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Electronic Health Records

Electronic Health Records. Based on Alliance for Health Reform Toolkit on Health Information Technology Narrated by Leonel V. Baliton. Credit. For the source see http://www.allhealth.org/Publications /Health_information_technology /health_information_technology_toolkit.asp#keyfacts.

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Electronic Health Records

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  1. Electronic Health Records Based on Alliance for Health Reform Toolkit on Health Information TechnologyNarrated by Leonel V. Baliton

  2. Credit For the source see http://www.allhealth.org/Publications/Health_information_technology/health_information_technology_toolkit.asp#keyfacts

  3. Health Information Technology (HIT) • Information processing • Hardware and software • For • Entry • Storage • Retrieval • Sharing • Use • Components: • Electronic Medical Records • Computerized Physician Order Entry

  4. Electronic Medical Record (EMR) • Patient's legal medical record • Stored in digital format

  5. Fully Operational Electronic Health Record • Core functionality • Storage & retrieval • Result management • Order entry & support • Decision support • Other functionality • Electronic communication • Patient access • Administrative support • Population reporting

  6. Personal Health Record (PHR) • Owned by a patient • Maintained by a patient

  7. Health Information Exchange (HIE) • Move clinical information across organizations • Maintain the meaning of the information

  8. Regional Health Information Network (RHIO) • Multi-stakeholder organization • Operating in a specific geographical area • Enables the exchange of health information

  9. National Health Information Network (NHIN) • Technologies • Standards • Laws • Policies • Programs • Practices

  10. Computerized Physician Order Entry (CPOE) • Computerized system • Physicians to enter their own orders

  11. Consumers can maintain a personal health record From Blumenthal and Glaser, New England Journal of Medicine Vol. 356: 24, June 2007

  12. Clinicians maintain an Electronic Health Record

  13. Health Information Exchanges

  14. This creates a Regional Health Information network

  15. Several RHIOs make up elements of the National Health Information Network

  16. Why Adoption Has Been Slow? • Interoperable • Cost • Privacy

  17. Why Adoption Has Been Slow? • Interoperable • Cost • Privacy

  18. Why Adoption Has Been Slow? • Interoperable • Cost • Privacy $44,000 per full-time provider $8,500 annual maintenance

  19. Why Adoption Has Been Slow? • Interoperable • Cost • Privacy Who Should Pay? Lack of a business case for HIT

  20. Why Adoption Has Been Slow? • Interoperable • Cost • Privacy $150 Billion

  21. Why Adoption Has Been Slow? • Interoperable • Cost • Privacy • Stark Law • Privacy and security obligations • Liability exposure

  22. Lack of trained IT personnel People who understand both the technology and the business

  23. Jury is Still Out Examples of Success Exist • Department of Veterans Affairs • Improved quality of care • Easy recovery

  24. Take Home Lesson Adoption of Electronic Health Records has been slow

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