SHARED CARE &
ELECTRONIC
HEALTH RECORDS
INTRODUCTION
• One of the first significant health
institution to use an EHR was the
Mayo Clinic in Rochester, Minnesota,
in the 1960s.
• EHR system is designed to go
beyond the typical clinical data
collected in a provider’s office & can
be inclusive of a broader picture of
patient’s care, even if it does contain
medical & treatment histories of the
DEFINITION
•EHR refer to the storage of patient
data and information on a digital
platform, such as computer, so that
authorized hospital staff members
may access and use it.
•It includes the patient’s diagnosis,
treatment plan, medications, lab
results and any other relevant
information.
FEATURES OF
EHR
•Patient portal •Charting & lab
•Patient record analytics
management •Communication
•E-Prescribing •Customized
•Medical history templates
•Reminders •Payment
management
•Task
management
FUNCTIONS OF
EHR
•Identify & maintain a
patient record
•Maintain patient
demographic
•Manage problem list
•Manage medication list
FUNCTIONS OF
EHR
•Manage clinical documents &
notes
•Capture external clinical
document
•Present care plans, guidelines
& protocols
•Plans generate & record
TYPES OF EHR
System
hosted by
physicians
Remotely
operated
system
System hosted by
physician
•All data is stored on the
servers owned by physician.
•A doctor is in the charge of
acquisition of hardware &
software as well as on-going
upkeep & security of the
information kept on the
System hosted by
physicians
PRESCRIBE
PATIENT PHARMACY
R Receive
prescription
Issue
prescription Receive prescription
Submit
prescription
Communicate with
prescriber
Response
Prescription
confirmation
Medication
preparation process
Receive
medication
Dispensing
medication
Dispensing records
process
Remotely
operated system
•It transfer data storage from
doctor to a different party.
•This is responsible for security,
backup & maintenance.
•Transfer the burden of data
maintenance from a single doctor
or medical practice to another
party.
Remotely operated system
Health
Healt Block service
Patient chain provide
h alert
network r
Patient
monitored in
home
React to alert,
interact with
CHALLENGES RELATED TO
THE IMPLEMENTATION OF
EHR
Impleme Staff
n-tation reluc-
cost tant
Trainin
g time Data
consum privacy
-ing
Difficult to
Require
transfer
large
paper
based data budget
Poor
Inadequat
communica
e planning
-tion
Steps of
implementation of
Portable EHR
•1) Create a road map
for EMR installation
•2) Establish a
budget
•4) Start the enrolling and
credentialing process.
•5) Streamline the
process
•6) Training
•7) Conduct system
troubleshooting & risk
reduction
1) Create a road map for EMR installation
•Making a list of all the actions
need to be taken.
•Management, IT workers,
healthcare professionals &
patients
•Recruitment, budgeting, data
transfer, training are critical
responsibilities.
2) Establish a budget
•Features of the
programme & size of
company will affect the
cost.
•Impacted by changes to
hardware & network,
fees for training, data
3) Set up an EMR system
•System set up is the first
step in setting EHR.
•Entails programming for
system users as well as
location.
•Development of clinical
templates.
4) Start the enrolling and credentialing process.
•For precise & reliable payment
•The process will take few
weeks to several months
•The payers influence enrolment
& credentials which specify
how you are paid.
5) Streamline the process
•Few questions for the present
process.
•Is it required?
•Does it benefit the patient in any
way?
•Is it being carried out correctly?
•Reduce any insufficiency in EMR
use by streamlining existing
6) Training
•Training of staff
members is made online
•Various roles to be
given
•Personnel should be
aware of new workflow
7) Conduct system troubleshooting & risk
reduction
•Chances to engage
in risk reduction
& troubleshooting.
•Start up again though
another.
BENEFITS OF
PATIENT
MANAGEMENT
PORTAL
• Increase patient’s
engagement of their own
1 health
• Connect with the doctors
through a convenient,
2 safe & secure way.
• Send test results to
patient’s quickly &
3 securely.
• Better patient-
4 physician relationship.
• Greater focus on patient
care & improve clinical
5 outcomes.
• Patient can view
their visit notes in
6 the portal .
• Hassle free online
7 payment processing.
• Easily send reminders for
medication refill,
8 appointments & pending
payments.
RECENT TRENDS IN
ELECTRONIC RECORDING
TECHNOLOGY
Automated AR and VR
chatbots &
in
audio
messages
healthcare
Cloud Portable
computing technology
Automated Chat-bots & Audio
Messages
Automated Chat-bots
& Audio Messages
•Chat-bots are the software that
stimulate human dialogue
•These chat-bots replicate human
speech to stimulate a human
conversation.
•Chat-bots are essential in
emergency situations,
particularly for elderly patients.
AR and VR in healthcare
AR and VR in
healthcare
•Augmented reality
allows the
gathering of
important data
and, after that,
•Virtual reality, used for
the simulation of the
environment virtually.
A physician may
demonstrate how to
administer medicine if
they need help.
•For example, by wearing an AR
enabled head mounted device,
surgeons can now view patient
vitals during a procedure without
the need to look away and gather
data from multiple displays.
•In doing so, surgeons are less
likely to make errors due to
misreading and/or
misinterpreting the data.
Cloud computing
Cloud computing
•Used for infrastructure
management &
administrative duties.
•Enables the
communication of data
such as medical histories,
billing information &
Portal technology
Portal
technology
•Online communication
between medical
experts & patients is
enabled through portal
technology.
•Help to improve access
to and availability of
Artificial intelligence
•More accurate
diagnosis & more
personalized
treatments.
•Analysis vast amount of
clinical documentation
•Early detection of
radiological images
•It become faster, smarter &
more efficient.
Robotic Process Automation
•Becoming more
prevalent in improving
workflow & better
precision.
•Eliminating the need
of human data input,
robotic automation
aids in obtaining
Benefits of Electronic
medical records
Comprehensive view
of the patient
Better coordination
of care
Sharing Streamline
information d workflows
Greater
Reducing
efficiency &
error
cost savings
Standard for Electronic health
records
Standard for
Electronic health
records
•The Ministry of
Health and Family
Welfare published
EHR Standards for
India in September
•These standards were
chosen among the most
accessible & widely used
EHR throughout the globe.
•Experts, practitioner,
government officials,
technologists & business
representatives are the
committee members.
Goals of standards in EHR
system
•Promote interoperability &
where necessary be
specific about certain
content exchange &
vocabulary standards.
•Support the evolution &
timely maintenance of
•Promote technical
innovation using adopted
standards.
•Encourage participation
& adoption by all vendors
& stakeholders.
•Keep implementation
•Consider best
practices, experiences,
policies and
frameworks.
•To the extent possible,
adopt standards that
are modular and not
interdependent.
THANK
YOU
