What are EMRs?An Electronic Medical Record is usually a computerized legal medical

record created in an organization that delivers care, such as a hospital and doctor‘s clinic.

What are EHRs?The Electronic Health Record (EHR) is a longitudinal electronic record of

patient health information generated by one or more encounters in any care delivery setting

Electronic Medical Record (EMR) – contains information from a single organization

Electronic Health Record (EHR) – records that span organizations

Introduction to EMRs

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The Present and Future of EMR

Today’s EMR

◦ client server based◦ proprietary◦ non-interoperable◦ no connectivity to

patients ◦ monolithic

Tomorrow’s EMR

◦ web-based◦ Mobile◦ open◦ Interoperable◦ Connected to patients

Electronic medical record systems lie at the center of any computerized health information system. Without them other modern technologies such as decision support systems cannot be effectively integrated into routine clinical workflow.

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Why Do We Need EMRs?

Increased clinical and operations efficiency/productivity

Increased revenue Improved patient care Reduced opportunity for error Improved access to information Reduced administration & clinical

costs Competitive advantage Other?

EMR Goals Driving System Requirements

Features & Functions

Technology Integration &

Interfaces

What Services Do You Connect?

Medical Reference

Laboratory

Radiology

Practice Management Hospital

Pharmacy

Specialists

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How Can You Use Them? Devices

◦ Personal Computer (PC)◦ Laptops◦ Pen tablets◦ PDAs◦ Printers◦ Scanners

Input Methods◦ Handwriting Recognition◦ Voice Recognition◦ Typing◦ Point and Click

Network/Connectivity◦ Cabling◦ Wireless◦ Web-based

How Soon Can You Use Them?

Internally Hosted EMRs: Require a lot of groundwork and larger upfront costs.6-12 months, depending on:

◦ Organization size◦ Number of interfaces◦ Complexity of documentation tools◦ Complexity of EMR◦ Number of modules

Web based EMRs: Ready to use cloud based EMRs available on monthly / annual charges ◦ Healthcare institutions can select the services they require, thus allowing

them to design their own workflow.◦ Charges are generally on number of users / size of the organization

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