Suchergebnisse

Electronic Health Records are electronic versions of patients' healthcare records. An electronic health record gathers, creates, and stores the health record electronically. The electronic health record has been slow to be adopted by healthcare providers. The federal government has recently passed legislation requiring the use of electronic records or face monetary penalties. The electronic health record will improve clinical documentation, quality, healthcare utilization tracking, billing and coding, and make health records portable. The core components of an electronic health record include administrative functions, computerized physician order entry, lab systems, radiology systems, pharmacy systems, and clinical documentation. HL7 is the standard communication protocol technology that an electronic health record utilizes. Implementation of software, hardware, and IT networks are important for a successful electronic health record project. The benefits of an electronic health record include a gain in healthcare efficiencies, large gains in quality and safety, and lower healthcare costs for consumers. Electronic health record challenges include costly software packages, system security, patient confidentiality, and unknown future government regulations. Future technologies for electronic health records include bar coding, radio-frequency identification, and speech recognition.

The Information and Communications Technology (ICT) seem to diffuse in almost all the sectors. ICT has transformed the way the healthcare data is managed. The widespread usage of electronic devices like computers, tablets, mobile phones along with the availability of high speed internet have made possible the transition from paper based patient records to electronic records. Electronic Health Records (EHRs) are real time digital version of patient records. An Electronic Health Record (EHR) is a comprehensive report of an individual's overall health. Electronic Health Records (EHRs) help track patient's clinical progress, facilitate improved health care decisions and provide evidence based care. This is a concept paper based on secondary data from various national and international journals, government documents, government and private websites. This paper presents a review of Electronic Health Records (EHRs) and its use in India. The document gives details of initiatives taken by the government of India in relation to EHRs. Further, the paper discusses the potential benefits of Electronic Health Records (EHRs). International lessons from other countries like China, Bangladesh and Malaysia are also discussed. A brief account of Electronic Medical Record Adoption Model (EMRAM) and private initiatives is also given. Challenges in the way of adoption of Electronic Health Records (EHRs) in India are discussed in detail. Further, this paper presents an outline of roadmap for adoption of Electronic Health Records (EHRs) in India.

With the aging United States population, healthcare costs have considerably increased and are expected to keep rising in the foreseeable future. In this paper, the authors propose an intelligent cloud-based electronic health record (ICEHR) system that has the potential to reduce medical errors and improve patients' quality of life, in addition to reducing costs and increasing the productivity of healthcare organizations. They developed a set of best practices that encompass end-user policies and regulations, identity and access management, network resilience and service level agreements, advanced computational power, "Big Data" mining abilities, and other operational/managerial controls that are meant to improve the privacy and security of the ICEHR, and make it inherently compliant to healthcare regulations. These best practices serve as a framework that offers a single interconnection agreement between the cloud host and healthcare entities, and streamlines access to private patient information based on a unified set of access principles.

Cover -- Title page -- Copyright page -- Contents -- Preface -- Acknowledgments -- Chapter 1 - The nature of electronic health records -- Introduction -- Health and records in the realm of health care -- Health records themselves -- Signs, data, information, and logical spaces -- Signs -- Understood causally -- Understood conventionally -- Signs and data -- Data-space and information-space -- Diagnosis as tracing a path through information-space -- Decision-space -- EHRs and patient analogues -- Patient profiles -- Patients, EHRs, and isomorphs -- Paper-based records, EHRs, and patient analogues -- Patients and EHRs -- Some implications -- Chapter 2 - From ethical principles to information ethics -- Introduction -- Ethical principles in general -- Legitimacy -- Binding force -- Consistency -- Derivation -- Ethics and EHRs -- When is the treatment of something appropriate? -- What constitutes ethically appropriate treatment? -- Definitions of "ethics" -- Religiously based ethics -- Social consensus-based ethics -- Legally based ethics -- Tradition-based ethics -- Philosophically based ethics -- Ethics as framework -- Persons -- Rights and duties -- The principles of ethics -- Principle of Autonomy -- Principle of Equality -- Principle of Impossibility -- Principle of Integrity -- Principle of Beneficence -- Principle of Non-Malfeasance -- Principles of information ethics -- Principle of Information Privacy and Disposition -- Principle of Openness -- Principle of Access -- Principle of Security -- Principle of Legitimate Infringement -- Principle of the Least Intrusive Alternative -- Principle of Accountability -- Conclusion -- Chapter 3 - Ownership, privacy, and related issues -- Introduction -- Ownership -- Patient data and patient profiles -- EHRs, patient profiles, and appropriation of personality -- Privacy -- Some conditions and limitations.

