H3IT Logo

Home Healthcare, Hospice, and Information Technology Innovations Conference

Innovations in Home Healthcare, Hospice, and Information Technology

A forum towards achieving evidence-based diffusion and implementation of innovations

Fri, Nov 3, 2017
Friday, Nov 3, 2017, Washington - D.C.
H3IT: Home Healthcare, Hospice, and Information Technology Conference Chicago, IL, 2016
Current Roles and Applications of Electronic
Health Record in the Healthcare System
Florence F. Odekunle
lectronic health record (EHR) has been shown to play major roles in the healthcare system. The main drivers
for the increasing roles and applications of EHR in healthcare systems include the need to improve eciency
in healthcare service delivery, patient safety, access to health care services, and more importantly, the need to
reduce the costs of medical expenditures. The main goal of this paper is to review current trends in the roles
and applications of EHR in the healthcare system.
Methods: A literature search was conducted on the PubMed and OvidSP electronic databases. The Google scholar search
engine was also utilized. Relevant books were also employed. In order to facilitate the search, the following keywords were
adopted: clinical application of electronic health record, uses/roles/applications of electronic medical record, and administra-
tive applications of electronic health record. Original papers, review articles, and articles available in full text published in
English in the last twelve years were included. Sixtyseven papers were initially retrieved. However, only 13 met the inclusion
criteria and were nally reviewed.
Results: Currently, the roles and applications of EHR in the healthcare system include clinical care application/functions,
nancial function,
clinical research function,
and administrative function.
EHR provides clinical functions
which are health information and data, test results management.
order entry and support, and decision supports.
It has also played a signicant role in the healthcare system in the aspect of clinical research using the query and surveil-
lance facilities in the computer stored records. The query systems can be used to identify patients who meet the eligibility
requirements for prospective clinical trials.
Administratively, EHR can be used to schedule hospital admissions, in-patient,
and outpatient procedures, and visits which, therefore, improves the eciency of healthcare systems and also oers better
and more timely service to patients.
The application of EHR in health care nancing is an important area to discuss
especially during this period of federal healthcare reform with the goals of maintaining balance among access, costs, and
quality of care. Based on cost-accounting applications in other industries, health care cost-accounting systems, adapted
from cost-accounting applications in other industries, have been adopted widely.
EHR has also been very useful in disease
reporting and population health management.
Discussion: EHR is not just a digital form of a paper medical record, but it provides the following clinical functions:
physician order entry, integrated view of patient information and data, access to knowledge resources, clinical decision sup-
ports, and integrated communication. However, in hospices, the use of EHR has been limited to administrative and clinical
functions. In the reviewed article, there was no mention of the use of EHR in regards to clinical research and reporting.
Conclusion: EHR has been very useful in various ways in the healthcare system ranging from clinical care application to
the administrative function to clinical research function, to nancial application, and reporting in the healthcare system.
Further research is needed on the clinical research use of EHR at home health and/or hospice care.
1. Resnick, HE and Alwan, M. Use of health information technology in home health and hospice agencies: United States,
2007. Journal Of The American Medical Informatics Association: JAMIA 2010;17:389–395.
2. Cagle, JG, Rokoske, FS, Durham, D, Schenck, AP, Spence, C, and Hanson, LC. Use of electronic documentation for
quality improvement in hospice. American Journal of Medical Quality 2012;27:282–290.
3. Kramer, A, Kaehny, M, Richard, A, and May, K. Survey questions for EHR adoption and use in nursing homes: nal
report. Denver, CO: US Department of Health and Human Services 2010.
4. Shortlie, EH and Cimino, JJ. Biomedical informatics: computer applications in health care and biomedicine. 4th
edition. Springer Science & Business Media, 2014.
5. Tang, P et al. Key capabilities of an electronic health record system. Washington, DC, Institute of Medicine of the
National Academies 2003.
6. Chaudhry, B, Wang, J, Wu, S, Maglione, M, Mojica, W, Roth, E, Morton, SC, and Shekelle, PG. Systematic review:
impact of health information technology on quality, eciency, and costs of medical care. Annals of internal medicine
Rutgers, The State University of New Jersey
Copyright © 2016 by Maryland Health Information Technology LLC Creative Commons License c b nd 51
H3IT: Home Healthcare, Hospice, and Information Technology Conference Chicago, IL, 2016
7. Wager, KA, Lee, FW, and Glaser, JP. Health care information systems: a practical approach for health care management.
John Wiley & Sons, 2009.
8. Hsiao, CJ, Hing, E, et al. Use and Characteristics of Electronic Health Record Systems Among Oce-Based Physician
Practices, United States, 2001-2012. US Department of Health, Human Services, Centers for Disease Control, and
Prevention, National Center for Health Statistics, 2012.
9. O’malley, AS, Grossman, JM, Cohen, GR, Kemper, NM, and Pham, HH. Are electronic medical records helpful for care
coordination? Experiences of physician practices. Journal of general internal medicine 2010;25:177–185.
10. Ghazisaeedi, M, Mohammadzadeh, N, and Safdari, R. Electronic Health Record (EHR) as a vehicle for successful health
care b est practice. Medical Archives 2014;68:419.
11. Mantas, J and Hasman, A. Informatics, Management and Technology in Healthcare. Vol. 190. IOS Press, 2013.
12. Hatcher, M and Heetebry, I. Information technology in the future of health care. Journal of Medical Systems 2004;28:673–
13. Ward, R. The application of technology acceptance and diusion of innovation models in healthcare informatics. Health
Policy and Technology 2013;2:222–228.
14. Dolatabadi, ND, Sadoughi, F, Ahmadi, M, and Shahi, M. HEALTH INFORMATION SYSTEM TO IMPROVE EL-
DERLY HEALTH. Medicinski Glasnik/Medical Gazette 2013;18.
15. Nasrin, D, Farahnaz, S, and Maryam, A. Health information system to improve elderly health: Study of health infor-
mation system in us to setup standard for developing countries. Medicinski glasnik Specijalna bolnica za bolesti štitaste
žlezde i bolesti metabolizma Zlatibor 2013;18:18–28.
Copyright © 2016 by Maryland Health Information Technology LLC Creative Commons License c b nd 52