Community and public health care providers’ focal point is health advancement and disease prevention, meeting the needs of the community by recognizing health issues and maintaining the well being of individuals in the community. The public and community health system focus is on prevention through community health advancement, those public services and interventions which protect the population from certain disease and illness (Aveling et al., 2017). Public health officials use the data in health records in their attempt to limit disease and monitor the health status of a population. Public health officials can predict and keep up with the current direction of diseases, by recognizing certain occurrence of the disease (McWay, 2014). Electronic medical record (EMR) systems have the potential to help assimilation between primary care and the public health system at the point of care. Administrative and clinical data are two types of data that are used with electronic medical records (McWay, 2014). EClinicalWorks, Allscript, and Epic are three EMR systems that are used in the health care profession.
Potential stakeholders that can be served by electronic medical records include three main groups that share responsibility for the healthcare organizations’ compliance with the requirements for collecting and maintaining clinical data include the health care provider, the health information management professional and the organizations’ health record committee. The care that is given in an exact, total and acceptable form is the responsibility of the health care provider (McWay, 2014). Health information management professionals assist health care providers registering in patient care by managing policies consistently and expanding procedures to encourage complete records that are not totally completed (McWay, 2014). The health record
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committee is responsible for arranging guidelines for quality of the health records; this includes terminology (McWay, 2014).
The types of data that should be included in electronic medical records and the quality criteria necessary include administrative and clinical data. Administrative data is data received from every patient; this includes simple rapport and financial information. Clinical data is data that is collected, maintained and connected to the patient’s health and treatment of care (McWay, 2014). Determining the patients who are due for preventive visits and detecting how patient’s measure up to certain variables, such as vaccinations and high blood pressure screenings are all examples of clinical data. By improving the overall quality of certain care in a practice, the information stored in electronic medical records is not easily shared with providers outside of a practice (Scheck ; Robbins, 2010). Electronic medical records system displays central of any computerized health information structure. Without electronic medical records other modern technologies such as decisions support system cannot be correctly mixed into routine clinical workflow (Scheck ; Robbins, 2010).
Three potential options for electronic medical records are eClinicalWorks, Epic and Allscripts. EclinicalWorks, are a combined set of electronic medical records, patient management, tele-visits, population health, care coordination and analytics. With eClinicalWorks, technology is accommodated through each step of the patient care distribution procedure. There is an eClinicalWorks Grind Cloud, the cloud is accessible at all times and the data is kept
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safe and secure (Davis ; Khansa, 2016). All data with eClinicalWorks that is private stays private and does not get other data mixed up with data from another practice. Cons of eClinicalWorks may include maintenance and education that are often looked over when considering the initial and continuous costs of electronic medical record implantation (Davis ; Khansa, 2016). The high cost may also be a con to some. Another electronic medical record system is Epic. The epic market focuses on large organizations and academic medical careers. Epic implantation help functions associated with patient care, including registration and scheduling, clinical systems for doctors, nurses, emergency personnel, and other care providers. One con with Epic is that user’s competitor’s software data is not permitted to be shared in a way that would achieve Meaning Use requirement in 2009 law (McQuire et al., 2013). With product cost and authority, the company is often criticized. The third electronic medical record system is Allscript, which is a resolution for small to midsize physician practices. The history of what treatment health care providers have given is followed and can repeat when relevant (Davis ; Khansa, 2016). Based on the patient’s age and symptoms users will then receive patient care recommendations. Allscript offers the industry’s only vendor-agnostic patient engagement policy. Providers can engage patients directly and fully communicate with open access across the community, creating game changing enhancements in patient outcomes and operational performance. With almost every sector of the medical and health industry, Allscript offers medical software solutions (McQuire et al., 2013). Allscript has computer programs already worked out with organizations, laboratories and pharmacies across the country. They currently support more than 160,000 physicians and 800 hospitals with its software products. Some other cons with electronic medical record systems are that the systems should enhance the work of
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healthcare providers working with the advancing medical technologies, but such is not always the case. The challenges that hospitals face when applying electronic medical record systems are the need to improve usability, ensure interoperability and keep cost affordable (Aveling et al., 2017). This is often not achievable as healthcare institutions, already aiming to afford the care provided and often battle to budget for the large cost of purchasing, implementing and maintaining an electronic medical record system. The cons to this electronic medical record system would be that one has to be careful about protecting the data from unauthorized people. Many clinicians using EMRs sometimes do not enroll safety improvements with new software and EMR implementation scan have unintended consequences, negatively impacting quality and safety. To promote the use of such functionalities, the United States government has implemented standards for “meaningful use” (McQuire et al., 2013).
Recommending Epic care for electronic systems seems to be the way to go. This system would be a good choice for the organization of community and public health because it is a solution for large health care systems. Epic also provides patients portal and e-prescribing features (Davis ; Khansa, 2016). Clinics can smooth their progress using customize screens, and intense suited exercises with Epic also. The execution module authorizes clinics to track payments, bills, and invoices. Increasing electronic medical records use has been looked at as a plan to enhance patient safety.
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In conclusion, the community and public health care sectors are very important. As a healthcare professional in the community and public healthcare organization, there are many that will be served by electronic medical records. Electronic medical record systems are the electronic record of health-related information on individuals that can be gathered, managed, created, and advised by authorized clinicians and staff within one’s health care organization. Administrative and clinical data should be used and are necessary with electronic medical records. Electronic medical record systems can help health care professionals and institutions organize data and improve workflows. Accuracy, accessibility, comprehensiveness, consistency, currency, granularity, integrity, precision, relevancy and timeliness are characteristics of quality data (McWay, 2014). Epic is one of the best electronic medical record systems and should be recommended and used in the public and community health organization. Electronic medical records goal is to enhance patient care and outcomes, increasing efficiency of lowering cost, improving billing procedures, reducing the amount of lost of records, data and medical errors and providing better access to patient histories.