Medical records are made in writing, complete and clear or electronically. Medical records are the basis of medical services to patients. Paper medical records increase the amount of paper waste in Indonesia. A national e-health strategy is a comprehensive approach to efforts in the national health sector. Electronic medical records are more effective because of better time management. The formulation of the problem in this article covers the reasons, criteria, and implementation of electronic medical records. The research method used is descriptive qualitative research with a statute approach. The criteria for a good electronic medical record are integrated data from various sources, data collected at the service point, and supporting service providers in decision making. The expected electronic medical record is to be integrated with the health service facility information system program without neglecting the confidentiality aspect. Therefore, the government needs to make regulations on the technical implementation of electronic medical records.

The Electronic Health Record: Ethical Considerations analyses the ethical issues that surround the construction, maintenance, storage, use, linkage, manipulation and communication of electronic health records. Its purpose is to provide ethical guidance to formulate and implement policies at the local, national and global level, and to provide the basis for global certification in health information ethics. Electronic health records (EHRs) are increasingly replacing the use of paper-based records in the delivery of health care. They are integral to providing eHealth, telehealth, mHealth and pHealth - all of which are increasingly replacing direct and personal physician-patient interaction - as well as in the developing field of artificial intelligence and expert systems in health care. The book supplements considerations that are raised by national and international regulations dealing with electronic records in general, for instance the General Data Protection Regulation of the European Union. This book is a valuable resource for physicians, health care administrators and workers, IT service providers and several members of biomedical field who are interested in learning more about how to ethically manage health data.

We entered into the era of digitalization. Digitalization has affected many different areas, the health care sector is not an exception. The European Co mmission, the Government of th e Republic of Lithuania emphasis e that information and communication technologies, including electronic health records, applied to health and healthcare systems, can increase their efficiency, improve quality of life and unloc k innovation in the health care sector. However, looking at these indicated aims, it has to be recognised that the implementation and use of electronic health records have raised many legal questions. At present, legal questions widely addressed in the jur isprudence are related to the privacy and the ownership of health data issues. Nevertheless, little attention is devoted to the dilemma of will and how the use of electronic health records will affect the application of civil liability for medical malpract ice. In Lithuanian context, this question has never been analysed. Therefore, the purpose of this conference paper is to analyse whether any changes will arise in the application of civil liabi lity for medical malpractice after implementation of electronic health record system , what quite new questions it will raise. In order to achieve the mentioned goal, first of all, the general system of elec tronic health records is presented, including its aim and functioning in Lithuania. Secondly, the paper analyses whether the use of electronic health records will affect the application of civil liability for medical malpractice, its assessment in courts, what quite new legal issues it will raise. Having analysed the abovementioned issue, based on the opinions of leg al scholars and on the conducted researches, the paper concludes that the use of electronic health records will definitely affect the application of civil liability for medical malpractice. Two main aspects have been identified: firstly, it will provide be tter documentation of clinical findings. Therefore, it will allow courts to better identify the precise sequence of events in the provision of health care services. Secondly, courts will have to address quite new legal issues in applying civil liability.

We entered into the era of digitalization. Digitalization has affected many different areas, the health care sector is not an exception. The European Co mmission, the Government of th e Republic of Lithuania emphasis e that information and communication technologies, including electronic health records, applied to health and healthcare systems, can increase their efficiency, improve quality of life and unloc k innovation in the health care sector. However, looking at these indicated aims, it has to be recognised that the implementation and use of electronic health records have raised many legal questions. At present, legal questions widely addressed in the jur isprudence are related to the privacy and the ownership of health data issues. Nevertheless, little attention is devoted to the dilemma of will and how the use of electronic health records will affect the application of civil liability for medical malpract ice. In Lithuanian context, this question has never been analysed. Therefore, the purpose of this conference paper is to analyse whether any changes will arise in the application of civil liabi lity for medical malpractice after implementation of electronic health record system , what quite new questions it will raise. In order to achieve the mentioned goal, first of all, the general system of elec tronic health records is presented, including its aim and functioning in Lithuania. Secondly, the paper analyses whether the use of electronic health records will affect the application of civil liability for medical malpractice, its assessment in courts, what quite new legal issues it will raise. Having analysed the abovementioned issue, based on the opinions of leg al scholars and on the conducted researches, the paper concludes that the use of electronic health records will definitely affect the application of civil liability for medical malpractice. Two main aspects have been identified: firstly, it will provide be tter documentation of clinical findings. Therefore, it will allow courts to better identify the precise sequence of events in the provision of health care services. Secondly, courts will have to address quite new legal issues in applying civil liability.

