Digital Health Records

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Explains the various types of prevalent Digital Health Records. This presentation was presented at the 3rd International Conference on Transforming Healthcare through IT, 2012

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Digital Health Records

  1. 1. Tutorial: BEYOND FEATURES: UNDERSTANDING DIGITAL HEALTH RECORDS DIGITAL HEALTH RECORDS Saurav Gupta Team Lead, eSanjeevani Technical Officer to Executive Director, Centre for Development of Advanced Computing, Mohali saurav@cdac.in 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  2. 2. SCOPE of the TUTORIAL Digital Health Records Designing effective Health Information Systems Case Study: MOTHER Project Implementing EMR in India Using Technology for creating PHRs 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  3. 3. INDEX Need: Advantage: Types 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  4. 4. Need •New information about disease and treatment is saving lives. •Mobile populations make it difficult to transfer medical records to the point of care. •Collective Care makes the data distributed •Paper-based record-keeping systems are adding to the expense of healthcare 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  5. 5. TECHNOLOGY i.e. Health Systems contributes to 29% At the core of any Health System is a DIGITAL HEALTH RECORD 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  6. 6. Advantage: Reduced costs & time Central updated Repository Ease of Access / remotely used Trend Analysis Improves ‘Quality of Care’ 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  7. 7. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  8. 8. Types CMR: Computerized Medical Record CCR: Continuity of Care Record EHR: Electronic Health Record EMR: Electronic Medical Record EPR: Electronic Patient Record PHR: Personal Health Record PMRI: Patient Medical Record Information 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  9. 9. EMR? • Electronic Medical Record (EMR) :An application environment composed of the clinical data repository, clinical decision support, controlled medical vocabulary, order entry, computerized provider order entry, pharmacy, and clinical documentation applications. • An EMR system helps physicians and hospitals function in a smoother, safer, and more secure manner, allowing hospital personnel to retrieve and update the information of any patient. • An EMR system promotes the evolution of healthcare transactions from an inefficient, paper-based system to a more reliable, real-time paperless system. • Transcription cost, dictation time, manual note taking, and prescription writing are virtually eliminated. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  10. 10. EMR? Doctors Hospital Administration Hospital Medical Department 1 Patients EMR Systems Hospital Medical Department 2 Laboratory Pharmacy Hospital Medical Department 3 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  11. 11. EMR: Flow 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  12. 12. EHR? An Electronic Health Record is - a repository of information regarding the health of a subject of care, in computer process-able form. An Electronic Health Record system encompasses: • Longitudinal collection of electronic health information about and for patients • Electronic access to patient-and population-level information by authorized users • Provision of knowledge and decision support systems • Support for efficient processes for healthcare delivery 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  13. 13. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  14. 14. Benefits of EHR • The information gathered by the primary care provider tells the emergency department clinician about the patient’s life threatening allergy, so that care can be adjusted appropriately, even if the patient is unconscious. • A patient can log on to his own record and see the trend of the lab results. Helps motivate him to take his medications and keep up with the lifestyle changes that have improved the numbers. • Moving from one care setting to another: The clinician’s notes from the patient’s hospital stay can help inform the discharge instructions and follow-up care. • NO running duplicate tests. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  15. 15. Components of EHR • Clinical Documentation (e.g., progress notes) – Direct-entry – Voice recognition – Structured notes • Summary Lists – Allergies – Medications – Problem • Dictation/Transcription 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  16. 16. Components of EHR • Physician Order Entry (POE) – Diagnostic tests – Prescriptions • e-Prescribing (eRx) – Drug interaction checking – Formulary management – Refills/repeats • Clinical Workflow Tasking 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  17. 17. Components of EHR • Results Management Abnormal results warning Trending/graphing •Charge Capture/Billing Medical necessity •Clinical Document Management Document scanning Import/export 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  18. 18. PHR •A Personal Health Record (PHR) contains information regarding an individual’s medical history -- such things as vaccination history, laboratory test results, allergies, medications, surgeries and family history. •Maintained by the patient. •PHR can be tethered to an Electronic Health Record 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  19. 19. PHR 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  20. 20. PHR PHRs can contain a diverse range of data, including but not limited to: •allergies and adverse drug reactions •chronic diseases •family history •illnesses and hospitalizations •imaging reports (e.g. X-ray) •laboratory test results •medications and dosing •prescription record •surgeries and other procedures •vaccinations •and Observations of Daily Living (ODLs) 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  21. 21. ODLs ODLs allow patients to contribute personally meaningful information to clinicians. ODLs can include: •Quantity and quality of sleep •Moods experienced in day-to-day life •Level of pain experienced throughout the day •Fluctuations in day-to-day stress ODLs provide: •Subtle clues that individuals pay attention to as they monitor their health. •A way for patients to gauge how their health is progressing. •Cues that alert patients that they need to take health-related action. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  22. 22. eSanjeevani: EMR snapshots www.eSanjeevani.in 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
  23. 23. THANK YOU saurav@cdac.in 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

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