EHR
From MgmtWiki
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.
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".[1]
- 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.[2] 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. [3]
Conduct Risk with EHR
The push by the US government Health and Human Services[4] (HHS) for Health Information Exchange has created an infrastructure that could disappoint the patients in many new ways.
- Sharing information that the patient did not want to share.
- Avoiding sharing information because of bad choices by the Patient.
References
See the wiki page on Medical Records Identifier.- ↑ 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
- ↑ 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/
