医疗保健专业人员经常在纸上维持病历而努力,这可能是一个耗时的过程。手动输入患者数据也是劳动密集型的,可能会增加错误。对于美国医疗保健而言,医疗错误可能是昂贵的,这就是为什么EHR有助于解决此问题的原因。

What is EHR?

EHR stands for electronic health records, a digital version of real-time patients’ records by transitioning from paper to electronic health records.Electronic health recordsallow easy and secure access to patient information to authorized users. Electronic medical records systems form an essential component of healthcare IT. They may comprise a patient’s medical history, clinical diagnoses, medications prescribed, treatment plants, important dates, images, tests, and results.Medical informatics其他健康信息系统需要一个通用平台,例如EHR,以便他们需要患者数据。EHR系统还旨在使医疗保健提供者更容易评估患者数据并做出决策。医疗记录电子可用性创建了一个安全的系统,可记录基本的患者信息并节省时间。医疗保健提供者可以使用电子病历系统与其他护理提供者和组织(例如实验室,专家和药房)共享患者数据。EHR可自动访问患者信息,并有助于简化临床医生的工作流程。这样,医疗保健专业人员可以拥有患者护理教育所需的所有信息,practice management,存储在一个地方。让我们来仔细看看the advantages and disadvantages of EHR integration.

Benefits of EHR Integration

EHR Integration

EHR系统的优势是:

提高医疗保健提供者的生产率:EHR integration speeds up the process of diagnoses and digitize administrative work associated with nearly 30% of healthcare costs. Implementing an EHR system in a hospital is a big time-saver because healthcare professionals and staff no longer need to spend time finding patient files. Additionally, EHR integration lowers transcription costs, gives 24/7 access to patient information, and improves billing and appointment scheduling. Patient information is available whenever needed and from any healthcare source. EHR promoteshealthcare managementandpopulation health management. Doctors and other healthcare professionals get more time to evaluate and treat patients, thus saving time previously invested in looking for information. EHR offersIntegrated Healthcare Solutionsby gathering patient data from multiple sources in one place, a process that supports better decision-making.

Enhanced patient satisfaction:Electronic medical records create a seamless flow of information that transforms the quality of care delivered. Patients can also access and monitor their data and identify areas that need improvement. Such health records management helps patients to deal with their illnesses, especially chronic diseases.Healthcare providers可以轻松,快速访问患者提供的报告和测试。材料的交付和给予患者的护理效率总体上有所提高。患者在护理点获得准确,最新和完整的信息。有一个好patient engagement systemthat benefits patients from improved coordination and communication with healthcare professionals.

增加数据安全性:重要的患者数据可以与患者和其他临床医生安全共享。处方和患者数据以增加隐私性安全记录。电子健康记录允许准确医疗记录管理.

Reduces error:EHR systems avoid mistakes in medical billing and patient record keeping. Paper works are reduced drastically, which in turn decreases the costs. Lack of errors also reduces duplication of testing, further saving money.

EHR Integration challenges

EHR Integration challenges

Although EHRs offer several advantages, the implementation of electronic health record systems can prove to be, and there are barriers to implementing EHR. Some of the significant hurdles EHRs face include interoperability and data privacy.

EHR互操作性:Healthcare interoperability定义了不同的能力software programs to exchange data. This is a major challenge faced by the healthcare sector. Electronic medical record systems are created to share patient data, including medical history amongst different healthcare providers and organizations. EHR interoperability is essential for obtaining a complete picture of the patient’s health. However, EHR interoperability issues are one of the common problems with EHR.

Training:Ensuring proper EHR integration in hospitals requires proper staff training about the new system and workflow. Physicians and medical professionals must invest time and effort in adapting to the EHR system. Training can be cumbersome for the staff and management. It can also be challenging to engage and gauge up interest among the staff.

