Medical Records
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Medical Records Revolution
In the 1960s, a physician named Lawrence L. Weed first described the concept of computerized or electronic medical records. Weed described a system to automate and reorganize patient medical records to enhance their utilization and thereby lead to improved patient care.
Weed’s work formed the basis of the PROMIS project at the University of Vermont, a collaborative effort between physicians and information technology experts started in 1967 to develop an automated electronic medical record system.
The group’s efforts led to the development of the problem-oriented medical record, or POMR. Also, in the 1960s, the Mayo Clinic began developing electronic medical record systems. At this time, touchscreen technology had been incorporated into data entry procedures.
medical record
How Electronic Medical Records Can Save You Time?
The emerging industry of Electronic Medical Records, EMR’s has, and will continue to take center stage in the media, government roundtables and social circles. The efficiencies of a system that can reduce time spent and accuracy of accessing records for all medical staff can only benefit us all. The cost of such a system is staggering, (welcome stimulus money).
The Office for Civil Rights enforces the HIPAA Privacy Rule, which protects the privacy of patient health information. All healthcare providers, health organizations, and government health plans that use, store, maintain, or transmit patient health care information are required to comply with privacy regulations.
It should NOT be the doctors, hospitals, insurance companies, pharmaceuticals or medical staff that has access and control of the records that individuals need 24/7.
Implementing Electronic Medical Records
One of the first steps in implementing electronic medical records is to find a system that supports all the needs of a particular practice. While the capability of electronic medical record software is key, certain systems may offer appointment scheduling, billing or patient education software. Once certain packages are identified, a practice can discuss cost. Most electronic medical record systems are compatible with Windows operating systems. Since operating system software can be expensive, it may be most economical to buy software that can run on a practice’s current operating system.
Given the increasing complexity of electronic medical record software, it is essential to train any staff who will use it. Staff members also need to understand and fully implement policies to protect the confidentiality of electronic medical records.
While it takes some effort and reorganization to implement electronic medical records, the benefits are well worth it. Electronic medical records don’t take up space, and can help save time and cost associated with filing of paper-based records.
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