An EMR system is well-defined as an electronic record of health linked information of patients; and the records can be generated, collected, controlled and accessed by authorized clinicians, clinical staff and health care providers. The electronic medical records are in fact digital archive of the patient records that can be organized into digitally accessible archives. Check out the advantages of emr for patients in our this blog.
Advantages of EMR system for patients includes: Physicians can electronically access clinical data, patient records, lab reports, diagnostic documents, and can record clinical procedures. Electronic medical records can be effectively used in most of the clinical settings, medical practices, nursing homes, outpatient, inpatient, traumas, and intensive and managed care settings. Electronic medical records have in fact pushed started the whole healthcare transformation process where health care providers were first shifted to a paperless environment and then it played a very instrumental role in the automation of clinical processes.
According to the EMR standards and guidelines (ESG), electronic medical records and the corresponding EMR systems must address the following 6 keys functional areas:
Electronically Handling Patient Encounter Information
The basic function of electronic medical records is to capture and provide basic demographic and clinical health Information. This refers to patient-related information and includes a patient’s identification information and clinical participation or encounter information. EMR systems must collect and display essential demographic information and clinically information. Collect medication, allergies, lab test results, and other clinical data which includes: vital signs, weight, body height, calculate BMI and accept clinical notes in a structured form and digital formats.
Easier Decision Making
The other function includes clinical decision support. EMR systems are required to highlight abnormal test results, alert provider for abnormal vital signs, alarms if a known allergic drug is prescribed or a known drug interaction can occur and can record the recommended care.
Order Entry And E-Prescriptions
The third function is order entry and electronic prescriptions. EMR systems allow providers to enter orders with the required details, manage vaccinations: record the dose, enter the location and manage the reference orders with Information about the referring provider and the referenced provider.
The fourth function of EMR systems is the delivery of health information and reporting. An advantage of EMR systems is to improve the reporting and use of Health Information. To support this function, EMR systems must create reports from clinical data to support quality improvement and should produce summary reports for electronic submissions.
Secure Archiving of Medical Records
The fifth function is in to ensure safety, security, and confidentiality of patients’ medical records. Health security and confidentiality are fundamental for every EMR system to ensure the privacy of data. EMR systems must have access control features that can restrict access to archived health data. It should be capable of defining individual roles, document access roles can maintain detailed audit trails of all events within the EMR system. The system should be capable of data backups, restoration, and documentation of integrated technical features, in harmony with requirements regarding encoding and data transmission.
The sixth function is that electronic medical records should facilitate the exchange of electronic health Information. Electronic medical records must be electronically shareable with encrypted protocols. Advantages of EMR system for patients also include integration with other systems, such as laboratory and pharmacies.
Enhanced Features of Electronic Medical Records
The healthcare providers reported enhancement in performance with the use of electronic medical records. First, it helps in time management, management of the patients it is also easier to retrieve patient’s information and create daily reports. There is better communication among healthcare providers due to the systems. With electronic medical records, health data is easier to access and operate.
The use of electronic medical records has shown a number of advantages in improving the quality of care. For example, there are fewer space requirements to store, access and updating the clinical records. In contrast to the paper-based system, electronic archiving is much easier, convenient and cost-effective. It improves the efficiency and efficacy of the clinical staff as well. Electronic Medical records have enabled the physicians to enter the notes at the point of care. Physicians are provided with standardized templates and electronic forms. They can archive patient information through different templates such as the electronic form for patient admission, demographic information, and other forms. By using the right template, the physicians can effectively save time, make fewer mistakes and save resources.
Some Problems Faced By Physicians
Despite the above-mentioned advantages, there were some problems faced by the physicians as well. A common issue reported by most physicians is the physician burnout. Switching from a paper-based environment, it seems that most of the physicians were required to spend more time in handling the information-intensive electronic medical records. Secondly, if these health records are not stored in encrypted devices then the possibility of data leaks increases. When electronic medical records are technology dependent then any glitch in the hardware systems can hinder clinical processes. Other challenges include increased dependency on computer-based devices and electronic transmission of patient records through unencrypted channels.
The Overall Effects of Electronic Medical Records
According to the physician practices and health care services providers, the use of electronic medical records had led to an increase in general productivity of healthcare delivery, better clinical decision making, improved management of patients and better collaboration between health care providers.
Most physicians believe that electronic medical records have improved the quality of time with their patients and the quality of the clinical documentation, better flow of information. Electronic medical records have helped providers not only on-premise but it has made it a lot easier to carry the records to other locations.
Accuracy of The Data
EMR have increased the precision and these records are less vulnerable to physical damage. Electronic records are easier to read and have reduced the mistakes made by health care providers due to illegible writing.
Patients, in general, have also positively appreciated the electronic system. For instance, the front desk does not ask repetitive questions and personal details on every visit if the patient has already provided it on the previous visit. The Use of electronic medical records by the providers has increased patient satisfaction levels. The electronic medical records have also helped in the rationalization of features and assigning roles of different clinical resources. With the electronic record, each person who accesses and changes the records is recorded with time and date stamps. Unlike paper-based records, the electronic records are easier to access by anyone.
It has also made it possible to make the records available on multiple locations this can hugely benefit remote areas and healthcare providers with multiple locations. With proper archiving of the electronic medical records and periodic backups, the possibility of data loss minimizes.
In addition to clinical benefits, the EMR are creating huge repositories of well-organized population health records which can be used for research purposes as well.
In recent years, the use of EMR has been reinforced by physicians. However, many obstacles that prevent full implementation are required to be fixed and the transition from a paper-based system to EMR seems expensive in the beginning as it involves various hardware costs. However, over time the use of EMR would save operational costs and has the potential to enhance the quality of care as well.