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Introduction to Electronic Health Records


Overview

The information in this chapter will enable you to:

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Outline

A Mandate for Change

Frequency of Medical Errors
Rising Health Care Costs
Coordination of Care
Trends in Technology, the Economy, and Government Policy
Advances in Technology
Economic Pressures
Government Health Information Technology Initiatives
What Is a Medical Record?
Content of a Health Record
The Purpose and Use of Health Records
Primary Purpose
Secondary Uses
Core Functions of an Electronic Health Record System
Health Information and Data
Results Management
Order Management
Decision Support
Electronic Communication and Connectivity
Patient Support
Administrative Processes
Reporting and Population Management
Advantages of Electronic Health Records
Safety
Quality
Efficiency
Future Cost Reduction
Implementation Issues
Cost
Lack of Standards
Learning Curve
Workflow Changes
Changes in the Software Market
Privacy and Security Risks
The Impact of Information Technology on Allied Health Careers
Certification and Lifelong Learning
Outlook and Salaries

 

Learning Outcomes

After completing this chapter, you will be able to define key terms and:

  1. List three reasons why paper-based medical records are no longer adequate.
  2. Discuss the economic pressures forcing changes in the health care system.
  3. Describe the role of the government in bringing about changes in the health care system.
  4. Explain the differences between electronic medical records, electronic health records, and personal health records.
  5. Compare the content of a medical record in ambulatory and acute care settings.
  6. List the eight core functions of an electronic health record.
  7. Describe the advantages of electronic health records.
  8. Explain the issues surrounding the implementation of electronic health records.
  9. Explain how electronic health records will affect existing jobs in allied health as well as create new jobs.







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