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Introduction to Electronic Health Records (EHR)

Running Head: EHR Module Three Activity: EHR Nicoletta Serrecchia Southern New Hampshire University HIM-500-Q3140 Running Head: EHR Module Three Activity: EHR What is EHR? EHR, which is also known as electronic health records, is a collection of patient data and demographics through an online system. These systems are implemented in different hospitals. offices, nursing home, etc. According to Bowie (2019), "Throughout the 1980's, the development of automated systems was slow, but the vision of electronic record systems was a goal of the healthcare industry (5-3). Having an EHR system helps eliminate the difficulty of tracking down patient's previous medical records, and ensures that records are accurate and legible. What type of information can be found in EHR? There can be various beneficial information found in EHR systems. For instance, is can range from including patient demographics, insurance information, medical history, medications, allergies, immunization records, lab test results, radiology images, vital signs, billing information, emergency contacts, etc. One great thing about EHR systems is all staff members have access to all patient records. So, no matter which medical office you are in or if you become inpatient at a hospital, the group that you are affiliated with will be able to have access to those records. For example, I worked for Danbury Hospital's Infectious Disease office. Our office was affiliated with Danbury Hospital so we all shared the same EHR system, along with the rest of the network. Who manages an EHR? An EHR system is managed by the Information Governance Principles for Healthcare (IGPHC). According to Bowie (2019), "The data and information that are created and managed in healthcare organizations are only of value if they are managed in an organized strategic fashion" (5-7). That is why the American Health Information Management Associated (AHIMA), Running Head: EHR 3 had developed the IGPHC. It is noted that there are 8 principles that should govern the management of information in healthcare organizations, and they are as followed: Principle of Accountability Principle of Transparency Principle of Integrity Principle of Compliance Principle of Availability Principle of Retention Principle of Disposition (Bowie, 2019, 5-7) How is it used? EHR is used numerous ways. It can be used as a form of communication between providers about a certain patient, a form of communication from patient to provider, it can be a way of other providers in the network getting medical records on mutual patients. From an administrative standpoint, it can be used for registration purposes. For instance, finding out insurance info, taking payments, verifying demographics and so on. For nurses, it can be used for monitoring vital signs, and finding out patient's allergies and medications. If patient's arrive with records from an outside facility, staff members can scan those forms into the patient's record for the doctor to see. This is beneficial for obtaining records from other facilities and to have a secure and easily accessed record. "Document scanning affords healthcare facilities the ability to move away from paper-based medical record system" (Bowie. 2019, 5-3a). Do