Health Information Management And Assessment Essay

All the patients’ files should be backed up at least on a weekly basis to ensure that none of the information is lost. (HIPAA, 2011) Another way for accountability of the electronic health record is to have each person in the office has a key card or password to access the system. This will allow for the physician to check back and see if anyone is releasing information or making changes that are not authorized. This also allows for physicians to find out who made changes to a patients record if information is inaccurate. (HIPAA, 2011)

The EMR is a software program used to enter patients information into a computer, which organizes and stores the information. I believe most offices will keep the paper charts in a very safe location or shred it. But I think because of the confidentiality that any and all information or records relating to patients is considered privileged. basically saying keeping all information about the patient confidential.

Despite the attainability of secure electronic data transfer, many healthcare providers continue and prefer to store medical information on paper, making it difficult to share information among doctors

An EHR results from computer-based data collection. Physicians and other clinicians capture data at the point of care, with the ability to retrieve the data later for reporting and use in research or administrative decision

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)

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

“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)

Along with the new technologies applying in healthcare, the documentation processes and storages also change from paper charts to computer-based electronic health records (EHR). Many healthcare organizations currently maintain patients’ health records in both formats of paper and electronic. The combination is known as hybrid health record system, which is used to assist in different methods that patients’ information is collected. Hybrid health records (HHR) contain specific patients’ health information. HHRs are stored manually and electronically in multiple places. Current patients’ health records usually contain both digital documents and handwritten notes. Patients’ data are electronically stored, such as laboratory, radiology tests,

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

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

EHRs are computerized versions of patient’s paper charts. EHRs makes the health information about the patient accessible anywhere at any time. EHR holds the pertinent information about a patient’s medical history, medications, immunization record, allergies, radiology and other diagnostic images, and lab results (Health Information Technology (Health IT), 2013). EHR makes patient care safer by bringing together all health records from previous and current doctors, as well as pharmacies and different diagnostic facilities.

According to The Healthcare Information and Management Systems EHR is considered a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting( Kohli & Tan, 2016). The Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) describes EHR as 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 person’s care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports (CMS.gov). The International

The Electronic Health Record (EHR) is a benefit to providers and patients in several ways.

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

The definition of the EHR is a place in which patient records are created, stored and retrieved. Most professionals have incorporated them into their practice. EHR’s are known to have allowed the sharing of information between a patients’ caregivers in an increased amount of time. They increase safety and efficiency in the clinical setting by delivering legible information.