Electronic Medical Record

Post on 03-Jun-2015

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Transcript of Electronic Medical Record

ByFrank Ejechi

(Member of Group Project 6)

Electronic Medical Record

What is an Electronic Medical Record It is a computerized medical record It is used to deliver health care

information It is used in hospitals, nursing homes,

insurance companies, and other healthcare facilities.

Remote charting is possible through an EMR

Remote Charting

Features of an EMR

• An EMR is categorized into the following main features

Administrations: Security and legal features

Clerical: Billing, documentation and scheduling

Clinical: Patient’s information, physician orders, nurses notes, interventions, labs information.

Benefits of EMRs

They enhance patients’ safety Real time information regarding patient

care Eligibility of documentation or orders Access to medical information remotely Better security of medical records Archives of medical records

Challenges of an EMR

It is expensive and takes time to implement

It requires retraining of staff Patients medical records could be

compromised System could crashed Medical records can be stolen by

unauthorized person.

References

EMR and HIPPA (2011). An Open Forum for EMR, HER, and HIPPA related information, Retrieved on April 23, 2011, from http://www.emrandhipaa.com/emr-features/

Thede, L.Q. & Sewell, J.P. (2010). Basic Electronic Healthcare Information Systems; Informatics and Nursing Competencies and Applications. Philadelphia. Lippincott Williams & Wilkins.