Electronic Health Record Benefits

electronic Health Record BenefitsThe electronic wellness put down is a mean of organizing affected roles data making use in the palm of information technology. Its purpose is to fulfill the various needs for information not only of patients and wellness sustenance providers precisely also of other beneficiaries. The accomplishation of electronic wellness say administration in wellness perplexity organization is very complex and involves many parameters.IntroductionElectronic health record is currently use by 12% of the desexs and 11% of the hospitals nationwide. Industry and government have promoted Electronic health record as a means of controlling make ups and up patients care. The electronic health record has become unriv bothed of president obama main agenda and the investing needful to ensure that within the coming years, altogether of Americas aesculapian records are computerized. Today with the advance of globalization the electronic health record is st ill highly unlikely to advance in the bordering volt years, governmental, good and industry advances are adopting, which exit drive the electronic health record in the hands of checkup examination providers. The electronic health record (E.H.R) is a digital record of patient health information gen termted by oneness or more encounters in any care saving setting. It contains information of the patient includes demographics, problems, medications, indispensable signs, past(a) aesculapian account statement, laboratory data and radiology report .The electronic health record also promises the removal of many barriers in the medical issue such(prenominal) as saving lives, money, and time, but unfortunately the fulfillment of this promise in the real adult male application has remained with a big question pit collect to many factors cost of performance, privacy and security. The following graph is the result of survey experts at nearly 3000 meeting suffice nationwide. T he table below lists barriers to Electronic health record adoption.well known factors such as security and cost are cited as key factors, but other factors which is usability is not mentioned shop is another barrier to the electronic health record adoption.Usability is a primary matter toUsability issues are also a factor why electronic health record implementation fails. In a survey paper primary care physicians were asked the reasons why they did not use the electronic health record administration. From the question purpose 35% of the physicians listed specific electronic health record usability issues, the most common were Problems with the screen navigation, and the lack of functioning and the concern that the data bequeath be lost.Anecdotal support for usability and Electronic health record failure comes from Cedars- Sinai medical centre of Los Angeles. They developed a $ 34 million computerized physician order plan of attackion arranging, but only included the input o f a few physicians before launching it hospital wide in 2002 without thorough training Physicians who priorly employ to return key notes by hand now required going through nearly a dozen screens and moveing through numerous alerts for even common orders. conventional relates around 400 of them demanded its removal within three months of its launch. Poor usability bath also endanger patients health. The electronic health record should be modernized dowery the clinician workflow. In the year 1991, the institute of medicine released a report supporting the idea of implementing the Electronic health record within the coming years. In 2010, look forers cogitate only a abject portion of health providers both public and private implementing the schema. The implementation of electronic health record provides answers to many barriers in the medical serviceman.BackgroundAn electronic health record is a digital or electronic record of the patient health information ga at that plac ed over the history of the patients interaction with the health care carcass. An electronic health record stores all information concerning the patient health statues. Information varies and includes the following age/sex, medications, and vital signs, past medical history, laboratory data and radiology report. The concept of a medical report goes back to the fifth century B.C developed by the Greek physician Hippocrates, also known as the Hippocratic Oath. Hippocrates described deuce main goals behind his descryings 1- a medical record should accurately reflect the course of disorder 2- a medical record should indicate the problem cause of the disease. In the present days, the electronic health record first began to appear in the 1960s. report that at least 73 hospitals began to use the electronic health record administration. In 1991, the institute of medicine released a landmark report recommending the electronic health record be implemented in health system within 10 years. Almost 20 years later, concord to the latest researchers only a small portion of health providers have implemented electronic health record. A Meta analysis of diffusion rates of the electronic health record in the linked States shows that an uptake has slowed in recent years. The theme concludes Electronic health record is the in store(predicate). President Obama administration has the electronic health record as one of its primarily agenda the investment necessary to ensure that within the next five years, all of Americas medical records are computerized. While still with the advance of globalization the electronic health record is highly unlikely within the next five years, governmental, technical and industry advances are adopting, which impart drive the electronic health record in the hands of medical providers. The electronic health record also promises the removal of many barriers in the medical field such as saving lives, money, and time. The question is still debatabl e whether the whole founding will move towards the implementation of the Electronic health record. The electronic health record is one of the most important electronic patient data collection of our time and with the expanding cosmos of the world it has become a necessity to implement the system in