HealthTech.PH: Electronic Medical Record

19 Years of Empowering Communities Through eHealthcare

August 03, 2017 The Mail Man 0

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<span style="font-size: large;">The National Telehealth Center (NTHC) commemorated its 19th Anniversary last July 27, 2017. The event included symposia on its advocacies, projects, and programs that utilize technology. These technologies help bring public health services to Filipinos that are otherwise unable to access such services due to barriers in distance and affordability.</span></div>
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<span style="font-size: large;">The NTHC continues to engage the people with regards to their healthcare needs by harnessing the power of technology. The current ubiquitous use of smartphones, tablets, laptops, computers, the internet, and other medical devices help bring healthcare to disadvantaged and remote Filipinos. </span></div>
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<span style="font-size: large;">This enhances the capabilities and capacities of public healthcare professionals in bridging the gap that is existing with regards to public healthcare.</span></div>
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<span style="font-size: large;">The Program Areas of the NTHC’s eHealthcare are the following:</span></div>
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<span style="font-size: large;">eMedicine</span></div>
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<span style="font-size: large;">This program gives assistance to the Department of Health (DOH) Doctors to the Barrios and Municipal Health Officers by providing e-Health Telemedicine tools so that health management of patients with special needs in healthcare can be serviced.</span></div>
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<span style="font-size: large;">It is also the platform where Telereferrals are transmitted wherein experts will be available for diagnosis and treatment protocols needed by patients in remote and disadvantaged areas. This includes the RxBox program that was developed by the Department of Science and Technology (DOST).</span></div>
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<span style="font-size: large;">eLearning and Capacity Building</span></div>
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<span style="font-size: large;">Seminars, research, and training are provided to public health workers with regards to eHealth. Available innovative technologies are used so as to health information be available to the public and help in health care decision making and policies.</span></div>
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<span style="font-size: large;">eRecords</span></div>
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<span style="font-size: large;">The Community Health Information Tracking System (CHITS) is a government Electronic Medical Record (EMR) system that has garnered awards and is now being fully used in Quezon City, Pasay City, and Navotas City.  </span></div>
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<span class="" style="font-size: large;">eSurveillance</span></div>
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<span style="font-size: large;">This system gives Local Chief Executives (LCEs) data and information about their localities with regards to health indicators that will be important in their decision-makings.</span></div>
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<span style="font-size: large;">This also features data on critical life-saving services.</span></div>
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<span style="font-size: large;">eHealth Policy Advocacy</span></div>
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<span style="font-size: large;">NTHC is at the forefront in formulating e-Health Policy Research and its advocacy is geared for enhanced multi-sectoral partnerships and collaboration.</span></div>
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19 Years of Empowering Communities Through eHealthcare

The National Telehealth Center (NTHC) commemorated its 19th Anniversary last July 27, 2017. The event included symposia on its advoca...

The Milestones Of Electronic Medical Record

July 20, 2017 Francis Dominic 0

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<span style="font-size: large;">One of the earliest data processing systems originated in the mid 1960’s and focused specifically on clinical data management. As these systems (now known as hospital information systems) began to garner attention, the healthcare industry began to see the development of electronic medical record systems. The original systems were nowhere near as functional as modern methods of maintaining medical information. Also in the 1960’s, the development of the Problem Oriented Medical Record by Larry Weed introduced the idea of using electronic methods of recording patient information.</span></div>
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<span style="font-size: large;">Shortly thereafter, in 1972, the first electronic medical record system was developed by the Regenstrief Institute. Although this technology was the first of its kind, due to high costs, the systems were not initially attractive to physicians and used instead by government hospitals and visionary institutions. Into the 1990’s, personal computers were becoming more affordable and the Internet emerged. These innovations allowed for faster, easier access to information and the introduction of health information online – setting the stage for web-based EMR’s.</span></div>
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<span style="font-size: large;">In 1991, the Institute of Medicine made the case that by the year 2000, each physician’s office should be using computers in their practice in order to improve patient care. Although it was not turned into law, the Institute did provide a variety of recommendations to achieve that goal. As the emergence of EMR’s continued, there were also adjustments made to the rules and regulations surrounding privacy and confidentially of medical records. In 1996 the Health Insurance Portability and Accountability Act (HIPAA) was introduced in response to growing issues facing healthcare coverage, privacy and security in the United States. To follow disclosure and confidentiality regulations included in HIPPA, organizations have begun to shift to electronic systems to comply with these laws.</span></div>
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<span style="font-size: large;">With the emergence of web-based software in the early 2000’s the need for electronic medical record systems to be developed through remotely-hosted systems became evident. The ability to access information remotely or store on a remote-system, made the electronic method of keep records more appealing and ultimately more affordable for physicians to implement into their practice. During President George W. Bush’s time in the Oval Office, the budget for healthcare IT projects was doubled; a new sub-cabinet position of National Health Information Coordinator was created, as well as the call for an industry-wide adoption of electronic health record systems by 2014. This mandate has been supported by President Obama as part of the American Recovery and Reinvestment Act (ARRA), a piece of legislation aimed at directing additional funding and incentives to healthcare professionals who adopt these electronic medical systems and follow the concept of “meaningful use” by the year 2014.</span></div>

