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Electronic Health Record
- 2. What is an electronic health record (EHR)? An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient- centered records that make information available instantly and securely to authorized users. While an EHR does contain the medical and treatment histories of patients, an EHR system is built to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care.
- 3. EHRs are a vital part of health IT and can: – Contain a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results – Allow access to evidence-based tools that providers can use to make decisions about a patient’s care – Automate and streamline provider workflow
- 4. One of the key features of an EHR is that health information can be created and managed by authorized providers in a digital format capable of being shared with other providers across more than one health care organization. EHRs are built to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.
- 5. Benefits of an EHR can be categorized as follows:
- 6. 1. Potential Productivity and Financial Improvement – Fewer chart pulls Improved efficiency of handling telephone messages and medication refills Improved billing Reduced transcription costs Increased formulary compliance and clearer prescriptions leading to fewer pharmacy call backs Improved coding of visits
- 7. 2. Quality of Care Improvement – Easier preventive care leading to increased preventive care services Point-of-care decision support Rapid and remote access to patient information Easier chronic disease management Integration of evidence-based clinical guidelines
- 8. 3. Job Satisfaction Improvement – Fewer repetitive, tedious tasks Less "chart chasing" Improved intra-office communication Access to patient information while on-call or at the hospital Easier compliance with regulations Demonstrable high-quality care
- 9. 4. Customer Satisfaction Improvement – Quick access to their records Reduced turn-around time for telephone messages and medication refills A more efficient office leads to improved care access for patients Improved continuity of care (fewer visits without the chart) Improved delivery of patient education materials
- 10. END THANK YOU!