Title: Electronic Health Records
1Electronic Health Records
- Based on Alliance for Health Reform Toolkit on
Health Information TechnologyNarrated by Leonel
V. Baliton
2Credit
For the source see http//www.allhealth.org/Public
ations/Health_information_technology/health_info
rmation_technology_toolkit.aspkeyfacts
3Health Information Technology (HIT)
- Information processing
- Hardware and software
- For
- Entry
- Storage
- Retrieval
- Sharing
- Use
- Components
- Electronic Medical Records
- Computerized Physician Order Entry
4Electronic Medical Record (EMR)
- Patient's legal medical record
- Stored in digital format
5Fully 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
6Personal Health Record (PHR)
- Owned by a patient
- Maintained by a patient
7Health Information Exchange (HIE)
- Move clinical information across organizations
- Maintain the meaning of the information
8Regional Health Information Network (RHIO)
- Multi-stakeholder organization
- Operating in a specific geographical area
- Enables the exchange of health information
9National Health Information Network (NHIN)
- Technologies
- Standards
- Laws
- Policies
- Programs
- Practices
10Computerized Physician Order Entry (CPOE)
- Computerized system
- Physicians to enter their own orders
11Consumers can maintain a personal health record
From Blumenthal and Glaser, New England Journal
of Medicine Vol. 356 24, June 2007
12Clinicians maintain an Electronic Health Record
13Health Information Exchanges
14This creates a Regional Health Information
network
15Several RHIOs make up elements of the National
Health Information Network
16Why Adoption Has Been Slow?
- Interoperable
- Cost
- Privacy
17Why Adoption Has Been Slow?
- Interoperable
- Cost
- Privacy
18Why Adoption Has Been Slow?
- Interoperable
- Cost
- Privacy
44,000 per full-time provider
8,500 annual maintenance
19Why Adoption Has Been Slow?
- Interoperable
- Cost
- Privacy
Who Should Pay?
Lack of a business case for HIT
20Why Adoption Has Been Slow?
- Interoperable
- Cost
- Privacy
150 Billion
21Why Adoption Has Been Slow?
- Interoperable
- Cost
- Privacy
Stark Law Privacy and security
obligations Liability exposure
22Lack of trained IT personnel
- People who understand both the technology and the
business
23Jury is Still Out Examples of Success Exist
- Department of Veterans Affairs
- Improved quality of care
- Easy recovery
24Take Home Lesson
- Adoption of Electronic Health Records has been
slow