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Implementation of the electronic health record (EHR).

Implementation of the electronic health record (EHR)

One of the aspects of meaningful use is the implementation of the electronic health record (EHR). How has the EHR impacted your health care organization? What were the positives, and are there any negative issues with any aspects of EHR?


EMR solutions have been preliminarily produced for the function of recording influenced personal info. This was the case with Larry Weed’s Problem-Oriented Medical Record in the 1960’s. According to the EMR Standards and Guidelines (ESG), EMR systems must address the following 6 key functional areas:

The First function is always to history and offers an essential group of people and specialized health-related overall health details. This refers to patient-related information and includes patient identification information and clinic attendance or encounter information. EMR systems are required to collect and display essential demographic patient information and clinical information for example collect and display patient medication, collect and display patient allergies, collect and display test results, accept encounter clinical data: vital signs, weight, height, calculate BMI and accept clinical notes in a structured format and in free text format [6].

Another function is to provide professional medical choice support. EMR systems are required to highlight abnormal test results, alert provider of abnormal (outside the normal range) vital signs, alert provider if a known allergic drug is prescribed or if a known drug interaction is likely to occur and provide reminders of recommended care due to such as tests due and medication due [6].

The next operate is get entry and suggesting. Order entry is the process by which a health care worker electronically enters instructions for the care and treatment of patients under his or her care. EMR systems are required to allow providers to enter orders with required details, accept prescription orders, order and administer immunizations: capture dose, site given and manage referral orders with details of referring provider and referred-to provider [6].

Your fourth function of EMR systems is always to provide wellness information and facts and reporting. One advantage of EMR systems is to improve the reporting and use of health information. To support this function, EMR systems are required to generate reports from clinical data to support quality improvement and to generate aggregate reports for submission to health ministries and other consumers [6].

The 5th work would be to Assist Safety and Privacy. Health data security and confidentiality is fundamental to any EMR system to ensure that the privacy of patient data is maintained. EMR systems are required to have access control functions that limit access to health data to selected individuals, based on defined and document roles, maintain detailed audit trails of all events within the EMR system, follow defined standard practices on logins and passwords, ensure data protection by meeting requirements regarding data backup, recovery and documentation of systems and incorporate technical security functions in line with requirements regarding encryption and data transmission [6].

The last purpose of EMR solutions is to facilitate change of digital details. EMR systems co-exist with other systems in the health care setting. These include other EMR systems, laboratory systems and pharmacy systems. In order to promote inter-operability between systems, EMR systems are required to receive patient information as a clinical document using a recognized standard, generate patient summary information as a clinical document using a recognized standard and generate aggregate clinical care information using a recognized standard [6].

Impact of EMR systems on healthcare

The progression in i . t has had effect in most industries which includes medical care who have really helped in mitigating obstacles facing health-related right now. These challenges include; reducing preventable errors, improving communication among health care providers and facilities, and controlling the cost of medical care [7]. Other benefits of the EMR systems identified include improved patient care, improved care coordination, practice efficiencies and cost savings, increased patient participation and improved diagnostic and patient outcome

The healthcare suppliers noted that there are great things about the consumption of EMR techniques in KTRH. First they have helped on time management and order in the management of patients. It is also easier to retrieve patient’s information and generate hospital reports. The EMR systems have ensured that confidentiality of patient’s information has been upheld. There is better communication among healthcare providers due to the systems. Other advantages were; data was more legible and there was better accountability of funds and supplies. Despite the advantages noted above, there were some disadvantages that were raised. First the systems brought about health issues like eye impairment and back pain. It was also easy to manipulate another person’s account. A common disadvantage raised was the failing of the system and network break up. Lastly some functions were not accessible.

This is as a result of numerous factors. Initially there seemed to be clearly a lowering of the turnaround time in the treatment method for individuals. This is due to better entry to new, recently stored, and archived information and lowered transit time. Although healthcare providers reported that there was an increase in the insight of affected person details as compared to the usage of pieces of paper, they did agree that total there was clearly a decrease in time put in the handling of patients. Most medical professionals thought the EMR has enhanced the grade of time with their people and the caliber of paperwork from the documents [12].

Another factor was there was convenience of affected individual info and files. This was due to the reduction in the time of searching for files and charts as compared to the use of paper. Information that would take several minutes to hours to access was accessible in a span of several seconds. This helped to reduce the turnaround time and increase patient satisfaction as they spent less time receiving care. Also there was a reduction in the loss or misplacement of patient information as all information is saved in a server and external drives at the ICT department in KTRH. In a study in 1998, it was noted that there were less lost charts and easier access but increased time charting [13].

The ease in age bracket of reports both to MOH in addition to the health-related middle has resulted in a rise in the efficiency. With the use of EMR it is easier to generate daily, monthly and annually reports which made disease surveillance easy. This not only helps the hospital but also the County and MOH to come up with guidelines, projects and programs to deal with these diseases at the community level. EMR enables electronic data storage that employs uniform data standards that will enable health care organizations to respond more quickly to federal, state, and private reporting requirements, including those that support patient safety and disease surveillance.