Electronic near-universal adoption of EHRs by 2014, there’s

Electronic
Medical Records are systems that store a patient’s health information. For many
years health care technology continues to evolve. President Bush called for a
near-universal electric health record systems by 2014. Many patients are
concerned about how safe and private their information is in the system.
However, Electronic Health Record system has improved delivery of health care
over the years.  In order for physicians
to maintain their EHR systems, they must be financial able to keep up-to-date
with all software items needed to run the HER System. Once EHR system companies
improve communication, documentation, and privacy, many more health
organizations will adapt to electronic health records.

 

Electronic Health Records

            Doctors
keep records of your health information, such as your diagnosises, test
results, perscriptions, and specialists (Basics of Health IT, n.d.). Most
doctors use paper charts today even though technology has highly advanced. Electronic
Health Records(EHR) or also known as Electrionic Medical Records(EMR) are
electronic systems that store a patient’s information (Basics of Heath IT n.d.).
EHRs help doctors by keeping track of a patient’s records easier and allowing
patients to access their health records at any time of the day including when
the doctor’s office is closed (Basics of Health IT, n.d). Your Primary Care
Doctors and Specialists can communicate and send records through EHR system
whenever it’s needed (Basics of Health IT, n.d.).  Several EHRs allow you access into a web
portal for you to view your own health records and email your doctor (Basics of
Health IT n.d.). According to DesRoches and Miralles, “President Bush
called a near-universal adoption of EHRs by 2014, there’s hundreds of pieces of
legislation addressing one or more aspects of health information technology,
starting in February 2009 passage of the American Recovery and Reinvestment Act
of 2009” (DesRoches, Miralles, n.d.).  The American Recovery and Reinvestment Act
provided support need fof the development, adoption and upgrade of health
information technology (DesRoches, Miralles n.d.).  This happened by approving new federal
investment in the HIT capability and use following the development of federal
standards (DesRoches, Miralles n.d.). 
However, the development of Electronic Medical Records has many patients
concern of the safety from it brings to their personal information. Electronic
health records systems also have many benefits, implications, and improvement
in order for a successful system.

Patients’ Safety and
Privacy

One issue electronic health records
bring is securing patients’ privacy and safety.  Besides doctors, patients are the largest
group to user of EHR Systems, enabling patients through “self-management” to
meet their health needs is highly suggested method to meet the increasing
demand for health care (Bozan,2014).  Functions
of Electronic Health systems include: storage of health information and data,
results management, order entry and management, patient support, and electronic
communication and connectivity (Win, n.d). Confidentiality is a form of
informational privacy that includes the highly known physician-patient
relationship (Win, n.d.). In this relationship, any information obtained should
not be relvealed to others unless the patient consents to disclosure (Win,
n.d.). EHR system’s security can perform by providing access only to authorized
users, through firewalls and encryption technology (Win, n.d.). If someone was able
to access sensitive health information, a beach of the patient’s privacy has occurred
(Win, n.d). According to the Health Records and Information Privacy Act 2002,”
health information must not be disclosed to anyone other than for its primary
purpose” (Win, n.d.). However, disclosure is need for confidential information,
so if there was a failure to do so, the practice would constitute a threat to
public or private interest; for example, reporting communicable diseases to the
appropriate health organization (Win, n.d.).  In Win’s article the following incident stood
out, “One incident of a security breach involved a hacker infiltrating the
University of Washington Medical Center’s computer system and stole at least
5000 cardiology and rehabilitation medicine patients’ records “(Win, n.d). When
a patient’s information is disclosed accidentally or unintentionally, it could
create an infringement of privacy, and cause embarrassment, dismissal from
work, loss of health insurance worthiness, and financial loss (Win, n.d.).

Electronic Medical
Record Meaningful Use

Electronic Health Record technology
improve the delivery of care.  There are
five outcome priorities that defines the role of Electronic Health Record
Systems: 1) health care quality improvement, safety, and efficiency, and
reducing health inconsistency; 2) involving patients and families in their
health; 3) care coordination improvement; 4) population and public health improvement;
and 5) privacy and security of patient health information maintenance (Gale,
Hartley, Croll, n.d). In 2009, Meaningful use has become a national health care
priority along with the passage of HITECH (Gale, Hartley, Croll, n.d). The
Meaningful Use criteria purpose is to ensure EHRs could support improved
safety, quality, and efficiency of patient care (King, Patel, Jamoom, Furukawa,
n.d.). The HITECH Act includes numerous requirements, including financial
incentives under Medicare and Medicaid to hospitals and Eps to demonstrate they
are “meaningful users” (Rippen, Helga, Hartley, Scott, 2013). Meaningful use
was created to push physicians to adopt Electronic Health Record systems by
financial incentives.

Implications of
Electronic Health Records

            Electronic health record system users expect that EHRs
do not change actions performed while working do not change if a productivity
or decision support system is adopted by their organization (Bozan, 2014).  However, it’s a challenge for software
designers to design a program that ensures all user groups are provided the
support need from the EHR system (Bozan,2014).  Costs are the main cause for discovering a program
that supports all users (Koppel, Lehmann, 2014). Contract costs are only a
fraction of the total, however with any EHR system, organizations run across significant
and continuing costs such as, maintenance, development, customizations,
linkages, consultancies, training, and work interruptions (Koppel, Lehmann,
2014).  Cost of full Electronic Health
Care system can exceed billions of dollars and will outspend an institution’s
Meaningful Use subsidies (Koppel, Lehmann, 2014). Cost involved in a EHR system
is the top implication for many electronic health record system users.

Improvement

            The
“ultimate” electronic health records system promises to capture whatever
patient data is needed to perform any EHR task, such an analysis of outcomes
utilization review, profiling, costing, etc. (Mcdonald, n.d).  Securing private storage by local or cloud-based
storage that is highly adaptable to health care, only if it’s accompanied by
strong, compliant privacy policies (Mandi, Kohane, n.d.). Communications among
providers or between providers and patients can be improved by existing secure,
flexible products and protocols (Mandi, Kohane, n.d). The Direct-Project shows
which highly effective general technologies can be easily adapted to health
care (Mandi, Kohane, n.d.). Documentation tools in EHR systems can improve by
using software to manage complex operation, advanced tools such as Teambox,
Basecamp, and Huddle to record extended interactions (Mandi, Kohane, n.d.). Health
Care is constantly changing, finding a EHR system that adapts with health care
is going to be a challenge.

Conclusion

Electronic Health Record systems
have impact the health care organization tremendously. It brought better
patient care and less time document results or personal information. However,
EHR systems are very costly and patients are sure how secure or private their
information are in the system. In order for health care organizations to
adapted EHR systems, HITECH adopted a financial incentive for meaningful use. EHRs
systems need improvement and upgrade to ensure all implications are taken care
of. However, we must find funding to support the development of Electronic
Health Record systems.  In the future, EHR
systems will be the main source of documentation and communication of health
care organizations.