all public and private hospitals. The G.C.C regionLiterature reviewThe panoramas concerning the confident(p) effects an E.H.R flowerpot have on patients health and whether all the healthcares in the world should step in and implement the system. The collection of personal health data is described to have many formats when speaking of systems that manage it. Reduction of the storage necessary to keep paper charts is also a noted as a reason to leverage an E.H.R freeing up of space better used for tax income generation. Paper charts have their own risk associated with them in terms of getting lost, productivity impacts to maintain and retrieve paper records and the resulting negative patient care (Carpenter 2002). An electronic health record system is the collection of data that is central to the patient (Rishel, Handler Edwards, 2005). These opinions agree the importance of the E.H.R and implementation of the system. An E.H.R system exists to facilitate the storage, revival and tenacity of the record itself (Gans, Kralewski, Hammons Does, 2005). These opinions also strongly agree with the improvisation of the Medical record with the advances with science and technology. reversing the scenario, an E.H.R system can collect and aggregate information from other sources such as laboratory, X-ray and unstructured data like faxes or handwritten notes ( Wojcik, 2006) the scholar Wojcik agrees strongly with the use of E.H.R talking about the positive of the E.H.R reduces the storage of handwritten notes and stacks and piles of paper. The near term presents providers with realizing the digitization of the boxes of paper that is generated by patient encounters. These pa per databases represent the clinical data that is ultimately needed to take EMR systems to the next level. The near term presents providers with realizing the digitization of the boxes of paper that is generated by patient encounters. These paper databases represent the clinical data that is ultimately needed to take EMR systems to the next level. Clinical data is the baseline in which all healthcare processes subscribe including decision support, health outcome analysis, billing and claims processing and health maintenance. Correlation and access to this data is what EMR systems seek to facilitate (Handler Hieb, 2007). Electronic health record systems, once materially implemented across the healthcare spectrum, will itself become the framework in which more overarching goals can be accomplished, such as the centralisation of a persons health history. With Clinical data as a basis, further utilization of EMR systems can occur. EMR systems, once materially implemented across the hea lthcare spectrum, will itself become the framework in which more overarching goals can be accomplished, such as the centralization of a persons health history (Gartner. Currently, about 25 percent of U.S physicians are using systems that facilitate electronic health records (Murdock, 2007). E.H.R has become a primary concern in the medical world and the match to past literature review in this generation we find that it more or less of the scholars are concerned with the paper kit and boodle as they say that the E.H.R will help save doctors a lot of time and makes the process more efficient. Some scholars say that paper establish system is very negative as it leads to losing important patient data which susceptibility confuse the doctor in prescribing proper medication to the patient. There are differences of opinion but according to most scholars the E.H.R is a vital tool in solving many of the issues that both public and private hospitals face around the worldQuestionnaire Resu ltsThe questionnaire focuses on the importance of the E.H.R system and its implementation in the United States of America at a nation wide level. With maturateing medical demands around the worldHypothesis one resultsOur research finding indicate that the U.S government is encouraging the country medical net plant to start using the E.H.RHypothesis two resultsOur research finding according to 430 surveyors say that 55.1 % of their medical practices use the Electronic health record systemHypothesis three resultsOur research finding shows that majority of the surveyors have a positive outlook that majority of the medical practices will start using the E.H.R between the next 1 to 2 yearsHypothesis four resultsOur research finding shows that 41.8% of the surveyors believe that their medical providers will qualify for the Medicare and Medicaid programsHypothesis five resultsOur research finding again shows a positive outlook of the near prox as 65% of the surveyors say that their pract ices will qualify for the Medicare and Medicaid programs by the end of 2011Hypothesis six resultsOur research finding again shows that the U.S government financial bonus can upgrade the performance of E.H.R surveyors helped us with the conclusion that government financial backing to the Medicaid and Medicare programs can advance the medical performance in the near futureHypothesis seven resultsOur research finding states the importance of the U.S government test the E.H.R program before purchasing them according to the surveyors 71% agreed the importance of testing the systems before implementing them nationwideHypothesis eight resultsOur research finding concluded that most of the clinicians hire 1-5 physicians which is low according to the demands of medical needs of our current eraCase StudyQuestions and answers regarding on implementing the electronic health record (Case Study).The case study focuses on the systematic reviews and the effects of electronic health record system can have in the medical area if implemented at nationwide level. In the G.C.C the electronic health record is still current and according to our case study taken from the united states we want to find whether implementing the electronic health record system will add value to the medical sector or not.Will electronic health record improve patients health outcome?In a review evidence results in two study cases came up with the following resultIn 2004 a systematic review conducted 3 study cases that reported patients outcomes, no benefit was the conclusionIn 2008 an analytical