Information Technology
Health Care Industry Individual Project
Electronic Health Record (EHR)
Contents
1. Overview 2. Introduction 3. History 4. Components 5. Feature /Highlights 6. Benefits/Barriers 7. Factors statistics 8. References 9. Conclusions
OVERVIEW:- In my assignment, I will be studying Electronic Health Record (EHR) system, which is widely used in USA. An EHR solution caters to Health care industry. EHR system is an official health record for an individual, which can be shared among multiple facilities and agencies. It has digitized health information systems, which will improve the efficiency and quality of care and, ultimately, reduce costs. These systems are governed by certain
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← HELP (Health Evaluation through Logical Processing), Warner, et al., developed at Latter-Day Saints Hospital at the University of Utah (brought to market by the 3M Corporation). HELP is notable for its pioneering decision support features. ← TMR (The Medical Record), Stead and Hammond, Duke University Medical Center. ← THERESA, Walker, at Grady Memorial Hospital, Emory University, notable for its success in encouraging direct physician data entry. ← CHCS (Composite Health Care System), the Department of Defense’s (DoD) clinical care patient record system used worldwide. ← DHCP (De-Centralized Hospital Computer Program), developed by the Veteran’s Administration and used nationwide. ← TDS, developed by Lockheed in the 1960s and 1970s.
These early projects had significant technical and programmatic issues, including non-standard vocabularies and system interfaces, which remain implementation challenges today. However, they lead the way, and many of the ideas they pioneered are still used today.
Components
EHRs are designed to combine data from the large ancillary services, such as pharmacy, laboratory, and radiology, with various clinical care components (such as nursing plans, medication administration records [MAR], and physician orders).
1. Administrative System Components
Registration, admissions, discharge,
GUIs (Graphical User Interfaces) should be made available to allow for access to the software at the locations. The CIS should be capable of incorporating within the software various tools for testing and collecting unique information or data. The CSI should comprise of varied applications, including documentation, financial management, laboratory, nursing, pharmacy, and radiology. Healthcare practitioners should access them through a CPRS (Computerized Patient Record System) GUI to bring together the requite sets of clinical information from elementary, facility based programming and environment databases such as the traditional MUMPS (Massachusetts General Hospital Utility Multiprogramming
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
EHR was created to have a technical way to securely exchange private and personal medical health information in hopes to improve the quality of care, decrease medical errors, limiting paper use, reduction of health care cost, and increasing a person access to affordable health care. A mandate was created for EHR stating that health records can be accessible to all facilities with patients having the capability to access their own health records at any time. Ameliorating the quality and convenience of care given to a patient, allow for cost saving measures, engage the patient and family to participate in their care, improve accuracy of medical diagnosis, and enhance the efficiency of the overall outcome of the patients’ health.
“… longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting”. Included in this information are patient demographics… reports. The EHR automates and streamlines the clinician 's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter, and related activities directly or indirectly via interface—including evidence-based decision support, quality management, and outcomes reporting.”(GAO, 2010)
The purpose of this paper is to talk about Electronic Health Records (EHRs). Throughout the paper, I will state the EHR mandate, who started it and when, its goals and objectives. I will explain how is the Affordable Care Act (ACA) connected to the EHR. Furthermore, I will describe my facility’s plan and meaningful use. Finally, I will define Health Insurance Portability and Accountability Act (HIPAA) laws and what is being done by my facility to prevent HIPAA violation.
An Electronic Health Record (also known as EHR) is an official health record for a patient that is stored with multiple facilities and agencies. The main purpose of this electronic system is to improve efficiency, quality of care, and reduce costs. How can one system possibly do all these improvements to health records? Well let’s break it down to simpler terms. It will improve efficiency for individuals seeking healthcare from a different facility in the future. There will be no more paper trails, meaning no more faxing, emails, by mail, or playing the waiting game to get your records from another facility. With EHR the records will already be in the data base and they can pull up your charts within a few
Technology has come a long way when it comes to pretty much any aspect of life. It is more convenient to just buy things online instead of waiting in line at a store and have it shipped right to your front door step. With new technological advances comes new ways to commit crimes, such as identity fraud. Just by getting some information about a person they can ruin that person’s identity bring them thousands of dollars in debt. So we know that technology is a good thing but a little more risky when it comes to personal information. That’s what brings me to electronic health records. Going from the standard paper record to the more detailed electronic health record is a step in the right direction, but with that step there are risks that need to be considered. Electronic health records means all your personal information is stored in a data base electronically. What is stopping criminals from breaking into that data base and stealing all your information? That is what we will look at in this paper, the pros and the cons of electronic health records.
