An advanced decision support system for prescribing to patients with renal impairment and geriatric patients was successfully implemented in an ambulatory electronic medical record (EMR) system.

Health information technology (HIT) is engineered to promote improved quality and efficiency of care, and reduce medical errors. Healthcare organizations have made significant investments in HIT tools and the electronic medical record (EMR) is a major technological advance. The Department of Veterans Affairs was one of the first large healthcare systems to fully implement EMR. The Veterans Heal...

The electronic medical record (EMR) is an enabling technology that allows physician practices to pursue more powerful quality improvement programs than is possible with paper-based records. However, achieving quality improvement through EMR use is neither low-cost nor easy. Based on a qualitative study of physician practices that had implemented an EMR, we found that quality improvement depends...

Reimbursement for healthcare has utilized a variety of payment mechanisms with varying degrees of effectiveness. Whether these mechanisms are used singly or in combination, it is imperative that the resulting systems remunerate on the basis of the quantity, complexity, and quality of care provided. Expanding the role of the electronic medical record (EMR) to monitor provider practice, patient r...

The Electronic Medical Records system (EMR) is a method of storing information kept in a traditional medical record in an electronic database for distributed access to medical professionals. This paper focuses on how an EMR system can be designed to allow for the integration of an assisted living at home system and which together can allow for the automated data entry into the EMR from home med...

OBJECTIVES This report presents information on the adoption of electronic medical records (EMRs) by office-based physicians in 2007. Percentages of medical practices and physicians within practices using EMR systems are presented by selected physician and practice characteristics. METHODS Data from the physician induction interviews of the 2007 National Ambulatory Medical Care Survey (NAMCS) ...

In 2007, the National Human Genome Research Institute (NHGRI) established the Electronic MEdical Records and GEnomics (eMERGE) Consortium (www.gwas.net) to develop, disseminate, and apply approaches to research that combine DNA biorepositories with electronic medical record (EMR) systems for large-scale, high-throughput genetic research. One of the major ethical and administrative challenges fo...

Institutions all want electronic medical record (EMR) systems. They want them to solve their record movement problems, to improve the quality and coherence of the care process, to automate guidelines and care pathways to assist clinical research, outcomes management, and process improvement. EMRs are very difficult to construct because the existing electronic data sources, e.g., laboratory syst...

With the objective of increasing electronic death registration, Intermountain Healthcare and the Utah Office of Vital Records and Statistics have developed a system enabling death certification from within Intermountain's electronic medical record (EMR), consisting of an EMR module and an HL7 interface. Comparison of post-intervention death certification at Intermountain Healthcare against a ba...

The adoption of electronic medical records is a strategy for improving health care in the United States, and there are national efforts to provide funding for the initial purchase of EMR systems. The use of IT in making clinical health care more efficient and effective is well known (Dick and Steen, 1991). But recent articles in the healthcare domain indicate that 20 to 30% of electronic medica...