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The American Journal of Accountable Care September 2015
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Optimizing the Effect of Electronic Health Records for Healthcare Professionals and Consumers
Maryam Alvandi, RCT, MHS
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Optimizing the Effect of Electronic Health Records for Healthcare Professionals and Consumers

Maryam Alvandi, RCT, MHS
Electronic databases promote a safe environment for healthcare professionals by facilitating retrospective analysis of errors; however, providers should make significant changes to how they handle patient information.
CONCLUSIONS
EHRs offer numerous benefits to healthcare professionals and consumers. The creation and innovation of new practice models deliver effective healthcare at a lower cost while improving patient safety and collaborative processes; implementation of EHRs also drives health system sustainability and productivity. The slow development of an electronic infrastructure and initial cost create hindrances to achieving full functionality of EHR systems across the country. The skilled use of continuously developing technology—which provides tools and opportunities for system automation—is an expectation of today’s healthcare workforce that requires further training and education. Nevertheless, despite these limitations, the benefits outweigh the risks.

During technological evolution, it is vital to highlight the importance of strategies to increase familiarization and acceptance of the EHR among healthcare professionals and consumers. An important step toward developing an EHR is to adapt to the procurement challenges caused by information technology acquisition. Proper workplace security discipline and significant engagement strategies are crucial aspects. Organizations need to properly train employees and ensure that only authorized personnel have access to the electronic infrastructure. In order for EHRs to remain sustainable in the longterm and be accepted and utilized, it is vital that practitioners and policy makers direct their attention to the many unresolved issues surrounding consent, privacy, and legal implications to meet government and accreditation requirements. In addition, because of the rapid pace of technological change, ongoing assessments of quality standards in EHRs are critical. These barriers must be removed and more future research needs to be conducted in order to optimize their effect and have a future in which EHRs will remain central to shaping healthcare.

Acknowledgments: This paper has been submitted toward a partial completion of the Doctor of Health Science degree at Nova Southeastern University.

Author Affiliation: Department of Health Science, Nova Southeastern University, Fort Lauderdale, FL.

Funding Source: No funding was provided to prepare this manuscript.

Author Disclosure: Ms Alvandi reports no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article. The author affirms that her academic institution has no financial interest or conflicts.

Authorship Information: Concept and design; acquisition of data; analysis and interpretation of data; drafting of the manuscript; critical revision of the manuscript for important intellectual content.

Address correspondence to: Maryam Alvandi, RCT, MHS, Nova Southeastern University, Fort Lauderdale, FL 33329-9905. E-mail: malvandi@yahoo.com.
REFERENCES
1. Hebda TL, Czar P. Handbook of Informatics for Nurses & Healthcare Professionals. 4th ed. Upper Saddle River, NJ: Pearson Prentice Hall; 2009.

2. Englebright J, Aldrich K, Taylor CR. Defining and incorporating basic nursing care actions into the electronic health record. J Nurs Scholarsh. 2014;46(1):50-57.

3. Wynia M, Dunn K. Dreams and nightmares: practical and ethical issues for patients and physicians using personal health records. J Law Med Ethics. 2010;38(1):64-73.

4. Fox LA, Sheridan PT. Hands-on help: the challenge and the promise of personal health records: the consumer’s view. ADVANCE for Health Information Professionals. 2006;16(17):16.

5. Krohn R. The consumer-centric personal health record--it’s time. J Healthc Inf Manag. 2007;21(1):20-23.

6. Wright A, Sittig DF. Encryption characteristics of two USB-based personal health record devices. J Am Med Inform Assoc. 2007;14(4):397-399.

7. Components (elements or parts) of an EHR or EMR software system. eHealth Information Solutions website. http://www.ehealthinformationsolutions.com/components-elements-or-partsof-an-ehr-or-emr-software-system.html. Accessed June 15, 2015.

8. McGonigle D, Mastrian KG. Nursing Informatics and the Foundation of Knowledge. 2nd ed. Burlington, MA: Jones and Bartlett Learning; 2012.

9. Clauson KA, Marsh WA, Polen HH, Seamon MJ, Ortiz BI. Clinical decision support tools: analysis of online drug information databases. BMC Med Inform Decis Mak. 2007;7:7.

10. Bernstein KE. EHRs can boost compliance. Health Manag Technol. 2007;28(5):22,24.

11. Goldzweig CL, Orshansky G, Paige NM, et al. Electronic patient portals: evidence on health outcomes, satisfaction, efficiency, and attitudes: a systematic review. Ann Intern Med. 2013;159(10):677-687.

12. Consumer health solutions. Canada Health Infoway website. https://www.infoway-inforoute.ca/en/our-partners/vendors/infoway-certified-products. Accessed August 11, 2015.

13. Goetz GD, Kuzel AJ, Feng LB, DeShazo, JP, Love, LE. EHRs in primary care practices: benefits, challenges, and successful strategies. Am J Manag Care. 2012;18(2):e48-e54.

14. Naik AD, Singh H. Electronic health records to coordinate decision making for complex patients: what can we learn from wiki? Med Decis Making. 2010;30(6):722-731.

15. Pomerleau M. Electronic health record: are you ready for the next step? Nurs Womens Health. 2008;12(2):151-156.

16. Furukawa MF. Electronic medical records and the efficiency of hospital emergency departments. Med Care Res Rev. 2011;68(1):75-95.

17. Weitz M, Drummond N, Pringle D, et al. In whose interest? current issues in communicating personal health information: a Canadian perspective. J Law Med Ethics. 2003;31(2):292-301.

18. Boonstra A, Broekhuis M. Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. BMC Health Serv Res. 2010;10:231.

19. McLane S. Designing an EMR planning process based on staff attitudes toward and opinions about computers in healthcare. Comput Inform Nurs. 2005;23(2):85-92.

20. Grant J. Implementing electronic health records successfully. Optometry Times. http://optometrytimes.modernmedicine.com/optometrytimes/news/modernmedicine/modern-medicine-feature-articles/implementing-electronic-health-r?page=full. Published 2010. Accessed August 11, 2015.

21. Canada Health Infoway & Health Council of Canada 2006. Beyond good intentions: accelerating the electronic health record in Canada. Health Council of Canada website. http://www.healthcouncilcanada.ca/tree/2.15-infoway.pdf. Published June 11, 2006. Accessed June 15, 2015.

22. Kondro W. CMA urges overhaul of electronic health records strategy. CMAJ. 2010;182(16):E743-E745.

23. Health care systems. Government of Canada website. http://www.hc-sc.gc.ca/hcs-sss/index-eng.php. Updated February 10, 2014. Accessed June 12, 2014.

24. Progress in Canada. Canada Health Infoway website. https://www.infoway-inforoute.ca/index.php/progress-in-canada. Published July 2013. Accessed June 5, 2014.

25. Vogel L. Canada behind in using and spending on health information technologies. CMAJ. 2010;182(17):E784.

26. Furukawa MF, King J, Patel V, Hsiao CJ, Adler-Milstein J, Jha AK. Despite substantial progress in EHR adoption, health information exchange and patient engagement remain low in office settings [published online August 7, 2014]. Health Aff (Millwood). 2014;33(9):1672-1679.
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