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Future Health Beyond the EHR. “The Future depends on what you do in the Present”. Mahatma Ghandi. The current EHR . System navigation is not intuitive Clinical documentation of a patient encounter can be cumbersome
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Future Health Beyond the EHR
“The Future depends on what you do in the Present” Mahatma Ghandi
System navigation is not intuitive • Clinical documentation of a patient encounter can be cumbersome • Much of the volume of documentation currently done is done for billing support (a by-product of a fee-for-service system) and forensics. • Too many clicks • Information is not easily accessible across the enterprise • Information is not easily shared • Information is not easily accessible / useful to the patient The current EHR
Physician documentation of a patient encounter must be very quick. • Natural Language Processing (NLP) needs to be incorporated into the interface and construct • The goal of “two clicks and you’re done” should be targeted. • Swift documentation capability, customizable macros, voice or click creation of notes need to be integrated • Data needs to flow across the enterprise • Data needs to flow to the patient The Future CIS / EHR / PHR / Patient Registry
Streamlined workflows need to be handled by the EHR. In behavioral health settings, this means good handling of external documents, messages, and communication with patients. Some of the new aggregated technologies may have unified patient portals, so that a patient only needs to log in to one place to access all one’s physicians and communicate with them – a modern EHR should be able to facilitate this. The New data of EHR
Secure text to server • NLP of data • Video / Telemedicine • Wearable technology The Future CIS / EHR / PHR / Patient Registry
Open access to internal data is another thing EHRs will need to do. There is no way that a vendor will be able to anticipate all the reporting that a given practice will want to do – clinical quality measures, disease trends, demand that will affect staffing levels are all examples of reports or dashboards that a practice may want to achieve. We need open API access to data that can allow a whole ecosystem of users including staff to create the reporting, analysis and visualizations that a practice (or hospital) might need. The New EHR
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