The Electronic Medical Records ( Emr )

The advancement in technology has rapidly transformed the world today, and the increase in the number of web-enabled devices has completely changed peoples ' lives especially the way they communicate. Electronic Health Record system, which is a digital copy of a patient’s medical history is one of the revolutionary ideas that have come with this advancement. Electronic Health Records (EHRs) are instantaneously updating records that are patient-centered designed with the aim of providing real-time information to the authorized users (Cohen, 2010). It contains all the patient’s information that is in the hand of the medical providers including their medical history, treatment dates and types, immunizations conducted to the patient and their dates, radiology images and all the laboratory results from the tests conducted in the past. All this information is held in a digital format and can only be updated by authorized users who are stationed in the medical facilities. Electronic records are designed to make it easy for different health providers and organizations to share patients’ information which streamlines their operations since all the necessary information and history can be accessed from any location at any time.

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

The purpose of this discussion board is to describe the Electronic Health Record (EHR), the six steps of an EHR and how my facility implements them, describe “meaningful use” and how my facility status is in obtaining it, and to further discuss the EHR’s and patient confidentiality.

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)

By making health information accessible across an entire Acute Care System, Cerner EHR facilitates improved safety, care and coordination by providing clinicians with real-time health information, so that they are able to make more accurately informed decisions. Their electronic health records system eliminates the need for hand-written documentation, provides medical records clarity, improves accuracy and reduces errors. Cerner’s customizable applications were specifically designed to streamline both administrative and clinical tasks. These automated processes, ensures health care professionals are better equipped to maintain and perform all key administrative manipulations of clinical data relevant to each patient of record. Cerner EHR also

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

For a nation to be technologically advanced, the United States (U.S.) is having a hard time overcoming the dark era of utilizing hand written scripts, progress notes, and paper records. In comparison to other countries, the U.S. is lagging behind in the health care system. Even with all the improvements that have been made recently, the U.S. ranked last in 2014 in areas such as access, efficiency and equity compared to Australia, Canada, France Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom (Davis, Stremikis, Squires, & Schoen, 2014). Now, as our nation is trying to improve the quality, access, and proficiency of our health care, concerns have been raised whether the new policies are adequate enough for privacy amongst sharing and obtaining health information. This paper was put together to give background information on how the electronic medical record came about and whether privacy is a major concern amongst the American population.

HIS, also known as healthcare information system is a broad system used in healthcare settings. Depending on the needs of the facility, determines the complexity of the system. This can range from basic needs such as billing to the more complex which encompasses several systems that help manage every service available to the patient. Learning to use and integrate this into the nursing field is crucial to effectively care for and manage patients. In 2004, the Office of the National Coordinator (ONC) was established. This merged healthcare and IT programing in the United States. In 2008, ONC decided on terms used to identify patient’s records. Within the clinical information system, there are three different types of patient records being

Health care is a hot topic in today’s society- everything from reforming the industry so that people are not denied health coverage to finding ways that patients’ medical records can be accessed electronically for more convenience. Moreover, epidemics such as HIV/AIDS spotlights the issues surrounding public health agencies use of maintenance and storage of electronic health records (EHR). Myers, Frieden, Bherwani, and Henning (2008) state that although there are security breaches when personal health information is stored in electronic form, the data can be better secured than paper records because authentication, authorization, auditing, and accountability

When the Obama government pushed for the automation of Electronic Medical Record (EMR), hospitals and private practices were required to follow the government mandate to avail of the incentives and at the same time to qualify for Medicare and Medicaid reimbursements. Moving from paper to electronic records was a monumental tasks not only in the implementation of the software but also in training all hospital providers to properly use the EMR.

By 2030, we can predict that traditional paper and manually recorded medical records will be ancient history and that universal technical systems will be in place. EHRs (electronic health records) systems are collections of digital medical records kept by health care facilities and affiliates such as hospitals, doctor's offices, and insurance companies (Lynn, 2011). The intention of the EHR system is to extend health information technology into the realm of patient record keeping and automated healthcare processes (Kumar & Aldrich, 2010). A patient's entire medical history can be converted to digital format and stored securely for use by various entities over time. EHRs eliminate vast paper trails condensing pertinent information into electronic form (Obama, 2009). Records are easily retrievable and enable patient's to navigate through the healthcare system in a safer and more efficient manner (Lynn, 2011). EHRs allow for a higher level of standardization, security and improved privacy for patient information.

CHELSEA BEGIN Providence not only strives for a great experience with their customers but also with their caregivers. The main focus for Providence at this time for their caregivers is improving their experience by; more emphasis on development, using technology to ease their way; improving the performance review conversation and aligning performance and development. Along with improving their experience, Providence has a lot of lean projects that are helping to standardize how things are done. All of this work will help increase standardization within the work place, which has been one of the main downfalls that Providence has been working to fix.

Electronic medical records (EMR) software is a rapidly changing and often misunderstood technology with the potential to cause great change within the medical field. Unfortunately, many healthcare providers fail to understand the complex functions of EMRs, and they rather choose to use them as a mere alternative to paper records. EMRs, however, have many functionalities and uses that could help to improve the patient-physician relationship and the overall quality of patient care. In order for this potential to be realized, both the patient and the healthcare provider must have a deeper understanding of EMR purpose and function. In this paper will highlights the historical developments and its potential effects on the patient physician relationship in order to

Electronic medical records had a great impact in the ushering in of the age of Nursing Informatics. (Himss, 2010)EMRS present healthcare professionals with the ability to retrieve and organize data in a quick and efficient approach. With information so readily available, patient safety increases and we know that patient cost goes down. This happens because patient medications, allergies, history, demographic, and treatment information is more collectively available.

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