Points Worth Considering While Choosing An EHR Solution

Should healthcare providers watch out for anything while choosing their Electronic Health Records solutions for their facility? Most would say – Yes, they do. 

Obviously, the quality and the interoperability of the EHR need to be given the first priority. But, a recent research indicates that a few other factors such as the ability of the solution to be customized also need to be checked to the same degree. While using an Electronic Health Records in an emergency facility, the hospital management has to ensure that it is highly productive and be capable of being adapted to the practice method and workflow. Only then can it be useful in long run.

As of now, there are several EHR solutions in the market. Certainly, the abundance of them can make the customers quite confused as to which one could best suit their requirements. This is the point when one needs to be decisive about choosing an Electronic Health Records system.

Choose an EHR System that Meets the Requirements of the Facility

When you are supposed to choose an Electronic Health Records solution for your practice, you need to have a clear idea about the number of employees who are working for you or will be working for you in near future. You need to make sure that the EHR system that you purchase can be used by all the staff. Many of the health record systems restrict the number of users.

Number of Patients

A standard EHR system has limits on the number of entries that can be added to the system per day, per week or per month. If your practice is a large scale one or medium one, the number of patients visiting you will be huge. Obviously, you need to ensure that the EHR system you own has the capacity to add entries of all the visiting patients.

System UI (User Interface)

The user interface of the Electronic Health Recording system you use in your facility matters a lot as well. You need to make sure that each of your staff is capable of operating the EHR system you are going to install at your facility. If they require some training, train them well so that they do not commit any fatal errors while using the system.

These are some basic points that need to be considered before picking an EHR solution. Make sure that you examine a few EHR systems before zeroing in on one. This will help you find out the best one from the crowd.

All About Electronic Health Records

A collection of medical history of a patient for a period in an institution is known as medical records. Due to advancements in technology, it is now possible to save these records in an electronic media, which is termed as Electronic Health Records or EHR. These electronic records include all relevant information to the patient’s health such as the past medical conditions, demographics, medications, vital signs, immunizations, health issues, progress reports, radiology, and laboratory tests along with relevant information.

Electronic Health Records, or otherwise known as EHR, can be shared among other medical institutions with the help of EHR software and a secure network. The main aim of these electronic reorders is to make information accessible and streamlined to make things easier and more organized. Some of the other activities related to care such as evidence-based decision support, quality management, and outcomes reporting. Electronic recorders make sure that the interconnection among doctors, clinicians, and nurses including all the other workers at the health care institution are just perfect.

Electronic Health Records makes things easy in a medical institution in many ways. One of the most important things noticed is the reduction in the number of humanly errors. Since all the information is available in one place, which makes it very easy while retrieving them, the occurrence of mistake is greatly reduced.

Computerized Physician Order Entry is one of the most important features added to the EHR software, which has a list of all the doctors who are qualified in prescribing drugs and meds for the patient. Eventually, this would complement in saving plenty of money, which also reduces the risk of the health of the patient. This also reduces the wait time for a particular medication or treatment, since the processing speed is increased with the help of EHR system.

Even though Electronic Health Records are advantageous to a medical institution, there are certain disadvantages to it as well. The cost to initially set up the system is very costly and it takes time for all the staff including the doctor to be acquainted with the new system. As the entire staff is involved in the process, right from the doctor to the receptionist, it is needed to train them to adapt to the new system.

Initially you may have to put in great efforts, which might be difficult and seem impossible. However, this will do well in the end to both the patient and the staff.

EHR Software May Not Reduce Time Spent On Administrative Work For Doctors

Proponents for the use of Electronic Health Records (EHR) in the medical field have long argued that the use of such systems would considerably reduce the time doctors spend on administrative tasks. However, a recent survey shows that this might not be the case always. In fact, in some cases, even the reverse might be true.

Percentage of Time Spent on Administrative Work

A team of researchers from the Harvard Medical School and the City University of New York have been conducting a study on the implementation and the subsequent benefits of electronic health records in hospitals. Recently, they published their report in International Journal of Health Services. The researchers drew upon the data compiled during the 2008 Health Tracking Physician Survey. The survey sample consisted of 4,720 physicians clocking in a minimum of 20 hours of practice a week.

The data from this survey showed that on average, a doctor spent about 8.7 hours per week on administrative work. This amounts to 16.6 percent of their total working time. However, the figure for doctors using electronic health records was a bit higher at 17.2 percent. And, those, who were using both paper and EHR systems spent even more, at 18 percent. However, the data showed that doctors using only paper records spent only 15.5 percent of their time on administrative work.

