1. ELECTRONIC MEDICAL RECORDS
Federal EMR Mandate
ELECTRONIC MEDICAL RECORDS
Amanda Fullam
Technology Class
November 2012

2. Outline Reasons for EMR push in healthcare Vision of the future:
Patient-Centered Care
How can the government ‘mandate’?
Outline

3. PAPER STATE
EMR STATE
Patient information is documented and stored on a database. Any authorized doctor or nurse has access to all patient information and can make informed decisions about the patient’s care.
A typical visit to the doctor is documented on paper then stored on shelves. Anything about the patient is copied and put into this file. Any decisions made mean the files has to be found and reviewed or asked of the patient.

4. Paper State Issues Poor Handwriting
One chart copy; unable to easily share vital information
Patient is required to repeat their information to every nurse and doctor.
Laboratory, radiology and other test results have to be mailed, faxed or sent on paper to be added to file.
The hospital doesn’t have the MD records; the MD doesn’t have the hospital records.
Paper State Issues

5. Lab tests are repeated unnecessarily
Doctor #1
Bloodwork
Doctors do not know the medications or tests ordered by the other doctor.
Radiology
The emergency room treats the patient without access to any of the doctors’ office information.
Doctor #2
Lab tests are repeated unnecessarily
Paper State Issues

6. EMR – Patient Centered Care

7. EMR – BENEFITS Records are clear and legible.
All care providers have access to medical history, allergies, and current medications.
Reduces errors of duplicate prescriptions or medications that are not compatible.
Reduces redundancy of tests.
Shares important data, like immunization records.
Will allow the patient a soft copy of their own medical record.
Prescriptions are sent electronically to the pharmacy of the patient’s choice.
EMR – BENEFITS

8. How does the Government Mandate?
I N C E N T I V E
P E N A L T Y
Insurance payments from Medicare and Medicaid will be penalized starting 2015 at 1%, with incremental increases every year thereafter that documentation remains on paper.
1.2 Billion dollars of federal money set aside to reimburse doctors and hospitals who install EMR’s by 2014
How does the Government Mandate?

9.
BIBLIOGRAPHY