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Electronic Health Records. Based on Alliance for Health Reform Toolkit on Health Information Technology Narrated by Leonel V. Baliton. Credit. For the source see http://www.allhealth.org/Publications /Health_information_technology /health_information_technology_toolkit.asp#keyfacts.
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Electronic Health Records Based on Alliance for Health Reform Toolkit on Health Information TechnologyNarrated by Leonel V. Baliton
Credit For the source see http://www.allhealth.org/Publications/Health_information_technology/health_information_technology_toolkit.asp#keyfacts
Health Information Technology (HIT) • Information processing • Hardware and software • For • Entry • Storage • Retrieval • Sharing • Use • Components: • Electronic Medical Records • Computerized Physician Order Entry
Electronic Medical Record (EMR) • Patient's legal medical record • Stored in digital format
Fully Operational Electronic Health Record • Core functionality • Storage & retrieval • Result management • Order entry & support • Decision support • Other functionality • Electronic communication • Patient access • Administrative support • Population reporting
Personal Health Record (PHR) • Owned by a patient • Maintained by a patient
Health Information Exchange (HIE) • Move clinical information across organizations • Maintain the meaning of the information
Regional Health Information Network (RHIO) • Multi-stakeholder organization • Operating in a specific geographical area • Enables the exchange of health information
National Health Information Network (NHIN) • Technologies • Standards • Laws • Policies • Programs • Practices
Computerized Physician Order Entry (CPOE) • Computerized system • Physicians to enter their own orders
Consumers can maintain a personal health record From Blumenthal and Glaser, New England Journal of Medicine Vol. 356: 24, June 2007
Several RHIOs make up elements of the National Health Information Network
Why Adoption Has Been Slow? • Interoperable • Cost • Privacy
Why Adoption Has Been Slow? • Interoperable • Cost • Privacy
Why Adoption Has Been Slow? • Interoperable • Cost • Privacy $44,000 per full-time provider $8,500 annual maintenance
Why Adoption Has Been Slow? • Interoperable • Cost • Privacy Who Should Pay? Lack of a business case for HIT
Why Adoption Has Been Slow? • Interoperable • Cost • Privacy $150 Billion
Why Adoption Has Been Slow? • Interoperable • Cost • Privacy • Stark Law • Privacy and security obligations • Liability exposure
Lack of trained IT personnel People who understand both the technology and the business
Jury is Still Out Examples of Success Exist • Department of Veterans Affairs • Improved quality of care • Easy recovery
Take Home Lesson Adoption of Electronic Health Records has been slow