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A look into the new face of medical records.

A look into the new face of medical records.

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Nursing   emr power point Nursing emr power point Presentation Transcript

  • ELECTRONICMEDICAL RECORDS
    COMMUNICATION FOR HEALTH CARE
    OF THE FUTURE
  • WHAT IS AN EMR?
    Q An electronic medical record (EMR) is a computerized medical record created in an organization that delivers care, such as a hospital, clinic, or a doctor’s office. Electronic medical records tend to be a part of a local stand-alone health information system that allows storage, retrieval and modification of records.
  • BENEFITS
    • Immediate access to patient’s key information
    • Replaces paper based medical records which:
    • Can be incomplete (Different parts in different places)
    • Hard to read
    • Hard to find
    • Requires less space
    • Offers support for education
    • Provides ability to respond quickly to reporting requirements
    • May enter and store orders which reduces duplication and improve
    the speed of execution
  • FEATURES
    • Documentation tools for entire health care team
    • Ability to integrate data from multiple sources
    • Remote access
    • Patient portal to appropriate sections of EMR
    • Decision support such as reminders, prompts, and alerts
    • Links to educational information for health care team and patient
  • POLICY & PROCEDURES
    • Develop standards for electronic authentication of EMR entries and electronic signatures
    • Procedures for accurate transmission of information
    • Policy for approved encryption to prevent unauthorized access
    • Well defined user roles and access levels including enforcement of strong login passwords
  • CHALLENGES
    • Electronic technical issues
    • Server down time
    • Electricity interruptions
    • Adequately maintain confidentiality and HIPPA compliance
    • Incompatibility between systems
    • Provision of a back-up system
    • Durability
  • IMPROVEMENTS
    • Less maintenance
    • More cost effective
    • Links to reference material
    • Increased ease of use
    • Improve compatibility between programs
  • CONCLUSION
    Our health system is changing rapidly. Tools must be considered to increase efficiency, productivity, and revenue. The transition from paper to Electronic Medical Records will be a substantial improvement.