Electronic health records
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Electronic Health Records. Based on Alliance for Health Reform Toolkit on Health Information Technology Narrated by Leonel V. Baliton. Credit. For the source see http://www.allhealth.org/Publications /Health_information_technology /health_information_technology_toolkit.asp#keyfacts.

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Electronic Health Records

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Electronic health records

Electronic Health Records

Based on Alliance for Health Reform Toolkit on Health Information TechnologyNarrated by Leonel V. Baliton


Credit

Credit

For the source see http://www.allhealth.org/Publications/Health_information_technology/health_information_technology_toolkit.asp#keyfacts


Health information technology hit

Health Information Technology (HIT)

  • Information processing

  • Hardware and software

  • For

    • Entry

    • Storage

    • Retrieval

    • Sharing

    • Use

  • Components:

    • Electronic Medical Records

    • Computerized Physician Order Entry


Electronic medical record emr

Electronic Medical Record (EMR)

  • Patient's legal medical record

  • Stored in digital format


Fully operational electronic health record

Fully Operational Electronic Health Record

  • Core functionality

    • Storage & retrieval

    • Result management

    • Order entry & support

    • Decision support

  • Other functionality

    • Electronic communication

    • Patient access

    • Administrative support

    • Population reporting


Personal health record phr

Personal Health Record (PHR)

  • Owned by a patient

  • Maintained by a patient


Health information exchange hie

Health Information Exchange (HIE)

  • Move clinical information across organizations

  • Maintain the meaning of the information


Regional health information network rhio

Regional Health Information Network (RHIO)

  • Multi-stakeholder organization

  • Operating in a specific geographical area

  • Enables the exchange of health information


National health information network nhin

National Health Information Network (NHIN)

  • Technologies

  • Standards

  • Laws

  • Policies

  • Programs

  • Practices


Computerized physician order entry cpoe

Computerized Physician Order Entry (CPOE)

  • Computerized system

  • Physicians to enter their own orders


Electronic health records

Consumers can maintain a personal health record

From Blumenthal and Glaser, New England Journal of Medicine Vol. 356: 24, June 2007


Electronic health records

Clinicians maintain an Electronic Health Record


Electronic health records

Health Information Exchanges


Electronic health records

This creates a Regional Health Information network


Electronic health records

Several RHIOs make up elements of the National Health Information Network


Why adoption has been slow

Why Adoption Has Been Slow?

  • Interoperable

  • Cost

  • Privacy


Why adoption has been slow1

Why Adoption Has Been Slow?

  • Interoperable

  • Cost

  • Privacy


Why adoption has been slow2

Why Adoption Has Been Slow?

  • Interoperable

  • Cost

  • Privacy

$44,000 per full-time provider

$8,500 annual maintenance


Why adoption has been slow3

Why Adoption Has Been Slow?

  • Interoperable

  • Cost

  • Privacy

Who Should Pay?

Lack of a business case for HIT


Why adoption has been slow4

Why Adoption Has Been Slow?

  • Interoperable

  • Cost

  • Privacy

$150 Billion


Why adoption has been slow5

Why Adoption Has Been Slow?

  • Interoperable

  • Cost

  • Privacy

  • Stark Law

  • Privacy and security obligations

  • Liability exposure


  • Lack of trained it personnel

    Lack of trained IT personnel

    People who understand both the technology and the business


    Jury is still out examples of success exist

    Jury is Still Out Examples of Success Exist

    • Department of Veterans Affairs

      • Improved quality of care

      • Easy recovery


    Take home lesson

    Take Home Lesson

    Adoption of Electronic Health Records has been slow


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