty of disadvantages. EHR’s were created to manage the many aspects of healthcare information. Medical professionals use them daily and most would feel lost without it. Healthcare organizations were encouraged to adopt EHR’s in 2009 due to the fact that a bill passed known as The Health Information Technology for Economic and Clinical Health Act (HITECH Act). “The HITECH Act outlines criteria to achieve “meaningful use” of certified electronic records. These criteria must be met in order for providers to receive financial incentives to promote adoption of EHRs as an integral part of their daily practice”, (Conrad, Hanson, Hasenau & Stocker-Schneider, 2012).

This article entitle “Spotlight on Electronic Health Record Errors: Paper or Electronic Hybrid Workflows” was written by Erin Sparnon on June, 2013. The Electronic Health Record (EHR) is a longitudinal electronic record of patient health data made by one or more encounters in any care delivery setting. Comprised in this information are patient demographics, progress notes, complications, medicines, vital signs, past health history, vaccinations, laboratory records and radiology information. This system automates and updates the clinician's workflow and has the capability to create a complete record of a clinical patient encounter - as well as supporting other care-related events directly or indirectly, including evidence-based result support, quality management, and results reporting.