Healthcare provider keeps track on the way patients use hospital resources, such a diagnostic testing, medication and medical staff. This enables management to easily record the charges and bill to the patient. With an HER system, one diagnosis can be captured along with the level of service which document what was done for the patient after each encounter while within the hospital premise.
Improved Data Accessibility
EHR has drastically eliminated the physical storage, sorting, transportation and filling of charts, enabling the availability of data on time. Clinician can access the files of the patients and clinic chart even when not in office remotely.
Computerized Physician Order Entry
Physician are now able to place essential notices electronically, such as lab and imaging order. As such, patients and other physicians are able to access the order within the HER system. CPOE has drastically reduced the error of hand-written orders such as duplicate prescription of drug.
The implementation of EHRs allow for prompts for preventive health screenings. The data analyst can easily mine the whole system for say, all patient suffering from cancer have not had their thermotherapy for the pat one month. From there, the analysts provide the physician with a list which helps them to contact the patient to plan for preventive health appointment.
E-Messaging Between Providers
Health information technology enable physicians to e-message across all practice especially in referrals. For example, instead of a clinician playing telephone tag to get an appointment planned, the physician can send a message to schedule the appointment.
Impact of Electronic Health Record Systems on Information Integrity: Quality and Safety Implications
Does the plans in many countries to increasing the amount of health information that is readily shared across the different parts of the health sector increase or decrease our exposure to risk of compromise?
Although the adoption of EHR has promised a number of considerable evidence, however, with the increasing health information which is readily shared across various platforms, our exposure to risk of compromise have increased. This is attributed to poor EHR design and improper use which can result to EHR- related errors which threaten of the information in EHR thus endangering the safety of the patient. In fact, the problem is not the increasing the amount of health information but rather the policies that different countries will put in place to make sure that the information is protected.
Managing such a large pool of information is not a simple task. At the moment, there is already a number of consequences that might increase fraud and abuse and can have a serious legal repercussion. The quality of healthcare across continuum relay on the accuracy, integrity and reliability. But with the increasing amount of information, such requirements cannot be achieved easily.
EHR System Design Flaws
Increasing the amount of health information will interfere with the accuracy of the information. The expanding capabilities of EHR needs progressively complicated software, which heightens the likelihood of software failure which may harm the patient. Software flow in an HER system contains thousands of records and with addition of more information, a single hitch might cause an imprecise recording of the patients information which increases the exposure to the risk. With increased information, software bugs may jumble data and some information might be sent to the wrong individuals.
Inappropriate Documentation Capture
Documentation and capture is a key and first procedure in EHR system and if the procedure is not well put, the exposure to risk become high. For example, an investigation in the Veterans Health Administration HER, s system found out that that there is one documentation error in 80% of progress notes with an average of 8.0 documentation errors on every patient.
Poor System Usability and Improper System Use
The increased sharing of information will require experienced individuals to run the entire system. Most countries have invested less in providing the much needed training. The plan for countries to increase the amount health information will increase the number of errors as a result of system complexity.
Most of the time, clinicians gradually share control of complicated processes with computers. Occasionally, the play an oversight role of ensuring that computers carry out appropriate actions. The system does not have direct impact to the patient without the intervention of human beings something that has shown the vulnerability its expansion. The technology is complicated and users that interact with the system are sometimes nit able to assess the computation of figure and hence the kind of intervention of human being I not that perfect,
Do these systems improve healthcare?
HIT reduces redundant medical imaging and laboratory tests. It is approximated that nearly one-third of information clinicians require is not available during normal patient visit as a result of lack of laboratory reports and records.
HIT Improve Information Sharing
The integration of databases of patient of treatment across so many people provide information on which kind of revision is required. The patients information is made available on various clinicians o real-time basis. Notably HIT enhances essay tracking of individual status for many years and the clinician can always have such information.
Improves the available of information
With the implementation of EHRs, the patient information is available every time it is needed. Clinicians have access to the patients information which can be retrieved first.
Health care convenience matters
EHRs has brought about convenience among busy patients with their life and busy providers with their practices. For example, the system has facilitated e-prescribing that has facilitated patients to have their prescription ready before the leave the health care service provider.
How should we balance privacy risks with the benefits of better healthcare?
Can we reduce EHRs risk and improve information integrity
Design EHRs better
Good results cannot be obtained from flawed system. When it comes to design and safety, EHRs has not been held to many standards something that has changed with vigorous certification program. It is therefore recommended that an industry standard should be implemented to make sure that complete quality management principles and processes are fully adopted in the entire EHR Industry to reassure that the products of EHR meet the minimum level of usability, safety and reliability.
Improve document capture
Various EHRs systems does not provide simplicity to provider willing to join HIT as they use propriety data standards. To improve the integrity of healthcare, the country should emphasize on standards for documentation to make sure that patients encounters accurately capture information.
Use the system properly
Administrative staffs and clinical should be provided with proper training to ensure proper use of EHRs system. Remember, a well-designed system also has to be used properly. Implementing the system is not enough, focus should be on how it is incorporated into clinical process and workflow and how users interact with it.
Focus on information governance
Implementation of health information system will be useless if the plan to govern the information is not put in place. The health provides should recognize areas of concern and implement a vigorous structure of governing data so as to move into population health management.
Report any technical concerns and events
What Are the Potential Benefits of HIT for Patients?
The benefits of information health system is that it stores the record of the patient electronically. As such, the doctors can still access the information of the client even whet hay are no are not allowed. Reliable access to fully patient information is essential to facilitate effective and safe and care. Health information technology place complete and accurate information about the medical history of the patient at the fingertips. Medical providers re capable of providing best possible care, at the points of care.
Why HIT Isn't More Widespread
Currently, one of the most vital obstacles to the adoption of health information technology is lack of suitable incentives. The fact is that the entities which are more likely to gain from the implementation of HIT are the ones that have not incurred the cost related to the system. Notably, implementation of the system effectively require huge amount money and some health centers are not willing to invest in such a project.
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