RE: Electronic Medical Records

Electronic Health Records will include the same information as the paper record. This includes basic patient information such as demographics, medical history, medications, allergies, laboratory results, radiology images, and billing information. (2006) Each individual doctor can specialize their system and what they want it to include. They can add different components to the electronic health record that are important to them and needed in their practice. (2006)

In a healthcare world that operates on stringent budgets and margins, we begin to see the need for a higher capacity healthcare delivery system. This in turn puts pressure on the healthcare organizations to ensure higher standards of patient care, and compliance with the reform provisions. However, these are the harsh realities of today’s healthcare environment, a setting in which value does not always equal quality. The use of technology can help to amend some of this by providing higher capacity care without compromising quality; this can be done with the use of such technology as electronic health records (EHRs). This paper will aim to address how EHRs influence healthcare today by expanding upon topics such as funding sources, reimbursement methods, economic factors, socioeconomic factors, business influences, and cost containment.

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

Health care agencies invest large sums of capital into EMR and in addition, rely upon reimbursement from the Health IT system (for example Medicare and Medicaid). According to Hurdle et al., (2007), the American Medical Informatics Association [AMIA] Code of Ethics, “patients have the right to know about the existence of electronic records containing personal biomedical data” (p. 391). In addition a patient has the right to expect that “biomedical data are maintained in a safe, reliable, secure, and confidential environment that is consistent with applicable law, local policies, and accepted informatics processing standards” (p. 392).

The federal requires the healthcare organizations to adopt and demonstrate the use of electronic medical records (EMR) or the electronic health records (EHR). They contain patient’s medical history and it

In this paper we identify security risks surrounding Electronic Medical Records (EMR) and discuss strategies healthcare providers can employ to mitigate those risks. We begin with a brief overview of the legislative history driving the rapid adoption of EMR and other health information technology.

The Inner City Clinic is experiencing problems with medication prescribing errors and seeks a resolution to this problem through use of electronic medical records and registration medication reconciliation. The Institute of Medicine reports in the work entitled "Preventing Medication Errors" that the "average hospitalized patient is subject to at least one medication per day. This is reported to confirm previous research findings that medication errors represent the "most common patient safety error." (Barnsteiner, nd, p.1) Medication reconciliation is described as follows:

Electronic medical records can benefit patients in many ways. One major way it can benefit a patient is the efficiency of the records being organized and easy for any practitioner or staff member to read. EMR can lower the risks of

A patient records whether it is electronic, as a EHR or a paper record contains sensitive, personal, and private information about the patient and should not disclosed to any unauthorized individual, as well as used unwarrantedly. (Mir, May-June, 2011). Healthcare organizations, such as United General Hospital should have instructions for staff to follow in regards to handing and accessing patient records. In updating the management training manual for United General Hospital, it is required that all authorized staff abide the instructions while handling and accessing patient records. Upon handling and accessing patient records all required and authorized staff based on “a need to see basics” and for medical treatment and financial purposes

The major change from traditional systems to electronic record systems in the healthcare field within the last couple decades has made a huge impact. Patient records, risk management, planning, staff, and more in the organization are affected by the IT staff. “The penetration of Internet access, mobile technologies and social networks collectively offer a future in which it is possible to deliver highly personalized care without necessarily having to do it in person, or even with a doctor.”(Healthcare IT News, n.d.) Many hospitals use paper records for patients long after electronic record technology was available. According to forbes.com in an article published two years ago, less than 2 percent of all healthcare organizations within the United States had and properly deployed information systems.

Electronic Medical Records or Computerized Medical Record System what is it and what are the advantages along with the disadvantages of using this system? That is what we will discuss in this paper.

The government believe this will be a better method of safety. As stated by AmedsNews.com: “Patients believe physicians' use of electronic medical records can help improve the quality of care they receive. And if a physician offers patient access to the EMR, they feel confident the doctor will protect the privacy of their health information.”(Dolan, 2012) Sometimes medical staff forgets to put away the items in central record and someone may intercept with the patients charts, but on the hand the privacy can be compromised. Malicious people are being to hack into computer systems and stealing patient information. Computer technology may not be the greatest thing for world always.

I am all for electronic medical records. I have been in the healthcare field long enough to remember when patients medical records were paper. In my experience, paper medical records allow for patient privacy to be compromised. Some examples on how patient privacy can be disturbed when it comes to paper medical records are that almost anyone can go into the patient 's chart that is in the nurses station. This can include physical and occupational therapists, certified nursing assistants, nurses and physicians who are not caring for the patient. There have been times where I have walked to the nurses station at my job and it

An electronic medical record (EMR) is a term used to describe a system that involves integrated dictation, print files, transcription, and scanned documents. An electronic health record (EHR) is a term to describe a system that is used by clinicians at the point of care as well as aid in clinical decision support. The National Alliance for Health Information Technology, NAHIT, offers the following definitions: EMR- “an electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one healthcare organization” (Sayles, 2013); EHR- “an electronic record of health-related information on an individual that conforms to the nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization” (Sayles, 2013).

Patton-Fuller Community Hospital is a nonprofit Healthcare organization in the city of Kelsey that has provided quality