Explain briefly the history of EHRs( electronic health records)
ANSWER:-
One of the earliest data processing systems originated in the mid 1960’s and focused specifically on clinical data management. As these systems (now known as hospital information systems) began to garner attention, the healthcare industry began to see the development of electronic medical record systems. The original systems were nowhere near as functional as modern methods of maintaining medical information. Also in the 1960’s, the development of the Problem Oriented Medical Record by Larry Weed introduced the idea of using electronic methods of recording patient information.
Shortly thereafter, in 1972, the first electronic medical record system was developed by the Regenstrief Institute. Although this technology was the first of its kind, due to high costs, the systems were not initially attractive to physicians and used instead by government hospitals and visionary institutions. Into the 1990’s, personal computers were becoming more affordable and the Internet emerged. These innovations allowed for faster, easier access to information and the introduction of health information online – setting the stage for web-based EMR’s.
In 1991, the Institute of Medicine made the case that by the year 2000, each physician’s office should be using computers in their practice in order to improve patient care. Although it was not turned into law, the Institute did provide a variety of recommendations to achieve that goal. As the emergence of EMR’s continued, there were also adjustments made to the rules and regulations surrounding privacy and confidentially of medical records. In 1996 the Health Insurance Portability and Accountability Act (HIPAA) was introduced in response to growing issues facing healthcare coverage, privacy and security in the United States. To follow disclosure and confidentiality regulations included in HIPPA, organizations have begun to shift to electronic systems to comply with these laws.
With the emergence of web-based software in the early 2000’s the need for electronic medical record systems to be developed through remotely-hosted systems became evident. The ability to access information remotely or store on a remote-system, made the electronic method of keep records more appealing and ultimately more affordable for physicians to implement into their practice. During President George W. Bush’s time in the Oval Office, the budget for healthcare IT projects was doubled; a new sub-cabinet position of National Health Information Coordinator was created, as well as the call for an industry-wide adoption of electronic health record systems by 2014. This mandate has been supported by President Obama as part of the American Recovery and Reinvestment Act (ARRA), a piece of legislation aimed at directing additional funding and incentives to healthcare professionals who adopt these electronic medical systems and follow the concept of “meaningful use” by the year 2014.
Beginning in 2015, penalties are likely to be implemented on organizations that have not upgraded facilities to store medical records electronically. These penalties have been said to involve reduced Medicare and Medicaid reimbursements and are proposed to initially begin at 1% and increase as the years progress.
1. Discuss two benefits of the use of electronic health records (EHRs), one related to the care of an individual patient and one related to population health. How does the use of EHRs facilitate obtaining these benefits? 2. Describe a method by which a healthcare provider could both effectively interact with a patient and fulfill the requirements imposed by the healthcare institution’s EHR system Please include your reference for my review. Thank you
How will the implementation of electronic health records (EHRs) affect your role as an advanced practice nurse? What is the potential effect of comprehensive databases (for example, Big Data or cloud-based database systems) on your role as an advanced practice nurse? How will the use of EHR systems and comprehensive databases (for example, Big Data or cloud-based database systems) affect patient confidentiality?
Describe the government’s involvement in EHRs( electronic health record)
Most would agree that electronic health records (EHR) offer more benefits in comparison with paper records. However, does the risk of cyber attacks on EHRs out-weight the all pros for EHR? Is it a big deal if EHR got cyber hacked and their was a breach in the health data?
What are the pros and cons of electronic health records? How will the HITECH Act ensure that everyone will convert their clinic or hospital to EHRs? As we go forward, what do you think about patients receiving access to their doctor's notes? List at least two possible measures of health quality ~Be creative!
This week you learned about implementing electronic health records. Imagine that you are the HIT Director for a healthcare facility and you are tasked with leading the facility in converting their office to electronic health records. For this Assignment, you will design and construct a Microsoft PowerPoint® presentation that highlights the planning and implementation process when converting to electronic health records. You will present this PowerPoint to other stakeholders in the HIT Department. Please include the following topics in your...
The HITECH Act supports the meaningful use of electronic health records in patient care. In the wake of this legislation, a contingent of EHR developers have marketed their EHRs to hospitals, physicians, and other healthcare organizations. This has led to the adoption of EHRs in record numbers, however there is a vast limitation in the ability of their different EHR systems to communicate with one another. How does this problem impact healthcare organizations and patients? How would you recommend this...
how has Electronic Health records and Electronic Medical Records improve Health care?
What is the impact of electronic health records on health information exchange? Also, how can electronic health records affect accessibility? (Use your critical thinking to connect the different parts of the question. You may also choose to explain through an example).
What effect did the Stimulus Act of 2009 have on the adoption of Electronic Health Records by hospitals in the United States? Approximately what percentage of hospitals used EHRs in 2008? Approximately what percentage of hospitals use EHRs today? Cite your source for this information, as estimates vary. Sources should be as current as possible; estimates for current usage should not be more than two years old.