ElectronicMedical Records are systems that store a patient’s health information.
For manyyears health care technology continues to evolve. President Bush called for anear-universal electric health record systems by 2014. Many patients areconcerned about how safe and private their information is in the system.However, Electronic Health Record system has improved delivery of health careover the years. In order for physiciansto maintain their EHR systems, they must be financial able to keep up-to-datewith all software items needed to run the HER System.
Once EHR system companiesimprove communication, documentation, and privacy, many more healthorganizations will adapt to electronic health records. Electronic Health Records Doctorskeep records of your health information, such as your diagnosises, testresults, perscriptions, and specialists (Basics of Health IT, n.d.).
Mostdoctors use paper charts today even though technology has highly advanced. ElectronicHealth Records(EHR) or also known as Electrionic Medical Records(EMR) areelectronic 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 allowingpatients to access their health records at any time of the day including whenthe doctor’s office is closed (Basics of Health IT, n.d).
Your Primary CareDoctors and Specialists can communicate and send records through EHR systemwhenever it’s needed (Basics of Health IT, n.d.).
Several EHRs allow you access into a webportal for you to view your own health records and email your doctor (Basics ofHealth IT n.d.). According to DesRoches and Miralles, “President Bushcalled a near-universal adoption of EHRs by 2014, there’s hundreds of pieces oflegislation addressing one or more aspects of health information technology,starting in February 2009 passage of the American Recovery and Reinvestment Actof 2009” (DesRoches, Miralles, n.d.
). The American Recovery and Reinvestment Actprovided support need fof the development, adoption and upgrade of healthinformation technology (DesRoches, Miralles n.d.). This happened by approving new federalinvestment in the HIT capability and use following the development of federalstandards (DesRoches, Miralles n.
d.). However, the development of Electronic Medical Records has many patientsconcern of the safety from it brings to their personal information.
Electronichealth records systems also have many benefits, implications, and improvementin order for a successful system.Patients’ Safety andPrivacyOne issue electronic health recordsbring is securing patients’ privacy and safety. Besides doctors, patients are the largestgroup to user of EHR Systems, enabling patients through “self-management” tomeet their health needs is highly suggested method to meet the increasingdemand for health care (Bozan,2014). Functionsof Electronic Health systems include: storage of health information and data,results management, order entry and management, patient support, and electroniccommunication and connectivity (Win, n.
d). Confidentiality is a form ofinformational privacy that includes the highly known physician-patientrelationship (Win, n.d.). In this relationship, any information obtained shouldnot be relvealed to others unless the patient consents to disclosure (Win,n.d.). EHR system’s security can perform by providing access only to authorizedusers, through firewalls and encryption technology (Win, n.
d.). If someone was ableto 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 primarypurpose” (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 topublic or private interest; for example, reporting communicable diseases to theappropriate health organization (Win, n.d.).
In Win’s article the following incident stoodout, “One incident of a security breach involved a hacker infiltrating theUniversity of Washington Medical Center’s computer system and stole at least5000 cardiology and rehabilitation medicine patients’ records “(Win, n.d). Whena patient’s information is disclosed accidentally or unintentionally, it couldcreate an infringement of privacy, and cause embarrassment, dismissal fromwork, loss of health insurance worthiness, and financial loss (Win, n.d.).
Electronic MedicalRecord Meaningful UseElectronic Health Record technologyimprove the delivery of care. There arefive outcome priorities that defines the role of Electronic Health RecordSystems: 1) health care quality improvement, safety, and efficiency, andreducing health inconsistency; 2) involving patients and families in theirhealth; 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 carepriority along with the passage of HITECH (Gale, Hartley, Croll, n.d). TheMeaningful Use criteria purpose is to ensure EHRs could support improvedsafety, quality, and efficiency of patient care (King, Patel, Jamoom, Furukawa,n.d.). The HITECH Act includes numerous requirements, including financialincentives under Medicare and Medicaid to hospitals and Eps to demonstrate theyare “meaningful users” (Rippen, Helga, Hartley, Scott, 2013).
Meaningful usewas created to push physicians to adopt Electronic Health Record systems byfinancial incentives. Implications ofElectronic Health Records Electronic health record system users expect that EHRsdo not change actions performed while working do not change if a productivityor decision support system is adopted by their organization (Bozan, 2014). However, it’s a challenge for softwaredesigners to design a program that ensures all user groups are provided thesupport need from the EHR system (Bozan,2014). Costs are the main cause for discovering a programthat supports all users (Koppel, Lehmann, 2014). Contract costs are only afraction of the total, however with any EHR system, organizations run across significantand continuing costs such as, maintenance, development, customizations,linkages, consultancies, training, and work interruptions (Koppel, Lehmann,2014).
Cost of full Electronic HealthCare system can exceed billions of dollars and will outspend an institution’sMeaningful Use subsidies (Koppel, Lehmann, 2014). Cost involved in a EHR systemis the top implication for many electronic health record system users.Improvement The”ultimate” electronic health records system promises to capture whateverpatient data is needed to perform any EHR task, such an analysis of outcomesutilization review, profiling, costing, etc. (Mcdonald, n.
d). Securing private storage by local or cloud-basedstorage that is highly adaptable to health care, only if it’s accompanied bystrong, compliant privacy policies (Mandi, Kohane, n.d.). Communications amongproviders or between providers and patients can be improved by existing secure,flexible products and protocols (Mandi, Kohane, n.
d). The Direct-Project showswhich highly effective general technologies can be easily adapted to healthcare (Mandi, Kohane, n.d.). Documentation tools in EHR systems can improve byusing software to manage complex operation, advanced tools such as Teambox,Basecamp, and Huddle to record extended interactions (Mandi, Kohane, n.d.
). HealthCare is constantly changing, finding a EHR system that adapts with health careis going to be a challenge. ConclusionElectronic Health Record systemshave impact the health care organization tremendously.
It brought betterpatient care and less time document results or personal information. However,EHR systems are very costly and patients are sure how secure or private theirinformation are in the system. In order for health care organizations toadapted EHR systems, HITECH adopted a financial incentive for meaningful use.
EHRssystems need improvement and upgrade to ensure all implications are taken careof. However, we must find funding to support the development of ElectronicHealth Record systems. In the future, EHRsystems will be the main source of documentation and communication of healthcare organizations.