Katia Gedeon
Module 4 Weekly Clinical Experience Discussion
- Electronic medical records (EMR) are an important part of health care today. They are an electronic version of the medical records that are maintained time by the provider over time. They include the important clinical and administrative data that is relevant to the patients under a specific provider including progress notes, demographics, medications, problems, vital signs, immunizations, past medical history, radiology reports, and laboratory data. For my clinical experience site, we use CureMD which is a cloud-based electronic medical record. Its main features include electronic prescribing, automation, electronic labs, interoperability, and android, windows, and iOS applications (Dugar, 2021).
In using the CureMD EMR, some of the benefits include the ability to provide electronic labs as orders and results are sent to and from the lab making care provision faster. Secondly, the system provides a document imaging feature through scanning and this also reduces time spent in care making the provision of care faster and effective (Dugar, 2021). Finally, the improved care coordination between nurses, physicians, lab technicians, pharmacists, and the patients themselves allows for better and high-quality care. The patient has clear information on their general health and medical history, thus making it easier for the providers to provide treatment. However, the system has some drawbacks. One of the weaknesses is that there is no application for android devices (Dugar, 2021) and this limits its use considering that android OS is amongst the top most used globally. Another drawback is the interoperability challenges, for example, it is not available for dentistry. Thus, it is difficult to transfer data to other systems and thus referring a patient to a specialist such as a dentist becomes hard.
The EMR has an electronic prescription feature that connects physicians to pharmacists. The feature allows for medical history and reconciliation, drug information base, controlled substance prescribing, age and weight-based dose adjustment, formulary, process refill requests, and prescription eligibility (Curemd.com, 2021). The adaptive learning feature lacks in the software since it is an all-inclusive approach. There are no features for lab technicians, nurses, and pharmacists to learn. All the providers need to learn about all the features since they are integrative.
Regarding the incorporated patient doorway, the system is integrative. CureMD enables seamless information exchange between all stakeholders including the patients (Curemd.com, 2021). Patients with iOS and Windows software can be able to access their medical records including illness history and prescriptions. Thus, the patients are incorporated and can engage with all the other stakeholders. Access to CureMD without internet access is impossible and this means that the system lacks flexibility. Internet connectivity is an essential requirement for the software and access to patient data and information is unachievable without connectivity. Finally, CureMD is one of the leading image management and effective documentation EMR in the market. The document imaging feature makes it easy to scan paper charts, clinical images, photographs, medical drawings, X-rays, MRIs, and other documents required thus reducing the need for manual documentation that is cumbersome. Generally, the CureMD is amongst the leading cloud-based EMRs, and with regular updates, improvements to the system are achieved.
References
Curemd.com. (2021). Electronic Health Records (EHR). Retrieved from https://www.curemd.com/ehr.asp (Links to an external site.)
Dugar, D. (2021). Ultimate List of the Top EMR Systems. Retrieved from https://www.selecthub.com/medical-software/popular-emr-ehr-software-list/ (Links to an external site.)
Gliklich, R. E., Leavy, M. B. & Dreyer, N. A. (2019). Tools and Technologies for Registry Interoperability, Registries for Evaluating Patient Outcomes: A User’s Guide, 3rd Edition, Addendum 2. Rockville (MD): Agency for Healthcare Research and Quality (US); https://www.ncbi.nlm.nih.gov/books/NBK551878/
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