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Background | Areas of Current
Investigation | AHRQ-Funded Projects | Selected EMR Resources | Electronic medical record (EMR) systems, defined as "an electronic record of health-related
information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization," [1] have the potential to provide substantial benefits to physicians, clinic practices, and health care organizations. These systems can facilitate workflow
and improve the quality of patient care and patient safety. Despite these benefits, widespread adoption of EMRs in the United States is low; a recent survey indicated that only 4 percent of ambulatory physicians reported having an extensive, fully functional electronic records system and 13 percent reported having a basic system.
[2] Among the most significant barriers to adoption are: Recognizing the role that EMRs can play in transforming health care, in 2003, the Institute of Medicine issued a group of eight key functions for safety, quality, and care efficiency that EMRs should support. [1] The National Alliance
for Health Information Technology (NAHIT) [2] DesRoches CM, Campbell EG, Rao SR, et al. Electronic health records in ambulatory care -- a national survey of physicians. N Engl J Med 2008 Jul 3;359(1):50-60. Traditionally, the EMR vendor community has created systems that conform only to proprietary database formats, making it difficult for them to send and receive data from other,
potentially competing products. The medical informatics community has realized the need for interoperability and thus has created standards for data coding and communication. The Office of the National Coordinator for Health IT (ONC) has funded several major initiatives to
harmonize standards and create a certification process for EMRs so that different products can interoperate better and be easily and objectively compared. This will enable decisionmakers to adopt EMRs more easily. In 2006, the U.S. Department of Health and
Human Services (HHS) recognized initial criteria for certification of ambulatory EHR systems as recommended by the Certification Commission for Healthcare Information Technology (CCHIT). The criteria were updated in 2010
(PDF, 2.3 MB). These criteria will help reduce barriers for ambulatory providers to adopt EHR systems by ensuring confidence in purchased products. CCHIT certified products also meet requirements set forth by HHS in final physician self-referral law and anti-kickback statute rules, providing access to external means
of implementing EHR systems. Federal initiatives are under way to drive adoption of interoperable EMRs, including funding of the Agency for Healthcare Research and Quality (AHRQ) Health IT portfolio. The recent American Recovery and Reinvestment Act (ARRA) of 2009 (PDF, 1 MB ) authorizes $34 billion to be distributed
starting in 2011 as adoption incentives through Medicare and Medicaid to qualified providers who adopt and use certified EMRs. In addition, several States have recently promoted EMR adoption by mandates, initiatives, or funding programs through the disbursement of grants and loans within their States: AHRQ has funded organizations across the country that are implementing and evaluating electronic medical and health record systems. Some of these include: Title: Ambulatory Electronic Medical Record and Shared Access Title: An Interactive Preventive Health Record (IPHR) to Promote Patient-Centered Care Title:
A Partnership for Clinician EHR Use and Quality of Care Title: Bringing
Measurement to the Point of Care Title: Can Risk Score Alerts Improve Office Care for Chest Pain? Title:
Cardio HIT Phase II Title: Conversational IT for Better, Safer Pediatric Primary
Care Title: Creating an Evidence Base for Vision Rehabilitation Title:
Crossing the Quality Assessment Chasm: Aligning Measured and True Quality of Care Title:
Crossing the Quality Chasm in Eastern Rural Kern County Title:
Developing and Using Valid Clinical Quality Metrics for HIT with HIE Title:
eHealth Records to Improve Dental Care for Patients with Chronic Illnesses Title:
Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality Title:
Electronic Support for Public Health - Vaccine Adverse Event Reporting System (ESP:VAERS) Title:
Evaluation of a Computerized Clinical Decision Support System and EHR-Linked Registry to Improve Management of Hypertension in Community-Based Health Centers Title: Feedback of Treatment Intensification Data to Reduce Cardiovascular Disease Risk Title:
Harnessing Health IT to Prevent Medication-Induced Birth Defects Title:
Health Information Technology in the Nursing Home Title: Impact of Health
Information Technology on Clinical Care Title: Impact of Office-Based e-Prescribing on Prescribing Processes and Outcomes Title:
Implementing a Low-Literacy, Multimedia IT System to Enhance Patient-Centered Cancer Care Title:
Improving Laboratory Monitoring in Community Practices: A Randomized Trial Title:
Improving Otitis Media Care with EHR-based Clinical Decision Support and Feedback Title:
Massachusetts Quality e-Measure Validation Study Title:
Medication Monitoring for Vulnerable Populations via IT Title:
Medication Safety in Primary Care Practice - Translating Research into Practice Title:
Monitoring Intensification of Treatment for Hyperglycemia and Hyperlipidemia Title:
Patient-Centered Online Disease Management Using a Personal Health Record System Title:
Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety Title:
Statewide Implementation of Electronic Health Records Title:
The BLUES Project: Improving Diabetes Outcomes in Mississippi with Health IT Title:
Tulare District Hospital Rural Health EMR Consortium Title:
Using an Electronic Personal Health Record to Empower Patient with Hypertension Title:
Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors Title:
Using Health IT to Improve Ambulatory Chronic Disease Care Title:
Using Information Technology to Provide Measurement Based Care for Chronic Illness Title:
Using IT for Patient-Centered Communication and Decision Making about Medications Title:
Using IT to Improve the Quality of CVD Prevention & Management Title:
Using Precision Performance Measurement to Conduct Focused Quality Improvement Title:
VA Integrated Medication Manager Selected EMR ResourcesA Cost-Benefit Analysis of Electronic Medical Records in Primary Care AProposal for Electronic Medical Records in U.S. Primary Care Electronic Health Record Systems: the Vehicle for Implementing Performance Measures How to Successfully Navigate Your EHR
Implementation Medical Groups' Adoption of
Electronic Health Records and Information Systems Physicians' Use of Electronic Medical Records: Barriers and
Solutions Primary Care Physician Time Utilization
Before and After Implementation of an Electronic Health Record: A Time-motion Study The Impact of Electronic Health Records on Time Efficiency of Physicians and Nurses: A Systematic Review The Value of Electronic Health Records in Solo or Small Group Practices Using Diffusion of Innovation
Concepts to Enhance Implementation of an Electronic Health Record to Support Evidence-Based Practice The information on this page is archived and provided for reference purposes only. What information do you input into the EMR system?An electronic medical record (EMR) is a digital version of all the information you'd typically find in a provider's paper chart: medical history, diagnoses, medications, immunization dates, allergies, lab results and doctor's notes.
What are the 5 components of the EMR?5 Basic Components of an Electronic Medical Record System. Data module input system. ... . Patient call log. ... . Prescription management system. ... . Backup system.. What are the most important functionalities of the EHR that need to be implemented at the practice?These core EHR functions include the following:. Health information and data.. Results management.. Order entry and management.. Clinical decision support.. Electronic communication and connectivity.. Patient support.. Administrative processes.. Reporting and population health management.. What steps must be taken when using electronic medical record data for research?There are a number of steps involved in appropriately using EHR data for research, including 1) gaining permission to use the data, 2) assessing the availability of data for a research need, 3) identifying the needed data for the population of interest, 4) linking data from different sources, 5) assessing the quality ...
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