Report on Electronic Health Record Challenges at Universal Health

This report examines the Electronic Health Record (EHR) system challenges faced by Universal Health, a non-profit organization with two oncology hospitals: North and South. The core issue revolves around the hospitals using different EHR systems, Chrystal in the North division and a separate software in the South, leading to difficulties in data merging and interoperability. The report highlights the impact of these discrepancies on patient care, as the merging process has not been fully successful, hindering the navigator team's ability to identify and address flaws effectively. Differences in treatment procedures and initial checkup processes between the two hospitals further complicate the situation. The report emphasizes the importance of implementing Chrystal in the South division and prioritizing a single database to improve data management, facilitate issue identification, and enhance patient care. Furthermore, it stresses the significance of addressing technical issues, as well as adhering to ethical norms and ensuring data security, particularly regarding patient privacy and confidentiality. The report concludes that a unified EHR system, with Chrystal as the foundation, is crucial for optimizing the care of cancer patients and for improving data management and security.

Running head: ELECTRONIC HEALTH RECORD
ELECTRONIC HEALTH RECORD
Name of the Student
Name of the University
Author Note

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Introduction
Universal Health is a large organization focusing on providing care to different people
and it is a not for profit organization. The cancer treatment facilities are two under this
organization namely, South and North Oncology hospitals. It has been seen that the EHR system
they use are different that is North division uses Chrystal and South is not and thus merging of
these two databases lead to different issues. In the following section the issues would be
discussed in details.
Discussion
The North and South oncology hospitals under the Universal Health which focuses on the
cancer treatment of people. Hence, the care delivery is dependent on long term factor and also
costly. On this context it can be found that both the oncology hospitals work on electronic health
record. Chrystal is the main EHR vendor of the North oncology department of the system
(Emrsystems.net, 2020). However, the South division of the health care system is working on a
software and trying to merge this interface with the Chrystal. Moreover, the process of the
merging has not been totally successful and found when the people of the navigator team found
this is the primary issue. Moreover, the process of the identification of the flaw is very much
hard as the data storing process has been very much bifurcated. On this context it can also be
stated that the process of merging is required for the better treatment providence to the cancer
patients as both the hospitals if connected then the data resource would help in the treatment
providence to the similar cases faced by one hospital. Moreover, the issue is effective as both the
hospitals comprises of a huge amount of data and the data are stored in different forms (Biancone
et al., 2019). The treatment procedures of treatment of these two hospital facilities has been seen

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to be different as well. The Oncology South focuses on the telephonic interview of the patients
whereas the Oncology North would prepare an initial physician checkup. Thus, it can be
highlighted that the process of the initial checkup is more complex in the Oncology South
facility than in the Oncology North. Moreover, it can also be stated that the change in the
procedures would lead to a change in the infrastructure. Hence, the Chrystal should be
implemented in the Oncology South with the core database sharing process with the Oncology
North rather than focusing on merging the EHR software. Hence, it can also be stated that the
usage of the similar EHR would help in the database management in an easy way and the
navigators would be able to understand the flaws and recommend the best way to mitigate the
issue in an effective way (Estiri et al., 2019). Thus, it can be stated that the technical issue is one
of the most important factors for the EHR management for both the facility. However, the ethical
norms should also be considered for the better outcome as well. Hence, it can also be stated that
the process of the change should be focusing on the security of the database as well as the data
breaching is one of the most negative factors found to be present in the EHR implemented
treatment procedures. Moreover, the Chrystal software is more secure than others in terms of the
effective care providence with the consideration of the data management (Bhartiya, Mehrotra &
Girdhar, 2016). It helps in the proper evidence-based practice to the health care professionals and
provide the proper knowledge to treat the cancer patients. However, cancer care is very much
costly thus the insurance is one of the most common requirements in terms of the cancer care.
Hence, the financial data would also be stored in the EHR of the cancer care facility for each
patient residing for the financial insurance. Thus, the data should be protected with the
consideration of the privacy and the confidentiality. On this context it can be stated that the
Chrystal should be implemented in Oncology South as well for eliminating the risks and issues

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regarding technical and ethical norms (Kruse et al., 2016). Moreover, the single database would
help in maintaining connection between both the hospital facilities as well as providing a large
set of data in a single data storage.
Conclusion
Based on the above discussion it can be concluded that the proper navigation of the issues
highlighted the factor of the negative technical issues and also ethical norms. Hence, the change
in the system should be considered with the priority of security improvement. Moreover, the
single database handling that is the Chrystal implementation for both the facility rather than
merging two different databases would be more effective.

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References
Bhartiya, S., Mehrotra, D., & Girdhar, A. (2016). Issues in achieving complete interoperability
while sharing electronic health records. Procedia Computer Science, 78(C), 192-198.
Biancone, P., Secinaro, S., Brescia, V., & Calandra, D. (2019). Management of Open Innovation
in Healthcare for Cost Accounting Using EHR. Journal of Open Innovation: Technology,
Market, and Complexity, 5(4), 99.
Emrsystems.net. (2020). Best EMR & EHR Software 2019 Reviews, Free Demo And Pricing.
Retrieved 27 January 2020, from https://www.emrsystems.net/crystal-practice-
management-software/
Estiri, H., Klann, J. G., Weiler, S. R., Alema-Mensah, E., Joseph Applegate, R., Lozinski, G., ...
& Ofili, E. O. (2019). A federated EHR network data completeness tracking system.
Journal of the American Medical Informatics Association, 26(7), 637-645.
Kruse, C. S., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2016). Barriers to electronic
health record adoption: a systematic literature review. Journal of medical systems,
40(12), 252.