August 2010

The Medical Record Moving Forward

With the HITECH Act, the role of the medical record is being further stretched to serve as data repository for quality reporting, clinical studies, public health surveillance and more. The problem is that many electronic medical records systems are replacing the narrative note with computer-generated notes that, while useful for creating a data repository, are far less useful for supporting patient care. 
 

Primary Purpose of a Medical Record

Are we losing sight of the primary purpose of a patient medical record, which is to support patient care?

The primary purpose of a medical record is for supporting patient care.

Narrative notes serve several purposes by helping physicians and other caregivers:

There is Gold in the Hills

The ‘gold rush’ of Electronic Health Records is on. Or so says every major media outlet and President/CEO of a healthcare vendor. Now is the time that America will finally get electronic health records that will catapult this country into the future of healthcare delivery. Or is it?

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