In the Electronic Health System (EHR) you will be able to identify health insurance and the basic set up for Electronic Health Systems (EHR). In this, you will be defining All Scripts and how Urology is the specialty from the physician. Explaining the applications, the types of technology used to achieve it and, identifying the types of patients or healthcare to which it could be applied to. When you utilize your knowledge on this, you will then be demonstrating knowledge about All Scripts and how it applies to Urology.
Electronic health records (EHRs): Medical records are now kept in an electronic versus a paper chart. All health information regarding past and current medical history, treatment plans, and medications are kept in the EHR. The system also allows sharing of medical information from provider to provider as needed. Many HER systems have a feature to allow patients to log into a patient portal to review lab results, diagnostic tests, plans of care, and email access to the provider
Technology is changing how people communicate, work and establish relationships at the point that does not matter who you are, technology will be use in a certain manner. Healthcare is one of the industries that is being pushed to move forward and change their communication process and make patients information available 24/7. For many years hospitals, doctors, and another medical facilities were acting independently on the matter of administrate their own patient medical records, EMRs. Now they are required to convert those EMRs in electronic health records, EHRs. The difference between EMRs and EHRs are resumed in that EMRs contains the medical and treatment history of the patients in one practice only, and EHRs are designed to share information in more than one practice (Garret, 2011). EHRs are more global and will change the way we communicate in the healthcare industry.
Electronic health records (EHRs) are a mainstay of HIT, and, since the passage of the HITECH Act in 2009, almost all hospitals and most physician practices have adopted some sort of EHR. Benefits of EHRs fall into 3 major categories: 1) quality, outcomes, and safety, 2) efficiency, productivity, and cost reduction, and 3) service and satisfaction. Many challenges to adoption and usage of EHRs exist. High cost associated with the adoption and maintenance of EHRs can be a limiting factor to their adoption. Technical issues, such as lack of controlled terminology can affect the capturing of clinical data. Another technical barrier is user familiarity with computers. Older users are more likely to resist incorporation of computers into their workflow
The Electronic Health Record (EHR) is a vital tool in accessing the important details of the patient, the basic identification such as full name and birthday, the baseline vital signs and the past medical history as well as the current medical or surgical information. The integration of the EHR according to “the Agency for healthcare Research and Quality (AHRQ) study highlighted the overall economic value” as well of having an EHR (McGonigle & Mastrian, 2015, p. 255). The American Nurses Association (ANA) emphasized its goal of nursing informatics, which is to “improve the health of populations, communities, families, and individuals by optimizing information management and communication” in delivering excellent patient care utilizing the
The implementation of EHR’s in hospitals, laboratories, and physician offices are more prevalent; they are encouraging the patients to access their records online. Furthermore, doctors have access to consults, radiology reports, and emergency department details at the stroke of a key. This allows for a comprehensive assessment of the patient; without governmental mandates for interoperability of EMRs, this will remain to be inconsistent in the healthcare field.
In addition, the electronic healthcare record is “designed to facilitate the sharing of data across the continuum of care, across healthcare delivery organizations, across time and across geographical areas. The EHR typically contains information such as existing health conditions, physician visits, hospitalizations, test results, and prescribed drugs." (BMC Medicine) This means that not only has it made it easier for healthcare providers to access and document patient 's data, it has actually become a tool which is universally used.
Twenty years ago, Riverview Hospital was limited with technology. The use of paper files for patient records is a thing of the past. Today Riverview Hospital uses electronic medical records (EMR). “An EMR is able to electronically collect and store patient data, supply that information to providers on request, permit