Difference between revisions of "EHR"
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==Problems== | ==Problems== | ||
===Before the Advent of EHR=== | ===Before the Advent of EHR=== | ||
| − | Records were kept on paper and seldom given to the patient. When the doctor left practice, or the patient moved, the history was simply not available. | + | * Records were kept on paper and seldom given to the patient. When the doctor left practice, or the patient moved, the history was simply not available. |
| + | * Even with [[EHR]] in the doctors office, there is little incentive for the records to be provided to the patient or other health service providers. | ||
| + | * Centralized data seems to actually increase the risk of permanent loss of data. The referenced article is more than 2 years old!<ref> This article is more than 2 years old ''NHS accused of covering up huge data loss that put thousands at risk'' (2017-02-26) The Guardian https://www.theguardian.com/society/2017/feb/26/nhs-accused-of-covering-up-huge-data-loss-that-put-thousands-at-risk</ref> | ||
===Errors and Omissions with EHR=== | ===Errors and Omissions with EHR=== | ||
The advent of [[EHR]] has introduced new problems that create new risd of legal liability for the holders of the data. | The advent of [[EHR]] has introduced new problems that create new risd of legal liability for the holders of the data. | ||
| − | * Not all information in the record is valid but entered just to assure that the payment for services will be rendered, or because it is easier to cut and paste or blindly click "OK".<ref>Fred N. Pelzman, ''Just because EMRs can document everything doesn’t mean they should'' (2019-08-29) kevinmd.com/blog/2019/08/just-because-emrs-can-document-everything-doesnt-mean-they-should.html</ref> | + | * Not all information in the record is valid but entered just to assure that the payment for services will be rendered, or because it is easier to cut and paste or blindly click "OK".<ref>Fred N. Pelzman, ''Just because EMRs can document everything doesn’t mean they should'' (2019-08-29) https://www.kevinmd.com/blog/2019/08/just-because-emrs-can-document-everything-doesnt-mean-they-should.html</ref> |
* Information that is entered by the Physician may not make it to the correct service to assure action. This type of failure has already resulted in patient deaths.<ref>Kaiser Health News Summary, ''Death By 1,000 Clicks: Where Electronic Health Records Went Wrong.'' https://khn.org/news/death-by-a-thousand-clicks/</ref> The U.S. government claimed that turning American medical charts into electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the system is an unholy mess. <ref>Fred Schulte and Erika Fry, ''Inside a digital revolution that took a bad turn.'' Fortune (2019-03-18)</ref> | * Information that is entered by the Physician may not make it to the correct service to assure action. This type of failure has already resulted in patient deaths.<ref>Kaiser Health News Summary, ''Death By 1,000 Clicks: Where Electronic Health Records Went Wrong.'' https://khn.org/news/death-by-a-thousand-clicks/</ref> The U.S. government claimed that turning American medical charts into electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the system is an unholy mess. <ref>Fred Schulte and Erika Fry, ''Inside a digital revolution that took a bad turn.'' Fortune (2019-03-18)</ref> | ||
===Conduct Risk with EHR=== | ===Conduct Risk with EHR=== | ||
| − | The | + | The push by the US government Health and Human Services(HHS), Office of the National Coordinator (ONC)<ref>The Sequoia Project Is ONC’s |
| + | Recognized Coordinating Entity (RCE) https://rce.sequoiaproject.org/</ref> for [[Health Information Exchange]] has created an infrastructure that could disappoint the patients in many new ways. | ||
| + | * The HIE looks like just another instance of the credit bureaus, and we all know how well that worked out. | ||
| + | * The [[Health Information Exchange]] may wind up being just one (or more) other places that the patient needs to create a sign in account which they can never remember their user name or password. So rather than make it easier for the patient (or the patient's guardian) they my just add to the burden. | ||
* Sharing information that the patient did not want to share. | * Sharing information that the patient did not want to share. | ||
* Avoiding sharing information because of bad choices by the Patient. | * Avoiding sharing information because of bad choices by the Patient. | ||
==References== | ==References== | ||
| − | See the wiki page on [[Medical Records Identifier]]. | + | <references /> |
| + | *See the wiki page on [[Medical Records Identifier]]. | ||
[[Category:Glossary]] | [[Category:Glossary]] | ||
[[Category:Health]] | [[Category:Health]] | ||
Revision as of 17:26, 7 October 2019
Contents
Full Title
Electronic Health Records (EHR) aka Electronic Medical Records (EMR).
Context
Records that contain Patient Health Information PHI.
Problems
Before the Advent of EHR
- Records were kept on paper and seldom given to the patient. When the doctor left practice, or the patient moved, the history was simply not available.
- Even with EHR in the doctors office, there is little incentive for the records to be provided to the patient or other health service providers.
- Centralized data seems to actually increase the risk of permanent loss of data. The referenced article is more than 2 years old![1]
Errors and Omissions with EHR
The advent of EHR has introduced new problems that create new risd of legal liability for the holders of the data.
- Not all information in the record is valid but entered just to assure that the payment for services will be rendered, or because it is easier to cut and paste or blindly click "OK".[2]
- Information that is entered by the Physician may not make it to the correct service to assure action. This type of failure has already resulted in patient deaths.[3] The U.S. government claimed that turning American medical charts into electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the system is an unholy mess. [4]
Conduct Risk with EHR
The push by the US government Health and Human Services(HHS), Office of the National Coordinator (ONC)[5] for Health Information Exchange has created an infrastructure that could disappoint the patients in many new ways.
- The HIE looks like just another instance of the credit bureaus, and we all know how well that worked out.
- The Health Information Exchange may wind up being just one (or more) other places that the patient needs to create a sign in account which they can never remember their user name or password. So rather than make it easier for the patient (or the patient's guardian) they my just add to the burden.
- Sharing information that the patient did not want to share.
- Avoiding sharing information because of bad choices by the Patient.
References
- ↑ This article is more than 2 years old NHS accused of covering up huge data loss that put thousands at risk (2017-02-26) The Guardian https://www.theguardian.com/society/2017/feb/26/nhs-accused-of-covering-up-huge-data-loss-that-put-thousands-at-risk
- ↑ Fred N. Pelzman, Just because EMRs can document everything doesn’t mean they should (2019-08-29) https://www.kevinmd.com/blog/2019/08/just-because-emrs-can-document-everything-doesnt-mean-they-should.html
- ↑ Kaiser Health News Summary, Death By 1,000 Clicks: Where Electronic Health Records Went Wrong. https://khn.org/news/death-by-a-thousand-clicks/
- ↑ Fred Schulte and Erika Fry, Inside a digital revolution that took a bad turn. Fortune (2019-03-18)
- ↑ The Sequoia Project Is ONC’s Recognized Coordinating Entity (RCE) https://rce.sequoiaproject.org/
- See the wiki page on Medical Records Identifier.
