Discussion A
Describe the difference between EMR and Clinical Information Systems (CIS). What are the advantages and disadvantages of CIS’s?
EMR is an electronic record of patient health information that is created by each encounter in any healthcare setting (Menachemi & Collum, 2011). Information in the EMR includes patient progress notes, medications, problems, vital signs, immunizations, laboratory and radiology reports and past medical history (Menachemi & Collum, 2011). EMR is used to organize and manage relevant patient, pharmacy financial, radiological and laboratory information (Burke & Weill, 2009). The CIS is a system based on technology that is applied at the point of care and developed to preserve the acquisition and processing of information (McGonigle & Mastrian, 2012).
Advantages of CIS includes efficient access of patient data at the point of care, information that is easy to access due to being legible and structured, better patient safety, through the identification of adverse drug reactions and high risk patients (McGonigle & Mastrian, 2012). Disadvantages include the implementation of CIS is both costly in money and employee productivity, while implementation and development is in progress (McGonigle & Mastrian, 2012). Additional disadvantages may be privacy and security and resistance from staff to learning
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For example, implementation of EMR has been shown to have increased the rate of vaccinations in some hospitals (Menachemi & Collum, 2011). Also, a lower compliance rate with core measures would be a risk to not implementing EMR. The EMR signals a message to physicians to verify that measures are being met. Physicians would not receive these reminders in a paper chart and if they did it would be a very time consuming task for someone to
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.
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
To be considered meaningful users of the EMR, the qualified applicant must use clinical content that is consistent and standardized across systems and healthcare settings, use decision support tools such as alerts and reminders, have the ability to collect and store raw data from documentation that can be used for reporting purposes, collect and report data to the state. Reporting of data will help to improve public health and awareness and provide sharing of information between systems (Tripathi,
Kutney-Lee, A. (2011). The effect of hospital electronic health record on. NCBI, 41(11). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3236066/
Kimmel, K. C., & Sensmeier, J. (2002). A Technological Approach to Enhancing Patient Safety. Retrieved from https://blackboard.ohio.edu/bbcswebdav/pid-3906938-dt-content-rid-20290664_1/courses/NRSE_4510_1021_SEM_SPRG_2013-14/EHR_1%281%29.pdf
This article addresses major aspects such as clinical trial, integrated decision support and guidance, inadequacy of paper record, and data entry. The reason that paper records are not a match for modern medicine is that they are not accessible buy multiple health professionals causing a delay in response to health care, confidentiality and security is a risk granted that anyone could physically change the record and it would become official. The author of this article predicted the basic electronic medical record features that are available today, back in 1999 and the features include integrated clinical workstations with the computational power that can assist with clinical matters, financial and administrative topics, research, and scholarly information. This report indicates that having electronic records can provide efficiency throughout the system of health care for instance the example presented in this article was the process of admission, discharge and transfer of a patient can be changed drastically due to it initially taking hours to going from in and out in minutes. This article will provide the foundation of EMR’s and how time for reform had come more than a decade ago and it’s time for reform once again. With the examples and strategic tactics provided, it is fairly simple to display the evolution of Electronic medical records from
An electronic health record (EHR), or electronic medical record (EMR), refers to the systematized collection of patient and population electronically-stored health information in a digital format. It details medical problems, medications, vital signs, patient history, immunizations, laboratory data and radiology reports, progress notes .These records can be shared across different health care settings. It resides on an enterprise information systems and is exchanged via electronic networks.EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.why is it needed? It seeks to be a complete record of a patient that can follow him/her from setting to setting increasing knowledge and consistency. It allows providers to obtain a complete picture of a patient and allows firms to automate and streamline workflows. It could improve patient and financial outcomes via evidence-based decisions, quality management, data mining, tracking, and reporting.
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.
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 goal of electronic medical records is to make healthcare safer and increase efficiency by providing patients and providers with information to make informed decisions, encourage preventive care, and reduce errors and duplications. However, since EHRs was made a national priority the implementation has been complex and misunderstood.
Electronic patient records are shared among medical professionals to provide better treatment for the patients. The technology is used among hospitals and private medical practice.
The article seem to touch mostly on the pros of electronic medical records. But making a good sound decision about any task, companies should weight both the pros and the cons. The Next Galaxy (2017) list four disadvantages of electronic medical records, (1) Much skill required, (2) Minimal error could mean big loss, (3) Privacy is key, and (4) Better have a backup plan.
Due to the overabundance of EMR providers, physicians face a somewhat overwhelming decision when trying to settle upon which software with best suit their needs. The main types of practices served by the various providers are Primary Care, Related Specialists, Inpatient care (Hospitals) and a range of small to large practices. For our purposes we will focus on the needs
Electronic medical records (EMRs) is a digital version of a standard medical and patient information gathered in the computer, which goes beyond the traditional information collected replaces manual operation and include a more comprehensive patient
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).