Electronic Medical Record

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.