The presentation is about an introduction to EHR Applications in health care. The EHR application, opportunities as well as challenges are discussed in brief.

1. Acute Care EHR
Application
Bharath Kumar Reddy Chinta
Physiotherapist/Health Informatics specalist

2. Introduction
Clinical care touches all aspects of hospital operations
EHR in acute care helps in providing improved patient care
EHR bring together the applications that lead to an EHR
In implementing EHR, a hospital builds on existing source
systems
EHR requires careful dealing with the applications, technology
and operational elements
Meaningful Use assessment is essential
Ways to achieve data integration, how presentation layer may
appear to users and how that supports users’ workflow and
thought flow are to be focused

3. Clinical
component
comprising an
EHR
Result management
Point-Of-Care (POC) documentation
Computerized provider order entry (CPOE) and bar code
medication administration record(BC-MAR)
Clinical decision support(CDS)
Reporting

4. Relation with
health
informatics
Healthcare Informatics is the application of information
processing
EHR is the system under the health informatics which is real-
time, patient-centered records
Every hospital today has the set of information systems
Implementation of document imaging system or electronic
document management system
EMR

5. Roles of health
informatics
specialist in
Acute care EHR
application
It is challenge to define the health information technology
(HIT) workforce
assists in reorganizing the work of providers
optimize the implementation of HIT
provide onsite user support for a period of time before and
during implementation of HIT systems
management of mobile adoption support teams
provide ongoing support
design and deliver training programs to the employees in
health settings
ensure effective problem resolution and build creative and
critical thinking skills

6. Obstacles in EHR application
These are the most complex
applications to implement and to
get people to use
Unintended consequences
Some vendors have just begin to
roll out some of the components
where as many are in the stage
of upgrading products
pressure in an environment of
uncertainty
Lack of product and/or lack of
capital to buy product
Lack of support by medical staff
Lack of clear understanding

7. Factors to be considered
SEQUENCING OF
APPLICATION
TECHNICAL INFRASTRUCTURE
READINESS
OPERATIONAL AND POLICY
ISSUES

8. Impact of acute
care EHR
application in
healthcare
Paper records are severely limited
Improved efficiency and productivity
Quality of care and patient safety
Modernization of healthcare infrastructure
Public expectation
Government expectation

9. Adoption of
electronic
health record
systems

10. Conclusion
EHR application opportunity as well as challenge
supported with federal incentive
Important factors
◦ having clinical staff drive the process
◦ involving quality improvement leaders
requires care and diligence in their design and maintenance

11. References
Amatayakul, M. K. (2009). Electronic health records: A practical guide for professionals
and organizations. Chicago, IL: American Health Information Management Association.
Hoyt, R. E., Yoshihashi, A., & Bailey, N. J. (2012). Health informatics: Practical guide for
healthcare and information technology professionals. Raleigh, NC: Lulu.com.
Zeng, X. (2016). The Impacts of Electronic Health Record Implementation on the Health
Care Workforce. North Carolina Medical Journal, 77(2), 112-114.
doi:10.18043/ncm.77.2.112
Charles, D., Gabriel, M., and Searcy, T. (2015). Adoption of Electronic Health Record
Systems among U.S. NonFederal Acute Care Hospitals: 2008-2014. Silow-Carroll, S.,
Edwards, J. N., and Rodin, D. (2012). Using Electronic Health Records to Improve Quality
and Efficiency: The Experiences of Leading Hospitals.