The document discusses electronic health records (EHRs). It notes that the HITECH Act provides incentives for healthcare organizations to implement EHRs and achieve meaningful use. An EHR is a computer-based record that contains a patient's health information and can be accessed by authorized professionals. EHRs have 8 components including health information, test results, order entry, decision support, communication, patient support, administrative processes, and reporting. The document provides details on each component and notes advantages of EHRs like reduced errors and enhanced disease monitoring.

1. Electronic Health
Record (EHR)
Amy Konow
Monmouth
University

2. Health Information Technology for
Economic and Clinical Health
(HITECH) ACT
• Title XIII of the American Recovery and
Reinvestment Act
• Healthcare organization can qualify for
healthcare incentives based on level of
meaningful use achieved

3. Electronic Health Record (HER)
• Computer based data regarding the health status of a client
• Replacing paper based medical record
• Can be processed, stored, transmitted, and accessed by authorized
professionals
• Purpose is to provide efficient high-quality health care access across
the continuum

4. 8 Components of the EHR
• Health information and data
• Results management
• Order entry management
• Decision support
• Electronic communication and connectivity
• Patient support
• Administrative processes
• Reporting and population health management

5. Health Information and Data
• Patient data required to make sound
clinical decisions
• Demographics
• Medical and nursing diagnosis
• Medication lists
• Test results

6. Results Management
• Ability to manage results of all types
electronically
• Laboratory and radiology procedure
reports
Order Data Management
• Ability of a clinician to enter orders
such as medications, laboratory,
radiology, nursing, supplies, and
consultations into the computer

7. Decision Support
• Computer reminders and alerts to improve the diagnosis and care of a patient
• Screening for correct drug selection and dosing
• Screening for medication interactions with other medications
• Preventative health reminders such as vaccinations
• Health risk screening and detection
• Clinical guidelines for patient disease treatment

8. Electronic Communication and Connectivity
• Online communication between healthcare team
members, their care partners, and patients
• Email
• Web messaging
• Integrated health record across the continuum of
care

9. Patient Support
• Patient education
• Self-monitoring tools
• Interactive computer-based patient education
• Home telemonitoring
• Telehealth systems

10. Administrative Processes
• Electronic scheduling, billing and claims
management system
• Inpatient and outpatient visits and procedures
• Electronic insurance eligibility validation
• Claim authorization and prior approval
• Identification of research study participation
• Drug recall and support

11. Reporting and Population Health Management
• Data collection tools to support reporting
requirements
• Standardized terminology
• Machine-reliable format

12. Advantages of EHR
• Increased delivery of guidelines-based care
• Enhanced capacity to perform surveillance
and monitoring fordisease conditions
• Reduction in medication errors
• Decreased use of care

13. Reference
McGonigle, D., & Mastrian, K.
(2015). Nursing informatics and the
foundation of knowledge(3rd ed.).
Sudbury, Mass.: Jones and Bartlett.