survey of several U.S patients found very few data or no association between the use of electronic health records and the improvement of patients outcomesIn the end of the study there was no evidence linking between electronic health record with better patient outcomesWill electronic health record improve the choice of care?Evidence proves that the following result qualification occur on the electronic health record if implemented in practiceIn 2004 a review of 26 studies analyzed several outcomes related to the quality of patient physician encounters and with the research it discovered a sharp fling in provision of preventing careIn 2006 a review on health information technologies and their impact on quality, efficiency and cost findings were Increased affixation to guidelines based care, advanced surveillance and monitoring and a decline in medication errorsIn 2007 a study of data from some community health centers over the course of one year concluded that while electronic health record related costs had not been recovered, the quality of care alter In 2008 a review on the advantages and costs of electronic patient Concluded that concerning the influence of EPRs on the quality of care The studies did not clearly station a clear answer to the questions of BenefitIn 2009 a review of 7 countries encounter implementing health information systems concluded that they had a neutral eng ender where neither benefit nor harm between the system implementation and quality of careThe conclusion of the study indicates that the electronic health record has a positive effect on the quality of care however some of the reviews still find it neutral so the opinions of the doctors and physicians are still conflicting.Will the Electronic health record be cost effective?In 2003 cost benefit analysis on the electronic health record in primary care settings concludes that electronic health record can result in positive return on investmentIn 2007 review on informatics system designed to improve care of chronic disease found that both cost effectiveness and adherence were significantly improvedIn 2008 report on the United States budget office summarized evidence supporting the practice of health information technologies describes the benefits on cost saving as curbIn 2010 discernment on the quality of care resulting from hospital computerization concludes that currently implement ed hospital computing might improve process measures of quality but not administrative or overall costsThe research cite modest cost benefit associated with electronic health record, however based on results for small trails or projections based on modeling empirical evidence supporting the cost effectiveness on electronic health record remains limited or conflictingWill the electronic health service save time and improve the efficiency of health services delivery?In 2006 a review of quality measures on the use of electronic health records indicated that the lack of implementing health services has been demonstrated, but the author notes that the outcome is limited to a wider health service providerA systematic review in the year 2008 analyzed six studies that addressed electronic health record with respect to reference point time, one study found the decrease in consultation time and the other found no differenceA 2008 report from the United States congressional budget office summ arized evidence supporting the adoption of health information technologies described the evidence around efficiency as conflictingIn 2009 a review examined the impact on regional health information system and figured that, studies were of variable scope and quality improves the medical data access, timely information, and medical data exchange and improvement in communication and coordination within a region between health care professionalsWhile there are some evidence supporting an association between the electronic health record and efficiency, there is also evidence which does not support this conclusionWill electronic health record improve physicians and patients satisfaction?In 2004 a review found that results were mixed with both the patients and physicians expressing enthusiasm for electronic health record and on the other hand expressing significant concerns about the impact of their use on a variety of outcomesA 2009 review of seven united based studies examined patient sa tisfaction with the electronic health record and figured that one out of seven studies reported a positive effect on patient satisfaction, five out of seven studies reported a neutral effect and one out of seven studies reported a negative effectEvidence on patients and physician satisfaction is scarceAn interview with Dr Michael Shuskho on the electronic health recordAs a professional in your field how do you find the electronic health record system?Michael the E.H.R is an advanced system which is very useful for doctors especially in the current Era. It provides better patient care, and makes a aeonian record that is legible that other doctors can review the system and also actually streamlines patient careWill the electronic health record improve efficiency and reduce timeMichael yes, the electronic health record is a valuable system to most of the doctors because it replaces the piles of paper and with a few rupture on your computer screen the doctor can view all the patients past medical record and send all the information to the other doctor within minutesIs the electronic health record system better than the manual paper based system?Michael yes, the E.H.R is clearer and safer than the manual system provided that it is used care replete(p)y. Exg a doctor can view patients X-Ray, picture of his electro cardio graph in a practically clearer and digitalized form while in the paper based system the pages might wear or get old and by the time the picture of the X-Ray gets more aged, it makes it hard for the doctor to identify the exact diagnosisIs it cheaper to implement an electronic health record?Michael The electronic health record system is expensive and the start up cost of the Medicaid and Medicare programs is high but in the presbyopic term it will eventually become cheaper for the clinics and hospitals to use