Is Ehr Beneficial For Medical Practice
Yes, of course! Medical practice is not all about treating the patients and prescribing medicines. They are also responsible for storing tracking and handling bundles of files, be it physically or digitally. So they also get many benefits of electronic health records, which help them manage their work as well as patients. Here are a few.
Ehrs And Organizational And Societal Outcomes
Studies examining organizational outcomes have focused on EHR use in both the inpatient and outpatient settings. Such outcomes have frequently included increased revenue, averted costs, and other benefits that are less tangible, such as improved legal and regulatory compliance, improved ability to conduct research, and increased job/career satisfaction among physicians. Increased revenue comes from multiple sources, including improved charge capture/decrease in billing errors, improved cash flow, and enhanced revenue. Several authors have asserted that EHRs assist providers in accurately capturing patient charges in a timely manner.47,48 With an EHR system, many billing errors or inaccurate coding may be eliminated, which will potentially increase a providers cash flow and enhance revenue.18,49,50 Reductions to outstanding days in accounts receivable and lost or disallowable charges can potentially lead to improved cash flow.50 In addition, EHR reminders to providers and patients about routine health visits can increase patient visits and therefore enhance revenue.49
Conflicts Of Interest/competing Interests
The authors declare that there is no conflict of interest regarding the publication of this article.
Online Journal of Nursing Informatics
Powered by the HIMSS Foundation and the HIMSS Nursing Informatics Community, the Online Journal of Nursing Informatics is a free, international, peer reviewed publication that is published three times a year and supports all functional areas of nursing informatics.
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What Are The Ehr Challenges For Nurses
Surveys have revealed that nurse practitioners are hesitant to adopt EHR due to several reasons. For instance, it is important for healthcare staff to maintain eye contact when communicating with patients. In one survey of nearly 14,000 nurses, 69% stated that their EHR is time-consuming and takes time away from their patients. However, NPs have to turn away from a patient to use the EMR or EHR, leaving the patients feeling ignored, and may potentially interrupt important discussions about a patients health status, test results, or prescribed medications. Not to mention, EHRs from some healthcare mobile app development company may come with rigorous data entry requirements, and difficult-to-navigate user interfaces do not any easier for NPs to adapt. To add their troubles, factor in auto-correct or auto-fill functions, not enough hand-held devices used to bar code scan medications, and delayed access to laboratory results could lead to medication errors which can compromise patient safety.
Better Engagement With Families
Strong communication with senior living residents families has always been important. But in 2020, communication has gone from nice to have to need to have.
Early in the pandemic, many loved ones of residents worried when they hadnt heard any updates from the community about the status of COVID-19 while they were unable to visit. If they were notified that their family member tested positive for COVID-19, some waited anxiously for days before hearing another update.
The good news? An EHR can help. Systems like Caremerge are built to enable not only electronic storage of medical and patient information but also streamlined communication with families. This allows staff to efficiently send frequent updates to families, which is nice to have during normal times, and critical during an emergency like COVID-19.
But EHRs go beyond communication about resident health. Our calendar feature lets family members check in remotely on what activities their loved ones attend each day. Thats particularly useful for memory care patients, who might report no activities despite having had a full day. When family members can confirm a digital check-in, though, theyre less likely to confront nursing staff with demands about why their loved one isnt doing more.
This isnt just a theoretical feature benefit of our software, either: 52 percent of our users say the Caremerge system has enabled easier communication among staff, residents, and families.
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Why We Need Ehrs
EHRs are defined as a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports.7 Some of the basic benefits associated with EHRs include being able to easily access computerized records and the elimination of poor penmanship, which has historically plagued the medical chart.8,9 EHR systems can include many potential capabilities, but three particular functionalities hold great promise in improving the quality of care and reducing costs at the health care system level: clinical decision support tools, computerized physician order entry systems, and health information exchange . These and other EHR capabilities are requirements of the meaningful use criteria set forth in the HITECH Act of 2009.10
In the following section, we describe the literature that has examined the effect of EHRs on various clinical and organizational outcomes. A large proportion of the literature has focused on one or more computerized capabilities of EHRs, including CDS, CPOE, and HIE. Many of these studies have been discussed in previously published literature reviews,1620 so we further summarize them here.
Top Ehr Complaints From Practice Staff
At Medical Advantage, we work side-by-side with physician practices every day. Some of the top complaints we hear about electronic health records systems from the staff in physician practices are:
- I have to enter a lot more data to satisfy incentive programs.
- There are just too many clicks.
- Im working more hours than before.
- There are too many ways I can document the same thing. I am not sure which way to do it.
