1 / 22

The Paperless Hospital : Electronic Health Record

Learn about Electronic Health Records, hardware and software components, usability, information systems, and ethical/legal issues related to paperless hospitals. Explore advantages, disadvantages, and competencies needed.

pascale
Download Presentation

The Paperless Hospital : Electronic Health Record

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Paperless Hospital: Electronic Health Record Brenda Graham, RN, CDN Penn State University NURS 457 – Summer 2009

  2. Objectives • Define/Describe The Paperless Hospital – Electronic Health Record (EHR) • Identify Hardware/Components used in EHR • Identify Software used in EHR • Evaluate usability of Software • Describe/Review Information System

  3. Objectives – EHR • Review Advantages and Disadvantages • Review Ethical and/or Legal Issues • Review Informatics Competencies for EHR • Review Informatics Nursing Functions and Responsibilities • Summary

  4. Definitions • Paperless Hospital • Health care delivery model that is based solely on use of technology • Health care records, diagnostics tests, billing, education, etc. - all in digital format • The future of health care delivery systems (YouTube, 2009)

  5. Definitions continued • Electronic Health Record (EHR) • Multiple definitions available in the literature • Institute of Medicine is the most recognized • Multiple essential components include: • Health data and information • Order communication and diagnostic management • Reporting and community health management • Support services for health care professionals and patients • Connectivity • Education • Administrative processes such as billing and claims as well as patient scheduling (McGonigle & Mastrian, 2009)

  6. Hardware Components • Protective Outer Casing • Central Processing Unit • Motherboard • Power Supply • Input/Output Devices and Connection Ports • Hard Disk, Memory (RAM, ROM, Virtual) (McGonigle & Mastrian, 2009)

  7. Hardware: Options for EHR • Desktop PC (personal computer) • CPU (central processing unit – the brain) • Monitor • Keyboard • Mouse • Laptop PC • Tablet PC • Convertible • Slate • Handheld PDA (Personal Data Assistant) • Printer • Scanner (DOQ IT, 2009)

  8. Hardware: Handheld PDA (DOQIT, 2009)

  9. Software Requirements What application programs do I need to use the EHR? • Operating System – fundamental component • Productivity – most common • Communication – crucial for networking (McGonigle & Mastrian, 2009)

  10. Software: Packages for EHR • Allscripts Professional or Enterprise • Epic • HII – Health Informatics, Inc. and TIME (Total Information for Managing Effectively) • InteGreat • MediNotes - Microwize Technology (Allscripts, Epic, HII, InteGreat, Microwize, 2009)

  11. Software usability: Epic Care • Easy to learn • Easy to use • Efficient use of programs • Error prevention • Appropriate for specific task requirements (McGonigle & Mastrian, 2009)

  12. Information System: HII/TIME • Multiple Information Systems used for EHR • HII/TIME specific to chronic disease market • Dialysis realm strongest presence • Integrated Clinical and Financial Information System • Point of Service/Care Configuration • Used by nurses, physicians, unit assistants, financial clerks and officers • Able to perform registration tasks, clinical documentation and medication administration, billing and service charges (HII, 2009)

  13. Data Standards: HII/TIME • American Society for Testing and Material (ASTM) • HII is a member of ASTM • Provides communication protocols • Health Level 7 (HL7) • HII is a member of HL7 • Industry Standard in Health Care (HII, 2009)

  14. HII/TIME: Advantages • Easy to learn and easy to use • Helps enforce policies and procedures • Provides functional reports for quality improvement • Has alerts built into system • Captures more charges, increases revenue • Sends out claims faster • Faster physician order implementation • Enhances decision making • Real-time access and charting by exception (HII, 2009)

  15. EHR Advantages • Improved patient safety • Improved documentation quality: order entry and legibility • Date and time stamped • Increased revenue • Intelligent alerts and quality improvement capabilities • More efficient turn-around time for diagnostic results (McGonigle & Mastrian, Rehab management, 2009)

  16. EHR Disadvantages • Expensive • Multiple products to choose from • Technophobia and resistance to change • Technical issues: downtime, backup systems • Questionable: future accessibility and security • Interoperability and lack of integration and standardization (McGonigle & Mastrian, Rehab management, 2009)

  17. Ethical and/or Legal Issues • HIPAA: Privacy and Confidentiality • Legal Standards • Interoperability • Ownership (McGonigle & Mastrian, Rehab management, 2009)

  18. Informatics Competencies • Basic computer skills and understanding • Ability to document information electronically • Ability to access information electronically • Search databases • Use software for charting and medications • Ability to use e-mail helpful (McGonigle & Mastrian, 2009)

  19. Informatics Nursing • Change Management • Involve clinical staff from beginning of process • Assess attitudes and concerns • Involve clinical staff in all implementation stages • Make sure systems are user-friendly • Provide adequate training prior to implementation • Provide continued education and support (McGonigle & Mastrian, 2009)

  20. Summary • Primary focus of the Paperless Hospital is the EHR • New health care technology demands adaptation from professionals • Benefits outweigh the drawbacks of the EHR • Further advances will occur in the near future • EHR will be readily accessible • Laws will protect privacy and confidentiality

  21. References • Allscripts-Misys Healthcare Solutions, Inc. Electronic Medical Record EHR Solutions for Physicians Medical Records. Retrieved June 18, 2009, from http://www.allscripts.com/products/electronic-health-record/default.asp?src=GoogleAdd& • DOQ IT. EHR Hardware Solutions. Retrieved June 18, 2009, from http:/www.internetifmc.com/provider/documents/ehr_hardware_solutions.pdf • Epic Systems Corporation. Epic with the patient at the heart. Retrieved June 17, 2009, from http://www.epicsystems.com/software-ehealth.php • HII – Health Informatics, Inc. HII’s Clinical Software. Retrieved June 17, 2009, from http://www.hiiweb.com/clinical.html • InteGreat. EHR Software. Retrieved June 18, 2009, from http://www.igreat.com/EHR_software.html

  22. References continued • McGonigle, D., & Mastrian, K., (2009). Nursing Informatics and the Foundation of Knowledge (1st ed.). Jones & Bartlett Publishers, Sudbury, Massachusetts. • Microwize technology. EMR/EHR Medical Software. Retrieved June 18, 2009, from http://www.microwize.com/emr.htm • Rehab management. EHRs: Issues Preventing Widespread Adoption. Retrieved August 7, 2009, from http://www.rehabpub.com/issues/articles/2007-06_09.asp • YouTube. Paperless Hospital. Retrieved May 28, 2009, from http://www.youtube.com/watch?v=6ueTFjcTtco&feature=related • YouTube. Paperless Hospital. Retrieved June 7, 2009, from http://www.youtube.com/watch?v=9jAH9hdF0xk&feature=related

More Related