Electronic Health Record

The patient has better access to their
healthcare information allowing
decisions based on better knowledge.
 Tools available to assist the patient in
making healthier choices and
communicating better with their
 Perceived quality of care and patient
satisfaction are improved.
The patient is now an interactive part of
the healthcare team, actively involved
in decisions regarding his/her own
healthcare plan.
 Patient involvement up front leads to a
safer healing environment.
Multiple caregivers having access to the
patient’s information simultaneously.
 Patient information more readily
available between healthcare entities to
enhance collaboration of care.
 Ability to enhance patient safety by
capturing data and providing tools such
as conflict checking.
 Quality of care increases significantly.
Provider workflow supported – having
information access leads to quicker
better informed decisions.
 Coordination of care supports a model
of best-practice healthcare.
Ease of access to personal health
information (by patient or caregiver).
 Ease of transport (patient can carry an
electronic version of relevant parts of
his/her medical record.
 Enhanced communication between the
patient and their healthcare providers.
Access to your personal health
information from anywhere.
 Ability to update your health record as
things change in your life.
 Active patient review of their health
information will result in a more accurate
health picture.
Elimination (or at least minimization) of
paper as the source of the record.
 Access to a more complete patient
history can aid in the diagnosis and
 Technology advancements streamlining
information gathering, storage, system
integration and electronic transfer.
Walls and borders of care removed –
electronic access is virtual.
 Real-time patient information.
 Enhanced billing and income capturing
providing a more stable cash flow.
Data capture – what do we do with it?
› Risk factor detection
› Best practice treatments
› Identification of safety issues
› Financial modeling
› Program development, modification, or
Sole proprietorship outpatient clinic – not
as common today – why?
 Group practice – several physicians in
the same building – advantages?
 Corporate group practice model –
physicians are employees –
advantages? Disadvantages?
 Individual practice association –
physicians remain independent –
Federal clinics – examples?
 Urgent/immediate care clinics – their
 Multispecialty clinics – structure?
 Point of service arrangements –
capitation –
Community hospitals
 Critical access hospitals
 Long-term hospitals
 Psychiatric hospitals
 Specialty hospitals
 Private hospital
 Multi-hospital systems
Rehabilitation centers
 School-based health centers
 Day hospitals
“Contrary to the popular belief that
there is no national healthcare in the
U.S., the federal government spends
billions of dollars providing ‘free’
healthcare to specific populations.”