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By Brent A. Metfessel; MD, MS
By Staff Writers
eMRs involve accessibility at the bedside either through bedside terminals, portable workstations, laptops, wireless tablets, and hand-held computers and personal digital assistants (PDAs), (e.g., 3ComtmPalm Pilot®). The inputs can either be uploaded into the main computer system after rounds or transmitted immediately to the system in the case of wireless technology. Bedside technology obviates the need to re-enter data from notes after rounds are complete. This improves recall and avoids redundancy in the work process, saving time that can instead be devoted to patient care.
Usual eMR Features
Common features of an eMR include the following:
- history and physical exam documentation, progress notes, and patient demographics;
- medication and medication allergy information;
- CPOEs and laboratory results;
- graphical displays of medical imaging studies including X-rays, CT, and MRI;
- ordering of drugs, diagnostic tests, and treatments, including decision support and drug interaction alerts;
- clinical practice guidelines (evidence-based) to aid diagnostic and treatment decisions;
- alerts that can be sent to patients reminding them of appointments and necessary preventive care;
- scheduling of appointments;
- processing of claims for payment; and
- a GUI, which may include secure Web-based and wireless technologies that allows providers or other authorized healthcare personnel access to health information from remote sites, including outside offices and home.
Assessment
There are also other benefits, as well. For example, instead of calculating fluid balance off-line, the computer can perform calculations immediately, once again saving time and ensuring accurate values. Medication orders can also be entered in real-time, giving the provider the option to react to alerts at the bedside rather than waiting to load the orders into the system in “batch” mode.
Conclusion
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Filed under: Information Technology, Point-Counter Point | Tagged: Brent Metfessel, CPOEs, CT, david marcinko, EHRs, electronic medical records, EMRs, GUI, health information technology, HIT, MRI, www.healthcarefinancials.com |
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Dr. Metfessel,
A simplified, but interesting post.
I also subscribe to the premium journal: http://www.HealthcareFinancials.com and enjoy your more formal publications even more!
Fraternally,
Victor
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I don’t think anyone who has commented on this ME-P is innately “pro” or “anti-eHR.” In fact, it is pretty much well-balanced. I trust we are all colleagues and scientists who are supposed to look for evidence to support the claims made on behalf of drug-makers, surgical procedures, financial advisors, RIAs, BDs and durable medical equipment, etc.
The claims made for, and often against, eHRs have been wildly over-stated and lacking in supporting data.
And, many of us are particularly frustrated that our professional organizations have not seemed open to a serious discussion of the pros and cons of eHRs. But, then again, the AMA has little “meaningful use” anymore! This is one reason why credible blogging and health 2.0 is so important.
Exit the dinosaurs!
Lou
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Not so fast … anti eMR Cowboys
Did you know that physicians are more likely to report drug safety information when using an electronic health record system, according to a recent survey that polled 300 primary care physicians in the United States who are categorized as basic EHR users, fully functional EHR users or paper health record users.
http://www.healthcareitnews.com/news/doctors-ehr-are-more-likely-report-adverse-events
Matthew
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Hold on just a minute there, Pilgrim! Is it true?
More than a decade following the initial giddiness that brought us the HIPAA blunder, is it really possible that someone somewhere finally discovered something more significant than worn out rationalizations for adopting interoperable EHRs?
What else are EHRs really swell at, Matthew? How about quick and indiscriminate dispersal of health data? That blows up real good.
D. Kellus Pruitt; DDS
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Meaningful-Use Regulations Released
The CMS and HHS’ Office of the National Coordinator for Health Information Technology finally issued their much-anticipated final meaningful-use information technology regulations that hospitals and physicians must follow to tap into some $27.3 billion in financial incentives authorized by the stimulus act.
The rule gives providers something to cheer. The CMS backed away from a controversial all-or-nothing rule requiring physicians to meet a list of 25 criteria, and hospitals to meet a list of 23 criteria to be eligible to receive a subsidy for electronic health-records systems. Instead, hospitals must meet 19 criteria and physicians 20 under a formula that includes 15 mandatory quality measures for doctors and 14 for hospitals with a choice of five others from a 10-item “menu.”
Source: Andis Robeznieks, Modern Healthcare [7/13/10]
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ONC Lists Certified EHRs on Website
The Office of the National Coordinator [ONC] for Health Information Technology [HIT] at HHS has opened the official federal website for listing health IT products that have been independently tested and certified as eligible for incentive payments under the American Recovery and Reinvestment Act [ARRA] of 2009.
The list includes electronic health-record systems and EHR modules that the ONC-authorized testing and certification bodies have approved. According to an ONC statement, only those systems appearing on the list will be granted a reporting number that will be accepted by the CMS for attestation under federal EHR incentive programs.
Source: Joseph Conn, Modern Healthcare [10/6/10]
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