EHR: Electronic Health Records:

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EHR:
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- Online comprehensive medical information of a person - Electronic Health Record = EHR; - EMR = Electronic Medical Record
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EHR vs. EMR:
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- EHR = Electronic Health Record - digital version of patient chart, but a more inclusive snapshot of patient's medical history. Designed to be shared w/ other providers - EMR = Electronic Medical Record - single practice's digital version of a patient's chart - contains medical history, diagnoses and treatment by a particular physician, nurse practitioner, specialist, dentist or surgeon. - EMR is a narrower view of patient's medical history, while EHR is more comprehensive
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EHR Major Functions:
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- track data over time - timely reminders for patient screenings and preventative checkups - Improve patient care
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EHR Adoption Obstacles:
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- Formal training - Concern about patient acceptance - Speed - Interinstitutional Integration - Inadequate data exchange - Reliability
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EHRs 3 major safety issues:
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- Unmet display needs - Intended and unintended consequences of software modifications - Data exchange failures - Hidden dependencies w/in EHR
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EHR Customization Pros:
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- Accurate, up-to-date, and complete info. about patients - Quick access to patient records for coordinated, efficient care - Safer, more reliable prescribing
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EHR Customization Cons:
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- Cost to set-up and maintenance - Productivity - Delay in documentation - Lack of interoperability between info. technologies/ EHRs
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Discrete data benefits over free text:
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Standardization?
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EHR =
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Electronic Health Record
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EMR =
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Electronic Medical Record
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PHR =
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Personal Health Record - to maintain and manage their health information in private and secure environment
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Clinical Decision Support =
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CDS = key functionality of health IT. - When applied effectively, it increases quality of care, enhances health outcome, helps to avoid errors and adverse events
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Importance of Clinical Decision Support:
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- Improves efficiency, reduce costs, boosts provider and patient satisfaction
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Discrete data Example:
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numbers of apples or the color of the apple
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