The
Advantages of Electronic Records in Health Sector
Muhammad Syazwan
Baharudin
Universiti
Teknologi Mara , Puncak Perdana , Malaysia
Abstract
The
objectives of this paper is to shown the advantages of electronic records in
health sector, and to explain what are the electronic records furthermore to
see how they can help improving the services in the health department also from
the view point of person who are working in the electronic records department
how they maintain and assist them in their task also we want to see what are
the best practices in managing the electronic records in the health sector.
Keyword : records, health records,
electronic records, management
INTRODUCTION
According
to (Scotland, 2013) An Electronic Records Management (ERM) System is a computer
program or set of programs designed to track and store records. The software
can be used to manage the creation and maintenance of records within
classification schemes, apply retention and disposal schedules, and control
access and use. An ERM system should be able to capture records created by an
organization’s business systems and applications. Moreover to add to this (Baird
& Boak, 2016) stated that the term
“electronic medical records” may be used to describe a wide variety of information
technology applications, from files on single patients to national databases (Greenhalgh
et al., 2009). An EMR may be cross-organizational, designed to be implemented
across a whole health-care system or it may be more fragmented, bottom-up,
introduced within a single organization (Coiera, 2009). Issues concerning leading
implementation may, realistically, be expected to vary, depending on the scale and
scope of the proposed system.
Next
(Scotland, 2013) also stated that the system should capture a record, along
with any associated metadata, and categorize it within a classification scheme.
Electronic records do not have the same implicit metadata as physical records
so the extent of metadata that needs to be attributed to them is greater. An
electronic record can be made up of many distinct parts or digital objects and
the system used to manage them must be able to preserve all of those objects
and reconstruct them as an authentic and reliable replica of the original
record. (Katuu,
2016) state in his journal that a health record can be defined as the
systematic patient record, in paper or electronic form that contains the complete
and accurate description of personal, financial, social and medical information
and is kept by physicians or other healthcare practitioners. In this instance,
an EHR should be considered a subset of a health record.
Advantages
of Electronic Records
As
we all know from the above records are an important tools to records and store
information same goes to the electronic records (Stanberry, 2011) stated that
these are a few benefit of electronic health records thus are Reduction of cost
Assuming savings estimates from various public sources are correct, Medicare
would realize over $20 billion of potential savings per year, and private
payers would receive over $30 billion in savings per year. Secondly, improved
quality of care EHR systems help reduce medical errors by providing healthcare
workers with diagnostic and treatment background information and decision
support through fast access to medical literature and current best practices in
medicine and also, computerized physician order entry (CPOE) – one component of
EHR – increases patient safety by listing instructions for physicians to follow
when they prescribe drugs to patients. Thirdly Improved record keeping EHR
systems have the advantages of being able to connect to many electronic medical
record systems. In the current global medical environment, patients are often
traveling for their medical procedures. Many patients travel to US cities with
academic research centers for specialty treatment or to participate in clinical
trials. Coordinating these appointments and tracking down patient record via
paper records is a time-consuming procedure.
Next the advantages of electronic health
records are according to (Stanberry, 2011) is that it can Reduced malpractice exposure
it should be noted that EHRs also may offer physicians some degree of
protection from claims of malpractice. There are several reasons for this,
including improved access to legible patient records; standardized
documentation; automatic notification of laboratory results; and increased
efficiency of information transfer between referring and consulting physicians.
If a claim is filed, the defense is likely to be aided by an ability to show
adherence to evidence-based clinical decision support reminders and pop-ups and
the ability to produce a complete, legible record. Various surveys, including
one from the Medical Records Institute, indicate that nearly 20 percent of health
care provider respondents reported receiving discounts from their malpractice underwriter
as a result of having an EHR, and many believed that having an EHR system in
place reduced their vulnerability to malpractice claims.Lastly the advantages
of the electronic health records are it will Enhancement the record portability
benefits companies and employees get transferred both within a nation, and
indeed, globally. Transferred employees, whether on a brief or extended
assignment, would feel more comfortable not having to worry about taking
records with them, or fearing that without papers records, medical care away
from home might be done without sufficient background information.
the physician in an hospital also
pointed the advantages of EHR this is stated by (Riesenmy, 2010) that one physician pointed out that the positive
effects from EMR are that it “can provide quick documentation of patient visits
and assist in coding parameters the valuable
to avert entanglements because of billing problems will help us keep out of
trouble”. all the physicians said that if EMR is used to improve efficiency by
making documentation faster, tracking patient outcomes thereby improving
patient care, reducing medical errors by providing meaningful time sensitive
data, and programmed with alarms for averting risks such as drug interactions
it would be “delightful”, “fabulous”, “all good”, and “I would love it”. The
ultimate sense of EMR in terms of the practice and profession of medicine was
that it was necessary for EMR to conform to the needs of the physician instead
of the physician conforming to the needs of the EMR. In ensuring the quality
data of the electronic records the technology are also one of the key component
that are need to be noted as stated by (Sukumar, Natarajan, & Ferrell,
2015) interfaces, the solution for better quality assurance in health care
analytics relies on organizational support for technological innovations and
quality management.
Furthermore, a research by (Narattharaksa
& Speece, n.d.) said that electronic medical records can improved access to
patient records, quicker turnaround time on various diagnostics procedures,
error reduction, improved diagnostics, all of which ultimately improve outcomes
(Marcus et al., 2009). In recent reviews of published research, Buntin et al.
(2011)and Jones et al. (2014) showed that these sorts of quality and safety
improvements were unambiguously present in the majority (62 and 56 percent,
respectively) of recent studies on EMR implementation.
Types
of Digital Records
In addition according to (Katuu,
2016) that the National Archives of Austria has divided digital records into
four categories which are:
1. Documents
created using office applications, such as text documents, spreadsheets and
presentations.
2. Records
in online or Web-based environments, such as intranet, extranets and records of
online transactions.
3. Records
generated by business information systems, such as databases, geospatial data
systems, human resource systems, financial systems, workflow systems and
content management systems.
4. Digital
communication systems, such as e-mail, short messaging services, multimedia
messaging services, electronic data interchange and electronic fax.
He
also added the outline for the best practices of the electronic records
management and the most extensively discussed one has been ISO 15489 which was
initially published in 2001 and was the first standard to address records
management issues. In contrast a good personal are also needed to ensure that
these records can be view effectively and depends on the person who handles it (Seitio-Kgokgwe,
Gauld, Hill, & Barnett, 2014) stated that Effective HRM requires its
strategic placement within health structures (Adano et al., 2008), accompanied
by strong leadership. The need of electronic platform was also mention by (Lewis,
Baxter, & Pouder, 2013) electronic
platform that monitored and managed the program and this platform would track
all health-related activities per employee, manage and monitor all control
mechanisms (incentives and disincentives) that would be established to shape
healthy behaviors, educate users based on personal health issues identified
through a personal health assessment, and address all of the backend
transaction processing that is part of the claims administration process is
referring to the importance of electronic health records.
CONCLUSION
In conclusion the electronic medical
records gives a lot of positive effect to the management of the hospital and
also the personnel that work in the health organization, moreover it can help
in providing the data with efficiency and effectively accurate and precise to
which the information needed by the professional that works in the health
organization sot electronic records in health organization are very crucial and
important.
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