In the report, the authors point out that since 2008, the survey period used for the report, many of these doctors have moved up from their small private practice facilities to big group practice organisations. According to the researchers, this would only increase the time spent on administrative work, since the bureaucracy in bigger organisations tend to be much more rampant. Processing of insurance claims and the necessary patient medical history records are actually eating into the most doctors’ valuable time. And, this would only increase even more in an electronic health records system. 

According to the authors, the reduction in time would not necessarily come as a result of implementing electronic medical record systems. For that, more work needs to be done in streamlining the medical insurance system currently in use. However, this does not mean that hospitals should stick to using the old paper system. The focus should be on hiring a team of medical billers and coders to reduce the burden on the doctors. Also, the Federal Government needs to do more to streamline the medical insurance processing system currently followed.

Electronic Health Records Clinical Decision Support Offers Enhanced Patient Care

Healthcare institutions and providers utilizing EHR or Electronic Health Records, that are equipped with Clinical Decision Support (CDS) technologies are capable of providing enhanced blood pressure control and improved comprehensive cancer screenings for healthcare consumers or patients, when compared to those that do not use Clinical Decision Support functionalities. The American Journal of Managed Care reported in a recent study.

According to the researchers’ team from Brigham and Women’s Hospital, Harvard Medical School, the necessary requirements for Meaningful Use have been set in practice already. “Although the Meaningful Use requirements have already been established, the evidence is inconsistent regarding improvement in healthcare processes or patient outcomes as a result of the implementation of general and individual EHR components,” they said. The team of researchers further added in their report that “Prior studies have shown that EHR-based CDS is associated with improved prescribing safety, preventive care measures, and diabetes testing and control. CDS has also been associated with some improvements in quality indicators, but results have been variable. Despite having EHR, many physicians report being unable to complete basic panel management activities, which affects their ability to deliver high-quality care for patients with chronic conditions.”

Making use of the information from the 2006-2009 National Ambulatory and National Hospital Ambulatory Medical Care Surveys, the team of researchers analyzed primary or initial care visits at three major kinds of Electronic Health Records enabled practices with Clinical Decision Support software meeting the first stage of Meaningful Use requirements. 

Those practices that completely enabled CDS and were fully functional were compared with those missing some of the functionalities; and the researchers found some significant and real differences in care. Completely CDS enabled providers had much better blood pressure control (86%), when compared to those lacking some of the key features (82%).

Health care institutions and practices having CDS features that notified them of acceptable lab results seem to be more likely to conduct cancer screenings. The results show 16% for CDS enabled practices as opposed to 11% for those having some features missing. Moreover, the overall Meaningful Use standards with Clinical Decision Support included shows significant positive effect on some national quality of care indicators and health outcomes.

The evolving impact of the Meaningful Use is something only time can answer when the stages continue to be more widely implemented and seamlessly incorporated in the care processes.

New Care Coordination Technique Devised To Improve Quality Of EHR Systems

Recently, a learning device has been developed in order to improve the overall care coordination in hospitals. This will certainly help and also reduce the patient safety issues and errors that are bound to happen in the maintenance of electronic health records. The latest program helps to prevent injuries that can happen due to medical errors and this has in fact reduced the occurrence of such issues by almost 30 %, which is actually phenomenal.

As per the studies conducted by the nine academic centers, the three hours of training provided to the pediatric residents showed some interesting results.  By using the newly developed device the medical errors decreased from 4.7 per 100 admissions to 3.30 errors per the same number. In short, the chances of getting errors in the maintenance and management of electronic health records were reduced to a great extent. According to the researchers, there was a notable increase in the quality of documentation provided by the residents, especially during the shift change time. Along with it, even the clinical staff reported increased levels as far as the satisfaction with the implementation of the device were concerned.

As stated by Amy Starmer, MD, of Boston Children’s Hospital and Harvard Medical School, “We recognized that it would take a great deal of work to make the handoff program a sustainable system and encourage its adoption across hospitals. We partnered with experts in research, curriculum development and administration, as well as local faculty and executives at the nine centers, to develop a comprehensive and multifaceted handoff and communication program. Now the new I-PASS program works seamlessly with existing tools and is part of each institution’s culture.” 

Even the study co-author F. Sessions Cole, MD, vice chair of the Department of Pediatrics at Washington University and chief medical officer of St. Louis Children’s Hospital commented on the benefits of the usage of the device and said that “This study suggests that a standardized process along with education and information technology support can reduce medical errors.”

The training mainly included role playing as well as training in Electronic health records so that good communication strategies and plans get devised in order to help the residents, especially during the shift change. Undoubtedly, the use of this advanced device will benefit the electronic health records systems and minimize the errors that occur in its maintenance. 

It will be interesting to see how many healthcare organizations would actually prefer using this system to enhance the quality of health records in digital format.