Abstract:The Michigan Academic Consortium of academic nurse-managed primary care centers supported member sites to venture into computer-based advances with the potential to improve quality of health services and students' educational experiences. The experiences of this consortium as it incorporated electronic health records in tandem with an electronic patient management system at several of its member sites reveal the benefits and challenges of such an endeavor. The processes of selection, adoption, and implementati… Show more
“…12 , 13 Other barriers to full software feature implementation of EHRs have been reported to include a lack of incentive because of no vested interest in the EHR system by many users, psychosocial factors, financial factors, insufficient software training and utilization, lack of involvement of all staff in the implementation process, interoperability of different software systems, and a misunderstanding of the basic needs of documentation. 23 , 30 , 34 , 36 , 37 …”
Section: Discussionmentioning
confidence: 99%
“…Some suggestions are intuitive but need to be emphasized ( Fig 6 ). 15 , 36 , 46 , 47 Fig 6 Recommendations for optimal electronic health record (EHR) implementation and documentation. (Data from Maust, 35 Fleurant, 45 Bostrom, 36 Torda, 46 Fredericks, 15 and Lyons.…”
Section: Discussionmentioning
confidence: 99%
“… Recommendations for optimal electronic health record (EHR) implementation and documentation. (Data from Maust, 35 Fleurant, 45 Bostrom, 36 Torda, 46 Fredericks, 15 and Lyons. 47 ) …”
ObjectiveThe purpose of this study was to review the literature on current challenges and propose solutions for the optimal utilization of the electronic health records (EHRs) in chiropractic practice.MethodsA search was performed in the PubMed, Index of Chiropractic Literature, and Current Index to Nursing and Allied Health Literature databases from November 2005 to February 2015. A combination of the following key words was used: electronic health records, electronic medical records, implementation, documentation, benefits, and challenges. Articles were categorized into common problems and solutions. These were filtered by application to chiropractic or educational institutions.ResultsThe search resulted in 45 papers, which included case reports of EHR implementation, governmental insurance reports, commentaries, controlled studies, narrative reviews of past experiences with conversion from paper systems, and the implementation of EHRs in small offices and chiropractic offices. Minimal literature was found that directly related to chiropractic EHRs. Improper utilization, incorrect use of the software, faulty implementation, workflow burdens, financial considerations, and insufficient training were found to negatively affect the quality of the record.ConclusionsDocumentation errors are often innate in the EHR software. Improper utilization, insufficient training, or difficulty in integration of the EHR into the clinical office setting results in poor implementation of the electronic version of the clinical record. Solutions that may decrease documentation errors include EHR training, continued financial incentives, and appropriate implementation process and utilization of available software features.
“…12 , 13 Other barriers to full software feature implementation of EHRs have been reported to include a lack of incentive because of no vested interest in the EHR system by many users, psychosocial factors, financial factors, insufficient software training and utilization, lack of involvement of all staff in the implementation process, interoperability of different software systems, and a misunderstanding of the basic needs of documentation. 23 , 30 , 34 , 36 , 37 …”
Section: Discussionmentioning
confidence: 99%
“…Some suggestions are intuitive but need to be emphasized ( Fig 6 ). 15 , 36 , 46 , 47 Fig 6 Recommendations for optimal electronic health record (EHR) implementation and documentation. (Data from Maust, 35 Fleurant, 45 Bostrom, 36 Torda, 46 Fredericks, 15 and Lyons.…”
Section: Discussionmentioning
confidence: 99%
“… Recommendations for optimal electronic health record (EHR) implementation and documentation. (Data from Maust, 35 Fleurant, 45 Bostrom, 36 Torda, 46 Fredericks, 15 and Lyons. 47 ) …”
ObjectiveThe purpose of this study was to review the literature on current challenges and propose solutions for the optimal utilization of the electronic health records (EHRs) in chiropractic practice.MethodsA search was performed in the PubMed, Index of Chiropractic Literature, and Current Index to Nursing and Allied Health Literature databases from November 2005 to February 2015. A combination of the following key words was used: electronic health records, electronic medical records, implementation, documentation, benefits, and challenges. Articles were categorized into common problems and solutions. These were filtered by application to chiropractic or educational institutions.ResultsThe search resulted in 45 papers, which included case reports of EHR implementation, governmental insurance reports, commentaries, controlled studies, narrative reviews of past experiences with conversion from paper systems, and the implementation of EHRs in small offices and chiropractic offices. Minimal literature was found that directly related to chiropractic EHRs. Improper utilization, incorrect use of the software, faulty implementation, workflow burdens, financial considerations, and insufficient training were found to negatively affect the quality of the record.ConclusionsDocumentation errors are often innate in the EHR software. Improper utilization, insufficient training, or difficulty in integration of the EHR into the clinical office setting results in poor implementation of the electronic version of the clinical record. Solutions that may decrease documentation errors include EHR training, continued financial incentives, and appropriate implementation process and utilization of available software features.
“…The development, implementation, and maintenance of EHRs requires adequate funds and the involvement of many individuals, including clinicians, information technologists, educators, and consultants. [ 19 ]…”
Electronic health record (EHR) is increasingly being implemented in many developing countries. It is the need of the hour because it improves the quality of health care and is also cost-effective. Technologies can introduce some hazards hence safety of information in the system is a real challenge. Recent news of security breaches has put a question mark on this system. Despite its increased usefulness, and increasing enthusiasm in its adoption, not much attention is being paid to the ethical issues that might arise. Securing EHR with an encrypted password is a probable option. The purpose of this article is to discuss the various ethical issues arising in the use of the EHRs and their possible solutions.
Advances in informatics, particularly the implementation of electronic health records (EHR), in dentistry have facilitated the exchange of information. The majority of dental schools in North America use the same EHR system, providing an unprecedented opportunity to integrate these data into a repository that can be used for oral health education and research. In 2007, fourteen dental schools formed the Consortium for Oral Health-Related Informatics (COHRI). Since its inception, COHRI has established structural and operational processes, governance and bylaws, and a number of work groups organized in two divisions: one focused on research (data standardization, integration, and analysis), and one focused on education (performance evaluations, virtual standardized patients, and objective structured clinical examinations). To date, COHRI (which now includes twenty dental schools) has been successful in developing a data repository, pilot-testing data integration, and sharing EHR enhancements among the group. This consortium has collaborated on standardizing medical and dental histories, developing diagnostic terminology, and promoting the utilization of informatics in dental education. The consortium is in the process of assembling the largest oral health database ever created. This will be an invaluable resource for research and provide a foundation for evidence-based dentistry for years to come.
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