Martin Wiesner Case

Operational electronic health record systems (EHR) can provide the information necessary on demand, short of troublesome trial and error of probing around physical files. From the first steps of designing the system, the enquiries that will follow are predicted and accommodated. Similar to an office filing system, the appropriateness of a detailed patient record system is often adjudicated by how much time and effort are necessary to locate and recover data. Thus, an intimate cog of the design of an electronic health record system is its efficient process for access, retrieval, and reporting.

Health IT goal is to improve the quality of care through information systems. On the other hand, HII intends to achieve this objective by formulating information in accessible way and providing a platform to create a practically and accurate medical history for patients’ which that helps of better diagnose and treat patients. HII goal is to have patient’s permission, then let health care providers access the patient’s EHR, for the purpose of individual treatment and health management. EHR is one of the biggest software interface and database that has the ability to share patients PHI and save time, lives and money .By sharing PHI, health care providers can provide fast and efficient services for patient who has medical history so they will

The HER automates access to information and has the potential to streamline the clinician’s workflow. In the 1960’s, a doctor named Lawrence L. Weed was the first to break the concept for electronic health records. Weed described a system to automate and reorganize to improve patient records to their use and thus contributing to improving the patient care. Weed’s work formed the basis of the PROMIS project at the University of Vermont which began in 1967 to develop EHR.

Electronic health records (EHR) are databases that record health related information on an individual that is within nationally recognized standards, that can be created managed and consulted by authorized staff, and clinicians across more than one health care organization (Wagner, Lee &Glaser, 2013). Two EHR databases include Cloud EHR by OmniMD and Nextgen EHR by Nextgen. These two databases have similar and different qualities. Some similar qualities that both databases have are patient care, communication, legal documentation, billing and reimbursement, research and quality management, population health, identification form, problem list,

Personal health records (PHRs) have numerous benefits to providers and patients. The information contained in PHR systems range from home measurement reports for blood sugar levels, blood pressure and body temperature, radiology images, laboratory results and family history information (Mandl &Kohane, 2016). The acquired system will facilitate storage of health information in ways that can be comprehended by patients without special assistance from physicians. Moreover, it will provide patients with important information such as interpretation and possible course of action. Patients will take an active role in disease prevention and management. The current system should be maintained because it meets all the qualities of a good PHR system. It has already been tested and proven to function properly to the satisfaction of both patients and doctors.

A clinical information system (CIS) collects patient information from technological applications. The information is distributed to certain locations in the facility/healthcare setting. Locations vary based on unit, such as OBGYN, cardiology, ICU, or psychiatric. The CIS represents the patient’s history of illnesses and interactions with health care providers by encoding knowledge capable of helping clinicians decide about the patient’s condition, treatment options, and wellness activities (Sittig et al., 2002).

The PHR is defined as "based-on-the-Internet set of tools that makes it possible for people to coordinate and access their lifelong health data, and makes some parts of it available and accessible to those who need it" (Segall et al., 2011). PHRs may be useful, especially, for people with chronic diseases who expect to receive some advantages from using PHRs to learn and monitor their health problems. PHRs allow care coordination among clinicians, ensure patients the opportunity to access and search their medical information, support them in managing health, and make them be active participants in the decision-making process. The early adopters of PHRs could be chronically ill patients because most of them are active users of the internet and computers. Therefore, PHRs

A user-friendly technology design including the properties of quick accessibility, pop up system and easy scrolling and data entry. The no nonsense standardized health information system will be easily accessible for a provider even at the comfort of their home. The standardized electronic health record (SEHR) when selected by the healthcare network will eliminate the electronic miscommunication. While policies and procedures differ in healthcare systems, the integrated SEHR easily adjusted to protocol and modified to the user’s

The electronic health record (EHR) System is a database that contains all the details of patient’s medical status and has been designed to facilitate rapid access to such information when necessary (Hayrian, Sarnto & Nykanen, 2008). This database is advantageous for both medical practitioners and patients as it facilitates an improvement in the level of care provided by health workers across all departments, and has become a fundamental resource for the healthcare sector (Scott,2007).

Electronic health record. Electronic health record (EHR) is an electronic storage where a patients’ personal health information that comprises of the patient’s present health situation as well as every other connected data associated with patient care. The data is preserved in a computer-readable layout that enables the establishment, application, storage, and retrieval of the patients’ health information (Hatton, 2012). The data are expected to be comprehensive, transmissible, and useful to both caregivers and the patient, morally and lawfully obligatory, and autonomous of fundamental computer systems (Wu, Jackson, & Hunt, 2010).

Computer Electronic Health Record Systems (EHR’s) are like filing cabinets…they contain files and contents, the only difference between EHR’s and hard files is that they’re electronic and NOT paper based. EHR’s store data and can be manipulated to view information based on query options. EHR management systems virtually take the place of a filing cabinet to handle many different information and record keeping needs. An EHR may consist of several relational tables that data can be pulled from to form reports….the reports can either be viewed from the computer screen or printed. This process of storing and retrieving data provides the user with ease of information management, the timely retrieval of information AND concurrent access of information

Health information systems must work for those that are at the point of service. This is because they are the first point of contact and the face of the health care system. These individuals are usually doctors, nurses, physician assistants, and pharmacists who are providing patient care and need to maintain patient trust. Patient who seeks medical advice trust that treatment decisions made from providers consists of quality and care. By using electronic health records, provider communication will increase and medical errors will be reduced due to the ease of use. However, among these advantages, complications such as user resistance, cost and patient safety continues to challenge electronic health record implementations and further delay its use.

About 75 million Americans suffer from multiple chronic conditions, which means they require multiple providers for their care. HIEs is the key like these situations for proper diagnosis and there should be adequate communications between the providers. They require communication or exchange of data for coordination of care for this patient. In these instances, health care providers and patients frequently lack pertinent and useful information where treatment decisions are made. In today 's advanced technology, EHRs offer the substantial part to capture and share health information. The vendors, IT developers, and coordinators of health

Doctors, whether generalists or specialists, can no longer control the entire medical knowledge to recognize disease or determine the best therapeutic management. Thus, they often use external sources of information, traditionally colleagues, books, and Clinical Practice Guidelines, to find the information they lack. Nevertheless, despite the on-line diffusion of large volumes of easily accessible documentary resources, finding a solution to the problem posed by a given patient remains a difficult task. Early on, clinical decision support systems have been developed as potential solutions to this difficulty (Berner, 2007). The development of such systems appears even more crucial that many studies are published each year and who report frequent mistakes in the management of patients. Since the publication of "To Err is Human" (Kohn et al., 2000), CDSS are gaining an increased pop-ularity in various domains of health care.

Through the development of information technologies and the ongoing research which is being performed using these various types of technological avenues, patients and their families now have an alternate route of obtaining educational information regarding their health. Technology-based systems for patient information have become quite popular and are being introduced to replace traditional forms of patient education, such as brochures, pamphlets, videos and, to a certain extent, face-to-face communication. In this paper, computer-based patient information systems, possibly have many advantages compared to traditional means as listed above. Patient education is an important element of any organization or institution because a knowledgeable and educated patient can dynamically participate in their own treatment, change the outcome of their health status, help identify errors before they occur, increase patient safety and patient satisfaction and reduce the length of stay in hospitals.