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Electronic health records
1.
2. Practitioners use records to capture their
clinical findings and conclusions
Until recently, medical records have been
captured on paper and are the property of the
recording provider
“To Err Is Human” – many misconceptions
resulting in lapse in patient care
3. An evolving concept defined as the
systematic collection of electronic health
information about individuals and
populations that can be transferred between
health care centers.
4. The systematic application of information
science, computer science and technology to
public health practice, research and learning
5. Paper charts are neither interactive nor
intuitively designed
Printed reminders and cautions can be easily
overlooked
Physicians are notorious for illegible
handwriting-as less as 65% of the written
medical charts can be fully read
6. No data sharing - written records remain in
the providers office
Take a lot of space
Disorganization or disaster in office can
result in information loss
7. Intuitive formatting and enhanced interaction
Eliminating unnecessary procedures reducing
health care expenditures
Greater co-ordination and data sharing
No data loss
Helper applications-provide patient specific
feedback in real time
8. Provides alerts to the doctor to health needs
or relevant research
Improved decisions on part of the clinician
Empowers patient in self management of
chronic diseases
Helps track prior medical history and
treatment of the patient
Collaboration between patient and doctor
9. Expensive software and computer purchase
Software maintenance expense
Dependent upon reliable operation
10. Loss of revenue
Local vs. global perspective
Security
Learning curve
Overconfidence in personal physician skill
11. Info-buttons
Computerized Provider Order Entry
Clinical Decision Support
Personal Health Record
Clinical Data Repository
12. Contact specific links from one information
system to another resource
Provide relevant contextual information
significantly increase the percentage of met
information needs at the point of care
13. Allows provider orders to be written
electronically either in the hospital or out-
patient settings
Eliminates hand writing misinterpretation
14. Provides intelligently filtered clinical
knowledge and patient related information
Improves patient care
CPOE and CDS often work in tandem to
ensure patient is being treated appropriately
15. Enables the patient to keep track of their own
personal health information
Provides educational material to assist in self
management of chronic disease
Enables patients to take input from home
monitoring devices such as glucometers,
blood pressure monitors, etc
16. Telemedicine allows communication of
medical information to remote provider for
consultation.
frequency of required appointments for a
patient can be determined
Improves quality of care
Reduces cost through cost avoidance
18. One of the vital features of EHR
Readable data is dependent upon adherence to
standards
Absence of robust standards could undermine
the benefits of EHR adoption altogether
Standards have been developed for adoption by
EHR vendors and RHIO members to allow data to
be exchanged between systems in RHIO
19. CCHIT - the only certification body endorsed to
evaluate EHR’s for adherence to standards.
IHE Eye care Connectathons - test interoperability
of equipment and EHR’s to determine how well
they integrate
Health Level 7 (HL7) - a series of standards
designed to allow data exchange and
interoperability of EHR’s.
DICOM - centered on medical imaging
21. Databases used to track patients:
a particular disease
exposure to risk factor
those who have undergone certain procedure
22. Estimating incidence
Providing a population for researchers to
study
Trending a disease’s impact over time
23. Ongoing systematic collection, analysis and
interpretation of health related data essential
to planning, implementation and evaluation
of public health practice
24. Evaluate threats to public health
Detect epidemics
Generate research questions
Assess current attempts to control health
threats
To stay on top of changes in infectious
agents or health practices
25. Tracking patients relative to their location
Ease spatial tracking in public health
26. In infectious disease tracking
Applications where spatial information is
relevant e.g.
Sheen’s evaluation of costs
Benefits of optometric referrals in Wales
27. EHR will dramatically change the way in which
clinicians practice
Enable creation of more legible records
helpful for multiple practitioners
CDR and RHIO will act as a bridge enabling
team work in patient care
Safeguarding populations from outbreaks
28. ELECTRONIC HEALTH RECORDS AND PUBLIC HEALTH INFORMATICS
By Kevin M. Jackson, OD, MPH, FAAO, CDR, MSC, USN
http://webpages.charter.net/oldpostpublishing/oldpostpublishing/S
ection%202,%20Principles%20of%20Public%20Health/Sect%202,%20El
ectronic%20Health%20Records%20and%20Public%20Health%20Inform
atics%20by%20Jackson.pdf