Electronic Medical Record EMR health apps Healthcare History The Milestones Of Electronic Medical Record

One of the earliest data processing systems originated in the mid 1960’s and focused specifically on clinical data management. As the...

Are Privacy Concerns A Threat To Electronic Medical Record?

July 20, 2017 Francis Dominic 0

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<span style="font-size: large;">Doctors are supposed to be nosy. It's not just that they examine your naked body inside and out and record all its imperfections. Physicians are trained to peer into your life, past and present, and ask all sorts of sensitive, if not uncomfortable, questions. Have you ever used marijuana or cocaine? How about steroids? How many sexual partners? Ever had a sexually transmitted disease? An abortion? Had sex with the same sex? How much do you smoke or drink? Have you used Botox or had plastic surgery? Have you been depressed or been treated for mental illness? And how about your marriage—or marriages?</span></div>
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<span style="font-size: large;">You get the gist; the experience is intrusive. But the doctor-patient relationship was never meant to be other than confidential and privileged and solely for the benefit of the patient. Patients expect it, or they would not be forthcoming. And doctors take the Hippocratic oath, pledging to hold sacred their patients' secrets. This pledge of confidentiality, however, is now challenged by a world where computers rule and health information falls into many hands. One might well ask whether medical privacy is just too outmoded a concept for today's information-hungry world.</span></div>
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<span style="font-size: large;"> Most of us are aware that the risk to privacy of any information increases exponentially with each additional person whom we tell. This is especially true for electronic communication. Social networking members, who have shared what they thought was private information with “friends,” have too often found that the information is now accessible far beyond what they ever imagined; now it is permanently engraved in cyberworld. These observations rightly raise concerns when information in a medical record is involved.</span></div>
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<span style="font-size: large;">People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no. But then, paper records are not 100% secure either. There have been cases where paper medical records, especially parts of them, have disappeared. There was a case where boxes of patient records from a doctor’s office were found in a garbage dumpster and a case in which stolen medical records were recently found washed up on a Maine shore.</span></div>
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<span style="font-size: large;">On a hospital unit, a patient’s paper record (chart) is often available to anyone with a white coat, a badge that looks like the identification badge of the agency, and the courage to pick up the chart. With an electronic record, it is more difficult for an unauthorized person to gain access to a healthcare record. To do so a person needs more than a white coat and a badge; the person also needs a login name and a password. </span></div>
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<span style="font-size: large;">To answer the question posed by the title, despite opposition from those who have a vested interest in not having an EHR, or even an EMR, such as drug companies whose drugs are creating previously uncovered side effects, or agencies that make money by repeating lab tests, electronic health records are a plus. This does not mean that efforts to protect healthcare data should be lessened. It does mean that we need to acknowledge the considerable progress already made in protecting healthcare data and the progress that will continue to be made. No, the records will never be 100% safe; but the benefits outweigh the risks, and no information, once shared, is ever 100% safe from disclosure.</span></div>

Electronic Medical Record EMR Hospital Record Patients Privacy Are Privacy Concerns A Threat To Electronic Medical Record?

Doctors are supposed to be nosy. It's not just that they examine your naked body inside and out and record all its imperfections. ...

HealthTech.PH

19 Years of Empowering Communities Through eHealthcare

The Milestones Of Electronic Medical Record

Are Privacy Concerns A Threat To Electronic Medical Record?

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