Essay 2 vsamovich3Health Informatics in the Real WorldWhat are EHRs and EMRs? How do they compare and differ? (~100 words, 0.
2 points)Electronic Medical Records or EMRs is an electronic version of medical records in doctor or hospital offices. The records contain includes a history of the medical treatment in specific practice and advantages like: monitoring of the care quality, help how the patient stay on specific parameters(vaccination, immunization) and over a long period of time data tracking.Electronic Health Record or EHR in compare to EMR doing all of the things plus more. The main focus not on specific practice, but on the total health of the patient. “EHRs are designed to reach out beyond the health organization that originally collects and compiles the information” (Garrett, 2011).
The EHR can be shared with specialists, other doctors, hospital or even care provider in a different state or across the country.In detail, define the ONC. How does ONC impact healthcare vendors and EHRs? (~150 words, 0.3 points)The ONC stands for Office of the National Coordinator for Health Information Technology. The office helps to adopt new Health Information Technologies (HIT) and enhance health care by striding nationwide Health Information Exchange (HIE). Healthcare vendors and EHRs also benefit from ONC.
By my opinion, the most important benefits are quality, security, and privacy. ONC always looking ways to improve healthcare quality and stay at low cost. This can include better work and agreement between different service providers, healthcare organization, hospitals, labs, and doctors. ONC ensure that EHR and PHR stay secure, and make sure this security got enchanted over time. Next benefits are quality. Last, but not least is to ensure that any patient-related information is in full control of patient and patient only.
The other possible impact may be in detection and control chronic diseases. “Those policies and securities can be enforced by ONC Chief Privacy Officer (OPO) (Margaret Rouse, 2017).”What is Meaningful Use? (~200 words, 0.3 points)To better understand what is Meaningful Use, let’s say we have Doctor X.
He is like any other doctor in the US using outdated chart systems, writes prescription by hands, and share the documents with his staff or other healthcare providers, but have a lot of frustration because of that. Sometimes he is missing charts, documents or have difficulties to see the overall picture of patient health. Those challenges make him think about switching from paper to electronic records. What stopping him? The purchasing, implementation, training costs, and new workflows. To help him make this move government offer an insensitive program to do the EHR adoption. Another important piece of that the program is a Meaningful Use of the program. Basically, Doctor X must show not just an adoption but show the Meaning Use of that adoption.
I simple terms Meaningful Use is an adoption of certified HIT technology. So doctors can not just purchase any technology, they need to make sure is certified. The second import part of adoption includes the specific objective. Those adjective include the entry of basic data, vital signs, demographics, medication, and allergies. Its also include the use of the records to enter clinical records, In particular providing patients with electronic versions of their health information.Should patients be the aggregation point for all or any of their health data? Why or why not? (~200 words, 0.2 points)I think that health data should use patient as an aggregated point. When the data available to the patient via web or app and centralized around client it can create almost endless possibilities for a patient and better field for provider improvements.
By using the patient-data-oriented or patient-data-aggregation platform, the patient can view data at any time at one place and share this data with pharmaceutical companies, healthcare providers, researchers, and other organization. A second important aspect of this approach is related directly to patient health and doctors. The centralized way can quickly help patient to share data with a healthcare provider and determine what treatment patient needed when decentralized approach can create delays because to see overall picture will be much more difficult. From a technological standpoint, this also can be a better approach. It included better interoperability and security. The blockchain can be used to improve security and safely transfer data between patient and providers. The patient can also decide if the data need to be anonymized or not.
On top of basic possibilities, the patient can even trade and sale data to marketing or health-related organization companies and gain profit.If the patient will be used as an aggregation point for health data, both sides, patients and health service provides will win. The patient will directly be impacted by higher quality and better care. The provider will focus on goals to better implement HIT technologies.Describe the challenges around PHRs? (~200 words, 0.
3 points)To better understand what challenges PHRs have, let’s describe it what is that 1st. It stands for Personal Health Record. It’s also a tool for collection, tracking, and sharing past and most recent health-related information with healthcare providers.I think the biggest PHRs challenges include: an offering by a vendor, data management, privacy, and security. Let’s look each of the challenges in details.First is vendor offering. What is that and why this is a challenge? Basically, this challenge is related to Global IT vendors who develop technologies for PHR world. The level of difficulties of PHR can be really high.
On top of that, the underprepared marketplace can increase the complexity.Next is Data management. PHR data objects must have great abilities to control data. The patient should have a great model in place to restrict or enable access to the data. Providers must have a solid interface with options to perform CRUD operations.I think that most unclear challenges are a combination of privacy & security.
For example, if PHR user thinks that information got breached by someone who doesn’t have an access. What should the patient do? Who raises a concern? What template must user use to inform about privacy breach? All of those questions are very important and must be understood before the user will get on PHR platform.Explain the Blue Button on FHIR Project and how the idea was formulated. (~100 words, 0.1 points)The goal of BlueButton on FHIR is to create a robust data API service. This API will help beneficiaries to connect personal health-related data with applications and service they trust. BlueButton is represented as one platform, which contains 2 services.
Pull service have FHIR resources and based on clinical concepts, XML and JSON structures, HTTP-based RESTful protocols, OAuth authorization, etc. Push service based on Direct Project and includes OAuth 2.0 with features like an anti-password pattern, policy and identity architecture, suited web applications, and communications with Cloud APIs.How does Interoperability and Meaningful Use relate? (~150 words, 0.2 points)Health Information Technology for Economic and Clinical Health (HITECH) Act “proposes the meaningful use of interoperable electronic health records throughout the United States health care delivery system as a critical national goal” (www.cdc.gov, 2017).
Why is this goal important? I think when Meaningful Use is defined by certified technology it must ensure that preferred technology is connected and provide quality care with a solid approach to transfer health-related documents between different providers. Another very important relationship can be in future. Today almost any technology requires an upgrade over time. To decrease the time of upgrade and support historical data or records, the system needs to interoperable. Why it’s important? Those types of upgrades can bring new standards for security and privacy, improved data management, and provide better care services for patients.What is the Health Information Exchange? How does Privacy, Security, and Trust relate to the Health Information Exchange? (~250 words, 0.4 points)Today patients have many healthcare records in many different places. Now with electronic records, providers can securely access and share these records with one connection to the network.
This is a real benefit for patients because when providers have a complete information they are able to deliver better care and better outcomes. Patient right is protected by both state and federal law. When providers begin to participate they provide each patient and notice health information practices concerning their right under the law. Including the right to Opt-Out of having your information available through the network.
Then patients either acknowledge that they’ve received the notice or they choose to Opt-Out of having their information available on the network.Participation providers can access and securely share their information both physical health and general information. For information regarding treatment for drug or alcohol abuse, federal law provides special protection and access is available only by direct consent or in case of an emergency. If the patient is Opt-Out no providers are able to access any of the patient’s information in the network even in an emergency. Patients can change their mind are able to log back in Opt-Out by anytime by simply informing their providers. Better care and better outcome through complete information while protecting all patient rights under state and federal law. This is what a Health Information Exchange and how Private Security and Trust relate to HIE.
References:Garrett, P., Seidman, J. (2011).
EMR vs EHR – What is the Difference? Retrieved January 26, 2018 from https://www.healthit.govMargaret, R. (2017). ONC (Office of the National Coordinator for Health Information Technology). Retrieved January 27, 2018 from http://searchhealthit.
techtarget.com/definition/ONCwww.cdc.gov. (2017). Meaningful Use – Introduction.
Retrieved January 28, 2018 from https://www.cdc.gov/ehrmeaningfuluse/introduction.html