PHR Assignment
Healthcare is transitioning to the use of health information systems that include EMR and PHR systems. The goal is to better meet the needs of the healthcare providers in caring for their patients as well as to provide patients with more support.
EMR and PHR
Electronic medical records (EMRs) are a digital version of the paper charts used in the health care setting. The use of EMR replaced paper charting and has advantages over paper charting. It contains the medical and treatment history of the patients in one practice making it easier to monitor and improve overall quality of care within the organization. Information is protected and can only be accessed by members of the practice. With paper charting, …show more content…
once the patient is discharged, their information is sent to medical records where they keep it stored. With EMR, if other providers need to access the medical records, it can be printed and delivered to the requesting provider with the patient’s consent.
While the medical provider controls information entered into the patient’s chart in EMR, personal health record (PHR) is a health record where health data and information maintained by the patient. PHR stores an individual 's personal health information in one place instead of storing files in various doctors’ offices.
Benefits of PHR for the Patient and Health Care Provider or Organization.
With PHR, the patient controls access to medical records and those records follow the patient making easier for providers to manage the patient’s care.
Patients who receive care between different doctors of different specialties, in different locations can easily and more efficiently share important information. By intergrading information, it adds many other benefits; such as drug-drug interaction checking, electronic messaging between patients and providers, managing appointments, and reminders. This has the potential to improve the safety and quality of care, and better patient outcomes. After having tests or laboratory work done, instead of making an appointment for the results, patients can go online and access that information, saving time for physicians who need to tend to ill patients for that day. According to Tand, Ash, Bates & Overhage (2006), “patients who are more engaged in their health are more active participants in the therapeutic alliance, for example, when patients with chronic conditions collaboratively manage their illnesses with clinicians to reduce pain, improve functional outcomes, and improve medication …show more content…
adherence”.
Cons, Security and Privacy Issues Related to PHRs.
PHR has not been very well adapted due to technical and ethical issues.
Patients do not want to manually input data into the system and fear that their personal information is not secure. According to Groen, Goldstein, & Nasuti, (2007), accuracy of the information can be a concern, “Involving patients not only in viewing and interpreting but also entering their own data raises the issue of data accuracy.” On a web-based PHR patients can run into recurrent technical problems or connections to a specific hospital’s information system. Medical records contain very sensitive information such as weight, disorders, and procedures, keeping unwanted eyes from seeing that information could prove difficult, adding a threat to the patient information confidentiality. PHRs are not all covered under HIPAA, “While HIPAA compels covered entities to provide notice of their privacy practices to consumers, not all PHR vendors are “covered entities” as defined under HIPAA. (U.S. Department of Health and Human Services,
2006)
I do not have a PHR but would like to develop one in the near future. If I want to change providers for any given reason, all of my medical records are secured with PHR without losing any information and given my new provider access to my records. This shortens the time of having to start fresh with a new doctor. I also would like to be more involved in my own care by being able to look into my health records and data.
References
Groen, P. Goldstein, D. & Nasuti, J. (2007). Personal Health Record (PHR) Systems: An Evolving Challenge to EHR Systems. Retrieved from http://www.hoise.com/vmw/07/articles/vmw/LV-VM-08-07-26.html
Tand, Ash, Bates & Overhage. (2006). Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to Adoption. [Article] Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447551/pdf/121.pdf
U.S. Department of Health and Human Services. (2006). Personal Health Records and Personal Health Record System. Retrieved from http://www.ncvhs.hhs.gov/0602nhiirpt.pdf