EHR and Health IT Consulting
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EHR and Health IT Consulting
Technical Doctor's insights and information collated from various sources on EHR selection, EHR implementation, EMR relevance for providers and decision makers
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EHR and the Failure to Communicate

EHR and the Failure to Communicate | EHR and Health IT Consulting | Scoop.it

Clinical workflow in my early career included the ritual of phone messages. Every day, at least once and usually in the afternoon, I would sit with my clinic nurse and a pile of manila folders to discuss phone calls. Details were discussed, recommendations were made, triage assessments were cosigned and I would hold the charts of those patients needing a callback. The ritual began with the daily call to action, “Let’s do calls.”

EHR and the disruption of the nurse-doctor interaction

About 15 years ago when our first EHR, Logician (evolved as Centricity), came along the process of handling calls changed. It was Texas Children’s first venture into EHR and with it we began the long calculation of how electronic records fit our clinical flow.

My nurse at the time was a pediatric nurse with years of experience. Seasoned and crusty, her capacity for laser-sharp phone triage was impeccable. She was a stickler for tight documentation.

 

As we grew comfortable with Logician, the ritual of call review evolved. While we began doing calls around the screen, my nurse began to insist that our daily rendezvous was no longer necessary. “It's’ all in the message. Just read the message, Dr V,” she would crow from her cramped desk. “And the documentation is better. Trust me.” Despite my insistence, she ultimately became an unwilling partner in a clinical dance for two.

 

Our digital phone messages involved a back and forth of queries and replies through the EHR. Documentation was tight. But something was missing.

Not all media are created equal

When it comes to communication not all media are created equal. The assumption on the part of my nurse was that communication through the EHR was the same independent of how it was transmitted. A message, in the end, was just a message.

As it turns out, there are different ways for patients and health professionals to exchange information with one another. All bring different affordances to a human encounter.

 

  • In person (mano y mano)
  • Asynchronous text (Epic MyChart, email)
  • Synchronous text (Live texting)
  • video stream (Skype)
  • audio transmission (phone)
  • And there are lots more.

 

All represent ways for us to exchange health information. As I have written, different problems call for different media depending on the type of problem at hand. Text works well for simple problems. But the text isn’t always enough. A video is an overkill for simple issues. And as inconvenient as it may be for both the patient and the doctor, sometimes a patient needs to be seen, heard or touched in person.

The EHR and the subtle dimensions of the human experience

So when my nurse stopped talking to me about my understanding of what was happening with my kids fell off significantly. The notes were impeccable and the transmission instant. But something was missing.

 

So what was missing from the EHR? As it turns out in human exchange there are subtle elements that get lost in the type. There are critical bits of information during a phone exchange that get picked up by an experienced pediatric nurse. Often there are subtle contextual elements of a social situation that are never properly documented. Some of these things can’t be documented.

 

Sometimes these details only come to my attention when face-to-face with my staff. And there are things that come from the gut that we don’t share in the record.

 

Paper charts didn’t solve this problem with the EHR. Written messages are exactly the same. They just forced us to sit at a table because there was no way to send a paper message across the office and easily back again.

 

Humans are messy. They rarely fit the constraints of the technology we create. The dimensions of the human experience are rarely felt through typewritten messages. Consequently, the accurate exchange of information and documentation of human interaction is potentially more challenging than we think.

 

Communication through and around the electronic health record is an inevitable part of medical practice. But we have a long way to go with regard to capturing the subtle elements of human engagement.

Technical Dr. Inc.'s insight:
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inquiry@technicaldr.com or 877-910-0004
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Trends in EHR Software, 2017 and Beyond

Trends in EHR Software, 2017 and Beyond | EHR and Health IT Consulting | Scoop.it

As the transition to electronic health records continues, we’re beginning to see how the use of EHR software can transform the ways that care is provided, as well as the quality of that care. With increased adoption, EHR software is becoming an integral part of the healthcare experience for both providers and patients.

In the U.S., changes to HIPAA regulations and incentives for providers have had tremendous impact on the landscape of electronic health records. As EHR software matures, interoperability and ease of access, improved patient portals, and a move toward cloud-based solutions are going to be some of the biggest trends in electronic health records.

