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- 1. Electronic Medical Record (EMR) Michael Simmons Governors State University
- 2. What is an EMR? EMR or Electronic Medical Record is a computerized medical record It replaces the standard physical paper chart It has the same sections as a physical chart & more but is stored on the computer More than one person can access the EMR at a time
- 3. Use of EMR All documentation in relation to the patient Storage and accessibility of clients healthcare history Electronic medication administration record Standard vocabulary & communication Patient demographics & insurance
- 4. EMR policy Password privacy EMR client privacy & need to know Timely & accurate data entry Staying on trusted networks Appropriate use of remote access
- 5. Challenges of EMR Difficult to use program Technical failure Cost to train staff to EMR Lengthy time to access EMR Too many templates, not enough narrative notes Lost password
- 6. EMR Improvements World wide facility-to-facility accessibility Frequent user friendly upgrades Interfacing support & reference software Improve affordability for smaller facilities
- 7. Thing of the past Paper charts Illegible hand writing Transcription errors Waiting to document
- 8. Conclusion EMR has created a higher continuity of care benefiting the client Quick & easy access of pertinent medical history Decrease in medical errors Multiple provider access of 1 EMR Legible documentation for reimbursement & judicial proceedings
- 9. Reference MSU Health Care Team, 2011, MSU EMR Home page, retrieved April 26, 201 from www.emr.msu.edu Sewell,Jeanne P,Thede,Linda Q.(2010) Informatics and Nursing:competenciesand applications. Basic electronic healthcare information systems. p336,New York,NY, Wolter Kluwer.