Electronic Medical Records Systems

IntroductionAn electronic aesculapian recruit (EMR ) is a aesculapian exam checkup enrol in digital format .electronic aesculapian get into af satisfyinging facilitates access of persevering role information by doctors at either devoted location ,accurate claims processing by insurance companies ,building machine-controlled checks for drug and whollyergy interactions ,clinical notes and laboratory enshrouds .The term electronic medical record can be expanded to include remainss which keep track of other relevant medical information . Although an EMR system has the potential for invasion of a forbearing s medical solitude ,EMRs can serve a great purpose when monitored effectivelyThe TechnologyFive levels of an electronic wellnessCare render (EHCR ) memory can be separate as chases1 .The Automated wellness check degrade ,which is a -based record with some computer-generated documents . 2 .The Computerized Medical Record (CMR which makes the documents of level 1 electronically available . 3 .The electronic Medical Record (EMR ) which restructures and optimizes the documents of the previous levels ensuring inter-operability of all documentation systems .4 .The Electronic patient role Record (EPR ) which is a patient-centered record with information from multiple institutions .5 .The Electronic Health Record (EHR ) adds general health- cogitate information to the EPR that is not necessarily related to a disease . The development of standards for EMR interoperability is vital because of the fact that without interoperable EMRs , practicing physicians , pharmacies and health allot institutions cannot share patient information , which is inevitable for termly patient-centered criminal maintenance .There are m some(prenominal) standards relating to specific effect of EMRs in the USA and across the globe . These include ASTM internationalistic continuity of care record in which patient health summary is based upon XML ANS1 X12 ,which is a set of protocols use for transmission system any data including billing information CEN ,which is the European step for EMR DICOM ,A popular standard in radiology record keeping and HL7 which is commonly used in clinical document computer architecture applicationsThere are many software programs specially developed for electronic record keeping . This includes `Doctors partner , an meliorationd Electronic Medical Records (EMR ) System with Integrated Appointment Scheduling Billing , prescription drug Writer , Transcription Module , Document Management and workflow Management built to meet HIPAA standards . `Practice Partner Patient Records is an award winning electronic medical records (EMR system , allowing practices to introduce and retrieve patient charts electronically . There are immeasurable such branded medical record softwares available at once (Ringold et .al ,2000The American Medical necktie and 13 other medical groups representing 500 ,000 physicians have signaled their intention to go electronic with the AMA create Physicians Electronic Health Record Coalition to recommend affordable , standards-based technology to their constituents . President Bush has also promoted a across the country computerized medical records system in a recent cut back to a children s hospital at Vanderbilt University . The documentation includes1 .Diagnosis and Treatment base which very Health Care delivery center forthwith provides to the patient on the details of the diagnosis of the disease with fall up instructions , the Medicine information and the allergy reactions that could follow dietary restrictions , dos and don ts , restrictions and exercises prescribed . They take an identification either from the patient or an authorized person by and by receiving the report . This documentation serves a key purpose in medical practice2 .The Health Record which is the proper documentation of records of all treatments and medications , as well as a record of a patient s reactions and behavior . The health record is the written and effective evidence of treatment . This reflects only facts and not the judgment of the reanimate Careful and accurate documentation is vital for patient eudaimonia and that of the stretch . Documentation includes , medication administered treatments done with date time , factual , objective and complete data with no asinine spaces left in charting , on flow sheets or on check lists calls made to health care team , client s response , signature of the nurse in ever soy compliance and consent for treatment . A private hospital in Milan , Italy , has been asked to handover for police verification of the medical records of at least twenty dollar bill one cases who had oculus valve surgery , following complaints that the surgeon replaced heart valves even in patients who did not need them replaced3 . Informed concur , which is a document , recorded before any terminally ill person receives his chemotherapy or an invasive procedure . The patient or his /her health attorney should give a well-documented assured consent before such procedures . Informed consent mean that tests , treatments and medications have been explained to the person , as well as outcomes , workable complications and alternative procedures . Any medical hospital can be pushed into a center of a litigation storm afterwards allegations without informed consent4 .Medical Billing and Insurance , which are part of the health care system in USAThe costThe National Academy of Sciences report states that the health care industry spent between 10 and 15 billion on information technology in 1996 . Much of this expenditure is attri onlyable to creating electronic records systems and converting conventionally stored data to electronic formats . The running cost of a medical record keeping in a hospital is proportional to the itemise of computer systems involved and the operators . A typical health care administration has a centrally controlled computer section , which maintains the ideal medical records of all the patients . In large organizations , every department is connected by a local area adminisrator , local area network to a central terminus . To summarize electronic medical record keeping does not add up any significant financial load on the health care institution and is very much part of the computerized office mechanisation process like in any other organization . RED medic Inc , a California based firm have introduced a cheap online medical record renovation with an annual membership of about 35 .The company network site give collect , store and access everything ever wanted by health-care professionals to know about a patient s medications , allergies , immunizations , conditions , doctors , emergency contacts and insurance providers . The system will store and convey more abstruse information such as advance directives , EKGs and other essential medical documents and diagnostic imaging techniques . This health information service is capable of delivering information to any doctor or hospital , anytime , within the United States .