One of the key features of electronic health records is ease of access. Ideally, both providers and patients will be able to utilize EHR software in ways that maximize access to information and create smoother workflows. That also extends to full interoperability between systems.

 

Ideally, practitioners will be able to quickly share information with other healthcare providers inside and outside their organizations, streamlining care for patients, and making sure that practitioners have full access to health records at all times. Improved interoperability also has long-term benefits outside of individual patient interactions. For example, researchers could use pools of patient records to identify trends, or use of the large datasets that improved EHR software interoperability would provide for large scale real-world studies of treatment outcomes.

Along with interoperability comes the need for improved patient access to their own electronic health records. The United States Congress enacted regulations in 2009 to provide financial incentives to encourage adoption of EHR software, and HIPAA regulations also require that electronic health records also allow for patient access to stored data. According to a 2015 report, the number of people accessing their electronic health records via a patient portal is on the rise. In 2014, 38 percent of Americans had access to their health information, an increase of more than 33 percent over the previous year. Of those patients who had access, more than half—55 percent—had accessed information contained in their medical record. Clearly, the trend is toward improving and increasing patient access to personal medical information via continued development and improvement of EHR software.

 

Like most other modern technologies, the shift toward mobile devices is also playing a key role in shaping EHR software. Consumers are more comfortable using mobile devices, which makes cloud or mobile EHR more important for practitioners and EHR software providers.

But there are also many upsides to cloud EHR solutions for healthcare providers, including reduced costs, better scalability and improved data security. Without the need for large onsite IT departments to manage software and hardware, cloud EHR software allows healthcare providers of all sizes to focus resources on patient care, which is in the best interests of providers and patients alike.

 

Healthcare is changing, and electronic health records will continue to be a driving force in the evolution of the industry. We’ve already seen some of the tremendous benefits that EHR can provide, and look forward to the innovations in EHR software that will empower healthcare providers to offer better, more streamlined care to their patients.

Technical Dr. Inc.'s insight:
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inquiry@technicaldr.com or 877-910-0004
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Benefits of EHR Systems - Benefits of Using EHR

Benefits of EHR Systems - Benefits of Using EHR | EHR and Health IT Consulting | Scoop.it

The Affordable Care Act (ACA) radically changed the healthcare landscape, and the rise of electronic health records (EHRs) as critical tools for delivery and continuity of care is one of its more involved outcomes. There are significant benefits of EHR systems for healthcare providers from small private practices to large hospitals and provider groups. To find the best EHR software for your business, make sure it provides these seven key benefits:

 

Meaningful Use

The ACA’s Meaningful Use mandates began to go into effect last year, and providers who aren’t caught up are losing money. The best EHR software is designed to help your practice meet Meaningful Use guidelines and prepare you for upcoming mandates in future stages. There are a number of EHR Incentive Programs that optimal EHR software will help you take advantage of so that you aren’t leaving money on the table.

Scalability

Third party EHR software can grow with your practice and be scaled up rapidly to include larger patient bases. And cloud-based EHRs can quickly integrate patient populations in the event that your practice chooses to join an accountable care organization or group practice.

Accessibility

Online EHRs are always accessible. Unlike EHRs stored on a single server in your office, you can access EHRs managed by a third party vendor from any location with an Internet connection. This allows you to improve collaboration with other health care providers, involve patients in management of their care and respond to patients’ concerns from anywhere.

Support

An EHR vendor who provides customer support around the clock can make your IT concerns disappear. They can also provide on site support that will significantly reduce your IT costs. Data migration, updates and patches are handled automatically so that you don’t even have to think about IT support.

Interoperability

EHRs that can interface with other systems allow your practice to optimize continuity of care. If your patients need to see specialists, manage chronic conditions such as diabetes or plan on transitioning to a home health care environment for recuperation or hospice, an EHR system that offers interoperability is critical.

Customization

Every practice is somewhat different, and EHR systems can be customized to meet your practice’s individual needs so that you get the best possible package. An EHR package that can be tailored to fit your practice’s workflow will make the transition virtually seamless.