数据迁移:这是传输数据的过程从一个位置到另一个位置,还涉及她的数据从一种格式转换为另一种格式,或一种应用程序转换为另一种格式。EHR迁移过程包括移动大量数据,这可能非常复杂。医院经常在这个EHR整合步骤中挣扎。员工可以以数字方式导出基于纸质的记录并保持最新状态,这可能成为一场噩梦。

Data privacy:Data security concerns are other barriers to EHR integration. There may be a risk of data leakage or cyber-attacks that threaten data security. Physicians and patients insist on data protection during电子数据交换, but that can become a problem in the presence of security breaches. Data security and consumer privacy pose another obstacle when it comes to EHR integration. Furthermore, in breaches, the organization can face legal hassles and spend huge amounts of money for settling the dispute.

EHR Integration Cost:EHR offers a wide array of plus points, but the cost of implementing an electronic health record is high. The selection, EHR integration, optimization of EHR, and unplanned expenses may cross your capital budget without you realizing it.

5 Key Factors for Successful EHR Migration

EHR迁移

EHR实施通常伴随着一些问题;可以通过制定策略并找到合适的解决方案来避免这些效果。但是,如果没有采取适当的措施来克服EHR的挑战,则可能会出现其他问题,例如收入和生产率下降。以下是如何避免EHR集成问题:

1. Identify the parameters for developing a clear goal-setting plan.

You can begin this step by selecting and employing an IT staff responsible for extracting data from the current system and uploading it to the new EHR. This discovery process in EHR integration will give you a clear picture of dealing with various questions such as the data that needs to be converted to medical records electronic, how much time would be needed for EHR data migration, how to access scanned images, and so on.

2. Select the data carefully to simplify the EHR integration process.

Data selection will depend on the duration for which your practice has been into business. You may need data from many previous years, but you can choose to convert only recent data into medical records electronic. The stakeholders must agree on the data that can and cannot be migrated. Choosing important data and a method of data conversation will save a great deal of your time and finances.

3. Review to ensure the accuracy of the data

在针对新的EHR系统要求进行数据选择和映射之后,可以将责任移交给新的EHR供应商。EHR供应商的IT人员应开始研究数据的转换并进行一系列测试。EHR供应商应在整个迁移过程中注意细节。完成EHR迁移所需的时间将受到因素的影响,例如要迁移的数据的数量和质量。当迁移过程正在进行时,您和供应商必须审查并确保数据迁移的准确性以及所有信息是否应在哪里。确保您和供应商对EHR迁移过程和数据质量感到满意。

4.优先记录并计划数据迁移

An EMR migration is switching from an existing EMR system to a new EMR system. It allows better planning and goal setting and helps identify the data to be migrated and its quality. A successful EMR integration process will enable overcoming the challenges faced with data migration alone. Another way to overcome this is to prioritize records for determining how far back the data should be migrated. Beginning with the recent files and working your way backward so that the most recent information is available in the EHR system would serve beneficial. You can also appoint a person-in-charge of handling new information and looking over the new system.

5. Select the EHR integration strategy

Depending upon the互操作性, select the EHR integration strategy. If full interoperability seems challenging to accomplish, then incorporate third-party add-ons or other technology solutions. Having the right tools and technologies would help in dealing with interoperability issues.

结论

EHR集成将减轻手动处理数据的困难。这也将加快该过程并为患者提供更好的质量护理。实施医疗记录电子将支持数据集成,其中所有患者数据都将在单点源可用。可以收集来自各种医疗保健提供者的反馈,从而增强患者治疗。患者还可以从电子健康记录中受益,因为它允许他们跟踪评估和报告。EHR也有缺点,但是有了足够的计划和策略,您可以克服这些障碍。

References:

https://www.healthit.gov/faq/what-electronic-health-record-ehr

https://www.businessinsider.com/electronic-health-records-benefits-challenges?IR=T

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2793588/

https://ipatientcare.com/blog/successful-ehr-data-migration-steps/

https://www.healthcareitnews.com/news/top-10-factors-successful-ehr-implementation

https://www.healthit.gov/topic/health-it-basics/benefits-ehrs

https://www.healthit.gov/faq/what-are-advantages-electronic-health-records

http://www.americanehr.com/blog/2011/06/problems-and-challenges-with-data-migration/

https://www.netapp.com/knowledge-center/what-is-data-migration/

https://www.ehrinpractice.com/ehr-implementation-challenges.html

https://www.ontariomd.ca/iet/transition%20support/emr_data_migration_guide.pdf