- This technology is interfering with my patient communications.
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Implementing Electronic Health Records
Before they can address nurses concerns administrators need to know the steps for successful EHR implementation and the role that nurses need to play in each step.
The Health Resources and Services Administration has established nine recommended steps that can guide the use of new EHRs, illustrated in the infographic below.
Future Of Ehr Industry Trends
According to a research report by Global Market Insights, the rate of digital health technology adoption is expected to witness a growth of over 5.5% CAGR from 2019 to 2025. This predictable increase creates the need to integrate the tools below into EHR software increasingly critical for health systems.
Its estimated that the market of linics EHR will grow at a short-term rate of 6.3% over the projected period. Expansion of clinical facilities, especially in emerging economies, will soon lead to wider adoption of EHR systems. Joint efforts and initiatives by physicians and others will help to rapidly introduce comprehensive electronic medical records in clinics. Furthermore, the addition of specialized features in clinic EHR, along with other benefits, will increase the segment of clinics in the coming period.
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Types And Usage Of Electronic Health Records
EHRs can exist in a variety of formats. A hospital may have installed specific software and created its own internal database where records are stored. A clinic may use the services of a cloud provider, enabling records to be easily accessed from different devices. A record itself can also take multiple forms, such as something that practitioners and administrators review on a computer before treating a patient or information the patient accesses on a mobile device.
It is important to note the difference between electronic health records and personal health records, or PHRs. According to HealthIT.gov, EHRs contain information from all the clinicians involved in a patients care and all authorized clinicians involved in a patients care can access the information to provide care to that patient, and this information can be shared across a variety of health organizations and settings. PHRs are similar types of records but are designed to be set up, accessed, and managed by patients, according to HealthIT.gov.
Why The Experience Care Kardex System Is Exceptional
Experience Care recently announced its new and improved Kardex system and Point of Care system as part of the most recent updates to its long term care software. The Kardex system is included in our NetSolutions long term care software package free of charge. Hence, long term care facilities that already have NetSolutions will not need to pay for the Kardex system.
Intuitiveness: When in Experience Cares NetSolutions long term care software system, users will not need to be concerned with how to write Kardex in nursing. Rather, Kardex button automatically opens a Kardex screen with the Kardex template already generated.
User-friendliness: Experience Cares Kardex system is exceedingly user-friendly. While, in general, electronic Kardex nursing can be complex, especially to nurses who are not used to new technology and prefer the Kardex paper system of old, we have worked with our users to develop the current Kardex system. This revolutionary method for software development was considered such a major contribution to long term care software that Yahoo! News highlighted it in a recent article. And our users have let us know that they are quite content with the functionality of our Kardex system. Read here about how one MDS nurse saved her facility 500 hours a year in part thanks to the new Kardex.
Its easy to learn, and there are multiple ways to engage with information.
Robin P. an LPN that specializes in Quality Assurance & Infection Control
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Impact Of Ehrs On Nursing Practice
The transition period from paper records to EHRs could be problematic if users remain obstinate about changing their daily routines. According to an article in the April 2016 issue of CIN: Computers Informatics Nursing, during implementation of EHR information systems, healthcare staff might find themselves faced with difficulties because of heavy workloads and lack of time to learn how to use the new system.
The Endless Nursing Benefits Of Electronic Medical Records
As Americas hospitals venture farther into the electronic age, nurses are beginning to recognize the benefits the electronic medical record provides both to their patients and their profession.
Pat Wise, MSN, RN, vice president of electronic health records for the Healthcare Information and Management Systems Society , explained that although the two terms are often used synonymously, there is a difference between electronic health records and electronic medical records.
The electronic medical record is maintained by the physicians office or health care facility of a patient and contains all the information about blood records and medication, Wise said. The electronic health record is broader and usually doesnt contain all the detailed information in the electronic medical record. Instead it has summary data–things a patient and provider need to know after care is concluded.
Within an EHR, a patient can also have a personal health record, in which to record things like personal maintenance of chronic conditions that can then be shared with a physician or nurse practitioner.
Clearly, nurses are involved with both, Wise added.
Thats a very ambitious goal, and Im not sure the country is going to meet it, Wise said. There are a lot of barriers.
Nurses are critical components of the process all the way down the line. The key is for the nursing profession to realize all the benefits EMRs can offer to ease their jobs.
One area EMRs help: handwriting translation.
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The Importance Of Nursing Kardex
Nurses and physicians are increasingly relying on nursing home software and other data sources to effectively deliver care to residents in SNFs. In fact, the National Center for Health Statistics notes that as of 2019, 89.9% of office-based physicians had adopted the use of eMAR software.
