The Impact Of Implementing Ehr On Processes Of Care And Outcomes

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Vartak. S., & et al. Conducted a research to assess the impact of implementing EHR on processes of care and outcomes in the ED. The ED patient visit log files were used to examine changes in patients’ ED length of stay (LOS). Along with the implementation of the EHR, there was an average increase of 17 minutes (15%) in LOS. One of the objectives of EHR implementation was to reduce the ED LOS by speeding up quick-registration, the triage process, and room assignment. Prior to implementation a patient would typically be seen by a triage nurse and then go to registration where there could be some wait if the ED registration was busy. After EHR implementation, a patient goes directly from triage with quick- registration to an exam room without waiting for full registration procedures. The quick-registration process captures eight items of patient essential data to establish the EHR for a patient at the door or in-route by ambulance/helicopter. The full registration is then completed at the bedside afterwards. This process should reduce LOS. However, moving the registration earlier in the process at or before the patient arrives on site, may make the LOS appear longer, even though the patient does not actually spend longer in the ED, since the LOS begins when the time stamp is activated at quick-registration and triage. Adler-Milstein, J., & et al. conduct a research to assess what influence would EHRs have toward Health care costs. It slowed ambulatory cost growth, and
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