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What is EHR? And Must-Have Features to Make EHR Software Successful

What is EHR? And Must-Have Features to Make EHR Software Successful | EHR and Health IT Consulting | Scoop.it

What is EHR?

An EHR or electronic health record is a documentation software where patient’s data is stored digitally aimed to make it available to the authorized users and across different healthcare entities (such as doctors, nurses, laboratories, clinics and hospitals) whenever needed.

 

The data included in EHR must facilitate the practitioner to effectively treat the patient and even simplify the administrative and billing process. Usually, an EHR may include information such as:

 

  • Patient’s demographic data
  • Medical history
  • Medications
  • Allergies
  • Immunization dates
  • Laboratory test results
  • Radiology images
  • Vital signs
  • Personal data (age and weight)
  • Billing data

 

Traditionally, all these data were collected and stored in the form of papers and charts in a folder with the patient’s name on it. This traditional way of collecting and storing the patient’s data had many downsides including clunky management and ineffective interoperability. But EHR makes things easier.

 

As per the 2018 Medical Economy Survey, 86% of the physicians surveyed use EHR system in their practice and the average length of EHR use was around 7 years. Another report by Statista predicts that the global EHR market will reach $40 billion in 2024 which is almost double the size in 2015.

 

Essential Features of an EHR Solution

1. Privacy and Security

Essentially the key feature that you must consider while developing an EHR Application is its security.

 

The app stores and transmits the patient’s confidential health information known as PHI (protected health information) that must be safeguarded at all cost. And to do that EHR applications must adhere to the guidelines mentioned in the Health Insurance Portability and Accountability Act (HIPAA).

 

HIPAA states down a long summary of rules and regulation for varied entities but the technical requirements are mentioned in paragraph 164.312 of the document. Any health application that gets covered in HIPAA healthcare entity must follow the best practices mentioned in the law.

2. 24/7 Access from Anywhere

The EHR solution must be accessible to users anytime and anywhere. That makes it inevitable to ensure your EHR is compatible across different browsers, operating systems and devices.

 

Most of the productivity software like EHR are web-based applications. This means while developing EHR, ensure that the solution supports the popular browsers — from Chrome and Safari to Internet Explorer.

 

Further, the user experience must not be limited to certain devices. Make sure that the EHR adapts to the screen size of the device, whether it be a PC, tablet or mobile.

3. Effective Charting

A survey by Deloitte reveals the majority of the physicians considers the document related work as their least favorite and suggested that it can be done more efficiently. That’s why an EHR solution must provide a hassle-free and efficient way of documentation and charting.

 

4. Billing Integration

A good EMR facilitates hassle-free and fast billing system — for both practitioners and patients. It reduces the manual and time-consuming data entry, lessens any typing error and even facilities one centralized system by eliminating the need for other billing software.

 

Even transparency can be maintained for both patient — as they can access the billing history — as well as practitioners as they can check the number of patients, claims paid and unpaid claims all at one place.

5. Patient Portal

EHR must not only provide utility to doctors and clinics but also to patients. That’s why a dedicated patient portal with some sophisticated features is necessary.

6. Lab Integration

The gravity of laboratory reports is quite substantial as diagnosing the disease and treatment depends on it. Integration of EHR with labs makes the process quicker. The doctors and practitioners can review the lab tests directly from the EHR software and take steps to treat the patients.

 

Lab integration feature offers interoperability with other software facilitating to send and receive the reports electronically for a faster decision.

7. Clinical Templates

Apart from treating the patients, doctors have to create notes for each individual. Sometimes they treat patients with the same conditions and have to make the same notes over and over again.

 

A good EHR system should allow doctors and practitioners to create templates that can be reused while seeing patients with similar conditions. This can save a lot of time by reducing repetitive work and allows doctors to focus on seeing more patients.

8. E-Prescription

E-prescription is the technology that allows doctors to write and send prescriptions electronically to patients or pharmacy instead of handwritten notes.

 

Implementing e-prescription feature in EHR has several benefits such as a reduction in errors, saved record of prescribed medicines and even timely reminders for a refill. As per the Department of Health and Human Services, e-prescriptions reduce errors as they are more legible than handwritten notes which sometimes are misinterpreted while reading.

9. Simple User Interface

A simple and intuitive user interface is not only a need but must-have when the doctors will spend most of their time on the software.

The design should be simple and easy on the eyes that allows them to check the information at a glance, provides intuitive workflow and quick retrieval of information.

 

There are some principles laid down for designing an effective EHR user interface that takes care of: cognition, functionality, interaction, navigation and display must be considered while designing.

 

Technical Dr. Inc.'s insight:
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Points to Consider for EHR Optimization | EHR and Health IT Consulting | Scoop.it

It is often said that implementing a new electronic health record (EHR) is just the beginning of a journey that will lead to better patient care, greater efficiencies and improved return on investment. It is true that the work will continue, so it is worth pondering how you will approach the post go-live world.  It’s not enough to install EHR software.  

 

It could be argued that tailoring the EHR to your organizational needs and implementing new functionality is where the real work lies.  This much is clear though, EHR optimization is vital to your organization’s successful long-term use of the EHR.  Below are some tips to help you think through the challenges ahead.

