Checking Your Medical Records - More Important Than Ever Before

Months ago, grand discussions of the shift from paper medical records to digital, electronic health and medical records, was all the rage.  In particular, among my Twitter colleagues, it seemed like it was all anyone wanted to talk about.

At the time, the big question was, how would doctors afford to make the shift?  Beyond just computerizing their records, they would need systems that actually share our records!  And systems that, once the meaningful use laws were determined, would allow patients to access their own records, too.

Here at the About.com Patient Empowerment site, we looked at electronic medical records - what they are, the plusses and the problems....

via patients.about.com

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CDC Sees EHRs As Public Health 'Game Changer' -- InformationWeek

Sometimes forgotten in the rush to install electronic health records (EHRs) is that improving population and public health is a major goal of the federal meaningful use EHR incentive program. But many in the public health community are counting on greater EHR adoption and interoperability among physicians and hospitals to help identify and respond to future disease outbreaks, according to a top government health IT official.

"Public health agencies, from local to state to federal, have been building information technology for years, but because we don't have a lot of connections to y'all, we don't have a lot of information to share," Dr. Seth Foldy, director of the public health informatics and technology program office at the Centers for Disease Control and Prevention (CDC), said Tuesday. "In the future, we assume that most of our public health allies will be perched in front of their EHRs."

via informationweek.com

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Electronic Health Records: Status, Needs and Lessons – 2011 Report Based on 2010 Data

The use of electronic health records (EHRs) by medical practices and other organizations in the United States has increased measurably in the past decade. Despite the potential to improve the quality of patient care and enhance practices' financial performance, the technology remains far from universal.

To better understand the current state of EHR use, MGMA conducted a study funded by PNC Bank to explore the barriers and benefits of EHR adoption. MGMA collected data between Oct. 1, 2010, and Nov. 9, 2010, from 4,588 healthcare organizations nationwide that responded to the survey. The data represent the aggregate experience of more than 120,000 physicians in medical practice.

via blog.mgma.com

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Nurses Notes: DAR and SOAP(ER) Formats - Associated Content from Yahoo! - associatedcontent.com

When it comes to nurse's notes most student nurses are up in arms on exactly what they should be writing. A focal note should be one of the easiest tasks to chart, but many students still find themselves struggling. There are different styles when it comes to writing nurses notes and you will eventually come to find a method that better suits your needs or department.

SOAP (ER) format is a common used style for nurse's notes because they are easy to understand by all medical staff. The (ER) is also included but not always applied.

Subjective Data: This section of the nurse's note should include a description of your patient based on what your patient has told you.

Example: Pain Assessment, Data that pertains to verbal statements that cannot be collected during a physical finding.

via associatedcontent.com

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856-415-9617, (fax) 415-9618

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