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University Medical Center

Research and Development Department


Volume 1 June 30, 2016

NEW RESEARCH ON ELECTRONIC HEALTH HEALTH INFORMATION PRIVACY AND SECURITY


RECORDS
At the forefront of the Electronic Health
HealthIT.gov provides an excellent overview of Records movement is the need for privacy and
EHR (Electronic Health Records) for providers security. Electronic records, just like paper
and other health care professionals. This records, mst always be private and secure.
information is important, because research Health care organizations must provide access
shows that the use of EHRs result in improved controls to make sure only authorized
patient care and improved diagnostics and individuals can access health information. An
patient outcomes. EHRs are, in their simplest audit function that can track who has accessed
format, digital (computerized) versions of what pieces of health information must also be
patients’ paper charts. But in a robust system, in place. And finally, patients must have
they are much more valuable to the patient. access to Internet portals that enable them to
see who has viewed their records and to
check the accuracy of their records. Patients
must be able to trust the systems.

RESEARCH SOURCES AID IN EHR


IMPLEMENTATION

At HealthIT.gov, you can learn more about


important research regarding Electronic Health
Records. For example, the National Center for
Cognitive Informatics and Decision Making in
Healthcare provides strategic leadership in
DOCTORS DEFINE MEANINGFUL USE
patient-centered cognitive support research.
A phrase you will hear often when you work SHARPS (Strategic Health IT Advanced
with electronic health records is “meaningful Research Projects on Security) is a research
use.” This concept is part of the standards and project that addresses many areas of EHR,
criteria developed in the health care field to including technology convergence,
encourage a smooth and productive transition collaboration, and telemedicine. Readers of
to EHRs. This important concept refers to the this newsletter will also learn from the
use of certified EHR technologies by health research paper included with this mailing.
care professionals in ways that measurably
improve the quality of health care and bring Ensuring the privacy and security of health
efficiency to the processes. Examples include IT can help patients achieve their health
better engagement of patients and family, goals. Everyone has a role in protecting
improving care coordination, improving safety, and securing this important health
and reducing health costs. information

711000660.docx 1
Janet Eisler

Dr. Hillary Kim

Health Administration 478

August 15, 2016

Electronic Health Records

There is often a discrepancy between what American physicians prescribe for their patients and

how those patients actually follow their doctor’s orders. This is often translated into poor outpatient

care and poor results to prescriptive care. In 1991, the Institute of Medicine called for better outpatient

care through the use of electronic health records, which is commonly referred to by the acronym EHR.

Those clinical practices that have used electronic health records claim that since they have

implemented outpatient EHR, there is easier communication with patients, better communications with

other providers, better and faster access to medical records, and fewer pharmaceutical errors.

However, most physicians have been slow to adapt the EHR policy. A 2004 study done by Jeffrey

Linder, an internist and Assistant Professor of Medicine at Harvard Medical School, asked the

question “Do EHRs make you a better doctor?” The study concluded that the evidence of improved

outpatient care due to EHRs is lacking (a, 2008).

a, G. B. (2008). Do EMRS mAKE.

According to Linder’s data, he found “no quality difference between ambulatory care provided with

and without EHRs.” Additionally, several recent studies have also failed to make a connection

between the use of EHR and improved quality of care.

Linder claims that there are two principal reasons for the disappointing outcomes in the study. First,

the National Ambulatory Medical Care Survey data that Linder and his team had available to use was

outdated from a technological perspective. And second, the survey asked physicians whether they

use EMR but not how they were using it if they had it.1 Says Linder, “If people are simply turning on a

computer replacement for their old paper records, why would you even expect quality to improve?”

Linder insists that the data should not be interpreted that electronic health records are ineffective. On

the contrary, high-tech medical records—or any high tech systems for that matter—are simply tools.

The tools must be used, and they must be used correctly.

1
The EMR (electronic medical record) is the patient record created in hospita. ls and
ambulatory environments; it serves as a data source for other systems.

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Further research is still needed to hone in on specific facts as to why more doctors are not using

EHRs and why patients refuse to avail themselves of the technology. Patients do not always get the

advice they need from external sources and they may get information that is wrong. On the other side,

sometimes doctors do not know that a patient falls into a specific risk group. The use of EHRs can

benefit both the patient and the clinician.

In conclusion, despite the possible benefits of adopting EHRs, many institutions are concerned about

the increased costs associated with using these systems. Users also want to know whether the costs

are in line when compared to the benefits of using EHRs instead of paper records, and whether this

will actually result in better quality of outpatient care.

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Works Cited

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