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NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

Differentiate between EMRs and EHRs. Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care. NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

Re: Topic 6 DQ 2 NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

Electronic Medical Records (EMRs) and Electronic Health Records (EHRs) are not the same. Though they are only one letter apart, EMRs and EHRs actually have very different functions. Both are digital programs that house patient information, thus greatly decreasing the reliance on physical paper copies. Both can be used for data tracking and as a tool to ensure patients are receiving proper preventative care, such as immunizations and screenings (Garrett & Seidman, 2011).NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

An EMR is a digitized version of a patient’s medical chart from one specific facility. It includes provider notes, diagnoses, and treatments, all of which occurred at that one clinic in particular (Garrett & Seidman, 2011). EMRs are not easily transferrable to other facilities, however, and often may need to be physically printed out for the information to be shared outside of the clinic/facility (Garrett & Seidman, 2011).

While an EMR focuses on the “medical” aspect, an EHR focuses on “health” as a whole, which is a much broader view (Garrett & Seidman, 2011). EHRs can do everything an EMR can do, and more. They can house information not just from one specific clinic or facility, but from all providers a patient may see, providing a holistic look at the patient’s care as a whole (Garrett & Seidman, 2011). Information can be shared between facilities without the cumbersome process of printing and faxing, providers can collaborate with confidence knowing they’re seeing the same information, and the EHR moves with the patient wherever they go (Garrett & Seidman, 2011).

There are more than 800 certified commercial EHRs for inpatient facilities (DeNisco & Barker, 2016). A commonly used EHR is Epic,NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care
NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

which is what my hospital system just switched to, from Cerner/ORCA. We made the switch to Epic for our inpatient facilities because our outpatient clinics were already using it, and Epic and Cerner did not share information with each other. NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

While switching to Epic was not a smooth transition and we are still working through ongoing issues months later, it was a move made in the name of interoperability and patient quality and access to care. Having out outpatient and inpatient systems talk to each other provides invaluable information when a patient finds themselves inpatient. Providers and care teams can be confident that they see the holistic picture of the patient’s medical care, instead of having to fill in holes in records and spend time piecing together the history.

DeNisco, S.M., & Barker, A.M. (2016). Advanced practice nursing. Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning. NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

Garrett, P., & Seidman, J. (2011). EMR vs EHR—what is the difference? The Office of the National Coordinator for Health Information Technology. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference

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RESPOND HERE (150 WORDS, 2 REFERENCES) NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

Hello

I do agree with you that there are many similarities between EMRs and EHRs due to the fact that both involve digitalization of the healthcare information and processes. However, the biggest difference comes in the usability of the two records, while the EMRs are restricted to the medical procedures or interventions taken on providing care to the patient, the EHRs involves the general health information about the patient from the biodata to any other relevant health information about the patient. Use of EHRs that have proved to be beneficial to the healthcare systems in a number of ways.

NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to careIt has helped the medical practitioners to access the whole of a patient’s medical history. The information helps the healthcare practitioner to be aware of any medical diagnoses the patient has undergone, any of the prescribed drugs the patient has used before and any allergies experienced by the patient (Dash et al., 2019). Additionally, the use of EHR has helped in analysis of demographics and clinical narratives together with the laboratory test results.

This has ensured the reduced lag time hence the treatment process is able to be followed up quickly due to availability of the previous data. This also saves on cost hence in some cases no further examinations are needed because it is easier to infer from the previous existing data that is related to the current situation the patient is suffering from (De Benedictis et al., 2020).

References NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

Dash, S., Shakyawar, S. K., Sharma, M., & Kaushik, S. (2019). Big data in healthcare: management, analysis and future prospects. Journal of Big Data, 6(1). https://doi.org/10.1186/s40537-019-0217-0

De Benedictis, A., Lettieri, E., Gastaldi, L., Masella, C., Urgu, A., & Tartaglini, D. (2020). Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants. PLOS ONE, 15(6), e0234108. NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to carehttps://doi.org/10.1371/journal.pone.0234108 

Also Read:  NUR 514 Topic 6 DQ 1: Informatics

Coordination and consistency of care is extremely important in healthcare (DeNisco, 2021). However, effective coordination is difficult to attain without interoperability between electronic health records (EHRs). Although technology is available to improve interoperability, it is not utilized as much as it should be. Barriers to this include privacy concerns, reliability of data, and reimbursements for provided services.NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

Increasing interoperability between EHRs allows healthcare providers to receive valuable information in a timely manner, which is crucial for many reasons (DeNisco, 2021). First, this allows providers to review information on out-of-network patients so care can be consistent. Additionally, this allows providers to communicate with specialists about opinions and treatment recommendations.

This improves quality and access to care because this often eliminates unnecessary referrals to specialists, which saves patients time and money. Coordinated care and effective communication amongst providers increases quality of care for patients. With adequate documentation of data exchanges, potential issues with interoperability can be identified by using workflow analysis. This analysis can identify missed steps, duplicated steps, and areas of improvement. Once issues are identified, evidence-based planning can be started to resolve the issue.

References NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care

DeNisco, S.M. (2021). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning.

DQ2

Interoperability allows seamless information flow between systems and among different healthcare providers to make care delivery more efficient. Electronic health records contain patients’ information, which is used by providers to support effective patient care. Interoperability between the electronic health record and other disparate systems is important because providers use multiple systems caring for the same patient (Staras & Tauscher, 2021).

Communication between these systems is necessary for information updates, flow, sharing, and real-time access to inform care decisions. Moreover, patients also have multiple providers and there needs to be communication and flow of information among the providers to improve care efficiency and eliminate errors associated with duplication of tests and inadequate information about the patient history and other treatments. Interoperability is also valuable in generating medical insights and efficient analysis of existing data sources (Bates & Samal, 2018).

Mapping out workflow is an important practice in healthcare used for quality improvement. Workflow analysis can help improve interoperability because it identifies instances of repetitive tasks or information delays. Additionally, workflow analysis exposes unnecessary tasks causing extra work, sources of delays, absence of quality standards controls, undefined responsibilities and misinformation.

These issues reveal areas where more reinforcement is needed to enhance interoperability effectiveness. Improving workflow and interoperability of electronic health records with other systems has a great impact on improving the productivity of a health organization (Moritz Lehne, 2019). For interoperability to work well, there needs to be compatibility between workflow and interoperability. Understanding the issues that affect the effectiveness of interoperability in the workflow enables evidence-based changes and better engagement of providers in sharing information to enhance the effectiveness of patient care.

References

Bates, D. W., & Samal, L. (2018). Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future? Health Serv Res., 53(5): 3270–3277. . doi: 10.1111/1475-6773.12852.

Moritz Lehne. (2019). Why digital medicine depends on interoperability. NPJ Digit Med. 2019; 2: 79.,

Staras, S., & Tauscher, J. (2021). Using a Clinical Workflow Analysis to Enhance eHealth Implementation Planning: Tutorial and Case Study. JMIR Mhealth Uhealth, 9(3): e18534.