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Introduction to electronic medical records
Electronic health care records privacy risks
Introduction to electronic medical records
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At its core, the Electronic Medical Record is the dissemination, effective capture and analysis of medical and health information for a single patient. All participants in the healthcare delivery system have an interest in an efficient flow of information. They include claims processing, insurers, healthcare providers, government agencies, and patients. Therefore the term Electronic Medical Records has a slightly different meaning depending on one's perspective. Below, there are many definitions of the electronic medical records with the different perspectives. This electronic medical record system is applied by using a computerized system to facilitate users to record patient information and systematically arrange patients. This electronic …show more content…
Electronic medical records are a computerized medical record from a variety of accessible sources of patient privacy, confidentiality of patients, laboratory tests and the security of various sites in the organization with the protection of security and confidentiality in healthcare. In addition, the patient's electronic medical records become an electronic mediator that allows users to access and retrieve patient data to review the patient's medical history and treatment. In addition, electronic medical records also can be defined as software that enables digitally processed medical data, stored and communicated. It also can be used to process, access, submit and manage patient information, doctors, administrative staff and other users. According to Rihab Hasanain, Kirsten Vallmuur and Michele Clark (2014), defined Electronic Medical Records as an electronic record of health-related information about individuals that can be created, collected, managed, and negotiated by doctors and authorized staff in a health care organization. In the other words, Electronic Medical Records is a computerized record …show more content…
So, an organization needs to undergo before its use is fully utilized. Among the risks that an organization that uses electronic medical records is the complexity of the implementation of this type of system, which is often underestimated by technical personnel or systems of health system management. Where the greatest risk is to be far-sighted towards the importance of implementing Electronic Medical Records for public health benefits or overall health systems. Electronic Medical Records is a major project that should be systematically considered and should be in line with the National Health System. Additionally, further identified risks are Electronic Medical Records disorders that may result in medical consultation and identified additional risk is what typically occurs when attempting to compile an inefficient process, or a process that does not work properly assumes that the system will solve inefficiencies, trying to force their operation through the system. Finally, the risks that each organization's concerns are confidential. While it is also recognized as the benefit, confidentiality and infringement of the privacy rights of their patients and their families have been clearly described during discussion of risks, especially as they facilitate access to sensitive information from any
Electronic health information systems prevent errors by involving everyone in a primary health care setting which mainly includes specialists office, emergency department to access the same
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
Friedman, L. N., Halpern, N. A. & Fackler, J.C. (2007). Implementing an Electronic Medical Record. Critical Care Clinics 23: 347-381.
Electronic Health Record (EHR) is a digital collection of patient health information instead of paper chart that captures data at the point of collection, supports clinical decision-making and integrates data from multiple sources in any care delivery settings. The health record includes patient’s demographics, progress notes, past medical history, vital signs, medications, immunizations, laboratory data and radiology reports. National Alliance for the Health Information Technology defines EHR as, “ an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
Boaden, R., & Joyce, P. (2006). Developing the electronic health record: What about patient safety? Health Services Management Research, 19 (2), 94-104. Retrieved from http://search.proquest.com/docview/236465771?accountid=32521
Over the last several years, electronic medical records are becoming more prominent in health care facilities, replacing traditional written records. As many electronics are becoming more prevalent with the invention of numerous smartphones and tablet devices, it seems that making medical records available electronically would be appropriate for the evolving times. Even though they have been in use to some extent for many years, the “Health Information Technology for Economic and Clinical Health section of the American Recovery and Reinvestment Act has brought paperless documentation into the spotlight” (Eisenberg, 2010, p. 8). The systems of electronic medical records mainly consist of clinical note taking, prescription and medication documentation,
The purpose of the Electronic Health Record is to provide a comprehensive, standardized and universal digital version of a patient 's health records. The availability of a patient 's digital health record provides health information and data for critical thinking and evidence based decision-making, aggregates patient data for quality assurance and research. The Electronic Health Record has been, "identified as a strategy for effectively and efficiently coordinating and maintaining documentation of patients health histories and as a secure method of providing more informed clinical decision making" (MNA, 2006).
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
In order to advance in the healthcare industry, all healthcare professionals have to take the initiative to move along with the changes. Every day is a new beginning to a medical achievement, and yet, with it are the challenges of approval and acceptances to these new innovative ideas. One such idea, being the standardization of electronic medical records, has led many physicians to oppose it and stay stuck in their old ways. However, by not moving forward with these electronic medical records, we have prevented the healthcare system from being in sync with one another. The standardization of electronic medical records must be enforced in the Commonwealth in order to evolve our system into one that information can be easily exchanged without
Electronic health records and documentation There are three mani types of health documentation that provided patient’s medical information like EMR, EHR and personal health record; however, even when they all contain patient information they differentiate by the their accessibility. Electronic medical record refers to the patient medical record used for diagnosis and treatment but in a digital form instead of paper record. EMR is used whiten the installation or hospital providing the care for the patient. Electronic health record refers still to the patient health information but it can be access by health care providers not only within a specific clinic or hospital but also it can be access by other health care providers who are providing care for the specific patient. Personal health record makes reference to information like immunization, medical history, past diagnosis and information that can be managed by the patient itself.
Using Electronic Health Records are beginning to be the next major innovation in the continuation of the progression of healthcare to strengthen the bonds between clinician facilities and patients, by providing better decisions and provide proper care to an
Ragavan, V. (2012, August 27). Medical Records Pals Malaysia : 17 Posibble Reasons How Electronic Medical Records (EMR) Might Support Day-to-Day Patient Care. Retrieved from Medical Records Pals Malaysia: http://mrpalsmy.wordpress.com/category/emr/