emily barey, rn, msn director of nursing informatics epic systems, verona, wisconsin emrs, ehrs,...
TRANSCRIPT
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E M I L Y B A R E Y , R N , M S ND I R E C T O R O F N U R S I N G I N F O R M A T I C SE P I C S Y S T E M S , V E R O N A , W I S C O N S I N
EMRs, EHRs, PHRs, questions and answers
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WELCOME
• Emily Barey RN, MSN• Director of Nursing
Informatics, Epic Verona, Wisconsin• Role of the industry
vendor
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WHAT IS AN EMR? EHR? PHR?
• Electronic Medical Record• is the digital version of the
paper chart, located at the clinic or hospital where you receive care
• Electronic Health Record • is a broader data set written by
the entire care team; designed to follow the patient across different care settings
• Personal Health Record • is like an EHR but entirely
entered and managed by the patient
http://www.healthit.gov/providers-professionals/faqs/what-are-differences-between-electronic-medical-records-electronic
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WHAT IS IN AN ELECTRONIC RECORD?
• Past History & Problems• Medications you
take• Allergies you have• Clinical notes• Vital signs• Scanned documents• Results and Images
Before EHR
After EHR
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CAN I SEE MY RECORD?
• Patient Portal vs. PHR• Shared record with your
doctor via a portal• Personal health record that
you enter all the data
• What is shared?• Determined by
organization and capability of software vendor
• Proxy access• Consent to see your child’s
record or elderly parent, spouse
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WHY USE AN EHR?
A clinician point of view
• Accessibility• Legibility• Alerts & Reminders• Avoid duplication and
decrease cost• Follow patient
preferences• Research• More!
A patient point of view
• A shared record with you• Better care• Convenience• Continuity of care• But sometimes they still ask
me the same questions, why?• The software system• The policy of the healthcare
organization• Learning a new paradigm to
verify and update
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Who Uses an EHR?
Nursing Home
Doctor’s Office
Surgery Center
Hospital
Your Home
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INTEROPERABILITY
How does my record move electronically?
• Computers can talk to each other
• Often they need an interpreter• Government standards
determine the “language” the EHR computers must send messages to each other in
• Basic data set today, growing all the time what can be shared
Why doesn’t it ALWAYS work?
• Some EHR systems can’t send messages yet in the standard language• Role of EHR
Certification• Government program
called Meaningful Use requires use of an EHR that can send standard messages
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LACK OF INTEROPERABILITY
What if my doctor or hospital doesn’t use an EHR?
• Copy & Fax Machines• US Postal System• You carry your record • It isn’t available
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IS MY RECORD SAFE?
• HIPAA & HITECH• Health Insurance
Portability & Accountability Act
• Health Information Technology for Economic & Clinical Health Act
• Sharing the record to coordinate care• Audit trails of access
1. http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html2. http://www.healthit.gov/patients-families/protecting-your-privacy-security
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QUESTIONS TO ASK YOUR PROVIDER
• Can you sign up for access to your shared medical record?• Can your provider
share your record electronically with other providers if necessary?