Electronic Medical Record System

Medical records are not electronic, but paper, which causes them to become lost or misfiled. Physicians need readily access to patient records so they can treat patients effectively.

The EMR is a software program used to enter patients information into a computer, which organizes and stores the information. I believe most offices will keep the paper charts in a very safe location or shred it. But I think because of the confidentiality that any and all information or records relating to patients is considered privileged. basically saying keeping all information about the patient confidential.

I understand your concerns regarding the legality of the electronic signature. Electronic health record system have many policies and rules that must be followed in both state government and federal. In 2000 the U.S. Government passed a law that gave electronic signature the same legality as written signature. It doesn’t mean that its signed electronically that anyone can access it and sign it for you. Your signature authentication requires a password, biometric, and unique code this identifies that its you who is the signer in the system. If someone tries to access any documents to sigh them they will not be allowed because the system will not recognize it if it wasn’t you. To be save there are passwords that go along.

Recently graduating from Penn Foster’s Career School of the Electronic Medical Records Program; provided me with an overview of how to manage electronic medical records in different healthcare settings whether it is a physician’s office, hospital or urgent care clinic. It also helped me emphasize proper documentation and occupational performance by gaining addition electronic medical records training. My studies and training thus far have guided me in the academic direction that I need to to go into, in order to continue pursuing success.

The Inner City Clinic is experiencing problems with medication prescribing errors and seeks a resolution to this problem through use of electronic medical records and registration medication reconciliation. The Institute of Medicine reports in the work entitled "Preventing Medication Errors" that the "average hospitalized patient is subject to at least one medication per day. This is reported to confirm previous research findings that medication errors represent the "most common patient safety error." (Barnsteiner, nd, p.1) Medication reconciliation is described as follows:

Many health care facilities are already starting to use an electronic health record in some of their departments. An electronic health record is a system that allows health care employees to input patient information into a computer system and saves that information into a database for the facility. The information that is being stored directly into the computer system is patients’ personal information (name, date of birth, address, emergency contact information, insurance information, and primary care physician and/or admitting physician), medical history, allergies, current medications, nurses and doctors’ notes, and other information that may pertain to the reason for the visit. Radiology and lab results are also saved into the electronic health record. Even though some health care facilities use a computer system to save some information, there may also be paper work that is also being used. This paper work is scanned into the facilities database so that it can also be saved and viewed if necessary.

The Role of Electronic Health Records and Health Information Exchange in the Delivery of Quality Healthcare

Many facilities and physician offices maintain patient records in a paper format known as a manual record. A variety of formats are used to maintain manual records, including the source oriented records (SOR),

Healthcare can be known for a complex industry. Every day is a new day facing complicated clinical administrative transactions with electronic medical records and safety? Health Information technology is suppose to realize errors using electronic medical records. Leaders must understand the complexity and safety issues in order to help mandate electronic medical records with design, development, implement and use. In the last decade, this article has informed executives, clinicians, and technology. Their main focus was on these three areas computerized physicians order entry. Their main focus was to work all three areas computer physician order entry, computer decision support system,

Patton-Fuller Community Hospital is a nonprofit Healthcare organization in the city of Kelsey that has provided quality

For a nation to be technologically advanced, the United States (U.S.) is having a hard time overcoming the dark era of utilizing hand written scripts, progress notes, and paper records. In comparison to other countries, the U.S. is lagging behind in the health care system. Even with all the improvements that have been made recently, the U.S. ranked last in 2014 in areas such as access, efficiency and equity compared to Australia, Canada, France Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom (Davis, Stremikis, Squires, & Schoen, 2014). Now, as our nation is trying to improve the quality, access, and proficiency of our health care, concerns have been raised whether the new policies are adequate enough for privacy amongst sharing and obtaining health information. This paper was put together to give background information on how the electronic medical record came about and whether privacy is a major concern amongst the American population.

We live in a world filled with technology. School teachers and college professors use technology to give lectures, health care professionals use technology to keep medical records, or monitor patient’s vital signs, we use technology such as social media, to connect with people and gain acceptance. In 2014, Gary Turk posted a video to Youtube titled Look Up, in which he argues that technology, such as smartphones, causes us to miss out on certain things in life, because we don’t use it in moderation. Technology benefits our lives by making us more efficient in our professional and personal activities.

For a nation to be technologically advanced, the United States (U.S.) is having a hard time overcoming the dark era of utilizing hand written scripts, progress notes, and paper records. In comparison to other countries, the U.S. is lagging behind in the health care system. Even with all the improvements that have been made recently, the U.S. ranked last in 2014 in areas such as access, efficiency and equity compared to Australia, Canada, France Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom (Davis, Stremikis, Squires, & Schoen, 2014). Now, as our nation is trying to improve the quality, access, and proficiency of our health care, concerns have been raised whether the new policies are adequate enough for privacy amongst sharing and obtaining health information. This paper was put together to give background information on how the electronic medical record came about and whether privacy is a major concern amongst the American population.

Medical records play an essential role at any hospital, because it is considered as a depository of patient's health observations, analysis, and physical examinations. Since the 1920s, paper medical records have gradually grown all over the world. They are easy to use for senior doctors, nurse, physicians, and anyone with medical expertise, and all of them can use it without any additional skills. It revolutionized the field of medical services, which benefited both patients and medical service providers.

Medical records refer to data and information that pertains the medical history of patients. Medical records are an important component of health care as it ensures that monitoring of patient health is made easier. It is important to document medical records to be able to manage health and diagnosis of diseases adequately. According to the Joint Commission, there should be a standard of measure of recording medical records to facilitate easy retrieval by medical assistants. There are several approaches to maintaining medical records in a hospital. The standard methods include paperwork and electronic. All these methods are still usable, but special care should be made when an organization is shifting from paperwork to electronic records.