Question

. What are some of the most difficult barriers to electronic heath record implementation? Do these barriers impact the quality of patient care? 3. What are some of the most difficult barriers to other informatics tool (CDSS, CPOE) implementation? 4. Once EHR has been fully implemented, has it been utilized effectively? 5. How does the EHR support quality patient care? 6. Do the benefits of an EHR outweigh the barriers?

Answer 1

1.Some of the challenges to health record implementation are mainly related to usability such as

• Navigation problems,result in difficulty in processing patient notes.
• Technical glitches due to poor connectivity
• Privacy concern resulting from cyber attacks is another challenge.
• Though innovative softwares are useful ,the cost of such system is an added expense.

2 It is sometimes a daunting process for the health care organization to deal with Electronic records and needs to be continually evaluated to check for quality.Inorder to improve outflow work flow templates need to be changed.

3.CDSS (Computerized Decision Support systems)-Some of the barriers are

• low computer skills
• Performance of CDSS may be affected by over use.
• Errors on CDDS should be effectively managed using specific guidelines otherwise it may result i risk to patients.
• Too much warnings in the CDSS format result in lack of interest to the software by the medical professionals.

4 EHR has been found effective in narrowing the quality gap , reduced medication errors ,and help in improving chronic disease management.It also facilitate remote access to current medical information via Internet.

5. It provides quality care by

• Integrating data sources fro multiple resources for better decision making.
• Provides better patient care by filling up communication gaps,efficiency,safety and effectiveness.
• It reduces waste and redundant tests by coordinating health services.

6 - .It saves time by reducing paper works

-It helps in quick acess to patient records for a much co-ordinated case.

-It is useful in reducing medical errors and providing quality care.

-EHR helps in meeting the business goals by enabling the providers to increase efficiency

-Gives an update and recent information about patients.

- User friendly software make it easier for reliable prescribing as well as help in improving productivity.

-EHR is more legible and easy to comprehend as it promotes complete documentation.