themWhat are the barriers that prevents the electronic health record system by being in practice at a larger scaleMichael some doctors who arent familiar with updated technology and use practical manuals prefer not to implement the E.H.R in their clinics. Another barrier to the electronic health record is the upfront cost which is expensive and the some doctors find it hard adapting to the systemDr. Michael one last question before we conclude our interview. In your personal opinion will the E.H.R be mandatory by 2015 in the U.SMichael I assume the probability that the electronic health record system might be mandatory in the U.S and the government might take actions in seeing that all the practices and clinics use the systemThe implementation of the E.H.R IN Kuwait and Bahrainestablish on our research we have found that the electronic health record still needs to adapt at a global scale and the system is new to the G.C.C countries compared to the western countries such as United States, United Kingdom. Kuwait started using the E.H.R in 2005 in private and public clinics replacing the paper based system. According to t he hypothesis questions and results in the U.S case studies it shows clearly that the E.H.R is on the way of improving and use the E.H.R rather than the traditional filing system. Bahrain is also taking a step further in implementing the system and the public and private clinics and with the help of the MGA methodology and the case study we have come with proposed solutions and the benefits that the kingdom of Bahrain and other G.C.C countries will achieve through the E.H.RDecember 2010The health ministry in Bahrain will launch its national e-files project early 2011. It will cost the ministry between BD 25 cardinal to BD 30 million. Files of patients at salmaniya Medical complex and health centers will be converted into e-files. The first phase will cost BD 1.5 million and include all SMC and health care patients. Private hospitals and clinics can also be part of the system by paying a feeThe health parson give tongue to that many countries were struggling to meet the challenges of providing adequate health care for citizens. Changing demographics increased patients expectations, a global shortage of health professionals and rising costs associated with sophisticated technologies and new drugs means that healthcare is consuming an increasingly large proportion of gross domestic product and is becoming a priority for most governments.The minister also discussed Bahrain healthcare agenda through some strategic objectives which includes health promotion and prevention by strengthening primary healthcare services, the provision of quality health services by maintaining international accreditation of facilities and enhancing access to all health care services (Gulf Daily News- emailprotected)Plan for online health servicePatients in Bahrain whitethorn soon be able to manage their healthcare online. Patients know best (PKB) enables people to communicate securely with doctors and nurses, access their medical records and send and receive health data. The medical group was founded two years ago by Bahraini Dr Mohammed Al Ubaydli in the United Kingdom. He has more than 15 years of experience in the medical software and trained as a physician at the Cambridge University. The expert worked as a staff scientist at the national institutes of health and was a management consultant to US hospitals at the Advisory board company and is the author of six books. PKB is the first company to integrate into Britains NHS secures connecting for patients to work online with clinicians. The group was voted as the best social innovation start up at tech crunch europas European start up awards 2010. At least two hospitals in Bahrain as well as others in the UAE and Malta have shown interest in signing up to the initiative. In the U.K, PKB affiliates includes great Ormond St hospital, Thalidomide Trust, Cure Parkinson and Two NHS hospitals will also sign up soonAccessDr Al Ubaydli said hospitals and medical centers that have affiliated with the PKB give their pa tients an online ability to securely access their medical documents, history and test results, have online consultations with their doctors and receive prescriptions. Once you give the medical record to the patient they can give them to their GP, relatives, social workers and so on he told the GDN. The patient can start an online consultation with any doctor they have added, it works a bit like the face book. They can also deliberate their doctor at any time say, for example, their child is taking medication but develops a fever at 3am and they can go online and ask the doctor how to adjust their medication. The system asks automated questions that your doctor would ask so that when the doctor sees this in the morning it saves them a lot of time and they can quickly respond with advice. ( Gulf Daily News 8 Dec 2010)The articles concludes the following resultsThe kingdom of Bahrain is taking new measures in implementing the E.H.R in the G.C.C and mena regionMany of today healthcares can be solved through networkingGlobalize E.H.R SystemNetworking communication is an intermediary between practicing doctors implementing the E.H.R in their private clinics or public clinics. The information process is much faster through communication networks which reduces time, saves lives and improves efficiency Exg Steve Dr Akram Favorite doctor has a patient and needs hint solution to a problem through a communication network can achieve his goal browsing the Globalize E.H.R network finding solutions through other Doctors specialized in that field.An E.H.R system that works like a face bookDoctors can log on their account and log on the system with other health professionals and discuss emergency situations and provide solutionsThe problems can be solved through fast communication and accurate knowledge the tacit knowledgekey challenges to health practitioners implementing the E.H.R in the GCC countries make up of implementation is not offset by the efficiencies in the E.H.R Technical support needs to be modified due to the advancement in ITStress on staff and the practice in general was significantA 2007 