EMR
An electronic medical record record (EHR) (also electronic health record (EHR)) is a data repository that digitally collects the medical reports of patients, exchanges such information with other healthcare provides, and makes a personal health record (PHR) for the patient to share with their doctor and other providers.
Contents
- 1 Electronic Medical Record (EMR) or Electronic Healthcare Record (EHR)
- 1.1 EMR benefits
- 1.2 Vendor Selection Criteria
- 1.3 EMR Training
- 1.4 Clinician Sign-out applications
- 1.5 Free and Open Source EMRs
- 1.6 Integrating Medical Devices into EMRs
- 1.7 Remote Access
- 1.8 EMR and Biometrics
- 1.9 Socio-technical Issues
- 1.10 Business Case for Improving Usability
- 1.11 New Technologies
- 1.12 Strategies of Clinical Data Entry
- 1.13 Historically Important Electronic Medical Record Systems
Electronic Medical Record (EMR) or Electronic Healthcare Record (EHR)
EMR benefits
Electronic Medical Records have many benefits over an analogous paper record.
See also: more in-depth discussion of EMR benefits
Privacy and security
Electronic objects enhance privacy by providing different levels of security access to different governmental groups and individuals. However, it also lends itself to some false sense of security in that it doesn’t prevent humans from mislabeling, incorrectly granting access, or malicious tampering. A digital data trail is very durable and more difficult to erase than a paper trail. However, privacy breaches are possible.
Financial
Although initially implementing EMRs can be expensive [1], computer systems are more efficient and can save time and money. EMR systems can eliminate the paper chart. [2] Hard drives take up less space. Shared databases reduces the need for paper. [3]
Billing is also easier, as files are claimed faster, and bills are done optimally. Patients can be informed of generic drugs and doctors can know if insurances do not cover patients. Insurance and malpractice premiums can also be lowered. [4]) [5] The computer also can point out different drugs that can save hospitals money [6].
Man hours are also reduced. Dictation is automatic, e-prescribing reduces number of phone calls and visits, [7] [8] [9] and patients are automatically notified of test results and appointment times.
Clinical
EMRs make the hospital staff more productive. Nurses are more efficient [10] A computer system reduces medication errors and checks for drug-drug interactions [11] [12] [13] [14]
Reminders can ncrease underused preventative measures, [15] reduce duplicate laboratory tests, [16] [17] and increase compliance (Gilad Kuperman, M.D., P.h.D., Richard Gibson, M.D., P.h.D. Ann Intern Med. 2003; 139:31-39.) and (Timm JA, Chick KL, Peterson JA, Epps SI, Bleimeyer RR, Harris M. Using expert rules to automate pressure ulcer alerts for the clinical nurse specialist. AMIA Annu Symp Proc. 2008 Nov 6:1154.) and (Teich JM, Merchia PR, Schmiz JL, Kuperman GJ, Spurr CD, Bates DW. Effects of computerized physician order entry on prescribing practices. Arch Intern Med. 2000;160:2741-7.)
Patient internet portal allows for most up to date information about healthcare. [18]
EHR system Selection
See more for in depth discussion of EHR system selections
Waiting room solutions
See more for in depth discussion of Waiting room solutions
Vendor Selection Criteria
Request for Proposal Comparing Vendors ===EMR Components Problem List Medication List
EMR Training
Physician Help Desks Post-live Physician Training & Support ===Strategies for Improving EMR Adoption Recent Changes to Support EHR Adoption in Solo/Small Practices
Clinician Sign-out applications
Free and Open Source EMRs
Integrating Medical Devices into EMRs
EMR Introduction and Background EMR Current Practices EMR Connectivity Requirements EMR (EHR) Available Solutions and How to Choose the Right One
Remote Access
===Considerations for Specialists Special considerations for Pediatric Practices Special considerations for Ophthalmologists ===Models for Adoption by Small - Medium size practices Application Service Providers - ASP Utility Model
EMR and Biometrics
Socio-technical Issues
Privacy of Patient Data: Genetic Non-Discrimination Definitions of Terms related to Patient Privacy, Confidentiality, and Security
Business Case for Improving Usability
New Technologies
WiSPER™ (Wireless Standardized Portable Electronic Records) Vocera -- Hands-free, wireless communication device Aionex PatientBoard -- a HIPAA-compliant, secure, web-based, patient status board FastAccess -- a biometric facial recognition solution to the repeat login problem Biometric Resource -- information about existing and cutting edge biometric technologies
Omron Wrist Blood Pressure Monitor Iniatite Systems Identity Hub Internet Based EMR: Benefits & Costs
Strategies of Clinical Data Entry
Natural Language Processing (NLP) Coding Data
