HIMSS (Healthcare Information and Management Systems Society), sponsors studies on topics that are current and relevant to eHealth care: - Integration and interoperability
- mHealth
- Electronic health records
- Patient safety and quality outcomes
- Privacy and security
- Clinical decision support
- And many others
Interoperability & Integration HIMSS’ definition of interoperability is “ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities.” (HIMSS, 2005) A longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. - Patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, radiology reports.
- EHR can automate and streamline clinician's workflow.
- Can generate a complete record of a clinical patient encounter, as well as supporting other care-related activities directly or indirectly via interface - including evidence-based decision support, quality management, and outcomes reporting.
- Potential advantages
- Reduce errors
- Improve quality of care
- Improve efficiency
- Issues
- Implementation of standards, such as HL7, for interoperability
- Feasibility and cost
- Adoption and practice disruption
- Culture
- Technology – making the wrong choice
- Legal barriers
- Data protection – privacy, security, consent
Source (Sprague 2004) EHR, EMR, & EPR - Electronic Health Record (EHR) – Used by a variety of healthcare providers: A record that is available electronically to authorized health care providers and to the individual patient anywhere and anytime, in support of high-quality care. Intended to provide individuals with secure private lifetime record of key health history and care.
- Electronic Medical Record (EMR) – Primarily used by physicians and office staff: A record of periodic care, typically owned by a single provider organization, which captures and manages patient data. It is a complete patient record accessible from a single, automated health care provider system.
- Electronic Patient Record (EPR) – Primarily used by nurses, pharmacists, and allied health professionals: Electronic set of information about a single patient. An electronic patient record system is specifically designed to provide patient records electronically. Not necessarily restricted to a single clinical information system.
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