Medical records are a type of administrative record with rich potential for research of behavioral health and health policy. Developments in electronic health records (EHR) can increase access to data contained in medical records but also present some unusual challenges for research. This presentation summarizes recent literature describing the use of EHR in research and identifies issues for consideration in the preparation of research design and protocols for data collection and preparation. The discussion is presented in a framework for evaluation of data quality and fitness for use.

Background The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record (EHR) adoption in public hospitals and implemented two major health information technology (IT) projects: District Health Information Software Version 2 (DHIS2), for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country. Following these projects, a modified version of the Open Medical Record System EHR was specified and developed to fulfill the clinical and administrative requirements of health care facilities operated by devolved counties in Kenya and to automate the process of collating health care indicators and entering them into the DHIS2 system. Objective We aimed to present a descriptive case study of the implementation of an open source EHR system in public health care facilities in Kenya. Methods We conducted a landscape review of existing literature concerning eHealth policies and EHR development in Kenya. Following initial discussions with the Ministry of Health, the World Health Organization, and implementing partners, we conducted a series of visits to implementing sites to conduct semistructured individual interviews and group discussions with stakeholders to produce a historical case study of the implementation. Results This case study describes how consultants based in Kenya, working with developers in India and project stakeholders, implemented the new system into several public hospitals in a county in rural Kenya. The implementation process included upgrading the hospital IT infrastructure, training users, and attempting to garner administrative and clinical buy-in for adoption of the system. The initial deployment was ultimately scaled back due to a complex mix of sociotechnical and administrative issues. Learning from these early challenges, the system is now being ...

Australia will implement a personally controlled electronic health record (PCEHR) over the next three to five years. Development of an e-health policy framework to support this initiative has involved healthcare providers and patients, but the discussion appears to have bypassed non-patient citizens. There is a risk that this omission may result in difficulties with implementation and uptake of the new system.

Background: Transparency is increasingly called for in health care, especially, when it comes to patients' access to their electronic health records. In Sweden, the e-service Journalen is a national patient accessible electronic health record (PAEHR), accessible online via the national patient portal. User characteristics and perceived benefits of using a PAEHR influence behavioral intention for use and adoption, but poor usability that increases the effort expectancy can have a negative impact. It is, therefore, of interest to explore how users of the PAEHR Journalen perceive its usability and usefulness. Objective: The aim of this study was to explore how the users of the Swedish PAEHR experience the usability of the system and to identify differences in these experiences based on the level of transparency of the region. Methods: A survey study was conducted to elicit opinions and experiences of patients using Journalen. The data were collected from June to October 2016. The questionnaire included questions regarding the usability of the system from the System Usability Scale (SUS). The SUS analysis was the focus of this paper. Analysis was performed on different levels: nationally looking at the whole data set and breaking it down by focusing on 2 different regions to explore differences in experienced usability based on the level of transparency. Results: During the survey period, 423,141 users logged into Journalen, of which 2587 unique users completed the survey (response rate 0.61%). The total mean score for all respondents to the SUS items was 79.81 (SD 14.25), which corresponds to a system with good usability. To further explore whether the level of transparency in a region would affect the user's experience of the usability of the system, we analyzed the 2 regions with the most respondents: Region Uppsala (the first to launch, with a high level of transparency), and Region Skåne (an early implementer, with a low level of transparency at the time of the survey). Of the participants who responded to at ...

The aims of this study were to describe the level of adoption of electronic health records in Spanish hospitals and to identify potential barriers and facilitators to this process. We used an observational cross-sectional design. The survey was conducted between September and December 2011, using an electronic questionnaire distributed through email. We obtained a 30% response rate from the 214 hospitals contacted, all belonging to the Spanish National Health Service. The level of adoption of electronic health records in Spanish hospitals was found to be high: 39.1% of hospitals surveyed had a comprehensive EHR system while a basic system was functioning in 32.8% of the cases. However, in 2011 one third of the hospitals did not have a basic electronic health record system, although some have since implemented electronic functionalities, particularly those related to clinical documentation and patient administration. Respondents cited the acquisition and implementation costs as the main barriers to implementation. Facilitators for EHR implementation were: the possibility to hire technical support, both during and post implementation; security certification warranty; and objective third-party evaluations of EHR products. In conclusion, the number of hospitals that have electronic health records is in general high, being relatively higher in medium-sized hospitals.