NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care
NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care
NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care
Differentiate between EMRs and EHRs. Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care.
Re: Topic 6 DQ 2 NUR 514 Topic 6 DQ 2
Electronic Medical Records (EMRs) and Electronic Health Records (EHRs) are not the same. Though they are only one letter apart, EMRs and EHRs actually have very different functions. Both are digital programs that house patient information, thus greatly decreasing the reliance on physical paper copies.
Both can be used for data tracking and as a tool to ensure patients are receiving proper preventative care, such as immunizations and screenings (Garrett & Seidman, 2011).NUR 514 Topic 6 DQ 2
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An EMR is a digitized version of a patient’s medical chart from one specific facility. It includes provider notes, diagnoses, and treatments, all of which occurred at that one clinic in particular (Garrett & Seidman, 2011). EMRs are not easily transferrable to other facilities, however, and often may need to be physically printed out for the information to be shared outside of the clinic/facility (Garrett & Seidman, 2011).NUR 514 Topic 6 DQ 2
While an EMR focuses on the “medical” aspect, an EHR focuses on “health” as a whole, which is a much broader view (Garrett & Seidman, 2011). EHRs can do everything an EMR can do, and more. They can house information not just from one specific clinic or facility, but from all providers a patient may see, providing a holistic look at the patient’s care as a whole (Garrett & Seidman, 2011).NUR 514 Topic 6 DQ 2
Information can be shared between facilities without the cumbersome process of printing and faxing, providers can collaborate with confidence knowing they’re seeing the same information, and the EHR moves with the patient wherever they go (Garrett & Seidman, 2011).
There are more than 800 certified commercial EHRs for inpatient facilities (DeNisco & Barker, 2016). A commonly used EHR is Epic,NUR 514 Topic 6 DQ 2
NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care
which is what my hospital system just switched to, from Cerner/ORCA. We made the switch to Epic for our inpatient facilities because our outpatient clinics were already using it, and Epic and Cerner did not share information with each other.
While switching to Epic was not a smooth transition and we are still working through ongoing issues months later, it was a move made in the name of interoperability and patient quality and access to care.
Having out outpatient and inpatient systems talk to each other provides invaluable information when a patient finds themselves inpatient. Providers and care teams can be confident that they see the holistic picture of the patient’s medical care, instead of having to fill in holes in records and spend time piecing together the history.
NUR 514 Topic 6 DQ 2
DeNisco, S.M., & Barker, A.M. (2016). Advanced practice nursing. Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Garrett, P., & Seidman, J. (2011). EMR vs EHR—what is the difference? The Office of the National Coordinator for Health Information Technology. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference
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RESPOND HERE (150 WORDS, 2 REFERENCES) NUR 514 Topic 6 DQ 2
I do agree with you that there are many similarities between EMRs and EHRs due to the fact that both involve digitalization of the healthcare information and processes. However, the biggest difference comes in the usability of the two records, while the EMRs are restricted to the medical procedures or interventions taken on providing care to the patient, the EHRs involves the general health information about the patient from the biodata to any other relevant health information about the patient.
Use of EHRs that have proved to be beneficial to the healthcare systems in a number of ways. It has helped the medical practitioners to access the whole of a patient’s medical history. The information helps the healthcare practitioner to be aware of any medical diagnoses the patient has undergone, any of the prescribed drugs the patient has used before and any allergies experienced by the patient (Dash et al., 2019).NUR 514 Topic 6 DQ 2
Additionally, the use of EHR has helped in analysis of demographics and clinical narratives together with the laboratory test results. This has ensured the reduced lag time hence the treatment process is able to be followed up quickly due to availability of the previous data.
This also saves on cost hence in some cases no further examinations are needed because it is easier to infer from the previous existing data that is related to the current situation the patient is suffering from (De Benedictis et al., 2020).
References
Dash, S., Shakyawar, S. K., Sharma, M., & Kaushik, S. (2019). Big data in healthcare: management, analysis and future prospects. Journal of Big Data, 6(1). https://doi.org/10.1186/s40537-019-0217-0
De Benedictis, A., Lettieri, E., Gastaldi, L., Masella, C., Urgu, A., & Tartaglini, D. (2020). Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants. PLOS ONE, 15(6), e0234108. https://doi.org/10.1371/journal.pone.0234108
Also Read: NUR 514 Topic 6 DQ 1: Informatics
Topic 6 DQ 2
The integration of information technology channels has greatly enhanced and increased the seamless transmission and communication of patient data and information across different systems and devices. Interoperability entails different information systems, devices and applications having access to and exchanging information as well as its integration and collaborative use to coordinate care within and across the organization, region and national boundaries.
The aim of interoperability is to offer timely and seamless portability of information as well as bring optimization of health for individuals across care continuum (Cardoso et al, 2018). Interoperability between electronic health records (EHRs) and other disparate systems ensures that providers and organizations within certain limits and locations share vital patient data and information to make better care decisions (HIMSS, 2022).
The exchange of health information leads to shared decisions and a common approach to care provision.
Interoperability has significant impact on enhancing quality and access to care. Firstly, it ensures that providers and organizations share vital health information in a seamless and coordinated manner to attain a common approach to care provision. Secondly, it enhances accuracy of the shared data as providers get information that is authentic with minimal alterations or interference that can compromise its overall integrity.
Thirdly, patients can access their information to help them make better choices and interact more with their providers, even from remote locations (Cardoso et al., 2018). Interoperability improves access to care as patients and health populations can get new information concerning health problems and use evidence-based practice (EBP) approaches to address the issue.
Workflow analysis allows an organization and providers to evaluate activities and practices of a system to develop relevant interventions to make the system more efficient and effective in providing expected care. The analysis means that any issue that can hinder seamless exchange and sharing of information is addressed to enhance interoperability (Lehne et al., 2019). The implication is that issues like data breaches can be identified using workflow analysis.
References
Cardoso, L., Marins, F., Quintas, C., Portela, F., Santos, M., Abelha, A., & Machado, J. (2018).
Interoperability in healthcare. In Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications (pp. 689-714). IGI Global.
Healthcare Information and Management Systems Society, Inc. (HIMSS) (2022).
Interoperability in Healthcare. https://www.himss.org/resources/interoperability-healthcare#Part1
Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why di
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