Electronic Medical Record Vs Electronic Health Record

The electronic health record (EHR) is a digital record of a patient’s health history that may be made up of records from many locations and/or sources, such as hospitals, providers, clinics, and public health agencies. The EHR is available 24 hours a day, 7 days a week and has built-in safeguards to assure patient health information confidentiality and security. (Huston, 2013)

With the enthusiasm for health information technology, potential risks and problems associated with electronic health records have received far less attention. Three fundamental security goals are essential to EHR systems: confidentiality, integrity and availability (Haas e26). Patients lose the protection of implied trust domain of medical institutions due to their medical record maintenance performed by non-medical enterprises (e27). Depending on the paradigm, enabling access to an increased number of users poses threats to security and privacy.

After decades of paper based medical records, a new type of record keeping has surfaced - the Electronic Health Record (EHR). EHR is an electronic or digital format concept of an individual’s past and present medical history. It is the principle storage place for data and information about the health care services provided to an individual patient. It is maintained by a provider over time and capable of being shared across different healthcare settings by network-connected information systems. Such records may include key administrative and clinical data relevant to that persons care under a particular provider. Examples of such records may include: demographics, physician notes, problems or injuries, medications and allergies, vital

In 2009, the Health Technology for Electronic and Clinical Health Act (HITECH) of 1996 was expanded. This expansion included mandated guidelines for health care systems in the Unites States to continue implementing of Electronic Health Records (EHR) in health care settings by 2016 and added a provision to improve protection of patient health information through privacy and security Turk (2015) . The implementation of this program has created a debate in the medical community. In addition, many healthcare organizations and institutions have conducted research studies and surveys to evaluate the effects of the EHR on documentation of care and other aspects of the EHR. Challenges surrounding the HER include, the cost of implementing EHR’s, time spent performing documentation, and patient outcomes and safety and security concerns. Let’s further delve into a few of these challenges.

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).

Electronic Health Record (EHR) is an electronic version of a patients 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 (Ehlke & Morone, 2013). The incentives from both of this articles will result in the delivery of quality care to many individuals in

The electronic protected health information (ePHI) gets electronically stored and collected in hard copy form as they secure the information. According to the U.S. Department of health and Human Service Office for Civil Rights (OCR) report, millions of people have been impacted by HIPAA data breaches. Hence, healthcare organizations must protect and secure personal health data now more than ever because of the threats that are associated with information. This would substantially increase the protection of healthcare from cyber threats. Moreover, these people are extremely diverse and the cleverness of their data information must be organized within hospitals. Medical records are in high demand because of the sophistication of the records.

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

With the advent of electronic health records (EHR’s) and The American Recovery Reinvestment Act (ARRA) of 2009, electronic health records have become main stream and a requirement for healthcare providers who treat Medicaid and Medicare patients. An electronic health record (EHR) is a digital version of a patient’s paper chart (Health IT, n.d.). EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. A portion of ARRA provides reimbursements to providers that have EHR’s that are certified for meaningful use. Certified EHR’s meet meaningful use requirements by meeting the government the Health Information Technology for Economic and Clinical Health (HITECH)

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

Working in the medical field with Electronic Health Records, a lot of my responsibilities are reliant on Health Insurance Portability and Accountability (HIPPA) compliance, EHR updates and template building. EHR breaches in security is a constant concern in this age of modern and sophisticated technology. With recent security breaches of major corporations, this has caused technology experts to heighten its security encryptions to prevent further breaches. The increasing concern over the security of health information stems from the rise of EHRs, increased use of mobile devices such as the smartphone, medical identity theft, and the widely anticipated exchange of data between and among organizations, clinicians, federal agencies, and patients. If patients’ trust is undermined, they may not be forthright with the physician. For the patient to trust the clinician, records in the office must be protected. Having the knowledge of how these security breaches are on the rise increases my awareness on the security protection of the health records.

In some cases, the unpreparedness of most physicians to use new technologies, may raise another problem. This would be difficult when attempting to meaningfully use the system properly. A great way to leverage EHR to improve quality is to achieve meaningful use. For example, “the emergence of electronic health records (EHRs) also is complicating organizational efforts to define and disclose information [3].” By implementing and putting EHRs into action, it will benefit providers not just financially but also by reducing medical errors, and increasing the availability of records and data. The 2016 Report to Congress on HIT Progress stated that “many health care providers still face challenges accessing and viewing individuals’ electronic health information for a variety of reasons, including confusion about privacy and security considerations, cumbersome enrollment processes, or complex contracts with technology vendors [6].” Furthermore, meaningful use also elevates in legal issues, such as privacy threats on patients and data breaches. These may happen because electronic documents and electronic use of medical information could get exposed as they get implemented in health care services. In this case, private information of

Adding and adopting EHR raises major concerns and challenges for protecting the privacy of patients’ health information. iTrust maintains not only the personal sensitive information and health records, but also a comprehensive transaction logs which is used to track the patient’s profile. The application’s transaction log allows patients to track who viewed their medical information when they log in the iTrust system. The application also has a function that allows patients to change and update their personal information. In addition, iTrust system is designed to equip health care providers with the features to learn about their patients’ chronic diagnosis ranging from diabetes and heart disease if present.

One major big data system implemented in healthcare today is Electronic Health Records (EHR). CMS.gov describes EHR as,

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).