EHR In Nursing

Health providers across America are using Electronic Health Records systems to keep up with patient’s health information. Long hours of filing and writing patients health information manually has become a thing of the past. The Electronic Health Record system, known as EHRs, has changed how patients and health providers communicate as a whole. It has taken information technology to a different spectrum, and has helped patients become more aware of their health history and health conditions. Throughout the years, EHRs systems have been crucially ridicule in the medical world, due to lack of knowledge, high expenses, and apprehension among health providers. Because there will always be challenges when new technology starts to expand in any type of establishment. I believe that EHRs serves a great purpose in health care despite its delays.

Electronic health records (EHR) are health records that are generated by health care professionals when a patient is seen at a medical facility such as a hospital, mental health clinic, or pharmacy. The EHR contains the same information as paper based medical records like demographics, medical complaints and prescriptions. There are so many more benefits to the EHR than paper based medical records. Accuracy of diagnosis, quality and convenience of patient care, and patient participation are a few examples of the

An electronic health record (EHR) defines as the permissible patient record created in hospitals that serve as the data source for all health records. It is an electronic version of a paper chart that includes the patient’s medical history, maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care. Information that is readily available includes information such as demographics, progress notes, allergies, medications, vital signs, past medical history, immunizations, laboratory data, & radiology reports. The intent of an EHR can be understood as a complete record of patient

Electronic health records were a technological advancement in the healthcare industry in which paper patient record’s became digital. The transition from paper to digital charting allowed easier, quicker access to patient information for those who were authorized to do so. EHRs are secure and protected with username and password access only. It contains information such as patient medical history, procedures, diagnoses, medications, labs, tests, and treatments. Healthcare professionals and organizations who are authorized to access a patient’s electronic health record can do so at ease via a secure network or online database (HealthIT, 2013).

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

Paper-based health records have existed since the time of Hippocrates. The most significant change in paper-based health records occurred in the 20th century with the development of electronic health records (EHRs), due to evolution of technology (Rocha & Rocha, 2014). The development of EHRs began in the mid-1960s. Since that time, EHRs have continued to advance. Many institutions are now placing a greater effort in the utilization of this advancing technology (Atherton, 2011). The main purpose of EHRs is to increase efficiency of care and organize and improve quality of data storage through new resources and applications (Rocha & Rocha, 2014). EHRs play a vital role in the healthcare system, patient care, and

There’s no denying that EHR has advanced the quality of healthcare by improving the way information is accessed and exchanged. But despite these advancements, errors, which were simply not tolerated in paper records, are numerous in EHRs. Because of this, electronic documentation tools have been developed in an effort to increase the quality of clinical documentation, enhance communication between healthcare providers, and improve delivery of care.

An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The

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.

In a study conducted by the Health Services Research on the “Clinical Benefits of Electronic Health Record Use”, 78 percent of Physicians said that the EHR in general improved patient care. This included: remote access to patient charts, alerts for potential medical errors and critical test results, along with recommendations for care and proper test selections, and improve communication with patients (King, J., Patel, V., Jamoom, E. W., & Furukawa, M. F. (2014).

“An Electronic Health Record (EHR) is an electronic version of a patient’s medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports” (CMS, 2011). Paper charting can no longer support the needs of our healthcare industry, and EHR is replacing it throughout healthcare settings in a rapid way. Also, once the patient is discharged from the healthcare setting, paper charts are stored in medical records and a new chard would open if the patient comes back later, allowing key information to be missed and put the patient safety in jeopardy.

An Electronic Health Record (EHR) is a real time digital version of a patient’s paper chart that make information available instantly and securely to authorized users. EHR contain a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. Allow access to evidence-based

The National Alliance for Health Information Technology, 2008, defines electronic health records (EHR) as an electronic record of health-related information on an individual that conforms to nationally recognized interoperability stands and that can be created, managed, and consulted by authorized clinicians and stand across more than one health care organization (Wager, Lee, & Glaser, 2013, p. 136). In other words, EHR are patient’s medical history electronically which can include their past health, social health, demographics, medications, diagnosis, progress notes etc. EHR’s were developed to improve patient care .

Electronic Health Records (EHR) are just as the name implies, a computerized record of a patient’s current and past medical history. It is maintained by the provider over time, and includes all the key administrative clinical data pertinent to a person’s care (The Government & Health IT, 2013). EHRs can provide a medical story for healthcare providers of the patient’s life. They contain a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results (What is an electronic health record?, 2013). Unlike paper records, electronic records are easier to retrieved with the click of a button. In some cases, the time it takes

“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an