Lecture 2 Informatics and Key Points and Definitions

• privacy
• creating a national network of healthcare records

National Health Information Network:an electronic birth-to-death healthcare record that also provides consumer access

• Electronic Patient Record:
• Created by healthcare provider or agency
• Owned and managed by institution or agency that created them
• Also called electronic medical record (EMR)

• Electronic Health Record: One’s health information is available from any location
• Many advantages
• Also Called EPR( Electronic Patient Record)

• Personal Health Record:
• Owned and managed by the patient
• Client access to healthcare information
• Possible client data entry

• Impact of HIPAA
• Currently PHRs are in a state of evolution:
• No consensus on definition

• Various models

• Enhanced collaborative care;
• Better management of one’s disease treatment;
• More personalized, higher quality of care with improved communication
• Increased involvement of patient in own care
• Can travel with the patient over space and time

• ◦Provider reluctance
• ◦Need for unique patient identifier;

• ◦data security;
• ◦Lack of data standardization and presentation;

• ◦Required change in patient thinking to accept responsibility for participation;
• ◦Financing

◦Uneven computer skills

• —Ability to include decision support through guidelines and evidence-based practice
• Ability to do surveillance and monitoring for specific diseases and conditions
• —Reduction in medication errors
• —Decreased utilization of care through increased data and information sharing, increased patient
• compliance, and screening/testing
• Improved Readability of records
• Ability to identify patients for trials

—Adoption can be slow, uneven (offset currently through incentives)

• —Requires “re-learning” by clinicians
• —Systems still being developed
• Lack of agreement on standards
• —Financial capacity
• Patient privacy & security

• The record could be locked if it were stolen or lost
• Would be designed to adhere to HIPAA