Going Paperless: Electronic Medical Records Versus Paper Medical Records "Is It Time to Make the Switch?"

“a paperless, digital and computerized system of maintaining patient data, designed to increase the efficiency and reduce documentation errors by streamlining the process.”(Santiago, n.d., para. 1)

Amatayakul, M. K. (2009, January 01). Electronic Health Records: A practical Guide for Professionals and Organizations. VitalSource Bookshelf(4). Chicago, Illinois, USA: AHIMA Press. Retrieved August 2012, from <http://online.vitalsource.com/books

It is no secret that the medical profession deals with some of population’s most valuable records; their health information. Not so long ago there was only one method of keeping medical records and this was utilizing paper charts. These charts, although still used in many practices today, have slowly been replaced by a more advanced method; electronic medical records or EMR’s. “The manner in which information is currently employed in healthcare is highly inefficient, which slows down communication and can, as a result, reduce the emergence and

Electronic Medical Record is a digital version of the traditional paper-based medical record that is used within a single facility like a doctor’s office or a clinic (Jones, Dixie A. Jul 2010). In addition,

Possible benefits included positive patient outcomes as a result of improved quality of care, decreased medical errors, increase in financial revenue for organizations, better ability to conduct research, reduced cost of healthcare for patients, and an overall improvement in health for the general population (Menachemi & Collum, 2011). Disadvantages that were found in the review of literature included the initial cost to implement the electronic health record, continuing maintenance costs, and interruption in workflows that adds to the brief loss in productivity that occurs from healthcare providers having to learn a new system (Menachemi & Collum, 2011). There are also concerns about maintaining confidentiality (Menachemi & Collum,

Many health care facilities are already starting to use an electronic health record in some of their departments. An electronic health record is a system that allows health care employees to input patient information into a computer system and saves that information into a database for the facility. The information that is being stored directly into the computer system is patients’ personal information (name, date of birth, address, emergency contact information, insurance information, and primary care physician and/or admitting physician), medical history, allergies, current medications, nurses and doctors’ notes, and other information that may pertain to the reason for the visit. Radiology and lab results are also saved into the electronic health record. Even though some health care facilities use a computer system to save some information, there may also be paper work that is also being used. This paper work is scanned into the facilities database so that it can also be saved and viewed if necessary.

These records make up part of the hospital’s information system. Said information systems must be readily accessible and will include all necessary information including, human resources, financial information, and most importantly medical records. By updating a patient’s record and making it readily available to all health care providers, the information system allows a flow of information from one department to the other; without risking the loss of paper notes on the way (Pozgar 2007).

Electronic Medical Records & Access, this gives the ability to have past records of patients for long term and easily access from any place whereas paper based document and can be loss or not able to get it when it’s needed. Ensuring that the EHR is as adopted as other clinical applications can greatly impact the patient experience, including; patient registration, records management, and information infrastructure systems. As Roham et al points out, many healthcare providers are still in early staging of implementing an EHR and if not completely installed can have a negative impact on patient satisfaction metrics(2014, p. 134)11.

Robert Miller and Ida Sim found not only benefits but, also barriers that health care facilities and physician would encounter when adopting and using Electronic Medical Records. High initial cost and uncertain financial benefits was the highest rated barrier faced by Electronic Medical Record System adoption and implementation. Robert Miller and Ida Sim found that the cost of adopting an EMR for use by physicians ranged from $16,000 to $36,000 per physician (“Barriers to EMR Use,” Physicians’ Use of Electronic Medical Records: Barriers and Solutions, 2004). Since most health care institutions have more than one practicing physician and several other physicians with practicing rights. The initial cost to eliminate paper records and move to

Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005). Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Affairs,24(5), 1103-1117. doi:10.1377/hlthaff.24.5.1103

Medical care is making a switch to Electronic Health Records. The Office of the National Coordinator for Health Information Technology provided incentives to hospitals and other medical institutions to use electronic health records for "Meaningful Use" (Saba

The handwritten documentation has been the usual way of recording medical data since the nineteenth century. However, the fast development of computer technology has led to the advancement and use of electronic medical records (EMRs) throughout the past several decades (Jerant & Hill, 2000). The evolution from a paper to an electronic setting can be somewhat straightforward. The two leading reasons why most facilities chooses to convert to EMRs is patient care and safety. Health-care Information and Management Systems Society (HIMSS) presented its EMR adoption model in 2005 and now tracks the implementation growth of more than 5000 U.S hospitals (Traynor, 2011).

Electronic health records, like electronic medical records, contain detailed information about a patient’s health status, but they also provide a larger view of the patient’s care. They are records intended to be

Instead of using paper based records, technology allows physicians to use the electronic medical record (EMR) that improves the quality of programs. By using the EMR, this is not easy nor is it low cost. Physicians’ have to use this method as their daily task. There are some barriers that has been identified with the use of the EMR by the physicians we will discuss. There will be some suggestions made that might can help the policy interventions to overcome the barriers. This will include the support system of work/practice including electronic clinical data exchange, and financial rewards for quality improvement. (Sim, 2004)

The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.