This document discusses the cost-effectiveness of electronic medical record (EMR) systems. It first provides background on rising healthcare costs in the US. Then, it defines what an EMR system is and how it allows fast and secure exchange of patient information. The document summarizes several studies that found EMR systems can improve quality of care while decreasing costs through increased efficiency and reduced errors. It concludes that EMR systems are a step toward reducing healthcare spending while maintaining high quality care.
The history of EHRs from the 1960s until 2021.
In modern health systems, the clinicians' digital experience is dominated by the Electronic Health Record system (EHR). These systems are a primary source of digital health information, and a key player in healthcare digital transformation.
For the full article A Brief History of EHRs https://mayaberlerner.medium.com/
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Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
The Possibility of National Medical Data Systems in the Near FutureGreg Angle
An experienced healthcare executive in Cottonwood Heights, Utah, Gregory “Greg” Angle has served as the president of HCA Mountain Division for the past five years. Greg Angle maintains membership in several professional organizations, including the American College of Healthcare Executives (ACHE).
The New Age of Healthcare Ecosystems: Infographic (1)IBM in Healthcare
Learn how ecosystems will change the nature of business activities, expand capabilities and enable experiences in healthcare and life sciences beyond anything possible today.
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The history of EHRs from the 1960s until 2021.
In modern health systems, the clinicians' digital experience is dominated by the Electronic Health Record system (EHR). These systems are a primary source of digital health information, and a key player in healthcare digital transformation.
For the full article A Brief History of EHRs https://mayaberlerner.medium.com/
Implementing a Population Health Model (Hon Pak)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
The Possibility of National Medical Data Systems in the Near FutureGreg Angle
An experienced healthcare executive in Cottonwood Heights, Utah, Gregory “Greg” Angle has served as the president of HCA Mountain Division for the past five years. Greg Angle maintains membership in several professional organizations, including the American College of Healthcare Executives (ACHE).
The New Age of Healthcare Ecosystems: Infographic (1)IBM in Healthcare
Learn how ecosystems will change the nature of business activities, expand capabilities and enable experiences in healthcare and life sciences beyond anything possible today.
To know more, visit: ibm.biz/healthecos
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docxrandymartin91030
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
Evolution of Health Care Paper and TimelineThere are specifi.docxSANSKAR20
Evolution of Health Care Paper and Timeline
There are specific trends from manual to electronic operations in the health care facilities, healthcare providers and similar businesses operators. The evolution has taken place within the health care providers, administrative data and the insurance plans as well. The health care industries have automated several procedures such as the supply of drugs and accurate record keeping (Loker 2012). Electronic health care uses sophisticated technology unlike the manual one; this advanced technology has been applied in the provision of health care all over the world hence saving both time and cost It has also widened and perfected the scope of operation.
How has this change impacted the quality of care?
The change to electronic medical records has proven to be successful and helpful in providing quality patient care. Some ways that it has helped is improving patient care, increasing patient participation, improved care coordination, improved diagnostic and patient outcomes, and practice efficiencies and cost savings. (HealthIT.gov). Patients are able to be more involved in the patient care process and are able to access to their records which was not possible in the past. The transporting of records from one physician to another is much quicker now because it can be done by a click of a button. When needing to send a patient to a specialist or when getting an authorization for a patient’s recommended treatment can be done a lot quicker as well. This is speeding up the process in being able to provide quick and quality care so the patient does not need to wait as long as they would have had to in the past.
Percentage of physicians whose electronic health records provided selected benefits
(HealthIT.gov)
Electronic medical records has proven to be a good thing for both the medical provider as well as the patient and it has decreased the wait times to results or any potential errors and enhanced patient care.
Did Societal beliefs and values influence this change? Why or why not?
The health care delivery system in our country has its roots in the beliefs and values of the people (Shi & Singh, 2012). The firm belief in technological innovations leads to higher expectations of people, which has fueled the growth in technological innovations. The culture of individualism has led the medical practice to keep the individual healthy. Patients tend to evaluate the institutions by their acquisition of advanced technology. The expectation of Americans on what technology can do to cure illness is higher compared to the Canadians and Germans (Shi & Singh, 2012, p. 168). The societal beliefs and values impact not only the structure of health care delivery but also the training of health care providers.
The use of EHRs provided access to patients’ records on demand and have improved the quality of health care (Shi & Singh, 2012). Although the EHRs were to improve the quality of health care delivery, many ...
1) Description of how technology has affected or could affect deli.docxdorishigh
1) Description of how technology has affected or could affect delivery, if applicable
a) Interoperability and widespread health information exchange;
i) Continuity of care
ii) Less medical error,
(1) Reduction in Malpractice claims and costs
b) Automated, real-time
i) Instant access to a medical record for billing patient and physician access
c) Quality and cost measurement;
i) Meaningful use
ii) Ability to report and measure outcomes, presentations and other quality information pertaining to the care of patients
(1) Physician performance and quality
d) smarter analytic capacities
i) The delivery of the actual costs of health care.