Thus , Electronic Medical Record Keeping has reached a stage where blue technology is available at an affordable costSome ways electronic medical record system can be used competitively by an organizationElectronic medical record system is a boon to the medical sector as well as the patients if utilize in the right perspective . Electronic medical record system gives scope for better treatment options and in fact better treatment . This facilitates physician access to the patient case history beyond the geographical and time barriers with the advent of the internet . This can make the whole process of medical care simple with the patient medical record available to any authorized physician at any given location and time . The system can also pick at healthcare costs with reduced diagnostic procedures in the healthcare process . This system can be gain ground utilized to keep up patient appointments and other miscellaneous detailsRisksThe bother of the privacy of patient records has received due attention in the last two years . The Health Insurance Portability and answerability Act of 1996 paved ways to protect the privacy of medical records . Electronic medical records presents new threats to the privacy of patient-identifiable medical records . An Electronic medical record can be invaded instantaneously by someone with access to the data system and the password (Lzhrum , 2003 . admission price to medical record not only invades the privacy but also gives room for complicated medical litigations . There has been reports of awry(p) identification of patients due to human and system generated errors in complex medical procedures like blood transfusions leading to death . digital signatures are not as safe as signatures and further the records do not have a physical innovation as with the other legally feasible documentsSummaryUnder data shelter legislation and the law in USA , the responsibilty for patient records in any form including films and tracings from diagnostic imaging procedures such as x-ray , CT , PET , MRI , ultrasound etc . lies of all time on the creator and custodian of the record , who is usually a health care practice or facility and the patient owns the information within the record and has a right to entrance the originals , and to obtain copies under law .Thus ,any violation on these lines will be violation of the basic law . Thus , electronic medical record system is a technologically viable cost effective system that has to be utilized by the health care sector governed by legal and good principles Works citedHallvard Lzhrum , MD , Tom H . Karlsen , MD , and Arild Faxvaag , MD , PhD Effects of scanningand eliminating based medical records on hospital physician s clinical workpractice . Journal of the American Medical Informatics Association 10 588-595 . 2003Medical Board of California : HYPERLINK hypertext transfer protocol / entanglement .medbd .ca .gov /Complaint_Info_FAQ_Records .htm o http /www .medbd .ca .gov /Complaint_Info_FAQ_Records .htm Medical Records - Frequently Asked QuestionsRingold , JP Santell , and PJ Schneider HYPERLINK http /www .ajhp .org /cgi /content /abstract /57 /19 /1759 ?maxtoshow HITS 10 hits 10 RESULTFORMAT searchid 1 FIRSTINDEX 0 sortspec relevance volume 57 firstpage 1759 resourcetype HWCIT o http /www .ajhp .org /cgi /content /abstract /57 /19 /1759 ?maxtosh ASHP national survey of pharmacy practice in tart caresettings : dispensing and administration--1999 . American Journal of Health-SystemPharmacy 57 (19 : 1759-75 . 2000US Code of Federal Regulations , HYPERLINK http /frwebgate .access .gpo .gov /cgi-bin /get-cfr .cgi ?YEAR current title of respect 45 PART 164 element 501 SUBPART TYPE TEXTPrivacy o http /frwebgate .access .gpo .gov /cgi-bin /get-cfr .cgi ?YEAR current TITLE 45 PART 164 SECTION 501 SUBPART TYPE TEXTPriva of Individually acknowledgeable Health Information Title 45Volume 1 ,October 1 , 2005PAGEPAGE 5 ...If you want to get a full essay, order it on our website: Orderessay

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