ipl-logo

Electronic Medical Record Research Paper

2840 Words12 Pages

INTRODUCTION
Institue of Merdicine (IOM) defined Electronic health record as:
“Electronic Medical Record is a system that is designed to support users through avialbilty of a complete and accurate data, practitioner reminders, clinical decision support system, links to bodies of medical knowledge and other aids.”
Electronic medical record is also known as Electronic patient record; Electronic health record; Computer baseed patient record; Ambulatory medical record and Computer basee medical record.
Medical record is an important part of medical practice. In the past it consisted of only a few notes about the patient, but now it contains a detailed description of patient’s information including patient’s demographics, his past history, comorbids …show more content…

The one that is ususlly used is the patient oriented medical record where all data concerning one patient is put together. It can have several formats for example chronologically arranging all the patient’s record or problem oriented medical record where all the active and resolved problems of the patient are kept at the front. Thus, the data can be arranged in different ways depending on the preference of the health institution.
SIZE OF ELECTRONIC MEDICAL RECORD
Present Electronic medical record system (EMRS) contains a large amount of information about a patient and a detailed information about the health care providers directly or indirectly involved in providing care. The information regarding patient includes patient’s demographics; current health status of the patient; his past medical history; allergy and drug history; information about insurance and billing records for the medical procedures done in that institution. In relational database terms, the size of this huge data is stored in thye form of hundereds of relational tables, each having tens of different fields and the number of record is in the range of …show more content…

Firstly, the clinical notes that were made in the past were written by the physicians and thus were sometimes not legible. With this new system notes are made on computer and are legible so there are decrease chances of error. Secondly, patient’s lab tests, results and reports can be ordered on computer and physicians can be immediately warned for abnormal results. The blood bank; pathology and microbiology labs can also be contacted easily via computer. Thirdly, reminders can be set for the paramedical staff for administering vaccines and providing patients with medicines. Fourthly, the data can also be used for clinical research and for management of prevailing chronic diseases like diabetes and hypertension in public. Fifthly, this system also introduced a modern pharmacy system that provides information regarding drug interactions, allergy alerts and drug monographs that can be use by the physicians while prescribing the drugs. Sixthly, the data can also be used for program monitoring that includes reporting outcomes, budgets and supplies. Seventhly, nursing staff can use this system to store and collect nursing documentation; care planning and administrative information. Apart from that this system can also be used by Hospital information system to manage hospital census and billing which are mainly linked to departmental systems. Also, systems like picture

Show More
Related

  • Examples Of Each In Healthcare

    337 Words  | 2 Pages

    Assignment – There are five common purposes for medical records. List each of these purposes and provide an example of each in healthcare. Having good medical records is very important, for the proper care of patients. “Medical records can be used to manage healthcare, track healthcare, provide clinical data, meet regulatory requirements, and document healthcare” (Allen, 2013, P. 57). Without the proper documentation there is no proof that it was ever done.

    Read More

  • Electronic Medical Records: Positive Effects On The Billing And Coding Process

    155 Words  | 1 Pages

    Electronic Medical Records has several positive effects on the billing and coding process. For example, Electronic Medical Records helps to reduce cost for physicians and improve care for patients. Electronic Medical Records helps reduce medical errors for the physicians and unneeded diagnostic tests. The EMR can also help coordinate patient's information better such as diagnosis, medications, family history, and the test results of each patient on file. Electronic Medical Records helps to improve storing health information and EMR makes it easier to track results of each patient.

    Read More

  • Maselli Electronic Health Record

    450 Words  | 2 Pages

    Electronic health records are essential in allowing physicians to monitor their patients’ health, notice trends, and potentially prevent hospital readmissions, quickly diagnose diseases, and reduce medical errors. This is the first in a series of blog posts where we ask the question “What is Meaningful Use of an EHR?” In this post, we interview a physician at a family practice to learn more about how he is meaningfully using his EHR to coordinate patient care, prevent a hospital readmission and ultimately improve patient health. On the day we spoke, Dr. Frank Maselli of Riverdale Family Practice in the Bronx had just finished seeing 30 patients.

    Read More

  • Best-Fit Emr Case Study

    535 Words  | 3 Pages

    There is No One-Size-Fits-All Electronic Medical Records (EMR) Solution Every medical organization has a unique rhythm and workflow patterns. That’s why best-in-class EHR software and PM solutions designed by healthcare professionals, for healthcare professionals offer superior functionality and flexibility to adapt in diverse environments. When physicians, clinicians and facility administrators actively participate in software design and development, the result is an electronic tool that supports efficient, productive administrative task management and improves patient experiences throughout the provider/patient relationship. MediPro Offers Best-Fit EMR Software Solutions Ideally, software features meet practice-specific needs while improving record accuracy, streamlining

    Read More

  • Electronic Health Record Annotated Bibliography

    1511 Words  | 7 Pages

    Para. 2) The Omaha System remains statistically superior to other interface terminologies of the electronic health record. The efficacy of the Omaha system has been heavily researched and covers numerous types of patients in various types of settings. The authors, well credentialed and academic, thoroughly describe the Omaha system and its benefits for meaningful use achievement.

