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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

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


Consumers can maintain a personal health record

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






Why adoption has been slow
Why Adoption Has Been Slow? Information Network

  • Interoperable

  • Cost

  • Privacy


Why adoption has been slow1
Why Adoption Has Been Slow? Information Network

  • Interoperable

  • Cost

  • Privacy


Why adoption has been slow2
Why Adoption Has Been Slow? Information Network

  • Interoperable

  • Cost

  • Privacy

$44,000 per full-time provider

$8,500 annual maintenance


Why adoption has been slow3
Why Adoption Has Been Slow? Information Network

  • Interoperable

  • Cost

  • Privacy

Who Should Pay?

Lack of a business case for HIT


Why adoption has been slow4
Why Adoption Has Been Slow? Information Network

  • Interoperable

  • Cost

  • Privacy

$150 Billion


Why adoption has been slow5
Why Adoption Has Been Slow? Information Network

  • Interoperable

  • Cost

  • Privacy

  • Stark Law

  • Privacy and security obligations

  • Liability exposure


  • Lack of trained it personnel

    Lack of trained IT personnel Information Network

    People who understand both the technology and the business


    Jury is still out examples of success exist
    Jury is Still Out Information NetworkExamples of Success Exist

    • Department of Veterans Affairs

      • Improved quality of care

      • Easy recovery


    Take home lesson

    Take Home Lesson Information Network

    Adoption of Electronic Health Records has been slow


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