Electronic Medical Record Definition, Implementation & Benefits in Hospitals

Previously in the healthcare industry, medical professionals have invested in advanced diagnostic equipment but when it comes to keeping track of patients medical histories, physicians & hospitals still rely on paper & pen. Nowadays, paperwork gets converted into a comprehensive system of electronic medical records by big healthcare game players to improve patient care.Triotree emr software image

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Various healthcare organization uses EMR for increasing productivity, patient registering, improving patient care, error reduction, administrative cost savings etc. In our previous articles, we explain EMR Vs EHR, EHR benefits, Cloud computing in healthcare, Hospital Information System, Virtual Reality, Big data Technology, Artificial Intelligence in healthcare, Medical robots, Augmented Reality, Laboratory information system, IoT in Healthcare etc in detail. In this article, we are going to explain EMR definition, implementation, benefits, how it works, challenges etc in detail. Have a look.

Electronic Medical Record Introduction:

In this digitized world, everything is going to be modernized so why not healthcare industry. To solve this purpose, EMR software came into existence, known as the digital version of a paper chart that contains all of a patient medical history from one practice.

EMR Definition:

Electronic Medical Record System is known as a digital version of traditional paper charts in the clinician’s office for an individual. EMRs allow clinicians to track their patient data over time & identifies which patient is due for preventive check-ups & screenings.  In the market, different types of digitized health records are available that contains similar information.

(i) Personal Health Record (PHR): This tool can be used by an individual to track, collect & share current & past information about their health or the health of someone they care.

(ii) Electronic Health Record (EHR): EHRs are designed to be accessed by all people involved in the patient care including patients itself. This is an official health record for an individual, shared among multiple agencies & facilities.

EMR Implementation:

EMR workflows have no fixed standards as different organizations have a different aspect of understanding EMRs i.e. vary from organization to organization. With the emerging technology, organizations are not sure about their future & present needs, even there are multiple interpretations like what exactly EMR is & what the EMR requirements etc.

How emr’s work with users?

EMR allows medical researchers & users to communicate with each other & helps the hospital administrative staff to retrieve & access information anytime & anywhere. It enables the patient to access their data by themselves & can be used as a medical billing software. Researchers have discussed following main functions that describe the workflow of EMR.  Following functions are:

(i) Medical History: A record of information about a person’s health is technically known as epicrisis or medical history. It includes a history of surgery, major & minor illness, medical allergies, medications, growth details etc of an individual (patient).

(ii) Medical Encounter: Within the medical record, various medical encounters are marked by discrete summations of a patient medical history by physicians, nurses, medicals assistants etc. It includes a patient present history of illness, diagnosis, complaint, treatment, progress notes etc.

(iii) Laboratories: These are generally used for scientific research that allows users to make a booking & get results of their semen test, blood test, stool test, urine test etc.

(iv) Radiology: This specialty uses digital imaging technology to diagnose & treat the disease seen within the body. It also allows users or physicians to make a booking & get results of X-ray, Magnetic resonance (MR), CT scan, nuclear medicine etc.

(v) Pharmacy: This reduces the burden of pharmacy department by generating the e-prescription than the paper medical prescription. Thus, it is able to reduce the medical errors.

(vi) Billing Information: With the help of EMR, users can easily access the billing information of the patients & calculate bill instantly without any error.

(vii) Book Wards: In the case of emergency, this allows physicians to book wards for the patients in the hospitals.

(viii) Patient Demographics: Through the implementation of emr, users can access & track the location of patients, identifying contact numbers, addresses etc. This not only includes patient medical information but also tells about race & religion as well as workplace & type of occupational information.

Benefits of EMR in Hospitals:

A well-implemented, high-functioning EMR should ultimately lead to better patient care, improved efficiency and better office management. Here we are going to discuss various emr benefits in detail. Following are:

(i) Strengthen Patient Safety

  • Check & monitor current medical prescription & medication lists.
  • Reduces risk of forgetting/missing important details.

(ii) Increase Productivity & Enhance Revenue

  • Computerized record searches
  • Optimize & Simplify billing with correct codes
  • Reduces manual error with automated filling
  • Generate end of day reports
  • Integrate diagnostic devices

(iii) Continuity & Legibility

  • Avoid mistakes caused by illegible writing
  • Access Patient information such as vacations, absences

(iv) Flexibility

  • Streamline interoffice communications
  • Access charts from anywhere at anytime

(v) Improves Patient Health Outcomes

  • Deliver chronic disease management
  • Access Lab results
  • Generate reminders & decision support for physicians
  • Efficient Administrative task

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