Your SlideShare is downloading. ×
Nur 3062 chapter 5
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Nur 3062 chapter 5

186

Published on

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
186
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
4
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 5 Electronic Health Records
  • 2. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Evolution of Electronic Health Records Terms used to describe automated records • Computerized medical record • Computer-based patient record • Electronic medical record • Electronic health record
  • 3. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Longitudinal Patient Record A longitudinal patient record contains records from different episodes of care, providers, and facilities that are linked to form a view, over time, of a patient’s health care encounters.
  • 4. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Advantages of Manual Records • Low start-up costs • Training of staff is simple • Requires less technically trained staff • Available because there is no downtime
  • 5. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disadvantages of Manual Records • Retrieval is not easily customized. • Hand-written information can be difficult to read. • Difficult to abstract information • Undocumented services are not easily discovered until discharge analysis occurs.
  • 6. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Advantages of Automated Records • Improves access to patient information • Multiple users can access patient information simultaneously and remotely • Eliminates paper record storage • Improves readability • Timely capture of data
  • 7. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Advantages of Automated Records (Continued) • Views can be customized • Updates occur easily • Customized retrieval of information • Enhanced security • Reduction in administrative costs
  • 8. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disadvantages of Automated Records • Increased start-up costs • Selection and development is time consuming. • Staff training is time consuming. • Staff training can be costly. • Technical staff is needed. • User resistance can occur.
  • 9. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Transition to Electronic Records • Scanning of documents • Hybrid records • Record transitional template
  • 10. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Regional Health Information Organization (RHIO) A RHIO is an electronic network of patient medical information gathered from multiple health care organizations in a geographic region.
  • 11. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Stakeholders in a RHIO • Hospitals • Physicians • Patients • Health plans and insurers • Public/governmental health agencies
  • 12. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. American Recovery Reinvestment Act Areas that the act will impact include: • Incentives for adoption of EHRs • Advancement of Health Information Exchange • New privacy regulations • HIM workforce opportunities
  • 13. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Components of Electronic Health Records • Characters • Fields • Records • Files • Data • Information
  • 14. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Patient Registration Screen
  • 15. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Administrative and Clinical Applications • Registration-admission-discharge-transfer system (RADT) • Clinical applications – Patient monitoring systems – Pharmacy – Laboratory – Radiology – Nursing – Medical documentation
  • 16. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Patient Registration Demographic Information
  • 17. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Clinical Information: Patient History
  • 18. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Patient Intake Screen at Exam
  • 19. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Transitioning to Electronic Records • Many challenges will have to be met. • Health information professionals must have an understanding of automated systems. • Transitions to EHRs can take years. • Facilities need to establish and develop implementation plans.

×