Hillestad, R., Bigelow, J., Bower, A., Girosi F., Meili R., Scoville R., and Taylor R. (2013) Can Electronic Medical Record Systems Transform Health Care? Potential Health Benefits, Savings, and costs.Health Aff September 2005 24:51103-1117; doi:10.1377/hlthaff.24.5.1103
Retrieved from http://content.healthaffairs.org/content/24/5/1103.full
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Report Information from ProQuest
April 30 2013 22:45
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30 April 2013 ProQuest
Table of contents
1. Can Electronic Medical Record Systems Transform Health Care? Potential Health Benefits, Savings, And
Costs................................................................................................................................................................ 1
Bibliography...................................................................................................................................................... 11
30 April 2013 ii ProQuest
Document 1 of 1
Can Electronic Medical Record Systems Transform Health Care? Potential Health Benefits, Savings,
And Costs
Author: Hillestad, Richard; Bigelow, James; Bower, Anthony; Girosi, Federico; et al
Publication info: Health Affairs 24. 5 (Sep/Oct 2005): 1103-17.
ProQuest document link
Abstract: To broadly examine the potential health and financial benefits of health information technology (HIT),
this paper compares health care with the use of IT in other industries. It estimates potential savings and costs of
widespread adoption of electronic medical record (EMR) systems, models important health and safety benefits,
and concludes that effective EMR implementation and networking could eventually save more than $81 billion
annually - by improving health care efficiency and safety - and that HIT-enabled prevention and management of
chronic disease could eventually double those savings while increasing health and other social benefits.
However, this is unlikely to be realized without related changes to the health care system. [PUBLICATION
ABSTRACT]
Links: Linking Service
Full text: Headnote The adoption of interoperable EMR systems could produce efficiency and safety savings of
$142-$371 billion. Headnote ...
Electronic Health Records: : An electronic health record (EHR) system is now a standard method of using information technology within the healthcare industry. Smaller clinics and practices that continue to use paper systems need to seriously consider investing in this technology
Electronic health record (EHR) is a computerized patient-centric history of an individual’s health
care record that includes data from the multiple sources of care that the patient has used.
2. Introduction Problem
Introduction: What is an EMR?
Background
Conclusion
3. The cost of healthcare is still a rising concern in the United States today.
According to the Organization for Economic Co-Operation and Development
(OECD) database, America spent 17.6% of the GDP on healthcare in 2010. It
is estimated that United States spends around $1.3-$1.7 trillion annually on
health care.
The main goal of the HITECH act is to reduce the cost of healthcare while
maintaining high quality care for patients. A common inquiry about this
piece of legislation is: will using an electronic medical record system be cost
effective?
4. An EMR system stores information on a database about a patients,
pharmacy prescription, health status, clinical decision support,
insurance, and evaluations/ results of recent visits to a medical
facility. The EMR system allows for fast and secure exchange of
information through electronic transfer to one care facility to
another such as a medical clinic to a hospital. A unique feature that
comes with EMR systems is interface, which allows medical
professionals to put in data from any medical device from IPad to a
PC directly to the database of the EMR.
5. Multiple studies have shown how cost-effective EMR systems can be
In a Systematic Review: Impact of Health Information Technology on
Quality, Efficiency, and Costs of Medical Care, their findings showed
out of 257 studies that were reviewed most were in support that
EMR systems are effective and cost efficient. Three major benefits on
quality were demonstrated: increased adherence to guideline-based
care, enhanced surveillance and monitoring, and decreased
medication errors. The primary domain of improvement was
preventive health. The major efficiency benefit shown was decreased
utilization of care (Shinyi, 2006). .
6. In the study titled “Can Electronic Medical Record System Transform Health Care?
Potential Benefits, Savings, and Costs”. This article in the beginning paragraphs states
the idea that an estimated $142-$371 billon could be saved annually nationwide,
through efficiency and improved patient health outcomes as a result of better
coordination between providers. They concluded that EMR systems will be cost effective
(Health at a Glance, 2003).
7. “A cost-benefit analysis of electronic medical records in primary care”, the
purpose of the study was to estimate the net financial benefit or cost in
implementing EMR systems in primary care facilities.
The tornado diagram shows the one-way sensitivity analysis of 5 year-
benefits. The vertical line represents the base and each bar describes the net
benefits varied across the indicated range values. They study concluded that
conversions to the electronic medical record system in primary care can
result in a positive financial investment and be cost-effective (Wang, 2003).
8. When it comes to solving the economic crisis of health care in the United States,
Electronic Medical Record systems is a step in the right direction. The U.S Government
implementing and passing legislation such as the HITECH act will help reduces the
economic burden.
They are able to reduce human error and duplicate testing for patients such as MRI’s or
x-rays. Physicians are able to spend more time with patients then worry about
administrative task. It also cuts administrative manpower, which leads in to the
implication of cost-effectiveness. As proven above multiple studies have shown that
Electronic Medical Record Systems are cost-effective in the long run and reduces
healthcare cost tremendously.
An EMR system is a step in the right direction and more physicians need to convert to
theses systems along with other healthcare settings.
9. Health O Meter. (2010, May 17). Retrieved from EMR/EHR Compliance:
http://www.homscales.com/aboutus/EMR-EHR.asp
Shinyi Wu, BasitChaudhry, Jerome Wang, Margaret Maglione, Walter Mojica, Elizabeth
Roth, Sally C. Morton, and Paul G. Shekelle. "Systematic Review: Impact of Health
Information Technology on Quality, Efficiency, and Costs of Medical Care" Annals
of Internal Medicine 144.10 (2006): 742-752.
Available at: http://works.bepress.com/shinyi_wu/6
Wang, J. (2003). A cost-benefit analysis of electronic medical records in primary
care. The American journal of medicine, 114(5), 397-403. Retrieved from http://
www.sciencedirect.com/science/article/pii/S0002934303000573