Tuesday, November 13, 2018

Computerization Of Health Records



By Mala Ramaiah, MD, MS, Eswaran Subrahmanian, PhD, Ram D.Sriram, PhD, and Bettijoyce B.This paper examines the workflow and execution of electronic health record systems across various functions in little physician offices. We describe the differences from the offices based on the amount of computerization with regards to workflow, sources of time delay, and obstacles to utilizing EHR systems to support the whole workflow. The study relies on a combination of interviews, surveys, in situ observations, and information collection efforts. This study wasn't meant to be a complete scale time and motion study with exact dimensions, but was meant to offer an overview of the possible sources of delays while performing office jobs.

The study follows an interpretative model of case studies instead of a large sample statistical survey of clinics. To discover time intensive jobs, labour maps were made based on the aggregated information from the offices. The outcomes from the study show that specialty doctors are more positive toward embracing EHR systems than primary care doctors. The obstacles to adoption of EHR systems by primary care doctors can be credited to the complex workflows which exist in primary care physician offices, resulting in nonstandardized workflow structures and practices. Additionally, primary care doctors would profit more in EHR systems if the systems can interact with external entities.

 
Health Care is a continuously evolving and facing major challenges: increasing costs, unacceptably high error rates, and dissatisfied patients and providers. 1 Spending on healthcare in the US carries on to grow at the rate of more than 7 percent annually, anticipating to reach $2.8 trillion, around 17 percent of the gross domestic product, by 2011. Information technology is becoming essential in controlling your stresses the healthcare enterprise. 2 Many hospital systems have adopted electronic health record systems, but the rate of adoption has been very slow from case of individual or little group offices. A 2007 National Ambulatory Medical Care Survey reports which in over 161, 200 medical practices in the US, there were 311, 200 physicians practicing in office based environments.


3 The report also explains that 69.2 percent of clinics consisted of individual practitioners. According to preliminary estimates in a 2009 mail survey, 43.9 percent of the doctors reported using complete or partial EHR systems in their office based practices. About 20.5 percent reported having systems which met the standards of a fundamental system, and 6.3 percent reported having a fully functional system. 4 Another analysis found which less than 2 percent of doctors in solo or two physician clinics reported having a fully functional EHR system. Various studies conducted across a wide range Of healthcare settings have claimed that the addition of EHR systems might lead to a vast improvement in quality and may improve operational efficiency and workflow. 6 In spite of those claims, the overall adoption rates of EHR systems have been reported to be as low as 17 percent. 7 A report on the adoption deficit states that less than 11.3 percent of the small doctor offices have fully implemented EHR systems. 8 Given which 88 percent of all medical offices are little practices, the report also identifies obstacles to adoption.
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