In keeping with this trend, the nursing Kardex has become one of the sources of resident information relied upon by professionals using long term care software. As long term care providers have moved from paper to electronic Kardex nursing, they have experienced various benefits such as increased data accuracy, greater information privacy, increased speed, and greater work productivity in nursing homes.
Just as nursing home administrators need to pick the best eMAR software and the best e-Prescribing software for their facilities, they must be careful in selecting a long term care software with a robust Kardex system. Experience Cares Kardex system is unique in that it comes not as standalone software but as part of NetSolutions. Thus, nursing home software users can benefit from this Kardex system in terms of its reduced cost, configurable priorities, and customizable settings.For more on recent trends in long term care, read our blog and subscribe to the LTC Heroes podcast.
The Benefits Of Ehr For Assisted Living And Memory Care Communities
For assisted living and memory care communities, the benefits of using electronic health records touch every area of operations: relationships with family members, resident engagement, employee satisfaction and turnover, compliance, operational efficiency, and operational cost.
While these benefits make life better for everyone involved in life at a residential retirement community, nurses in particular stand to gain, as theyre often the hub of the many spokes of care. And during the COVID-19 pandemic, EHRs have proven to be a valuable tool for nurses navigating care through lockdowns and resident illnesses.
If youre thinking of switching to an EHR at your community , read on to get an idea of the top benefits EHRs offer to the stakeholders mentioned above.
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Benefits Of Electronic Health Records: Understanding The Pros And Cons
The adoption of electronic health records, or EHRs, has risen dramatically in U.S. medical facilities. According to the Office of the National Coordinator for Health Information Technology, basic EHR systems had been adopted by 83.8% of nonfederal acute care hospitals as of 2015, compared to just 9.4% in 2008.
When hospitals and health organizations adopt EHRs into their practices and procedures, their medical record-keeping process becomes more comprehensive, centralized, and easily accessible. But even though the benefits of electronic health records include a new range of functionalities and conveniences, there are still drawbacks associated with this type of digital record keeping. Data can be hacked and become compromised. And staff members may not understand how to properly use EHRs or may not incorporate them efficiently into their facilitys processes.
Current and future health professionals should understand the pros and cons of electronic health records and how they can be best used in health organizations.
Ehrs May Not Function As Intended
A health facility has advertised the adoption of a new EHR system as a means of making health care more efficient for patients and practitioners alike. But when patients download a mobile app to access their health records from the system, they face difficulties trying to navigate and locate their data on the application. At the health facility, doctors notice that they have to re-enter their login credentials every time they use the system, requiring time they would have dedicated to patients.
Even the most robust and innovative EHR systems still may contain flaws and issues regarding their functionality. This can be exacerbated by departments, facilities, and practitioners using EHR systems in different ways.
Additional EHR Pros and Cons
Even though EHRs can help make health care more efficient and affordable, hospitals and medical facilities may be reluctant to adopt them due to the financial investment as well as the amount of time it would take to train practitioners and staff to use the systems.
Additionally, the fact that EHRs are stored and accessed digitally makes it possible for data to be compromised by hackers or cybercriminals. Patients may be concerned about the amount of information that is collected and contained within their EHRs, or they may not be aware that such an extensive collection of data is available about them.
Current and Future Benefits of Electronic Health Records
Making Health Care More Affordable
Improving Patient Health Outcomes
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Benefits To Using An Electronic Nursing Kardex
What exactly is an electronic nursing Kardex? So a nursing Kardex is a file used for summaries and overviews of residents or patients care in a facility. Nurses update it after every shift. It is a separate document from the patient chart, containing all relevant patient or resident information that a nurse may require. Prior to the move from paper records to EHRs and the passing of the American Recovery and Reinvestment Act which, according to The Balance, was a turning point in healthcare documentationKardex was a sheet of paper where resident information was written down and pinned in the residents room or nursing station.
Now, though, most facilities will use an electronic nursing Kardex. Thanks to the advancement of technology, there are now three ways in which Kardex can be integrated for use by nurses in long term care, as noted by the Canadian Journal of Nursing Informatics:
Contact us here if you would like to test drive our user-friendly long term care EHR.
Gallagher Healthcare Can Help Minimize The Risk Of Electronic Health Records
As the largest medical malpractice broker in the U.S., Gallagher Healthcare provides insurance coverage that can mitigate your liability risks when using an EHR system. We can tailor a plan that meets your practice’s or facility’s unique requirements. Contact us for more information and a no-obligation quote today.
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