review article recommended strong physician leadership and a staged approach to prospering implementationIn 2010 an article challenged conventional assumptions that the physicians were to blame for low uptake of electronic health record. Electronic medical records vary greatly in capability, quality, and cost. Doctors will become enthusiastic users if the electronic medical records are helpful in the care of their patientsThere are significant challenges associated with implementing E.H.R in the Mena or G.C.C countriesBenefits of networking for the G.C.C RegionImproves patient care through greater access to informationReduces test result timesDecrease paper work for cliniciansIntegrate communicationHelps ensure that patient medical data and stats are there when patients need to find his/ her test resultsCompliance with privacy regulationsProposed solu tions for the electronic health recordA 2008 synthesis of 3 qualitative studies identifies essential components of successful electronic health record implementationA project championRealistic expectation of the challenges of implementing an electronic health recordAddressing existing staff attitude towards ITProvide adequate training to staffA systematic review of 7 countries experience implementing health information system in primary care identified the following factorsQuality of the graphical user interface and feature functionalityQuality of implementation project managementUsers previous experience with information technology systemsThe Electronic health record today applicationThe adoption of the electronic health record is difficult to overcome due to the lack of the return on investment. Scholars and writers on the subject noted that health care decision makers find it difficult to demonstrate return on investment to undertake a comprehensive electronic health record syste m within their organization. The health care costs continue to increase and the fact that the initial investment on equipment can be quite expensive. Another fact that complicates the adoption of the electronic health record is that the data is heavily structured, being save in the allotted space. Training is an important issue and this is required by a large amount of population. One should keep in mind that the population has different levels of computer literacy (Upham 2004). These contributors of the electronic health services contributed to a slow increase in the adoption of such systems in many hospitals. In a survey question regarding the E.H.R and the implementation of the method out of 436 who have responded to the question, 35.6% said that they have already implemented the electronic health services. The percentage is expected to grow in the coming years of application. The G.C.C is taking all the necessary step in implementing the system with an enhanced knowledge in the field and the governments should test all the Medicare and Medicaid programs before implementing the systemThe Evolution of the Electronic Health RecordThe electronic health record is an open field of debate amongst the doctors, physicians, clinicians and scholars. In the electronic implementation of such records, we may also expect to find populations of patients, integrated access to biomedical literature and interactive environment for offering clinical guidelines or advisory advice. Throughout ages the world is becoming more globalized and in the age of science and technology the computer is being the number one tool. The (local area network) is connected to the full internet, with an integrated access to a wide variety of information sources that are geographically distributed well beyond local institutions.The electronic health record system is expanding worldwide and some of the future implementationAn enhanced internet an internet with much higher bandwidth and reliability , increased response time and financial models that makes the application cost effective and practical is required. Major research effort is underway to address some of these concerns, including the federal next generation Internet activity in the United States exploratory effort that continue to push the state of art in internet technology, and all significant implication for the future of health care delivery in general for computer- based health record in particularBetter Education and health care training for health care providers there is a difference between computer literacy (familiarity with computers and the routine users in society) and the knowledge of the role that computing and communication technology can and should play in our health care system. More medical information training programs and the expansion of existing programs are needed. Junior faculty in health science schools who may call to seek additional training in this area should be supportedChanges in the m anagement and organization of health care institution health care provide some of the most complex organizational structures in society, and it is simplistic to assume the off shelf products will be smoothly introduced into a new institution without major analysis.DiscussionThe project mainly discusses on electronic health record system that the implementation of the idea goes back to Hippocrates who laid the invertebrate foot in the 5th century and by the following years doctors, physicians, pharmacists and clinicians tried to improvise the idea of the health record system on paper but in the 1960s the standards of the paper based changed to the electronic health record systems and hospitals welcomed the new system which was more efficient and reduces paperwork and time. The electronic health record according to numerous researches and articles emphasized that the system should be introduced worldwide. the G.C.C region is expanding in both size and capacity since the countries lik e Bahrain, Kuwait, Qatar, Uae opened door to foreign investment in their respected countries. Our research focuses on the implementation of the E.H.R in the U.S and the results of the case study gave us a better understanding on whether to implement the system in the G.C.C countries. The results were positive and the need of the system is becoming compulsory in our world today. Kuwait have already