The Electronic Health Record Information

The health record is a collection of information about a patient’s past and present health. The primary purpose of the health record is to document the health history of the patient. It helps in patient care management and patient care support process. Moreover, record’s primary purpose is to get information for billing and reimbursement. The secondary purpose of the health record is to provide a legal record of care given and act as a source of data to support clinical audit, research, resource allocation, performance monitoring, epidemiology and service planning. Sometimes health information will be de-identified before it is used for these secondary

Even though I am an advocate for the electronic health record there are drawbacks to the system. Each individual physician will have to determine if the drawbacks are worth the advantages of the system. One of the drawbacks to the system is privacy. Privacy will always be a big factor. Some patients may not like the idea of having their medical information easily accessible by almost anybody. (The HWN Team, 2009) Electronic health records

Implementation of the electronic health records (EHRs) has been a growing trend in the healthcare field from fear of the unknown to the acceptance of the reality of the EHRs and the actually utilizing the system. The struggle to go live with the EHR was a challenge because change is always a difficult implementation. According to Fickenscher & Bakerman, (2011) Change is a process that is individualized base on one's ability to adopt and the interest on the change. Some people may take longer to understand a process while others will grab the skill within a short time. However, some few setbacks slow down the adoption of the EHRs when it was first implemented, Culture, communication and training and time. Despite

Electronic health records have taken over the healthcare system. They have gradually worked their way into every hospital around. They give nurses easy access to all of the patient’s health records and history right at their finger tips. They also help nurses prevent errors and mix ups with patient’s information. Over time the system retains the patient’s medical

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

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

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

There are many benefits of PHR such as Empowerment of patients, Improve patient-provider communication and relationships, Increase patient safety, Access to patient data in emergencies, chronic disease management, Improved quality of care, more efficient delivery of care, Better safeguards on health information privacy, bigger cost savings and improve Behavioral habits.

Today, the patient will visit the same doctor and the doctor will enter the data into a tablet or pc. The EHR is a designed very similar to the paper chart, but is programmed to collect and segregate the information in different formats to transmit securely to the necessary partners. Those partners include insurance carriers, public health entities, clearinghouses, laboratories, and pharmacist. This data is collected and stored on secure servers. In most EHR’s today, a doctor who has a private practice, and maybe affiliated with a hospital has the ability to allow the hospital to access a patient’s record, if that patient has agreed to release their information to the hospitals. So if the patient is taken to the local hospital, the hospital can have access to the patient’s records if an authorization is in place. The EHR will not only collect the patient medical information, it will track the medical information. Providers are required to secure the information and track the medical records activity via a built-in audit system that will show the medical records history and the name of all parties that access the patient’s records. Poor EHR system design and improper use can cause EHR-related errors that jeopardize the integrity of the information in the EHR, leading to errors that endanger patient safety or decrease the quality of care. These unintended consequences also may increase fraud and abuse and can have

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

Personal health records (PHRs). PHRs allow patients to monitor and track of information from provider visits. PHR can also follow the trajectory of food intake,

Electronic Health Records (EHR) basically is the sum total of all information gathered and centralized in one electronic system as it relates to any one specific patient. Additionally, information contained in the EHR creates an ease of use through its accessibility to multiple users. This is because the EHR can “collect and store data…[they can also] supply that information to providers on request” (Kaneez & Hassan, 2015, p. 47). In real time, the EHR can “capture, transmit, receive, store, retrieve, link and manipulate multimedia data for the primary purpose of providing health care and health-related services”(Gartee, 2011, p. 155).

EHR has enormous effect on the modernization of the healthcare field. It is a continuing electronic record of patient medical information created by one or more persons in any healthcare delivery system (Huston, 2013). Encompassed in this data are patient’s vital signs, statistics, and health issues, also include progress notes, past surgical or medical record, treatments, vaccinations record, radiology reports, and laboratory tests result (Eisenberg et al., 2013). The EHR has the

Traditional paper-based medical record systems have hindered communication and patient treatment amongst the medical community. Four limitations of the traditional paper-based medical record system are inaccessibility/unavailability, redundancy and inefficiency, influence on clinical research, and passivity (Shortliffe & Barnett, 2014). As a result, it is more practical and imperative to implement an electronic health record system to ameliorate these issues. An EHR is a digital version of a paper chart which streamlines sharing updated, real-time information with other providers; thus authorized users may promptly access a patient’s EHR from any location and across various healthcare providers. As a result, providers employ the EHR to obtain a comprehensive health record to assist them in their decision making for patient treatment.