Instead of pulling paper chart volume 1 of 3 to search for a lab result, it is simply a matter of a few mouse clicks.
Based on this scenario, write a page report detailing the move to an Electronic Health Records System. Describe the advantages of such a system and how you will go about doing it.
Be sure to discuss security measures and the impact of this transition on HIM processes. Please refer to Doc Sharing for the grading rubrics regarding this assignment.
The vision of the electronic health record has been in existence for almost two decades. Initially, it was called the computer-based patient record. The electronic health record system is an evolving concept defined as a systematic collection of electronic health information about individual patients or populations.
Basically, it consists of digital patient records that are capable of being shared across different health care settings. What this means is that different health care facilities can be networked together, which allows health care professionals to easily access and transfer patient records between them.
Each EHR may include a whole range of data in a comprehensive or summary form. It can include demographics, history, medication and allergies, immunization, laboratory test results, radiology images, and even billing information.
This streamlines the workflow in a health care setting and, in theory, should increase patient safety, because it allows more evidence-based decisions, should lead to more quality management, and it should also allow for improved outcomes reporting. It usually consists of a manila folder, contains paper records, and is literally filed on a shelf.
Paper-based records can be reviewed for content, completeness, signature, dates and changes. In effect, what you see is what you get. Just like any filing system, keeping paper-based records organized can be challenging, to say the least.
In addition, sharing records with other health care facilities can be time consuming and is fraught with issues. Instead, they are transactional database systems with underlying tables and fields full of data. Additionally, the EHR should allow you to access and save the record over multiple episodes of care or encounters.
Finally — and this is no small point — the system should allow you to use metadata. Basically, metadata is extra information associated with each file.
So, what are some other advantages to an EHR? If done correctly, an EHR could lead to an improvement in the quality of care patients receive. This could be achieved in several ways.
One component of an EHR called a computerized physician order entry, or CPOE, increases patient safety by listing instructions for physicians to follow when they prescribe drugs to patients.
Naturally, CPOE can tremendously decrease medical errors. EHR systems are claimed to help reduce medical errors by providing health care workers with decision support, fast access to medical literature and current best practices in medicine are known to enable the proliferation of ongoing improvements in health care efficiency.
An EHR also promotes evidence-based medicine, because it provides access to unprecedented amounts of clinical data for research that can accelerate the level of knowledge of effective medical practices. Finally, and it almost goes without saying, but because the records are electronic and not paper-based, the act of record keeping is more efficient, and the mobility of these records is vastly superior to paper-based records.
One thing to consider is that these benefits may be realized in a realistic sense only if the EHR systems are interoperable and widespread so that various systems can easily share information.
The best and most effective EHR systems cover the regional or even national level.Can moving patient records to computerized format help improve patient health? Learn about the ways electronic health record systems benefit patients.
Choosing an Electronic Health Records System.
Professional Liability Considerations. Vendors who offer the online software tend to move the data frequently, so the physician may not know where the data is located, other than “somewhere in the clouds.” which refers to an electronic health record system that is capable of easily.
Benefits of Electronic Medical Record Systems. There are many identifiable benefits of using electronic medical record systems. Aside from being able to access records online and providing patients with access to their own personal health records, EMR’s create a way to store medical records in a more secure fashion.
Migrating from Paper to EHRs in Physician Practices - Retired A successful transition from paper-based charts to electronic health records (EHRs) in the physician practice or clinic requires careful coordination of many moving parts.
Benefits of switching to an electronic health record. Dr. Robert Hoyt, health informatics expert, explains the need for electronic medical records for practices and healthcare alike.
The use of electronic health records allows multiple care providers, regardless of location, to simultaneously access a patient’s record from any computer. The electronic record can provide up-to-the-minute information on the patient’s full history, including current test results and the recommendations of other physicians, allowing more efficient .