According to the Centers for Medicare and Medicaid Services (SMS), "An Electronic Health Record (ERR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative alnico data relevant to that persons care under a particular provider, Including demographics, progress notes, problems, medications, vital signs, past medical history, immunization, laboratory data and radiology reports The ERR automates access to information and has the potential to streamline the clinician's workflow.The ERR also has the ability to support other care-related activities directly or Indirectly through various Interfaces, Including evidence-based decision support, quality management, and outcomes reporting.
L" The expectation is that Errs are moving healthcare forward and progressing the elaboration between healthcare entities, healthcare professionals as well as patients directly. In do so the healthcare data will be readily available to enhance quality of care and improve the more timely healthcare decisions for all vested parties.According to SMS here are some examples of what the ERR can help improve: Reducing the incidence of medical error by improving the accuracy and clarity of medical records. Making the health information available, reducing duplication of tests, reducing delays in treatment, and patients well informed to take better decisions.
Reducing medical error by improving the accuracy and clarity of medical records . ERR Benefits: Healthcare is constantly evolving. Currently we all know healthcare reform is a national focus.Healthcare is entrenched and reliant on Information and technology as a vital operational component In providing and improving healthcare communication and quality of care outcomes. Healthcare is tapping into the broad range of developed technologies via internet utilization, 'smart' devices (I. E.
Phones), 'OFF information, its most updated accuracy and its communication from one entity as rage as an National Organization or agency all the way down to the individual.This health record information will be readily available to the user instantaneously via accessing any devise that can provide the user with the ERR platform (See Appendix According to the Health. Gob website, "[t]he Health Information Technology for Economic and Clinical Health (HITCH) Act, a component of the American Recovery and Reinvestment Act of 2009, represents the Nation's first substantial commitment of Federal resources to support the widespread adoption of Errs. As of August 2012, 4 percent of the Medicare- and Medicaid-eligible professionals had registered for the meaningful use incentive program.
" Furthermore the Health. Gob website states, "[w]hen fully functional and exchangeable, the benefits of Errs offer far more than a paper record can. Errs:" 1. Improve quality and convenience of patient care 2. Increase patient participation in their care 3.
Improve accuracy of diagnoses and health outcomes 4. Improve care coordination 5. Increase practice efficiencies and cost savings ERR Types: Regarding types of Errs it is best to first look at the specific type of Healthcare setting. Healthcare breaks down in to several silos of specialty from an organizational level.For the purposes of this paper we will break down into 3 sub-settings: 1. Hospital-Acute 2.
Healthcare Facility-LATA/LET/SUN 3. Practice Based-community/Practitioner The following information is from the Advisory Board Company and the research compiled in Modern Healthcare and is included in the body of this paper to show market share of Errs based on setting and needs: Market Shares For his analysis, [Joseph] Con [researching author] examined 1 51 ,200 records of meaningful use attestations gathered from the Office of the National Coordinator forHealth IT's list of ERR systems that have been tested and certified for the meaningful use program; and SMS' list of hospitals and eligible professionals participating in the Medicare portion of the meaningful use program. Top vendors for complete ERR systems in inpatient care Among hospitals that have used a complete ERR system in an inpatient setting for Medicare meaningful use attestation, the analysis found that: 1. 17.
9% used an ERR system from Epic Systems; 3. 15. 1% used an ERR system from Computer Programs and Systems (CAPS); and 4. 0% used an ERR system from Corner.
Top vendors for modular ERR systems in inpatient care Among hospitals that have used a modular ERR system in an inpatient setting for 26. 1% used an ERR system from Meditate; 21 . 7% used an ERR system from Corner; and 1 1. 2% used an ERR system from HOC Information & Technology Services.
Top vendors for complete ERR systems in ambulatory care Among hospitals that have used a complete ERR system in an ambulatory care setting for Medicare meaningful use attestation, the analysis found that: 28. % used an ERR system from CAPS; 28. 9% used an ERR system from Epic Systems; and 15. 6% used an ERR system from the Indian Health Service. Meanwhile, only six hospitals used a modular ERR system in an ambulatory care setting for Medicare meaningful use attestation?and all six of those hospitals used an ERR system from Corner (Con, Modern Healthcare, 3/27). 4 Errs Future Evolution: A topic that is discussed frequently when it comes to Errs is 'integration'.
How well Errs assimilate will be vital for the foreseeable future when it comes to healthcare evolving.They're many good organizations evolving their utilization of healthcare information and how it is communicated. The New York Times did a segment on one of these organizations this year. A well know healthcare entity Kaiser Permanent continues advance its 'integrated' system and utilizes Errs across large geographic and healthcare systematic clinical silos to communicate health record information. They have increased the electronic health records usability and interactivity to make decisions and treatments more 'real-time' to improve the quality of care they provide.
... Having an integrated system seems essential to the success of Kaiser and a handful of similar, if smaller, organizations, like Intermediation Healthcare in Utah and Singer Health System in Pennsylvania, although some work with doctors homo they do not employ. In California, Kaiser controls nearly every aspect of a patient's care, from providing the M. R.
I. For a diagnosis to filling a prescription at one of its pharmacies to running a hospital where the patient undergoes surgery. We have all the pieces,' said Philip Fashion, Kaiser's chief information officer. Anything a patient needs you get in the four walls of our offices,' he said. As a result, while Kaiser plans are typically at least 10 percent less expensive than others, especially where they control all the providers, its costs are more like the average in places in Ohio, here it does not have its own hospitals and offer as broad a range of services.
5" With the National initiative by Federal legislature to create a National Healthcare Data Bank the emphasis will be on Errs to have communicative compatibility not only with other Errs but with other e-platforms and healthcare entities both large and small.
