Electronic Health Record

 Prepared by:-

 Mustafa Marey Mohamed

 Mohamed Ahmed Abd El aal
 Aliaa Gamal

Under Supervision:
Prof. Eman Salman Taie
  Goal:
• To provide participants knowledge, skills and
positive attitude toward electronic health records.
 Objectives :
At the end of this learning session. The participant will able
to:
 Define Electronic Medical Record .
 List Content of medical Records .
 Identify Electronic Health Record (EHR) .
 List Content of Electronic Health Record (EHR).
 Mention benefits of Electronic Health Record
(EHR) .
  Cont. Objective:-

 Differentiate between EMR, EHR and PHR.

 Explain the value and importance of personal
health record .
 Apply EHR within organizational budget.
 Have a positive attitude toward electronic records.
 Outlines:
• Definition & Content of Electronic Medical Record(EMR)
• Definition & Content of Electronic Health Record (EHR)
• Definition of Personal Health Record (PHR)
• EMR Vs. EHR Vs. PHR
• Importance of Personal Health Record (PHR)
• Types & Benefits of EHR Systems
• Advantages & Disadvantages of Electronic Health
Records
• Cost of Implementing HER.
 Definition of Electronic Medical Records :

 An electronic record of health-related information of an

individual that can be created, gathered, managed and consulted
by authorized clinicians and staff within one healthcare
organization.
 Content of medical Records

• The American Health Information Management Association

(AHIMA) lists the following components as being common
to most patient records, regardless of facility type or
medical record system (electronic or paper based) (AHIMA,
2020).
 Content of medical Records:
.Identification form .1

.Problem list .2

.Medication record .3

History and physical findings .4

.Progress notes .5

.Consultation .6
 .Physician’s Advise .7

.Imaging and X-ray reports .8

 Cont.
Content of .Laboratory reports .9
medical
Records Consent and authorization.10
.forms

.Pathology report.11

.Discharge summary.12
 What is an electronic health record (EHR)?
Electronic health records:

An electronic record of health-related

information on an individual that conforms
to nationally recognized standards and that
can be created, managed, and consulted by
authorized clinicians and staff across more
than one healthcare organization.
Contents of EHR includes:

1. Contact information
Information about visits to healthcare .2
professionals
3. Allergies

Insurance information .4

5. Family history

6. Immunization status
 Cont.Contents of EHR includes :

Information about any conditions or diseases -7

A list of medications -8

Records of hospitalization -9

Information about any surgeries or -10

procedures performed
 Definition of Personal Health Record

 An electronic record of health-related

information on an individual that conforms to
nationally recognized standards and that can be
drawn from multiple sources while being
managed, shared, and controlled by the
individual.
EMR Vs. EHR Vs. PHR
 Differentiate between EMR, EHR and PHR.
Indicator EMR EHR PHR

Content Medical information Medical Medical information

from internal clinical information from from different
works different clinicians clinicians and lab
and lab
Accessibility Limited access by (inter-organizational Managed personally
internal organization system)

Source of Clinician from single Clinician or analyst Clinician or analyst

data provider from multiple from multiple
providers (inter- providers
facility) (inter-facility)

Function Internal medical record exchange between Personal medical

Information organizations information
  Example for PHR:
(Patient Portal )
- It is a secure website through which patients can access
their PHR or EHR.
Portals often allow users to complete forms online,
schedule appointments, and communicate with providers,
request refills on prescriptions, review test results, or pay
bills.
 What is the importance of the PHR ?

 PHR enables individuals to get their own care based on

their needs, values, and preferences.
 PHR brings together important health information
across an individual's lifetime and is safe, secure,
portable, and easily accessible.
 Cont. of Importance of the PHR ?

 It reduces costs by avoiding unnecessary duplicate tests and

improving health care communications.
 PHRs may be helpful to patients with chronic illnesses in enabling
them to track their diseases in connection with their providers ,
promote early interventions and prevent complications.
Types of EHR Systems :

1. Physician-Hosted System

Physician-hosted systems very basically mean that all

data is hosted on a physician’s own servers.
This means that a physician is responsible for purchasing
hardware and software, as well as the continued maintenance
and security of the data stored on their servers.
2. Remotely-Hosted System
Remotely-hosted systems shift the storage of data from
the physician to a third party.
This entity must deal with maintenance, data backup, and
security. This type of system puts the responsibility for
maintaining data somewhere else besides a single physician
or medical practice.
3. Remote Systems
There are three different varieties of remote systems.
•Subsidized: A subsidized system involves a relationship with some
entity that subsidizes the cost of an EHR. Generally, a physician
forms this relationship with a hospital, which then controls the data.
Keep in mind that a remote system involving a subsidizing entity can
bring up certain legal issues, including antitrust and data ownership
concerns.
•Dedicated: A dedicated host system means that physicians store
EHRs on a vendor’s servers. These servers are usually in specific
locations. A physician cannot control most aspects of data storage
with this system.
•Cloud: One of the most popular EHR remote systems is a cloud, or
internet-based computing system.
  Benefits of EHRs

 Physician productivity
- Fewer file pulls
- Reduced transcription costs
- Access to patient information
- Improved billing and scheduling
- Ensure high-quality care.
- Improved documentation
- Create a way for communication with their patients
  Cont. Benefits of
EHRs

 Patient Satisfaction

 Access to their records

 Easier chronic disease management
 Reduced turn-around time for messages to a
physician
 Improved delivery of education materials
 Safer, more reliable prescribing
 Increase patient participation in their care
 Reduced medical errors
  Advantages of Electronic Health Records

- Enabling quick access to patient records.

Securely sharing electronic information with-
. patients and other clinicians
Helping providers diagnose patients, reduce -
. medical errors, and provide safer care
Improving patient and provider interaction and -
.communication
  Cont. Advantages of Electronic Health
Records

• Helping promote legible, complete documentation and

accurate, streamlined coding and billing.

• Helping providers improve productivity and efficiency .

• Reducing costs through decreased paperwork,

improved safety, reduced duplication of testing, and
improved health.
  Disadvantages of Electronic Health
Records
The systems may require ongoing maintenance and updates.

The systems may be prone to technical problems or downtime.

The systems may not be compatible with all devices or software.

There may be issues with data security and privacy.

It may be difficult to fully transition to electronic records, especially if some

healthcare providers resist change.
 Cost of Implementing EHR

Hardware

End-user Predictive
training maintenance
 Implementation depends on the more expensive EHR system
will be and the longer it will take to develop.
 The EHR system cost includes many expenses, such as:
- Hardware
- Predictive maintenance
- End-user training
 • To have access to the EHR system, the
Hardware organization will need desktops,
laptops, tablets, and other hardware.

• At 100%, you will need to optimize your

Predictive EHR system overtime to keep it running
maintenance smoothly. These costs are usually added to
the costs of electronic medical records.

• Budget planning should take

End-user
training into account. Efficiency
training directly depends on this