Anatomy of an EMR System
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A structure for the planning, management and continuous enhancement of electronic medical records systems.
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Anatomy of an EMR System
- 1. Anatomy and Issues of Electronic Medical Records Systems Lyon, Popanz Forester May 26, 2009
- 4. Focus of $19.2 billion for health information technology http://content.nejm.org/cgi/content/full/NEJMp0900665?query=TOC Part of $787 billion economic stimulus package American Recovery and Reinvestment Act of 2009 The Health Information Technology for Economic and Clinical Health Act or HITECH Why electronic medical records?
- 7. Scope: EMR & PHR EMR – electronic medical records managed by source of the data, e.g., hospital, doctor, etc. PHR – personal health records managed by the patient/consumer using Google, Microsoft, etc. Other systems: Billing and payments; HR; Hospital operations: dietary; etc. HITECH EMR Hospitals Doctors’ Offices Public Health Support Services, e.g., Labs, Pharmacies Google/Microsoft PHR Pharmacy e.g., refills Medical Devices e.g., monitors Support Services e.g., Labs Family authorized access
- 8. Status of Implementation The Wall Street Journal identified 10 types of EMR systems and assessed their implementation in hospitals: Highest: Laboratory Results 75% Lowest: Physician’s Notes & Clinical Guidelines:15% All others: 27% to 52% Full EMR: 1.5% of US hospitals * The survey did not address the question of whether or not these systems can be integrated into a nationwide health information infrastructure without significant modification or replacement http://online.wsj.com/article_email/SB124104350516570503-lMyQjAxMDI5NDAxMTAwNDEzWj.html April 30, 2009 * There are about 5,000 hospitals of which about 3,000 have 100 beds or more
- 9. Basic Anatomy of an EMR
- 10. EMR Systems & Context Systems: Context: All of these elements are in the process of evolution
- 11. Participants Sponsors of a system
- 14. Data Retain Receive Send Exchange
- 17. Technology
- 22. Additional resources: Internet research on ERM: http://www.delicious.com/hal9007/emr Twitter links to EMR: http://www.twitter.com/hal9007 Google Health (PHR+) http://www.google.com/health Microsoft Vault (PHR+) http://healthvault.com Microsoft A malga http://microsoft.com/amalga