Hipaa And The Nurse Anesthesthesia Environment

Electronic health records can lessen the disintegration of care by refining care coordination. The use of electronic health records will deliver providers with accurate information. This is especially important for those that see multiple specialists, and enable a smooth transition between care settings and receive treatment in emergency

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

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

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.

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).

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

In the modern world technology is everywhere and it affects everyone’s daily life. People are constantly attached to cell phones, laptops, and other electronics, which all have affected how people live their lives. Technology is also a large part of the healthcare system today. There are many electronics and technologies that are used in health care, such as electronic health record, medication bar code scanning, electronic documentation, telenursing, and there are many more forms of technology that impact nursing. One technology that stands out is the electronic health record. The electronic health record, also referred to as EHR, is an electronic version of a patient’s chart, and it contains is a list of the patient’s current medications, allergies, laboratory results, diagnoses, immunization dates, images, treatments, and medical history (“Learn EHR Basics,” 2014). The purpose of the electronic health record is to have a patient’s health care record available to health care providers nationwide, but the patient can decide who has access to their record (Edwards, Chiweda, Oyinka, McKay, & Wiles, 2011). The electronic health record is a very important technology in health care and it impacts nurses, nursing care, and has a significant impact on patient outcomes.

In today’s health care industry many facilities have transitioned over to using electronic health records (EHRs) to assist them in providing patient care. The Centers for Medicare and Medicaid Services (CMS) (2012) define the electronic medical record 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 persons care under a particular provider” (para 1). With EHR’s, medical facilities often have the potential to retrieve pertinent medical information that may be required to assist the physician during a patients office visit.

The days of paper-based records in health care are fading. It is widely believed that the broad adoption of electronic medical record (EMR) systems can lead to major health care savings, help eliminate medical errors, and improve healthcare outcomes for patients (Lynn, 2011). Because of such benefits, the Obama administration included EMR adoption in health care as a part of its overall agenda calling for "the immediate investments necessary to ensure that within five years, all of America's medical records are computerized" (Obama, 2009).

However, Healthcare Information and Management Systems Society (HIMSS) Analytics suggests a noticeable difference between EMR and EHR. For instance, EHRs provide comprehensive health information records that can be accessed by many institutions and stakeholders. Meanwhile, EMRs, defined as a collection of health information for patients that contains their medical history, provides limited access for patients and specific healthcare providers (HIMSS Analytics, 2006). EHR is described as patients’ digital records that include medications, previous tests and treatment plans that reflect patients’ overall health (Ozair et al., 2015). Finally, PHR refers to records that can be accessed and modified by patients, which promotes self-management by providing important tools to help improve patients’ outcomes (Coiera, 2015).

In the healthcare segment as well as general public there is a huge confusion regarding understanding electronic health records (EHR) and electronic medical records (EMR), as both are digital record keeping techniques. However, EMR and EHR are both different in a way that one is a transition between paper and electronic records, while the other is an advanced healthcare system. Understanding this difference helps them leverage the techniques effectively for an added advantage.

Richards, R. J., Prybutok, V. R., & Ryan, S. D. (2012). Electronic medical records: tools

Almost every industry is now computerized and enhanced with the latest technology—equipped for rapid data retrieval and transmission. Like all computerized technology, the format of patient health records has evolved dramatically over time. With the evolution of technology, a need has been identified for the improvement of efficiency and productivity in the transmission of patient data (Practice Fusion, 2016). In order to achieve this goal, patient medical records have now adopted an electronic format and are now referred to as electronic health records (EHRs). Both medical professionals and patients can equally benefit from the use of EHR. This format of record keeping offers easy access to medical records to patients and providers, simplified data entry and compilation, quick storage of medical information, reduced chance for error in the composition and interpretation of physician notes. EHRs may also aid in the transmission of data, easy transmission of lab results, patient medication allergies, imaging and pre-existing conditions, reduces the chance for duplication of lab tests, and saving time and money for both patients and healthcare professionals (Ana Maria College, 2016). In an effort to modernize our nation’s infrastructure, the Health Information Technology for Economic and Clinical Health (HITECH) act, was established (Centers for Disease Control and Prevention [CDC], 2012). The HITECH Act supports the concept of EHR meaningful use, a

An electronic medical record [EMR] is a “computerised record that maintains patients’ health-related data, which is available to be used and accessed, only by authorised personnel, in order to deliver healthcare services within the health organisation” (Hasanain, Vallmuur & Clark, 2014, p. 1). From patient record keeping to administrative reporting and clinical support tools, the extensive functionality of an EMR solution has the potential to fundamentally transform how healthcare services are provided by the hospital (Goo, Huang & Koo, 2015).

The electronic health record is a digital record of patient information. All of the patient information is able to be shared on information networks by the individual authorized user. Through the use of the electronic health record, technology has increased collaboration between the health care team. Any documentation in the record about the patient’s condition can be easily accessed and coordinated to improve patient outcomes.