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Electronic Health Records. Presented by Jerome Scott. Objectives. Describe the common components of Electronic Health Records (EHR). Assess the benefits of an EHR. Evaluate outcomes of EHR use in meeting needs of healthcare staff and patients. Electronic Health Record (EHR).

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electronic health records

ElectronicHealthRecords

Presented by

Jerome Scott

objectives
Objectives
  • Describe the common components of

Electronic Health Records (EHR).

  • Assess the benefits of an EHR.
  • Evaluate outcomes of EHR use in meeting needs of healthcare staff and patients.
electronic health record ehr
Electronic Health Record (EHR)

The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. (Electronic Health Record, 2010)

Click for Reference

the benefits of ehr
The benefits of EHR
  • Avoid duplication of tests
  • Reduce medical errors
  • Make surgery safer
  • Encourage better self-care
  • Improve care of chronic illness
  • Identify proper medication dosages
ehr components
EHR Components
  • Hardware
  • Software
hardware
Hardware

The physical or tangible parts of the EHR computer system

  • Computer terminals in patient care areas
  • Tablet PC’s
  • Handheld devices
hardware example
Hardware example

Tablet PC

  • High mobility PC
  • Lightweight and high durability
  • Slim, flat battery is hot-swappable
  • Thin dimensions can be easily gripped
  • Three input modes (pen, voice & keyboard)
slide8
EHR software offers integrated clinical and administrative capabilities and provides quick access to patient information
  • Computer Physician Order Entry
  • Security software
  • Lab Test Results
  • Patient-specific Educational Resources
  • Electronic Syndrome Surveillance
  • Immunization registries
security software
Security software

Software protection of sensitive patient

Information

security access control
Security access control
  • Individual-based access
  • Role-based access
  • Context-based access
individual based access control
Individual-based access control

Each user’s information needs is individually evaluated and access is provided accordingly.

role based access control
Role-based access control

Users with common jobs and/or access needs

  • Nurses
  • Administrators
  • Secretaries
context based access control
Context-based access control

Users who serve in a common context

  • Specific discipline
  • Legal entity
software
Software

Healthcare information systems:

  • Clinical
  • Pharmacy
  • Laboratory
  • Radiology
software must address the three axioms of usability
Software must address the three axioms of usability
  • Early and central focus on users in the design, development and purchase of systems
  • Iterative design
  • Empirical usability measures of observations of users and information systems (Staggers, 2003)

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patient care team
PATIENT CARE TEAM

Laboratory

Physicians office

Emergency Services

EHR= Continuity of care

Pharmacy

Hospital

Specialist

Home Health

Radiology

clinical information systems
Clinical Information systems

Enhancing care by providing data at the bedside

  • Containing observations
  • Interventions
  • Clinical notes
  • Hemodynamic data
  • Lab results
chronic care management software
Chronic care management software

Electronic chronic care management is aimed at improving the health of patients with chronic illness

chronic care management software areas
Chronic care management software areas
  • Heart disease
  • Hypertension
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Asthma
  • Diabetes
ehr package examples
EHR package examples

MedicsDocAssistant Electronic Health Records software

  • Physicians Quality Reporting Initiative (PQRI)
  • Computer Based Provider Order Entry (CPOE)
  • Evidence-Based Medicine
  • MedicsRX e-prescribing Solution
  • Medics On-Call™ for iPhone™
  • Virtual "sticky notes“ (MedicsDocAssistant Electronic Health Records, 2010)

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nurse informatics competencies
Nurse informatics competencies
  • Systems analysis, design, and implementation
  • Database management
  • Specialization in health care informatics
  • Current issues and trends in health care informatics
  • Health care informatics internship
nurse informatics responsibilities
Nurse informatics responsibilities
  • Clinician computer education coordination
  • Project management for clinical systems
  • Supervises clinical informatics analysts
  • Leads nursing informatics vision and strategic plan
disadvantages of ehr
Disadvantages of EHR
  • Start up costs
  • Transition period from paper to electronic
  • Feelings of depersonalization
  • Distraction from the patient
  • Computer problem delays
  • Security
ethical and legal issues with her
Ethical and legal issues with HER
  • Third party access
  • Confidentiality
  • Beneficence and nonmaleficence
  • Value conflicts
references
References

Electronic Health Record. (2010). Retrieved February 25, 2010, from Healthcare Information and Management Systems Society (HIMSS) Web site: http://www.himss.org

Staggers, N. (2003). Human factors: Imperative concepts for critical care. AACN Clinical Issues , 310-319.

MedicsDocAssistant Electronic Health Records. (2010). Retrieved March 2, 2010, from Advanced Data Systems Corporation: http://www.adsc.com

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