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Evaluation of the Benefits of Electonic Health Record Through the Dimensons of Cost, Access, and Quality
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Benefits of EHR
Evaluating the Benefits of Electronic Health Record and Computerized Prescriber Order
Entry Through the Dimensions of Cost, Access, and Quality.
Dimensions of Healthcare
Health: a state of complete physical, mental, and social/spiritual well being, not merely the
absence of disease.
Quality
CostAccess
Current U.S. Performance
Quality
CostAccess
44-98,000 Americans die each year due to medical
error
47 million Americans are
uninsured
Healthcare accounts for 17% of gross domestic
product
Electronic Health Record and Cost
EHR often leads to:
Higher billings
Declines in provider productivity
Cost savings related to error reduction varies
EHR/CPOE and Quality
CPOE has led to: Time consuming
registration process
Delays in care
Lack of compliance
with time-sensitive
standards
Unsafe workarounds
EHR/CPOE and Access
Will EHR/CPOE allow clinicians to see more
patients?
Will reduction in error lead to decreased costs?
Will EHR/CPOE ultimately achieve greater quality
and cost savings?
There is Hope
The Veterans Affairs Administration: Revolutionized care through:
-Organizational change
-Accountability for quality and value
-Information technology
Today the Veterans Affairs Administration
leads in: -Clinical Informatics
-Quality Improvement
-Patient Satisfaction
-Clinical Benchmarks(Am J Manag Care. 2004;10(part 2):828-836)
“Of all the forms of injustice, inequality in
health is the most cruel and inhumane.” -Martin Luther King