Week 3 - Foundation and Application of Health Informatics Flashcards
EHR - what abbreviate
Electronic health record
EHR - definition
health record under the custodianship of the health system used in support of multiple care settings
EHR - what does it provide
provides ea canadain with secure and private lifetime record of key health history and care within the HC system
EHR - how available
available electronically to authorized HCPs and the individual anytime, anywhere ins support of high quality care
EHR - what facilitate
sharing of data across continuum of care, HC delivery organizations and geographical area
ex. alberta netcare
DIS - what abbreviate
drug information system
DIS - different from drug information?
different from drug information
-providing patient care by developing search strategies for various information needs
DIS - is a component of what
component within EHR
DIS - enables what
enables authorized users to access, manage, share and safeguard pateints medication histories
DIS - what is within
record of all prescription medications dispensed
DIS - what does it support
supports storage and retrieval of patient Rx and medication info
may provide application services supporting dispensing activities such as drug usage evaluation
DIS - examples
BC: pharmaNet
PEI: DIS
EMR - what abbreviate
Electronic medical record
EMR - what is it
a record under the custodianship of a HCP that is used in a community physician or specialist physician practice setting
EMR - what records maintained
records maintained on patient:
- demographics
- medical and drug history
- diagnostic information (including lab results and imaging)
EMR - office management functions
EMR has office management functions such as billing and scheduling
EMR - more advanced EMR fts (5)
more advanced EMRs include order entry for medications and test, alerts, reminders and clinical decision support
EHR contains (6)
patient registries
lab information systems
diagnostic imaging repositories
provider registries
DIS
public health surveillance
PHR - what abbreviate
personal health record
PHR - who is custodian
a health record under the custodianship of a patient which might include a family member or caregiver
PHR - where used
used in any setting where individuals are managing their own care
PHR - what is it
computer based medical record that holds all or a portion of the relevant health information about individuals over their lifetime
PHR - information sources
health system and CoC for the individuals
PHR - often integrated with what
PHR is often integrated with the EMR and EHR (possibly with other systems as well) used by clinicians and delivery organizations
PHR - who may input info
family members, caregivers, and the individual may input relevant information
-including from medical devices
Benefits of digital records: Communication
improved communication between clinicians and care providers
Benefits of digital records: access
- easily accessible through variety of hardware interfaces (ex. computers, mobile devices, etc)
- information can be accessed by those involved in care since the patient’s record is not in a physical location
Benefits of digital records: patient safety
expedited retrieval of information
ex. can generate reports for drug recall, safety alerts
Benefits of digital records: convenient
can be accessed by a variety of clinicians at one time and in different locations (remotely)
Benefits of digital records: efficient
information immediately available (no delay)
Benefits of digital records: patient outcomes
can track outcomes for chronic disease management (ex. diabetes)
Benefits of digital records: decreases errors
information is legible, easier to find, more complete
Benefits of digital records: list them all
communication access patient safety convenient efficient patient outcomes decreases errors
challenges of digital records: cost
- high upfront acquisition costs for relevant software, routine support and maintenance, and necessary hardware updates
- converting paper records to digital records is required
challenges of digital records: user reluctance to adopt
clinicians who may be less comfortable with computers and software
challenges of digital records: disruption to workflow
modifying the workflow in a physical space that likely was designed for a paper-based system
challenges of digital records: perceived vulnerability to security breaches
clinicians and patients may be concerned with data security
challenges of digital records: list all of them
cost
user reluctance to adopt
disruption to workflow
perceived vulnerability to security breaches
major challenges with EHRs: cost
software, hardware, support, and maintenance
major challenges with EHRs: privacy laws
each province has laws regarding the collection, use, protection, and disclosure of PHI
major challenges with EHRs: implementation issues
integrating different EMRs
Integrating different EHRs
major challenges with EHRs: list all
cost
privacy laws
implementation
Ontario EHRs
- when developed/how organized
- list the 3 clusters
development since 2008, divided into 3 clusters
northern and eastern region (NER)
south west ontario (SWO)
Greater Toronto Area (GTA)
South West Ontario Cluster
- history
originally managed by connecting south west ontario (cSWO)
- program ended march 31 2020
- transition back to Ontario Health (digital)
- now manage under Hamilton Health Sciences
South West Ontario Cluster
-oversee what four local health integration networks (LHIN)
earie St Clair
south west
waterloo wellington
hamilton niagra haldimand brant
What is Clinical Connect
South west ontarios regional electronic health record`
secure web based viewr that provides health service providers with reat time acess to their pateitns PHI
can anything be altered in ClinicalConnect
NO
its just a viewer, nothing can be altered or deleted
security of ClinicalConnect
securely encrypted over the internet and accessible anywhere you have an internet connection
Access to clinicalConnect
access through ONE ID
-secure single entry point to a suite of provincial data
From ClinicalConnect, partcipating organizations can gain access to data from:
Acute and Community Clinical Data repository (acCDR)
-transcriptions from hospitals outside south west ontario
Diagnostic imaging Common Service (DI-CS)
-Dianostric imaging and reports from hospitals and independent health facilities across ON
Digital heatlh drug repository (DHDR)
-dispensed community publicly-funded drugs, monitored drugs, and pharmacy services across ON
ontario Laboratory information system (OLIS)
-Laboratory test orders and results from hospitals and community based labs across ON
why is EHR access important for pharmacy practice (5)
for new or unfamiliar patients:
-to verify narcotic dispensing history
- assist patients in an emergency situation who find themselves without their Rx meds
- when pateitns move to the community from outside the region (ensure patient not missing any therapies)
- Assist physicians at walk-in-clinics, when pateints regular pharmacy is closed
- allow RPh to work to full SoP
