Electronic Health Record
Electronic Health Record
Electronic Health Record
Agenda
Introduction
Role of HER
Data Components documented in EHRs
Tools of HER
Technologies Involved in HER
Benefits of HER
Drawbacks
2
Electronic Health Record
(EHR)
Electronic health record is the electronic
version of the client data found in the
traditional paper record
3
4
Role Of EHR
Represnts patients health history
Medium of communication among
health care practitioners
Legal document for health care
Source for clinical outcomes and
health services research
Resource for practitioner education
Alerts, Reminders, Quality
improvement
5
Data components documented in EHR
An electronic health record should contain important data such as:
7
Tools of EHR
• Clinical decision support system( CDSS)
8
1. Clinical decision support system( CDSS)
9
Functions of CDSS
› Managing clinical complexities
› Monitoring medication errors
› Avoiding duplicate and unnecessary tests
› Supporting clinical diagnosis & treatment plan processes
› Promoting the use of best practices & condition specific
guidelines
› Population-based management
› Providing the latest information about a drug
› Cross-referencing a patient allergy to a medication
› Alerts for drug interactions and other potential patient issues
10
2. Computerized physician order entry (CPOE)
COPE is a computer application that accepts physician orders
such as :
• Medication
• Lab test
• Nursing orders
• Involves electronic communication of orders
• consultation
11
3. Health information exchange
12
Benefit
• Sharing of patient information
• Reduce Cost Of tests
• HIE Facilitates the exchange of
this information via EHRs, which
can result in much more cost-
effective and higher-Quality care
13
Technologies Involved in EHR
› Picture Archiving and communications system
› Bar Coding
› Radio Frequency Identification
› Automated Dispensing medicines
› Electronic medication administration records
14
Picture Archiving and Communications system
15
Bar Coding
16
Radio Frequency Identification
17
Automated Dispensing medicines
18
Electronic medication administration records
19
Benefits of EHRs
• Improved access to the medical record
• Decreased time spent in documentation
• Increased time for client care
• Improved quality care.
• Facilitation of data collection for research
• Improved communication and decreased potential for error
20
Drawbacks
• Financial issues
• Changes in workflow
• Temporary loss of productivity associated with HER
adoption
• Privacy and Security concerns
21
THANKS!
22
Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.
Alternative Proxies: