Word: ehr
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...information and notes in alpha-numerical form. The system was never implemented and eventually abandoned in 2006 after many physicians and nurses complained. Now, instead of one over-arching system, record keeping utilizes various compatible systems, linking networks established by regional health agencies. "What we found is that EHR adoption must be done by evolution rather than revolution," says Jens Andersen of sunded.dk, the state healthcare web portal. "You have to work with the systems already in place...
...effort to reform American healthcare, electronic health records (EHR) are a double victory: they both save money (by reducing the duplication of tests and labor associated with manual filing systems) and improve outcomes (by reducing medical errors). President Obama recently pledged $19 billion to computerize America's medical records by 2014. But while health economists and campaigners in America debate what such a brave new paperless world will look like, the small Scandinavian country of Denmark has already made the transition, and is happy to tell the world about it. (Read "The Year in Medicine 2008: From...
...When TIME visited Copenhagen in March, the EHR evolution was evidently still in progress, with the latest phase focusing on the roll out of telemedicine programs. In the past year, Denmark has piloted two home monitoring programs for patients with diabetes and patients on blood thinning medication - groups that are at high risk of expensive emergency hospitalization. For diabetics, specially trained nurses make home visits to patients with diabetic foot ulcers - which often become infected and lead to amputations. Over a secure video link, the doctor and nurse discuss the ulcers and decide a course of treatment. For patients...
...from physicians. Harried doctors, who barely have enough time to see all their patients and manage all their cases, do not want to bother with the added chore of learning a new computer system, no matter what the promise of its virtues. Past research suggests doctors are afraid that EHR could reduce their clinical productivity...
...most human beings can be persuaded, especially with cash. The study found that among hospitals that had implemented digital records - which tended to be teaching hospitals and larger hospitals in urban areas - 82% had received additional reimbursement for EHR use, and 75% got financial incentives for adopting the system. It also helped to have adequately trained staff and available tech support, which the authors suggest we'll need more of to make progress - particularly when it comes to the exchange of health information between hospitals. Try getting any two offices in any industry to integrate their computer systems so that...