An Introduction to Electronic Health Records Chapter 1 An Introduction to Electronic Health Records McGraw-Hill/Irwin Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved.

Working Definition: Electronic Health Records (EHR) is the most commonly accepted term for software with a full range of functionalities to store, access, and use patient medical information. 1-2

Chapter 1 Content: The EHR History Acronym Alphabet Soup Barriers to The EHR Benefits of The EHR Chapter 1 Review 1-3

1. History of EHR 1-4

1. History of EHR Impetus - Improved Patient Medical Care 1-5

1. History of EHR Impetus - Improved Patient Medical Care 1960s – First EHR Programs and Electronic Databases 1-6

1. History of EHR Impetus - Improved Patient Medical Care 1960s – First EHR Programs and Electronic Databases Development of Computer Technology & Data Entry 1-7

1. History of EHR Impetus - Improved Patient Medical Care 1960s – First EHR Programs and Electronic Databases Development of Computer Technology & Data Entry 1990s – Reliability & Security of Networks 1-8

1. History of EHR Impetus - Improved Patient Medical Care 1960s – First EHR Programs and Electronic Databases Development of Computer Technology & Data Entry 1990s – Reliability & Security of Networks 2000s – Remote Access and ASP models 1-9

2. Acronym Alphabet Soup 1-10

2. Acronym Alphabet Soup EHR – Electronic Health Record 1-11

2. Acronym Alphabet Soup EHR – Electronic Health Record EMR – Electronic Medical Record 1-12

2. Acronym Alphabet Soup EHR – Electronic Health Record EMR – Electronic Medical Record CPR – Computer-based Patient Record 1-13

2. Acronym Alphabet Soup EHR – Electronic Health Record EMR – Electronic Medical Record CPR – Computer-based Patient Record CCR – Continuity of Care Record 1-14

2. Acronym Alphabet Soup EHR – Electronic Health Record EMR – Electronic Medical Record CPR – Computer-based Patient Record CCR – Continuity of Care Record PHR – Personal Health Record 1-15

3. Barriers to the EHR 1-16

3. Barriers to the EHR A Lack of Standards for EHR Systems 1-17

3. Barriers to the EHR A Lack of Standards for EHR Systems Unknown Cost and Return on Investment 1-18

3. Barriers to the EHR A Lack of Standards for EHR Systems Unknown Cost and Return on Investment Difficulty to Operate 1-19

3. Barriers to the EHR A Lack of Standards for EHR Systems Unknown Cost and Return on Investment Difficulty to Operate Significant Changes in Clinic Processes 1-20

3. Barriers to the EHR A Lack of Standards for EHR Systems Unknown Cost and Return on Investment Difficulty to Operate Significant Changes in Clinic Processes Lack of Trust and Safety 1-21

3. Barriers to the EHR A Lack of Standards for EHR Systems Unknown Cost and Return on Investment Difficulty to Operate Significant Changes in Clinic Processes Lack of Trust and Safety Growth of EHRs - Need for Support Staff 1-22

4. Benefits of the EHR 1-23

4. Benefits of the EHR Better Clinic Information and Accessibility 1-24

4. Benefits of the EHR Better Clinic Information and Accessibility Patient Safety 1-25

4. Benefits of the EHR Better Clinic Information and Accessibility Patient Safety Handwriting issues Health-care Screenings Medical Decision-making Support 1-26

4. Benefits of the EHR Better Clinic Information and Accessibility Patient Safety Handwriting issues Health-care Screenings Medical Decision-making Support Better Patient Care 1-27

4. Benefits of the EHR Better Clinic Information and Accessibility Patient Safety Handwriting issues Health-care Screenings Medical Decision-making Support Better Patient Care Efficiency and Savings 1-28

4. Benefits of the EHR Better Clinic Information and Accessibility Patient Safety Handwriting issues Health-care Screenings Medical Decision-making Support Better Patient Care Efficiency and Savings Elimination of Storage Costs Rapid Communication Decreased Transcription Costs More Accurate Coding 1-29