1. Electronic Medical Records
EMR
Patrice Bernard

2. What is EHR
• The electronic health record (EHR) is an ever-
evolving concept defined as a “systematic
collection of electronic health information about
individual patients and or populations” 1
• The EHR record many include but is not limited to
demographics, medical history, medication and
allergies, laboratory reports, radiology reports,
personal statistics, and billing information

3. Value of EHR
• Electronic health records offer
– the potential for quicker access to relevant information
– regular updating of information
– storage of data in multimedia format
– increased efficiency in the provision of health care as well
as managerial and clinical decision-making

4. EHR Benefit to Providers
• Some providers and hospitals exchange
information through networks or system wide
connections
Example
A Breast Care Navigator can review the chart of a patient
having unique difficulties with treatment and determine
what medication or services might assist that patient. It is
no longer necessary for physicians to fax referrals and
patient notes to exchange information.

5. EHR Benefit to Patients
Information is crucial for increasing the patients'
empowerment and autonomy in relevant decision-making
processes, especially in malignant diseases.
Example:
When a patient living with a chronic disease relocates to
another state or country, he or she needs to be able to
have access to a portable medical record or one that can
be easily transferred to the new physician.

6. Physician Opinion on EMR
• According to study results, 69% to 81% of PCPs who
participated in the program
• Data also showed that 71% to 77% of participating
physicians vs. 29% to 58% of nonparticipating
physicians thought patient satisfaction would
improve patient safety 8”.
• “More than half of participating physicians and most
nonparticipating physicians thought that access to
their notes would increase patients’ worry about their
health.

7. Patient Opinion on EMR
• A French study, published online in 2011in Cancer, a
journal of the American Cancer Society, tested the idea of
allowing some patient access to an organized (OMR) 6.
“The study looked at the effects of each on cancer
patients' anxiety, quality of life and satisfaction 6”.
“Of the people given access to OMR, 70.4% said they
said with hindsight they would still choose to see it and
74.8% said they did not regret having it available 6”.

8. Patient Opinion on EMR
“Patients were globally satisfied with the OMR, which
helped them to improve their understanding of the
disease and eased communication with physicians and
family members 13”.
OMR not only allowed patients to understand their
disease more thoroughly (71.1%) but also helped
them discuss it with their relatives (59.2%), their
general practitioner (56.3%), and their oncologist
(62.3%)

9. The Consensus on EHR
The consensus found in current research is
that patient access to medical record is
beneficial to both the patient and physician.
As our society becomes more global and
medical technology more fluid, OMR will
become the standard and not the exception.

10. References
• References
• 1 Gunter T.D., Terry N.P. (2005). "The Emergence of National Electronic Health Record Architectures in the United States and
Australia: Models, Costs, and Questions". J Med Internet Res 7: 1.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1550638.
• 2 Warren J. Winkelman, Kevin J. Leonard, Peter G. Rossos, Patient-Perceived Usefulness of Online Electronic Medical Records:
Employing Grounded Theory in the Development of Information and Communication Technologies for Use by Patients Living
with Chronic Illness, Journal of the American Medical Informatics Association, Volume 12, Issue 3, May–June 2005, Pages 306-
314, ISSN 1067-5027, 10.1197/jamia.M1712. (http://www.sciencedirect.com/science/article/pii/S1067502705000241
•
• 3 Tayla Holman, Demand Media. iPhone Apps to Track Personal Medical Information. Retrieved on December 3,
2012.hhttp://techtips.salon.com/iphone-apps-track-personal-medical-information-5004.html.
• 4 Francis H. Roger France, Control and use of health information: a doctor's perspective, International Journal of Bio-Medical
Computing, Volume 43, Issues 1–2, October 1996, Pages 19-25, ISSN 0020-7101, 10.1016/S0020-7101(96)01222-6.
http://www.sciencedirect.com/science/article/pii/S0020710196012226)
•
• 5Groll RJ, Leonard KJ, Eakin J, Warde P, Bender J, Jewett MAS. Electronic surveillance of testicular cancer: understanding
patient perspectives on access to electronic medical records. Journal of oncology practice / American Society of Clinical
Oncology. 2009;5:177-181.
•
•
• 6 Rostom AY, Gershuny AR. Access to patient records. Lancet. 1991;338:1337-1338.
•
•
• 7 Physicians, patients disagree about shared access to medical records. Orthopedics Today. 2012;32(2):37-38.
http://search.proquest.com/docview/931447853?accountid=10639.
•

11. References
• 8GravisG, Viens P, Protière C, et al. Full access to medical records does not modify anxiety in cancer patients.
Cancer. 2011;117:4796-4804.
•
• 9Access to personal medical records increases satisfaction among new cancer patients. MD Week. 2011:843.
•
• 10 Chris Lancelot. Allowing patients to access their medical records is risky. GP. 2012:18.
• Patient-Centered Cancer Treatment Planning: Improving the Quality of Oncology Care : Workshop Summary.
National Academies Press; 2010.
• 11 Fisher B, Britten N. Patient access to records: expectations of hospital doctors and experiences of cancer patients.
The British journal of general practice : the journal of the Royal College of General Practitioners. 1993;43:52-56
• 12 Milliat-Guittard L, Colin C, Charlois A, et al. Shared medical information: expectations of breast cancer patients.
Gynecologic oncology. 2007;107:474-481.
•
• 13Francis H. Roger France, Control and use of health information: a doctor's perspective, International Journal of Bio-
Medical Computing, Volume 43, Issues 1–2, October 1996, Pages 19-25, ISSN 0020-7101, 10.1016/S0020-
7101(96)01222-6. http://www.sciencedirect.com/science/article/pii/S0020710196012226)
•
• 14
Ley P, Whitworth MA, Skilbeck CE, et al. Improving doctor-patient communication in general practice. J R Col
GenPract. 1976;26:720-724.
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The references list includes references included in the EHR Final Project Whitepaper.