Electronic Health Record Implementation
Susan Cochran, February 2, 2013
Electronic Health Records (EHRs) are an important concept that should be implemented in all healthcare interactions. In this paper, the benefits and drawbacks are examined, and recommendations for uses are defined. These benefits lead to more efficient patient care in private practice offices and hospitals. Why should hospitals encourage EHR implementation? Keywords: EHR, EMR, e-prescriptions, health information technology, and National Ambulatory Medical Care Survey.
Why should hospitals encourage EHR implementation? This should minimize errors in the patient’s record. Why is it that some physician’s handwriting is so illegible? And no one can read it including pharmacists, hospital staff, or other clinic staff. The fact is that medical staffs don’t like to carry laptop computers, but are more about the benefits gained. The Electronic Health Record (EHR) and Electronic Medical Record (EMR) has been a focus for physicians’ offices and hospitals.
A patient may create his/her own medical record called a Patient Health Record (PHR The numbers of physicians’ offices that use the EHR is reaching about 56.9 percent and33.8 percent have been using a system called “basic” with the following functions: (Hsiao, 2011).
A patient’s record may contain: Patient history and demographics, a patient problem list, physician’s clinical notes, nurse’s notes, a comprehensive list of patient medications and allergies, computerized orders for prescriptions, and the ability to view lab and imaging results. The chart below shows an office-based physician’s office using an EMR/EHR system and how it has progressed from 2001-2012. CDC/NCHS, National Ambulatory Medical Care Survey, 2001–2012. Percentage of office-based physicians with EMR/EHR systems: United States, 2001–2010 and preliminary 2011–2012
Office-based physicians using the EMR/EHR has increased from 2001through 2012. Adoption of these systems varied state by state. Physicians having used the system met the criteria for a system had a wider range. Some other factors that determine the decision to adopt an EHR system are: Cost, the fear of change, concerns in choosing the best technology, and interruption of the product in its transition. Taking the Lead. (2010).
Some of the factors in the decisions to use an EHR remain that some people argue whether physicians can be persuaded by the costs alone, and their choice to adopt the complete EHR. Research shows that physicians can also be influenced by the desire to cooperate with the hospitals through the affiliation and referrals; physicians can support hospital revenues. The annual net income for a hospital is generated by physicians in all specialties of medicine. (Hawkins, 2010).
The Health Information Exchange (HIE )permits health care providers and patients to access their medical record and share the patient’s medical information with referring physicians, and/or hospitals with speed and accuracy. Most medical information is stored on paper in a paper folder on shelves or in filing cabinets. It enables nurses, doctors, and pharmacists and other health care staff and patient’s to access their records electronically enhancing the speed quality and safety and costs of patient care.
Today timely sharing of patient information can inform the decision making process at the point of care and make it possible to avoid readmissions, medication errors, improve a physician’s diagnoses, and avoid duplication of ordering more tests.
Without ways to share a patient’s information with other clinics or hospitals would compromise the point of care for the patient, in addition would avoid readmissions, medication errors, and decrease duplicate reports of tests, and wouldn’t improve the physician’s diagnosis.
The Directed Exchange has the ability to send and receive information between...
References: Care 360 White papers, Why Hospitals Should Encourage EHR Implementation, Retrieved from http://care360.questdiagnostics.com
CDC Retrieved from http://www.CDC.gov/nchs/data/databriefs/dbill.htm
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Hsiao CJ, Hing E, Socey TC, Cai B. (2011). Electronic health record systems and intent to apply for meaningful use incentives among office-based physician practices: United States, 2001–2011. NCHS data brief, no 79. Hyattsville, MD: National Center for Health Statistics. 2011. (Note accompanying reference: Any EMR/EHR is a medical or health record system that is either all or partially electronic (excluding systems solely for billing). Data for 2001-2007 are from the in-person National Ambulatory Medical Care Survey (NAMCS). Data for 2008-2009 are from combined files (in-person NAMCS and mail survey). Data for 2010-2011 are preliminary estimates (dashed lines) based on the mail survey only. Estimates through 2009 include additional physicians sampled from community health centers. Estimates of basic systems prior to 2006 could not be computed because some items were not collected in the survey. Data include nonfederal, office-based physicians and exclude radiologists, anesthesiologists and pathologists. Source: CDC/NCHS, National Ambulatory Medical Care Survey.
Merritt Hawkins. “2010 Physician Inpatient/Outpatient Revenue Survey” Retrieved from http://www.merritthawkins.com/pdf/2010_revenuesurvey.pdf. ©
Taking the Lead: The Role of Hospitals in Healthcare IT Implementation in their communities Retrieved from www.QuestDiagnostics.com
What HealthCare Technologies Do patients want? Retrieved from http://www.healthcaretech...
What is HIE (Health Infor…http://www.healthit.gov/pr...
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