Electronic health records


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What is EHR, related work and healthcare standards for EHR.

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Electronic health records

  1. 1.  Practitioners use records to capture their clinical findings and conclusions  Until recently, medical records have been captured on paper and are the property of the recording provider  “To Err Is Human” – many misconceptions resulting in lapse in patient care
  2. 2. An evolving concept defined as the systematic collection of electronic health information about individuals and populations that can be transferred between health care centers.
  3. 3. The systematic application of information science, computer science and technology to public health practice, research and learning
  4. 4.  Paper charts are neither interactive nor intuitively designed  Printed reminders and cautions can be easily overlooked  Physicians are notorious for illegible handwriting-as less as 65% of the written medical charts can be fully read
  5. 5.  No data sharing - written records remain in the providers office  Take a lot of space  Disorganization or disaster in office can result in information loss
  6. 6.  Intuitive formatting and enhanced interaction  Eliminating unnecessary procedures reducing health care expenditures  Greater co-ordination and data sharing  No data loss  Helper applications-provide patient specific feedback in real time
  7. 7.  Provides alerts to the doctor to health needs or relevant research  Improved decisions on part of the clinician  Empowers patient in self management of chronic diseases  Helps track prior medical history and treatment of the patient  Collaboration between patient and doctor
  8. 8.  Expensive software and computer purchase  Software maintenance expense  Dependent upon reliable operation
  9. 9.  Loss of revenue  Local vs. global perspective  Security  Learning curve  Overconfidence in personal physician skill
  10. 10.  Info-buttons  Computerized Provider Order Entry  Clinical Decision Support  Personal Health Record  Clinical Data Repository
  11. 11.  Contact specific links from one information system to another resource  Provide relevant contextual information  significantly increase the percentage of met information needs at the point of care
  12. 12.  Allows provider orders to be written electronically either in the hospital or out- patient settings  Eliminates hand writing misinterpretation
  13. 13.  Provides intelligently filtered clinical knowledge and patient related information  Improves patient care  CPOE and CDS often work in tandem to ensure patient is being treated appropriately
  14. 14.  Enables the patient to keep track of their own personal health information  Provides educational material to assist in self management of chronic disease  Enables patients to take input from home monitoring devices such as glucometers, blood pressure monitors, etc
  15. 15.  Telemedicine allows communication of medical information to remote provider for consultation.  frequency of required appointments for a patient can be determined  Improves quality of care  Reduces cost through cost avoidance
  16. 16. The database that stores all the health information of the EHR
  17. 17.  One of the vital features of EHR  Readable data is dependent upon adherence to standards  Absence of robust standards could undermine the benefits of EHR adoption altogether  Standards have been developed for adoption by EHR vendors and RHIO members to allow data to be exchanged between systems in RHIO
  18. 18.  CCHIT - the only certification body endorsed to evaluate EHR’s for adherence to standards.  IHE Eye care Connectathons - test interoperability of equipment and EHR’s to determine how well they integrate  Health Level 7 (HL7) - a series of standards designed to allow data exchange and interoperability of EHR’s.  DICOM - centered on medical imaging
  19. 19.  Registries  Disease Surveillance Systems  Geographic Information System
  20. 20. Databases used to track patients:  a particular disease  exposure to risk factor  those who have undergone certain procedure
  21. 21.  Estimating incidence  Providing a population for researchers to study  Trending a disease’s impact over time
  22. 22. Ongoing systematic collection, analysis and interpretation of health related data essential to planning, implementation and evaluation of public health practice
  23. 23.  Evaluate threats to public health  Detect epidemics  Generate research questions  Assess current attempts to control health threats  To stay on top of changes in infectious agents or health practices
  24. 24.  Tracking patients relative to their location  Ease spatial tracking in public health
  25. 25.  In infectious disease tracking  Applications where spatial information is relevant e.g.  Sheen’s evaluation of costs Benefits of optometric referrals in Wales
  26. 26.  EHR will dramatically change the way in which clinicians practice  Enable creation of more legible records helpful for multiple practitioners  CDR and RHIO will act as a bridge enabling team work in patient care  Safeguarding populations from outbreaks
  27. 27.  ELECTRONIC HEALTH RECORDS AND PUBLIC HEALTH INFORMATICS By Kevin M. Jackson, OD, MPH, FAAO, CDR, MSC, USN http://webpages.charter.net/oldpostpublishing/oldpostpublishing/S ection%202,%20Principles%20of%20Public%20Health/Sect%202,%20El ectronic%20Health%20Records%20and%20Public%20Health%20Inform atics%20by%20Jackson.pdf