Security

Protecting electronic health information is critical. One of the benefits of EHR systems is that they can make sure your practice is HIPAA-compliant and that your health records are protected. EHR companies that are compliant with IDC9/10, CPT and other EHR standards offer the highest security.

Adopting a robust EHR software platform isn’t just about maintaining compliance with Meaningful Use or even about ensuring the best delivery of care to your patients. It’s also about optimizing your practice’s ability to make smart business decisions based on patient data. This kind of business intelligence is critical to growing your practice and optimizing your bottom line.

Technical Dr. Inc.'s insight:

Contact Details :
inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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Pros and Cons of Patient Access to Electronic Medical Records

Pros and Cons of Patient Access to Electronic Medical Records | EHR and Health IT Consulting | Scoop.it

Doesn’t it seem faintly ridiculous that patients have to jump through hoops to get access to information that, since it is in digital format, would be so readily available to them? Today’s patients are quite accustomed to being able to access data on demand, from whatever location on Earth, as long as they have Internet access and a mobile device or laptop computer.

 

They can, for example, log into their financial institution’s website to check their latest details. Parents of school-aged children routinely access a portal developed by their school to get information about upcoming tests, new requirements, and so on.

Furthermore, the advent of email, text messaging, and social media updates has lead to people becoming accustomed to easy communication with one another. But think about how much of an effort it is for patients to communicate with a medical practice (waiting on hold on the phone to leave a message for a nurse practitioner, for example, and then having to wait more for a reply that might not come until the following day).

 

You may have already deployed a patient portal for your organization, but are not quite sure about the protocols for sharing information. Or, you are somewhat familiar with patient portals, but you’re still not sure whether it’s a good idea to even have one and you would like more information before making an investment in this software solution.

 

Familiarizing yourself with the pros and cons of patient access to electronic medical records is essential before you pull the trigger and launch a patient portal at your organization.

Modern medical practices that have forward-thinking leaders will already have electronic health record or EHR software installed or are about to deploy it. An EHR is a database of all the records for your patients. It’s much more efficient than an antiquated, paper-based method for organizing charts in your practice. The EHR lets you keep track of all important information, from medical history, current diagnosis, details of the treatment plan and any medications that have been prescribed.

One feature of Electronic Medical Records software that medical professionals should be aware of is the patient portal, along with its benefits and potential drawbacks.

Pros of Allowing Patients to Have Access to their Electronic Medical Records

A major pro of patient portals is that they improve patient engagement. Engaged patients are more likely to stay loyal to a practice as compared to other organizations that don’t make much of an effort to connect.

Your staff can easily receive messages from patients over the portal, in a process that’s as easy as email. This cuts down on a lot of wasted time on both ends (patients forced to stay on hold to leave a message by phone, and staffers having to write down the message).

 

A patient portal reduces the total amount of time spent on the phone and can cut down on unnecessary visits. What’s more, it has been proven to reduce the number of no-shows.

Patients will be happier, since they can access their medical information using their own electronic devices, even when on the go.

They will also appreciate being able to check prescription information and request refills online. When patients need to schedule an office visit, they simply sign into the portaland make a request. This makes things easier for them as well as for your staff.

 

Finally, a patient portal eliminates one of the great drudgeries of modern medicine: patients having to fill out a big stack of paper intake forms before they have their first meeting with the doctor.

You can let them input their information through the portal (such as at a kiosk in your waiting area, or from the patient’s computer). They won’t have to fill in their address or list of allergies more than once, and your staff won’t have to transcribe information from potentially messily handwritten documents.

Cons of Allowing Patients to Have Access to their Electronic Medical Records

While there are a number of clear benefits to using a patient portal with your EHR or EMR, there are also some drawbacks to be aware of, so you can address them head-on.

For example, when you enable outside access to your EHR information via a portal, data security concerns will naturally come up. The system must use strong passwords and should include the latest encryption and other protections. Otherwise, patient data could be compromised, leading to fraud and identity theft.

