Electronic Health Records and Personal Health Records
Section snippets
Electronic Health Records–2004 to Today
The Institute of Medicine's recommendations for care redesign, published in the seminal 2001 report, “Crossing the Quality Chasm,” were catalysts for informing changes required to ensure quality health care in the new century.7 Tenets of care redesign included providing tailored care for patients, recognizing the patient as the source of control of care, sharing knowledge, decision-making based on current evidence, transparency in care, and clinician cooperation. Subsequently in 2004, the US
Information Communication Technology
The value of information communication technology (ICT) and access to information is largely facilitated by the availability of user-friendly mobile devices such as wireless portable computers and smartphones. Mobile technology allows access to multimedia resources on the web, social networking sites, music, instant messaging, and e-mail. Recent survey research suggests that use of the Internet in many aspects of life is becoming universal. About 79% of US adults (>18 years of age) are using
Personal Health Records
Improved access to the health record remains a challenge, but with ARRA funding, development Finnish citizens value access to health care and have created an infrastructure of patient-centric approaches to health care and PHRs will continue. Patients are the consumers of health care. They are witness to the paradigm shift of consumer access to health information and changes in ICT. Traditionally, documentation of health information and controlled access to this information was the
Implications for Nursing Practice
PHRs and ICTs are giving consumers the tools to access information and feedback on their current state of health. Thirty years ago Virginia Henderson described the practice changes associated with preserving the art of nursing in a technological age as helping “persons, sick or well, from birth to death, with those activities of daily living that they would perform unaided if they had the strength, the will and the knowledge” to do so.48 The same is true today. Advances in technology will
Conclusion
For the patient with cancer, widespread use of ICT, EHRs, and PHRs could mean improved understanding of the therapy schedule, documenting and managing side effects, and interacting with the oncology care team to continually tailor care and participate in shared decision-making. For the oncology nurse, the transformation of health care and ICT will require nurses to expand the art and science of nursing to include education and assistance of patients and family members with at-home monitoring
Christine A. Caligtan, RN, MSN: Nursing Informatics Applications Specialist, Clinical Informatics Research & Development, Partners HealthCare System, Wellesley, MA.
References (48)
- et al.
A closer look at nursing documentation on paper forms: preparation for computerizing a nursing documentation system
Comput Biol Med
(2011) - et al.
The relationship between electronic health record use and quality of care over time
J Am Med Inform Assoc
(2009) - et al.
Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption
J Am Med Inform Assoc
(2006) - et al.
Evaluation of an online platform for cancer patient self-reporting of chemotherapy toxicities
J Am Med Inform Assoc
(2007) - et al.
Feasibility and acceptability to patients of a longitudinal system for evaluating cancer-related symptoms and quality of life: pilot study of an e/Tablet data-collection system in academic oncology
J Pain Symptom Manage
(2009) - et al.
Electronic communications and home blood pressure monitoring (e-BP) study: design, delivery, and evaluation framework
Contemp Clin Trials
(2008) - et al.
Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging
J Am Med Inform Assoc
(2004) - et al.
Patient web services integrated with a shared medical record: patient use and satisfaction
J Am Med Inform Assoc
(2007) - et al.
Pilot study of providing online care in a primary care setting
Mayo Clin Proc
(2010) Physician Resources: EMR Functionality
VistA–Description
ISO Concept Database 2009
Kaiser Permanente HealthConnect Electronic Health Record
Terms of Service
Get the Whole HealthVault Story
Crossing the quality chasm: a new health system for the 21st century
Electronic Health Records at a Glance
The value from investments in health information technology at the U.S. Department of Veterans Affairs
Health Aff (Millwood)
Clinicians recognize value of patient review of their electronic health record data
AMIA Annu Symp Proc
Partners Electronic Health Record Earns Federally-Recognized Certification
By the Numbers. Top vendors of acute-care EHR systems
First annual crossing the quality chasm summit
The "meaningful use" regulation for electronic health records
N Engl J Med
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Christine A. Caligtan, RN, MSN: Nursing Informatics Applications Specialist, Clinical Informatics Research & Development, Partners HealthCare System, Wellesley, MA.
Patricia C. Dykes, DNSc, RN, FAAN: Senior Nurse Scientist, Program Director, Nursing Research, Center for Nursing Excellence, Brigham and Women's Hospital, Boston, MA.
Manuscript work completed at Partners HealthCare System and Brigham and Women's Hospital.