|
EHR Information
Staying Ahead of the Healthcare Information Technology Curve!
Electronic Health Record- a patient's records stored in a digital format including the patients medical history, chronic conditions,
test results, prescriptions, and demographic information.
As many of our patients have noticed, throughout the past year we have been working diligently implementing a new Electronic Health Record System. We have had many questions regarding the new technology. Below is an article from http://wekipedia.org explaining exactly what an Electronic Health Record system is and does.
Electronic Health Record
From Wikipedia, the Free Encyclopedia
An Electronic health record (EHR) refers to an individual patient's medical record in digital format. Electronic health record systems co-ordinate the storage and retrieval of individual records with the aid of computers. EHRs are usually accessed on a computer, often over a network. It may be made up of electronic medical records (EMRs) from many locations and/or sources. A variety of types of healthcare-related information may be stored and accessed in this way. EHR systems can reduce medical errors. EHR systems are believed to increase physician efficiency and reduce costs, as well as promote standardization of care.
Terminology
Multiple terms have been used to define electronic patient care records, with overlapping definitions. Both Electronic Health Record (EHR) and Electronic Medical Record (EMR) have gained widespread use, with some health informatics users assigning the term EHR to a global concept and EMR to a discrete localized record. For most users, however, the terms EHR and EMR are used interchangeably. An EHR system is also often abbreviated as EHR or EMR.
Types of Date Stored In an Electronic Medical Record
 Patient Demographics
 Medical history, examination and progress reports of health and illnesses
 Medicine and allergy lists, an immunization status
 Laboratory test results
 Radiology Images (X-rays, CTs, MRIs, etc.)
 Photographs, from endoscopy or laparoscopy or clinical photographs
 Medication information, including side-effects and interactions
 Evidence-based recommendations for specific medical conditions
 A record of appointments and other reminders
 Billing records
 Advanced directive, living wills, and health powers of attorney
Advantages of Electronic Medical Records Over Paper Records
A medical record includes any of an individual's health documents of the types listed above. Medical records may be on "physical" media such as film (X-rays), paper (notes), or photographs, often of different sizes and shapes. Physical storage of documents is problematic, as not all document types fit in the same size folders or storage spaces. In the current global medical environment, patients are shopping for their procedures. Many international patients travel to US cities with academic research center for specialty treatment or to participate in Clinical Trials. Coordinating these appointments via paper records is a time-consuming procedure and may violate the patient's HIPAA privacy.
Physical records usually require significant amounts of space to store them. When physical records are no longer maintained, the large amounts of storage space are no longer required. Paper, film, and other expensive physical media usage (and therefore cost) is also reduced with electronic record storage.
When paper records are stored in different locations, furthermore, collecting and transporting them to a single locations for review by a healthcare provider is time-consuming. When paper (or other types of) records are required in multiple locations, copying faxing and transporting costs are significant, as are the concerns of HIPAA compliance.
Handwritten paper medical records can be associated with poor legibility, which can contribute to medical errors. Pre-Printed forms, the standardization of abbreviations, and standards for penmanship were encouraged to improve reliability of paper medical records. Electronic records help with the standardization of from's, terminology and abbreviations, and data input. Digitization of forms facilitates the collection of data for epidemiology and clinical studies.
Electronic records keeping and order entry were found to reduce errors associated with handwritten documents d have been recommended for widespread adoption.
Information Provided by Wikipedia.com
|