A portal can be tough for some patients to comprehend, especially if they have been used to doing things the old-fashioned way. However, you can educate and acclimate patients to the portal when you explain the benefits to them.

There is also the issue of patients being exposed to more medical jargon then they are used to, including acronyms and strange Latin terms for body parts. But they can always look up terms they are unfamiliar with, or simply ask a member of your team for an explanation.

 

Your older patients may not be very tech-savvy, which could hinder their efforts to log in and access data through the portal. But portals interfaces can be easily simplified and a simple training brochure or online video could make a big difference in getting more patients used to the idea of using the system.

It’s natural to have a number of questions about installing an EHR and activating a patient portal for your practice. Once you have a better idea of how patient portals can empower your staff as well as your patients, you’ll be on your way toward deploying one in your organization.

Key Takeaway:

  • Electronic health record or EHR software enables you to activate a special patient portal.
  • A patient portal is a great way to let patients access their own information on demand.
  • One con to keep in mind with patient portals is that some patients may not have much experience with computers, preventing them from getting the most out of it.
  • Another drawback is the potential for data breaches, so you’ll need to work with a vendor that provides robust, secure EHR software.
  • Patients will appreciate being able to check into the system to set an appointment or request a prescription refill.
  • Your staff will waste less time because patients can leave them electronic messages via the portal, instead of having to stop what they are doing to respond to a call.
  • Patients find it liberating to gain more access to their lab test results through the portal, rather than waiting for the report to come by surface mail or a phone call from the physician.
Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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How EHR is different from EMR?

How EHR is different from EMR? | EHR and Health IT Consulting | Scoop.it

EHR and EMR have been in our vocabulary for nearly 20 years. Since the 1990’s, clinical environments have increasingly relied on technology to function and improve patient care. Today, our methods are becoming incredibly sophisticated, particularly following the application of Stage 3 of Meaningful Use in 2016. Because of this, it’s important to take a look at a commonly misunderstood distinction: EHR (electronic health records) and EMR (electronic medical records).

 

The Basics of EHR vs EMR

Back in 1995, one could arguably use EHR or EMR interchangeably. This is because electronic medical records systems were just that: an electronic version of the medical chart. But as the years have gone by, our technological functionality became more robust, stretching far beyond the exam room or even the clinical setting. In fact, it’s very common now for the patient to have access to their own records, physician communication, and more all from within their home.

It is for this reason that the Office of the National Coordinator for Health Information Technology (ONC) has made a detailed study on EHR vs EMR.

 

How Records Systems Affect Different Parties

One way to better understand records systems in healthcare is to consider how those systems affect different parties. Let’s take a look at EHR vs EMR systems in terms of three different major parties in healthcare.

 

Patients  Improving patient outcomes is one of the largest and most important objectives of healthcare records systems. Patients rarely cross paths with EMRs. However, they are affected by them through follow-up exams, regular checkups, and other indicators over time. EHR systems, on the other hand, enable the patient to view their health reports, contact their healthcare providers, view referrals, pay their bills, and much more.

 

Providers  For providers, records systems not only help to improve patient care through improved data accuracy and alerts such as medication contradictions, but they also help to close gaps in communication and improve clinical workflow efficiency. This is true for both EHRs and EMRs, but the advantage an EHR has over an EMR for physicians is its ability to communicate information beyond the practice to patients, specialists, hospitals, and more. EHRs “move with the patient,” as explained by the ONC, as opposed to staying solely inside the walls of one practice.

 

Vendors  While vendors are responsible for providing a health records system, requirements for those systems can change over time, especially for certified EHR technology. EMRs are no longer sufficient to support a medical practice and its patients. Instead, EHR systems enable vendors to offer comprehensive, customizable services to medical practices that include everything from billing, to charting, to scheduling, and more, all while staying abreast of federal requirements like HIPAA and Meaningful Use regulations.

 

In the end, EHR systems are a direct reflection of how far technological advancements have taken the industry of records systems in healthcare. What once was simply an electronic version of a chart has become a real-time reflection of a patient and their health. This makes an EHR more powerful to the benefit of all parties involved, but in particular, to the patient.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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