 

Plan Early


Start planning for how you will approach and manage your IT investments early.  Putting your plan together even before your implementation begins is not too soon.  Your plan should include an outline of what you will undertake during the implementation and what can wait, or should wait, until after the implementation phase is complete.  For example, it may make sense to wait and deploy some population health tools after go-live.

 

Tie Plans and Programs to Organizational Strategy


IT strategies should mirror the strategies of the organization.  For example, many organizations are actively exploring mergers and acquisitions.  IT leaders should understand the outlook for the organization and any challenges that lie ahead and have a plan to grow the IT environment appropriately when the EHR optimization phase begins.

 

Establish Strong Governance


Having a strong governance structure from the beginning is critical, but tweak the structure as needed during both implementation and post go-live phases.  The decisions that need to be made post go-live will likely be different from those made during the implementation phase.  Adjust the membership on the committee when needed to ensure that the proper stakeholders are represented and engaged.

 

Manage Change


Change management is a necessary activity throughout the implementation and as the EHR evolves post go-live.  Not only will the business practices and workflows change but people’s roles will change as well.  It is important to communicate early and often regarding changes so that employees understand the “why” of the change and “how” the change will affect them.

 

Standardize and Innovate


This topic may seem like an oxymoron – it is not.  Standardizing where it makes sense such as standardizing workflows, project management toolsets and methodologies, will allow for a stable environment post go-live. Stability lends itself to innovation because chaos is contained and a certain amount of predictability occurs.

 

This stability will allow creativity and innovation to thrive.  One area to pay close attention to is enterprise reporting.  Resist the temptation to merely recreate your current reports and instead approach report development and distribution as a way to improve operations and show off the power of your new system.

 

Contain Costs


Once the initial, and substantial, cost of implementation is behind you, the CFO and other executives will look for cost containment, even reductions.  Consider strategies to contain costs such as targeted outsourcing. Explore cost reduction strategies as well, such as consolidation and eliminating legacy systems as quickly as possible.

 

IT Shift


The IT staff will be exhausted after many months of intense pressure to get the system up and running smoothly.  The pressure will continue post go-live as EHR optimization becomes the focus.  Be sensitive to your staff’s needs, both inside and outside of IT, as they refresh and regroup.  Have a plan in place to maintain proper staffing as well as give your teams some much needed time away. 

 

HR departments can help with this plan. Also, added skills such as reporting and analytics, will be in higher demand during the EHR optimization phase as greater emphasis is placed on data and its value in improving patient care and operations.

 

Conversion and Archiving


Have a plan for the method and technology needed to convert data from your legacy systems to the new systems early on.  You need to specify the minimum data set that you will convert.  In addition, some departments, for example, Oncology, may have special conversion requirements.  

 

Also, figure out an archiving solution well ahead of time.  The archiving solution should account for easy access to the data that did not convert to the new system.

 

As with all EHR changes, proper guidance and preparation can be the difference between success and failure.  The outline above can get you started, but also consider outside resources such as those at Optimum Healthcare IT. Experts in the art of EHR Optimization bring insights that can only be gained through experience.

 
 

 

 

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How Small Practices Can Use Software

How Small Practices Can Use Software | EHR and Health IT Consulting | Scoop.it

Dental practices are using EHR systems to organize patient records digitally and improve patient visits.

 

However, smaller dental practices may have a harder time taking advantage of EHR systems, but they can still benefit from EHR by understanding the best systems for their practice.

 

Smaller practices can still transform their health care by leveraging systems that improve key areas.

 

WHAT IS EHR?

 

Before a small practice can utilize an EHR system, they must first understand what EHRs are and how they can improve patient care. Basically, EHRs are digital copies of patient records that can be shared easily with other certified healthcare professionals to provide quick and accurate care to patients.

 

These systems provide up to date information which is easily accessible at the point of care to ensure other doctors and practices have the necessary information to diagnose and treat patients effectively.

 

EHR FOR SMALL PRACTICES

 

Smaller practices can still take advantage of EHR systems by using them to improve certain areas of their operations. Mobile EHR systems are in high demand and can improve prescribing medicine, reviewing medical notes, communication between the doctor & patients, and customizing patients’ charts on mobile devices for quick access.

 

They can use cloud-based EHRs for both long-term and short-term benefits by aligning it with management strategies. Portals enable patients to provide information from outside the clinic saving time and improving patient satisfaction.

 

BENEFITS OF ELECTRONIC HEALTH RECORDS

 

Cloud-based EHR systems remove the burden of maintaining a personal data server and save costs. Software catches mistakes by flagging them, making digital systems less affected by human error. They also help with finding the right treatment plan for each patient, improving engagement with patients.

 

To determine which EHR systems to implement, review the business data to determine which areas need improvement. Make a plan to help meet important goals such as improving patient satisfaction.

 

The bottom line is that small practices can still benefit from EHR systems by implementing mobile systems, cloud-based systems, and patient portals. With these simple systems, smaller practices benefit from improved communication, patient satisfaction, and better information sharing during emergencies.

Technical Dr. Inc.'s insight:
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