The Role of Laboratory Reports in the Adoption of Electronic Medical Records

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The Role of Laboratory Reports in the Adoption of Electronic Medical Records

Salud y medicina Empresariales

The Role of Laboratory Reports in the Adoption of Electronic Medical Records

LIS – Laboratory Information Systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

EMR – Electronic Medical Records ,[object Object],[object Object]

A day in the life of Sally, physician office receptionist Web portal (from one hospital) Courier just dropped off more envelopes Unopened mail Fax machine with results from one lab Unsorted results About to ring with stat results “ Hey Sally! Where is Mrs. Jones x-ray?”

Low EMR adoption:

HIT Activity in Bush administration: ,[object Object],[object Object],[object Object],[object Object],[object Object]

AHIC Committee Recommendations: ,[object Object],[object Object],[object Object],[object Object]

EMR adoption via e-Labs ,[object Object],[object Object],[object Object],[object Object],[object Object]

HIT Activity in Obama administration: ,[object Object],[object Object]

Lab Report

HL7 Format Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indiana Health Information Exchange – Regenstrief Institute IHIE is a centralized repository of clinical reports from major Indiana Hospitals. IHIE distributes reports at no cost to physician clinics.

Indiana Health Information Exchange – IHIE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

National Health Information Exchange

SmartLinkEMR – historical flowchart view

SmartLinkEMR – lab results graphical view

PHR – Personal Health Records ,[object Object]

Contact ,[object Object]

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Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR. Note: EHR The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book. Institute of Medicine (IOM) The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing: Health information and data This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it. Result management Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed. · Reduced lag time allows for quicker recognition and treatment of medical problems. · The automated display of previous test results makes it possible to reduce redundant and additional testing. · Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up. · Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient Order management Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders. · CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions. · The use of CPOE, in conjunction with an EHR, also improves clinician productivity. Decision Support Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks. · Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction. Electronic communication and connectivity Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans. · Electronic co.

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Are Electronic Medical Records a Cure for Health Care? CASE STUDY #1 During a typical trip to the doctor, you’ll often see shelves full of folders and papers devoted to the storage of medical records. Every time you visit, your records are created or modified, and often duplicate copies are generated throughout the course of a visit to the doctor or a hospital. The majority of medical records are currently paper-based, making these records very difficult to access and share. It has been said that the U.S. health care industry is the world’s most inefficient information enterprise. Inefficiencies in medical record keeping are one reason why health care costs in the United States are the highest in the world. In 2012, health care costs reached $2.8 trillion, representing 18 percent of the U.S. gross domestic product (GDP). Left unchecked, by 2037, health care costs will rise to 25 percent of GDP and consume approximately 40 percent of total federal spending. Since administrative costs and medical recordkeeping account for nearly 13 percent of U.S health care spending, improving medical record keeping systems has been targeted as a major path to cost savings and even higher quality health care. Enter electronic medical record (EMR) systems. An electronic medical record system contains all of a person’s vital medical data, including personal information, a full medical history, test results, diagnoses, treatments, prescription medications, and the effect of those treatments. A physician would be able to immediately and directly access needed information from the EMR without having to pore through paper files. If the record holder went to the hospital, the records and results of any tests performed at that point would be immediately available online. Having a complete set of patient information at their finger-tips would help physicians prevent prescription drug interactions and avoid redundant tests. By analyzing data extracted from electronic patient records, Southeast Texas Medical Associates in Beaumont, Texas, improved patient care, reduced complications, and slashed its hospital readmission rate by 22 percent in 2010. Many experts believe that electronic records will reduce medical errors and improve care, create less paperwork, and provide quicker service, all of which will lead to dramatic savings in the future, as much as $80 billion per year. The U.S. government’s short-term goal is for all health care providers in the United States to have EMR systems in place that meet a set of basic functional criteria by the year 2015. Its long-term goal is to have a fully functional nationwide electronic medical recordkeeping network. The consulting firm Accenture estimated that approximately 50 percent of U.S. hospitals are at risk of incurring penalties by 2015 for failing to meet federal requirements. Evidence of EMR systems in use today suggests that these benefits are legitimate. But the challenges of setting up individual systems, let alo.

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