2. EHR?
EHR is the systematized collection of
electronically-stored health information in a
digital format of a patient or population.
What is it?
How are these records shared?
A range of data, including demographics, medical
history, allergy, medication, immunization status,
laboratory test results, radiology images, vital
signs, personal statistics like age and weight, and
billing information.
These records can be shared across different
health care settings. Records are shared
through network-connected, enterprise-wide
information systems or other information
networks and exchanges.
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What does it provide?
3. What does it include?
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Interoperate Ability
The ability to exchange information with other sources – for
example, to order laboratory tests and to integrate results directly
into the record.
2Decision Support
The ability to use information about the patient within the EHR in
combination with external information to guide the physician to guide
the patient care. It can also include warnings and alerts about the
patient.
3Continuity of Care
The ability to exchange and interface patient clinical data with other
health care providers such as hospital emergency departments or
specialists and provide patients with their own personal health record.
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4. ?
EMR vs. EHR
EMR
1. An electronic medical record (EMR) is a single practice’s digital
version of a patient’s chart which contains the patient’s medical
history, diagnoses and treatments by a particular physician, nurse
practitioner, specialist, dentist, surgeon or clinic.
2. An EMR is mainly used by providers for diagnosis and
treatment.
3. EMRs are not designed to be shared outside the
individual practice.
EHR
1. An electronic health record (EHR) is also a digital version of a
patient chart, but it is a more inclusive snapshot of the patient’s
medical history.
2. EHRs allow a patient’s medical information to move with
them to specialists, labs, imaging facilities, emergency rooms
and pharmacies, as well as across state lines.
3. EHRs are designed to share a patient’s information with
authorized providers and staff from more than one
organization.
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5. It can reduce risk of data replication
as there is only one modifiable file,
which means the file is more likely
up to date, and decreases risk of
lost paperwork.
It eliminates the need to track
down a patient's previous paper
medical records and assists in
ensuring data is accurate and
legible.
It has nothing to deal with old
papers, reports or prescriptions,
for which it is germ free.
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Benefits?
6.
Even if the patient is unconscious,
the treatment will not be delayed
as his records can be gone
through easily via EHR.
It saves time and life.
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Through it, the reports can be
forwarded to the doctors at
anywhere anytime.
7. Statistics from around the world
69%
67%
20%
1%
In US, under HITECH Act,
EHR had been applied
since February 17, 2009.
69% people had adopted
it till July, 2013
YEAR 2009-13
Through Universal Health Coverage
Act, EHR got to enter into France.
But France lacked to maintain
harmonious rules, regulations and
security in this field. They are now
working in collaboration with US.
YEAR 2000-11
In UK, National Health Service (NHS) with
a US company and Computer Sciences
Corporation began it but wasted 9 years
and lost 12.7 billion pounds. They sued
CSC, & the company was forced to pay
NHS $97.5 million .
YEAR 2002-11
In 2011, The Integrated National
Health System was created and the
government of India hopes to provide
health care to all citizens by 2020.
YEAR 2011
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United
States France
United Kingdom
India
8. But obstacles?
To pursue people to get adopted with such
advanced technology may take a long time.
In remote areas, ensuring high speed
internet may be problematic to a great
extent.
To find out a skilful manpower and updated
technology to run this process successfully,
may be hazardous.
Providing security to the users of this app
and the records it contents, may face a
huge difficulty.
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9. How to implement?
Planning
Prioritization
Objectives and targets
Strategic and tactical plans
for prevention, deterrence,
readiness, mitigation, response,
continuity, and recovery
Implementation & Operations Controls
Operational procedures
Awareness and training
Communications and warning
Document and information control
Resources and finances
Incident management (procedures and
controls for before, during and after a
disruption including prevention, mitigation,
response and recovery)
Program Policies &
Procedures
Policy statement
Management commitment
Program procedures and
resources
Roles, responsibilities, and
authorities
Exercises and testing
Nonconformity and problem analysis
Internal audits (system)
Corrective action process (acting
on problems)
Program revision and improvement
Checking and Reviewing
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Analysis
Risk assessment
Impact analysis
Criticality analysis
Resource analysis
Analysis of legal and other
requirements