Electronic Health Record System: Features and Leadership in Healthcare

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This report provides a comprehensive overview of Electronic Health Record Systems (EHRS), detailing their features and benefits compared to paper records, emphasizing enhanced data security and accessibility. It identifies key stakeholders, including healthcare professionals, patients, and government agencies, and outlines a roadmap for EHRS implementation based on Kurt Lewin's change model, including unfreeze, implement, and freeze stages. The report highlights benefits such as improved diagnosis, reduced medical errors, and streamlined workflows, while also addressing potential risks like technical issues, lack of confidentiality, and financial reimbursement problems. It concludes by suggesting strategies to eliminate barriers, such as training sessions and systematic patient questionnaires, and includes references to relevant academic sources. The report is a comprehensive analysis of EHRS, covering various aspects from implementation to risk mitigation.
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Electronic Health Record System:
Features and leadership
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What is Electronic Health Record System or EHRS?
Electronic health record system is a method of computerized collection of patient health related details and
records
It is an appropriate method of secured storage of patient centered health information
The storage is done in a digital representative format
This electronic record can be shared across various health care settings
Electronic data of medical records allow instant access of patient medical details
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Paper records EHRS
Paper records can be manipulated or
falsified by health officials
It is not reliable, authentic and safe
Tracking down of previous medical
records is cumbersome and time-
consuming with an increase in patient
medical files
Electronic records does not allow
manipulation of data in digital format
It is reliable, authentic and safe
Tracking of patient medical records is
easier and possible from any location
as it requires only internet access; it
is much time-consuming
VERSUS
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Key stakeholders in bringing a new change
Health care stakeholders
Health officials,
patients,
physicians,
insurance companies,
pharmaceutical firms,
government agencies
Roadmap to EHRS initiative and implementation
Kurt Lewin’s change model is taken help of to provide a successful implementation of EHRS
initiative.
This can be achieved through Unfreeze, Implement and Freeze structures
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Outline of implementation scheme
Preplanned meetings with the health officials and stakeholders
Strategic planning of implementation of EHRS
Forming small scale teams of health officials
Establishing advising health teams
Distribution of brochure, posters and flyers
Installation of computer systems in hospitals
Involving computer software experts
Provide frequent training to the health care teams
Establish a new team of computer experts to provide programming assistance to the health care
teams
Provide training on computer handling and software programming
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Benefit of EHRS in health care functioning
It will improve diagnosis of patients
It will reduces high incidence of medical errors
It has an improvement of patient outcomes
More number of medical cases can be handled in less time
The clinical workflow can be made more streamline with electronic record maintenance
Greater focus can be given to the patients in treating their medical issues
This allows nurses to provide quality care and attention to the patients
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Resourceful support
The implementation of Electronic Health Record System requires resourceful support for successful impact
Financial cost : achieved through assistance of government agencies and pharmaceutical firms.
Health officials : Medical teams of doctors and nurses can work together
Computer experts : Software programming experts can provide assistance to the medical health teams in learning
and updating of medical records.
Internet access : Entry and extraction of patient medical history and related details in databases requires internet
services.
Computer systems : Many computer systems need to be installed in patient examination rooms.
Efficient management team : The monitoring and management of electronic record maintenance can be achieved
through an efficient management team.
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Potential risks of EHRS implementation
Technical issues
Poor planning strategies
Lack of confidentiality maintenance
Lack of well trained informatics
Lack of information standards
Issues of financial reimbursement leading to significant losses
Deficient interoperability
Lack of funding resources
Communication gap between the health experts and technical experts
Inefficient technical handling
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Impacts of poor planning
Cash flow issues
Late payments to suppliers
Problem of retention of health care
employees
Loyalty issues among health care
employees
Patient dissatisfaction
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Potential barriers
Large investment costs and its misalignment with financial reimbursements
Lack of well-trained clinicians and informatics specialist
Lack of availability of financial sponsorships
Communication gap and deficient in adaptability
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Eliminating potential barriers
Arrange for training sessions frequently among the clinicians in
order to educate them
Providing computer learning and a basic programming session
Short counseling and interactive sessions would help to increase the
adaptability of the health officials with the new electronic system
Arrange for a systematic approach of providing questionnaires to
the patients
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References
Adler-Milstein, J., DesRoches, C. M., Kralovec, P., Foster, G., Worzala, C., Charles,
D., ... & Jha, A. K. (2015). Electronic health record adoption in US hospitals:
progress continues, but challenges persist. Health affairs, 34(12), 2174-2180.
Ajami, S., & Arab-Chadegani, R. (2013). Barriers to implement electronic health
records (EHRs). Materia socio-medica, 25(3), 213.
Cummings, S., Bridgman, T., & Brown, K. G. (2016). Unfreezing change as three
steps: Rethinking Kurt Lewin’s legacy for change management. human
relations, 69(1), 33-60.
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Dinev, T., Albano, V., Xu, H., D’Atri, A., & Hart, P. (2016). Individuals’ attitudes towards electronic health records: A
privacy calculus perspective. In Advances in healthcare informatics and analytics (pp. 19-50). Springer, Cham.
Gellert, G. A., Ramirez, R., & Webster, S. L. (2015). The rise of the medical scribe industry: implications for the
advancement of electronic health records. Jama, 313(13), 1315-1316.
Goodwin, T., & Harabagiu, S. M. (2016). Inferring the Interactions of Risk Factors from EHRs. AMIA Summits on
Translational Science Proceedings, 2016, 78.
King, J., Patel, V., Jamoom, E. W., & Furukawa, M. F. (2014). Clinical benefits of electronic health record use: national
findings. Health services research, 49(1pt2), 392-404.
Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic health records implementation: an evaluation of
information system impact and contingency factors. International journal of medical informatics, 83(11), 779-796.
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