Electronic Medical Records (EMRs) (Essay Sample)
Health information technology (health IT) makes it possible for health care providers to better manage patient care through secure use and sharing of health information. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people's health information.
Share the EHR platform that your practice uses and discuss the challenges and barriers to electronic charting. Why have we moved from paper charting to EHR’s? What is meant by meaningful use regulations and why is this important to know when documenting in the EHR?
Please support your work with 5 evidence-based practice resources that are less than 5 years old, in US ONLY. Using 6th edition APA formatting.source..
Electronic Medical Records (EMRs)
Electronic Medical Records (EMRs)
Electronic Medical Record (EMR) has transformed health care delivery through a digital repository of patient data which can be shared among various healthcare constituents, within hospitals and/or across larger health network. The popular definition promoted by HIMSS: “An application environment composed of the clinical data repository, clinical decision support, controlled medical vocabulary, order entry, computerized provider order entry, pharmacy, and clinical documentation applications” (Fareed, Bazzoli, Farnsworth Mick, & Harless, 2015). Moreover, according to the HIMSS, a mature network of EMRs must be present among a network of healthcare constituents (ex. hospitals, regional health authorities, national health information system).
Hence, an EMR is a systematic collection of health information that captures and digitally stores a patient’s health status. Each electronic record clearly displays the patient’s medical history, insurance information, known allergies, and medications for the physicians to quickly and easily access. EHR’s also offer administrative services such as electronic prescriptions or prescriptions (Handel, 2014). The goal in implementing these technologies is to increase the quality, safety and efficiency of healthcare in order to improve patient care outcomes (Vigersky, 2015).
In the clinical setting, EMR systems offer many benefits, as an information environment in which health professionals can monitor and manage patient data through the use of various interconnected tools or applications. In addition, the data flowing through this system is regarded as “legal records” of the patient’s health care within the health institution and is therefore owned by the health care institution. According to many research websites and the articles used to examine EMR applications, also defined as automated health records, EMRs serve as a digitized patient chart used by clinicians to view and track patient data over a period of time within a particular practice or health organization. On the other hand, the EHR takes into account that clinical data in addition to other data relevant to the patient’s overall health, like those collected from other areas of the patient’s healthcare experience such as specialists or laboratories. EMRs, especially since “meaningful use” requirements were developed, have been designed to share information across a patient’s full network or team of healthcare providers.
EMRs have also made health care more standard and consistent. First, EHRs standardize much of the note content in a patient’s record because templates are available. This allows others to more easily understand what is noted, resulting in better record keeping which reduces the cost of healthcare and improves the quality of care provided. EMRs also speed up the entire appointment process. Patients do not need to complete paperwork prior to each visit, thus decreasing the overall wait time associated with their visit. All records are shared among different healthcare settings within the network, so each office eliminates the need for duplicate paperwork. This allows doctors to view what others have already done, reducing time by preventing repeated, unnecessary tests. As a bonus, this saves the patient, hospital, and insurance company unnecessary expenses. Time is saved on the nursing staff’s end as well. Now they can electronically notify the appropriate team about a needed test such as an X-ray, CT, or blood work, saving the hassle of having to call and create these appointments. This, in turn, reduces the amount of time a patient must wait...
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