Prepared by: Iris Abigail B. Navallo, RN MSN-MHPN CNIS 5807

Electronic Health Record - is an evolving concept defined as a systematic collection of electronic health information about individual patients or populations. (

- It is a record in digital format that is theoretically capable of being shared across different health care settings. - Has a range of data, including demographics, medical history, medication and allergies. (

- Also includes immunization status, laboratory test results, radiology images, vital signs, personal stats like age and weight, and billing information. (

- Healthcare is an intensely data- driven discipline. However, even today, most of the information used as part of the patient care process is paper-based. Important health information about individuals is scattered across many systems that do not, and cannot, communicate with each other.

New national and international initiatives aim to define and implement a secure, patient-centric, longitudinal electronic health record that will store an individual's past and present health status, care received and plan of care, and that can be appropriately shared to improve health outcomes and enhance patient safety.

Equally important as a focus is how the EHR can support the development of evidence-based medicine through translational, clinical and outcomes-based research, while ensuring the security and privacy of individual patient information. ( kground.html( kground.html)

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 "Clinical informaticians transform health care by analyzing, designing, implementing, and evaluating information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship.” Gardner RM et alCore Content for the Subspecialty of Clinical Informatics J Am Med Inform Assoc Mar-Apr;16(2):153-7 J Am Med Inform Assoc Mar-Apr;16(2):153-7

- Clinical Informatics is the scientific discipline that seeks to enhance human health by implementing novel information technology, computer science and knowledge management methodologies.

To prevent disease, deliver more efficient and safer patient care, increase the effectiveness of translational research, and improve biomedical knowledge access. (

- Clinical Informatics is concerned with the use of information in health care by clinicians. - Clinical informatics uses the knowledge of patient care combined with the understanding of informatics concepts, methods, and health informatics tools to:

* assess information and knowledge needs of health care professionals and patients, * characterize, evaluate, and refine clinical processes,

* develop, implement, and refine clinical decision support systems, and * lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.

Clinicians collaborate with other health care and information technology professionals to develop health information tools which promote patient care that is safe, efficient, effective, timely, patient-centered, and equitable. ( tics#Clinical_Informatics) tics#Clinical_Informatics

Prepared by: Iris Abigail B. Navallo, RN MSN-MHPN CNIS 5807

- There are a number of health needs that IT can help individuals address. - There are also several pathways individuals can follow to access health applications:

- First, a number of resources, particularly information sites, are available online for anyone who is interested in them. - Other individuals come in contact with these web tools through their relationship with their medical providers.

-A final entrance point is through entities that pay for health care— insurers and employers. ( merhit/report.shtml#_Toc ( merhit/report.shtml#_Toc )

 Seek Health Information  Take action to monitor and improve health  Communicate with relatives, friends and other patients  Interact with the health care system  Use a personal health record or multi-function portal (