The past, present and future of electronic health records (EHR)
mass implementation of electronic health records (EHR) is presented as a key strategy to reduce spending and improve the quality and continuity of care. But DSE also introduce a new complexity and costs for medical environments, and there is no standardization of the methodology to ensure interoperability, efficient execution or accession budgets for start-up, this which can lead to less than optimal adoption of EHR systems. security issues, coding and extra billing are also of great concern.
What electronic medical records?
If a traditional paper record is a snapshot and an electronic health record is a high definition video. DSE focus on the patient's overall health, beyond the collection of clinical data standard to include a broader view of history related to the patient's health. Notable benefits of EHRs include secure sharing of data between systems, locations and suppliers, communication and more patient participation.
EHR Adoption
If all goes according to plan, will be fully functional EHR and redeemable in 2016 by Ministry of Health and Social Services (HHS), the number of hospitals that adopt EHR increased by only 9 percent in 08 to over 80 percent in April 2013. Much of this growth can be attributed to incentives and requirements of the Act recovery of 09 and the affordable care Act. Health Information Technology for Clinical Health Act (HITECH Act) and economic, enacted under the 09 Recovery Act, allocates $ 24.3 billion to promote and expand the adoption of technologies information on health.
However, the adoption of EHRs is not as simple as the acquisition of information technology. A set of steps meaningful use, developed by HHS, ensures quality and EHR systems guide to the ultimate goal of better outcomes for patients. meaningful use is determined by the achievement of certain milestones over time, as defined by HHS, which demonstrate improved quality, safety and efficiency -. health disparities and reduce while engaging patients and improving care coordination through a secure and private folders
organizations must answer these steps HHS to continue receive incentives that compensate costs and avoid penalties. HHS has extended January 1, 2014, deadline for demonstrating meaningful use stage II. But with a hard deadline of 2015, organizations must scramble to meet those standards or see their payments to Medicare and Medicaid reduction of 1 percent. In addition, with a sense within Phase III of the imminent use in 2016, this year promises to be a pivotal year for EHRs.
Benefits and Challenges
Wide-reaching opportunities
supporters EHR want to eliminate the problems caused by paper documents disjointed, incomplete and sometimes unreadable to ensure that care providers have a complete picture of a patient's health and personal circumstances in the development of a care plan. The Office of the Federal Government of the National Coordinator (ONC) - which supervises and coordinates the implementation of information technology on health - explains that EHR stand improvement:
- quality and the convenience of patient care
- patient involvement in care
- precision diagnostics and health outcomes
- care coordination
- efficiencies practical and cost savings
interoperability Hurdles
Despite all these advantages, there are many challenges to the universal adoption and meaningful use of EHRs . Research shows mixed results regarding the impact of EHR benefits in key areas; this is largely due to poor design of the EHR system, failure to correct the flaws in existing designs and the lack of standards to make interoperability easier between different systems.
Design disconnections
As reported by Healthcare IT News, EHRs detractors criticize the design for its inflexibility and say it can interfere with the interaction of the patient / provider. While EHRs offer a platform for data collection and in-depth analysis, the data is designed to align against billing codes and data at the population level, leaving little leeway to create EHR that reflect the range of unique cases most providers actually see. This disconnection means governments must reconfigure their carefully chosen multi-million dollar systems after the fact, or face the possibility of missing out on the benefits of financial results and health promised by implementing EHR in addition to cuts Medicare and Medicaid reimbursement. Many offer the integration of physician, health care provider and patient entry in the design or redesign, EHR systems to solve these pressing problems.
safety and security of the data
The coordination of care and ease of transfer inherent in the EHR also present new threats to patient confidentiality and security of records. There are three main threats to data security: Data Snooping, financial identity theft and medical identity theft. It is the supplier's responsibility, not the designer EHR to ensure that the data in the EHR is secure. Strict compliance with encryption protocol, Health Insurance Portability and Accountability Act 1996 (HIPAA) privacy and security rules, audit trails and access controls can help healthcare organizations to combat threats to privacy patients but represent yet another layer to the health authorities to deal.
Moving Forward
As we move forward, experts predict EHR will be an essential tool to support the changes needed by the massive transformation of the care system US health under the affordable care Act. Expenses, hiccups and systematic failures are inevitable that the inclusion of these new EHR systems and policies, no doubt, have a somewhat disruptive effect on health systems. Establish and review of EHR systems wisely in 2014 will be the key to saving trillions of dollars future health care and millions of the quality of life for years into the future. It is up to administrators and health authorities to stay on top of failures and successes, adapting to challenges and reapply successful tactics. Top Graduate Programs in Health Administration must train the next generation of health administrators have the flexibility and knowledge to adapt to what promises to be an ongoing problem and development in 'health administration.
How is your convenient delivery system or health care using EHR technology? Tell us in the comments.
0 Komentar