1. Presented by Jerome Scott

2.  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.

3. 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

4.  Avoid duplication of tests  Reduce medical errors  Make surgery safer  Encourage better self-care  Improve care of chronic illness  Identify proper medication dosages

5.  Hardware  Software

6. The physical or tangible parts of the EHR computer system  Computer terminals in patient care areas  Tablet PC’s  Handheld devices

7. 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)

8.  Computer Physician Order Entry  Security software  Lab Test Results  Patient-specific Educational Resources  Electronic Syndrome Surveillance  Immunization registries

9. Software protection of sensitive patient Information

10.  Individual-based access  Role-based access  Context-based access

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

12. Users with common jobs and/or access needs  Nurses  Administrators  Secretaries

13. Users who serve in a common context  Specific discipline  Legal entity

14. Healthcare information systems:  Clinical  Pharmacy  Laboratory  Radiology

15.  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) Click for Reference

16. LaboratoryPhysicians office Emergency Services Pharmacy Hospital Home Health Radiology Specialist EHR= Continuity of care

17. Enhancing care by providing data at the bedside  Containing observations  Interventions  Clinical notes  Hemodynamic data  Lab results

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

19.  Heart disease  Hypertension  Chronic Obstructive Pulmonary Disease (COPD)  Asthma  Diabetes

20. 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) Click for Reference

21.  Systems analysis, design, and implementation  Database management  Specialization in health care informatics  Current issues and trends in health care informatics  Health care informatics internship

22.  Clinician computer education coordination  Project management for clinical systems  Supervises clinical informatics analysts  Leads nursing informatics vision and strategic plan

23.  Start up costs  Transition period from paper to electronic  Feelings of depersonalization  Distraction from the patient  Computer problem delays  Security

24.  Third party access  Confidentiality  Beneficence and nonmaleficence  Value conflicts

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