An example of a health information system that is relatable to my field of interest is the use of a patient portal, such as MyGeisinger which is utilized by Geisinger Health System. A patient portal is a secure online website that allows patients to have 24- hour access to personal health information. With the use of a secure username and password patients have access to information about their healthcare (Healthit.gov, 2015). About 25 percent of system’s primary care patients are registered, with the addition of about 2,000 patients per month (Emont, 2011).
Patient Portals: Both Administrative and Clinical
Patient portals such as MyGeisinger can be considered both administrative and clinical in nature. The use of patient portals allows for
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Electronic health records are generated by healthcare providers and include patient’s medical and health information, which may include demographic data, progress notes, medications, vital signs, medical history, immunizations and laboratory data. EHRs are not accessible by patients, but usually certain data is made available through a patient portal. On the other hand, a personal health record is owned and controlled by a patient, and has information that is not on a medical record. A patient portal allows patients to access their PHR and usually information from an EHR (Emont, 2011).
Flaws of Patient Portals
Although there are many advantages to patient portals there are some flaws that result in slow adoption for some healthcare organizations. Providers are concerned with added potential work, lack of reimbursement, inappropriate use, and liability issues. Other issues include resistance to change, retraining for use of patient portals, lack of expertise, fear of product failure, and lack of return on investment (Emont, 2011).
Another flaw is that the registration process is multiple steps and patients fail to complete the registration process once they leave appointment. The concept of remembering passwords and usernames is also a challenge for many patients. Meanwhile, a challenge for providers and staff is the inability to know if patient actually uses the portal or if they have read the message (Healthit.gov, 2014).
In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.
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)
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
Electronic portals create even more complex regulatory, performance and legal challenges than the common HIPAA guidelines that apply to any covered entity that deals routinely with PHIs. Health care providers often struggle to meet Medicare 's and Medicaid 's "meaningful use" requirements that health providers can only be reimbursed if they engage their patients interactively and electronically while providing security protection and
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
Grand Hospital incorporated currently uses a proprietary healthcare information system that includes a patient portal, electronic medical records, computerized physician order entry, imaging, laboratory and pharmacy. Grand Hospital’s leadership is investigating creative resolutions to improve current physician service coverage, including ICU, radiology, and behavioral health via the implementation of telemedicine into the current system. (Wagner, Lee, & Glaser, 2013)
However despite all the benefits of the implementation of My Wellness Portal, there are still some barriers that prevent people from adopting it. Some of barriers are the lack of consumer awareness and privacy and security concerns. The lack of consumer awareness prevents consumer from using the portal. According to the study, almost two-thirds of people surveyed do not know or are unsure about the concept of personal health records. This barrier could be prevented if health care providers will educate about the importance of implementing PHR in managing their health. The last barrier is privacy and security. This barrier is very common in any health care information system. Health care providers should educate consumers about the security and privacy policy of the portal and inform consumers who has accessed to their information.
Changes in current health care practices, the aging baby-boomer population, and the higher acuity of patients has created a need for change and adaptability with the health care industry. Kaiser is an organization who has shown the ability to continuously change in order to reduce costs while improving efficient quality patient care. The investment on information technology (IT) advancements such as the implantation of electronic health records (EHRs) and use of a patient portal system is one way the organization has shown readiness to meet the health care needs of patients. KP in collaboration with five other healthcare organizations created a Care Connectivity Consortium, enabling secure electronic retrieval of current
Communication is the key in a health care field and having patient portals has increased information sharing between physician, nurses and patients. Patient portal is software that allows patients to get access to their own electronic medical record in a secure, efficient and easy to use program. Patient portals offer updated list of medications, diagnosis, allergies, lab results, patient history and more. Patients have access to their portals, which allows them to keep themselves up to date on not only their history but new information that doctors and nurses have given them. Also, having access to their portal allows them to keep updated information such as, discharge instructions for better care. This eliminates the time the nurses would spend on phone tag. It is a secure online software that provides patients with privacy and own username and password.
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
Electronic retrieval of patient demographics, allergies, current medications, complete medical history, diagnostic and radiologic results, etc. occurs by clicking a few buttons. Electronic patient charts provide quick and easy access to physicians, hospitals, independent labs, and pharmacies. EHRs allow simultaneous access by independent providers and allow a collaborative effort for health care management of the patient. “EHRs are the next step in the continued progress of healthcare that can strengthen the relationship between patients and clinicians”. (Electronic Health Records Overview, 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
Medical errors can be a significant threat to the the health of Americans and can lead to the downfall of a health care system. These errors can be anything from a data entry error or simply a patient’s information getting into the wrong hands. The importance of a health care system is to provide extraordinary care all while protecting the rights and information of their patient. A new generation of federal efforts emerged in order to address these concerns, in part through the effective use of information technology. Thus, the Health Information Exchange was born. The Health Information Exchange (HIE) is a system that allows health care information to be appropriately and securely shared electronically across organizations within a region,
Although electronic health record (EHR) systems many healthcare organizations, are turning to the electronic health record (EHR), there are are potential and actual disadvantages of the system. Disadvantages of the EHR includes financial issues, changes in workflow, temporary loss of productivity associated with EHR system, privacy and security concerns, as well as several unplanned consequences (Menachemi & Collum, 2011).
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