Component 6; Unit 3: Electronic Health Records
Description:
Defines an electronic medical record (EMR) and electronic health record (EHR) and explains their similarities and differences, identifies attributes and functions of an EHR, discusses the issues surrounding EHR adoption and implementation, and describes the impact of EHRs on patient care. Description of Certified Health IT Product List (CHPL) and the connection of meaningful use to EHR certification requirements. The evolution of EHRS to provide PHRs & basic exchange capabilities. Patient matching, record locators, lab interoperability, e-prescribing and alerting. Linking EHRs through Health Information Exchange (HIE) initiatives, discusses how HIE impacts health care delivery and the practice of health care providers, summarizes the governmental efforts related to EHR systems including meaningful use of interoperable health information technology and a qualified EHR, describes the Institute of Medicine’s vision of a health care system and its possible impact on health management information systems, and lists examples of the effects of developments in bioinformatics on health information systems.
Objectives:
- State the similarities and differences between an electronic medical record (EMR) and electronic health record (EHR)
- Identify attributes and functions of an EHR
- Describe the perspectives of health care providers and the public regarding acceptance of or issues with an EHR, which can serve as facilitators of or major barriers to its adoption
- Explain how the use of an EHR can affect patient care safety, efficiency of care practices, and patient outcomes
- Discuss how Health Information Exchange (HIE) and Nationwide Health Information Network (NwHIN) impact health care delivery and the practice of health care providers
- Outline issues regarding governmental regulation of EHR systems, such as meaningful use of interoperable health information technology and a qualified EHR
- Summarize how the Institute of Medicine’s Vision for 21st Century Health Care and Wellness may impact health management information systems
- Identify how ongoing developments in biomedical informatics can affect future uses and challenges related to health information systems
Component 6; Unit 3; Lecture 3a comp6_unit3a_lecture_slides
Introduction to Electronic Health Records: 1) Definitions of electronic medical record (EMR) and electronic health record (EHR); 2) Identify attributes of an EHR; 3) Issues surrounding EHR adoption and implementation; 4) Impact of EHRs on patient care; 5) Certified Health IT Product List (CHPL)
Component 6; Unit 3; Lecture 3b comp6_unit3b_lecture_slides
External Influences: 1) Health Information Exchange initiatives; 2) Governmental initiatives influencing HIT; 3) Bioinformatics and health information systems
Suggested Readings
Morton, M.E., & Wiedenbeck, S. (2009, September 16). A framework for predicting EHR adoption attitudes: A physician survey. Perspectives in Health Information Management. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804456/
Stead W.W., & Lin H.S. (eds.). (2009). Computational technology for effective health care: Immediate steps and strategic directions. Washington (DC): National Academies Press.
Wilkins, M. (2009, September 16). Factors influencing acceptance of electronic health records in hospitals. Perspectives in Health Information Management. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804461/
AHIMA. (n.d.). Health information exchange. Retrieved from http://ahima.org/advocacy/healthinformationexchange.aspx
HIM principles in health information exchange. (2007, September). Journal of AHIMA. Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_035095.hcsp?dDocName=bok1_035095
IBM. (2010, June 16). IBM smarter planet: Electronic health records for evolving healthcare. [Video file]. Retrieved from http://www.youtube.com/watch?v=v2PhGgFU6s8
Kaufman, J.H. (2005, December 6). From regional healthcare information organizations to a national healthcare information infrastructure. Perspectives in Health Information Management. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2047316/