    Read More

  • Patient Confidentiality

    1406 Words  | 6 Pages

    Electronic Health Records and Patient Confidentiality Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or

    Read More

  • Electronic Health Records (EHR)

    2611 Words  | 11 Pages

    Introduction The scope of the nursing practice is changing with the improvement of technology. Computer and information technology is just as important to nurses as their stethoscopes, so implementing and using Medical Information Technology (MEDITECH) an Electronic Health Records (EHR) is vital in improving patient care. The importance and knowledge of the possibilities and limitations of EHR systems is brought up throughout this paper. Chilton Hospital and Fairmont General Hospital review their possibilities and limitations about using MEDITECH.

    Read More

  • Revenue Cycle In Health Care Essay

    588 Words  | 3 Pages

    Medical information is gathered and stored in a medical record for documentation purposes which is needed at the time for billing to the payer. Medical Records contain information required by The Health Insurance Portability and Accountability Act (HIPAA) of 1996. HIPAA requires “two categories of information be reported to payers: diagnosis codes and procedure codes”. (Cleverley, Song, Cleverley, 2011, pg. 17). There are two coding systems used to provide the required codes: International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and Healthcare Common Procedure Coding System (HCPCS).

    Read More

  • Nursing Informatic Analysis

    202 Words  | 1 Pages

    The nursing informatics course has taught us the importance of the utilization of electronic charting system in the health care field. This system helps facilitate effective communication among clinicians in the health care field. However for that to happen, we must practice what this course has though us, which is good and proper nursing documentation. The electronic charting system allows multiple clinicians to have access to patient information in real time with the help of the internet, however for this information to be helpful we need to practice good and proper nursing charting.

    Read More

  • Electronic Health Records: Annotated Bibliography

    150 Words  | 1 Pages

    The ROI of EHRs article breaks down the importance of Electronic health records. Healthcare leaders need to have an open-mind about electronic health records to gain a better organized system. Health organizations spend billions trying to find a working system instead of changing to the electronic health records system. Most organizations are making their IT department play bigger role working along with physicians to make electronic health records a key component of healthcare facilities making EHRs an effective program. Electronic Health Records are important to improving the quality of care provided, being able to find a patients history of care at a click of a button.

    Read More

  • Nt1310 Unit 3 Data Analysis In Healthcare

    594 Words  | 3 Pages

    The healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.

    Read More

  • The Pros And Cons Of Interoperable Electronic Medical Records

    354 Words  | 2 Pages

    The Interoperability of electronic medical records increases their ability to improve efficiency of practice, as well as patient safety. In years past, health care providers were not always able to retrieve or review patients’ past medical records. Therefore, the risk for error, due to the inability to view the patient’s whole picture, was even greater. Fortunately, technology has come a long way, and the creation of interoperable electronic medical records has granted care providers the ability to review medical records and provide appropriate patient-centered care based on their current, as well as past, medical history. While working in an emergency department, in a popular vacation destination, I assist in providing care to many travelers.

    Read More

  • Universal Patient Identifier

    1053 Words  | 5 Pages

    Its determination is to associate patients to their data to improve the capability to generate a simplicity in sharing this data amongst the multiple health facilities patients visit. UPIs engendered by Electron Health Records (EHR) data can be manipulated by other healthcare systems including hospitals, pharmacies, insurance companies, patients, clinical research firms or diagnostic medical devices. These entities allocate data to be encapsulated, assembled, managed and then interconnected together universally. According to the article, Registries for Evaluating Patient Outcomes: A User 's Guide, “PIM has become crucial in order to (1) enable health record document consumers to obtain trusted views of their patient subjects, (2) facilitate data linkage projects, (3) abide by the current regulations concerning patient information–related transparency, privacy, disclosure, handling, and documentation,2 and (4) make the most efficient use of limited health care resources by reducing redundant data collection.” (Gliklich, R. E., & Dreyer, N. A., 2010).

    Read More

  • The Pros And Cons Of Electronic Health Records

    124 Words  | 1 Pages

    Electronic health record (EHR) system transformed the health care system from a paper based industry to one that uses clinical information to provide higher quality of care to the patients by providers. Electronic medical records have many benefits in clinical, organizational and societal outcomes. Clinical outcomes includes improvements in the quality of care and reduction of medical errors. Organizational outcomes include, financial and operational performance as well as higher satisfaction among patients and clinicians. Societal outcomes include, conduct research and attain improved population health.

    Read More

  • Nursing Informatics Personal Statement

    454 Words  | 2 Pages

    I am excited to be a part of Nursing Informatics. I was not sure what to expect, as this is my first online class. Since starting, I was suprised to see how Nursing Informatics applies to me at work. As I was taking the assessment, I discovered how much I enjoy working in the Electronic Medical Record. The Cerner program I use at the hospital gives me quicker access to patient information, improves efficiency, and reduces the potential for drug errors.

    Read More

More about Electronic Medical Record Research Paper

Open Document