Health Care Informatics/ Analytic

HealthCare Informatics/ Analytic

ThesisStatement:Electronic Medical Records offer greater healthcare to patientshowever, it face barriers that can be overcome through proper andappropriate strategies

ElectronicMedical record (EMR) models enable a healthcare center to retrieveand store detailed patients’ information used by healthcareproviders. The system is relevant during patient`s hospitalization,across, and over time care settings. Clinical decision support andother tools have potential of assisting clinicians in providing moreefficient and safer healthcare than relying on paper-based and memorysystem. EMRs help hospitals in monitoring, improving and reportingdata on the health care safety and quality. Centers for Medicare andMedicaid Services refer the EHRs as the next step necessary for theprogress of the health care.

Despitethe recommendation of the use the EMR, many hospitals hesitated toadopt them. According to the American Hospital Association, only 1.5%of the hospitals had a suitable EMR system (Blumenthal&amp Tavenner, 2010).The statistics show that the systems performed specific functionsthat were incorporated in all clinical units. Another 8% of thehospitals use EMR in at least one clinical unit. According toBlumenthal et al (2010) maintenance and startup capital are some ofthe barriers that hinder the adoption of EMR in many hospitals. TheHealth Information Technology for the Economic and Clinical Health(HITECH) Act has established incentive programs from the Medicaidprograms to ensure that the EMRs are adopted in hospitals to improvepatients care (Romano&amp Stafford, 2011).

Physicianssometimes become hesitant in utilizing the CPG portions of new EMRsystems. Many primary care providers require critical informationthat is not always available. Recent studies tend to suggest thatphysicians experience more than eight unanswered questions forvarious patients’ visits (Boonstra&amp Broekhuis, 2010).If a physician tends to be slow in adopting the CPG portion of a newEMR system, then it would be advisable to use various incentives withthe aim of motivating them. If at one point, I encounter such aphysician I will do my best to convince him or her to adopt thesystem. I will ensure that I present the benefits of adopting the EMRby doctors such as its role in improving the access to the electronicinformation. The EMR helps in the integration and coordination of theelectronic record. It is relevant to caring for certain populationssuch as children, rural residents, pregnant women and lactatingmother (Bennett,Jensen &amp Basch, 2012).I will also inform the physicians on the available incentives thathealth care bodies offer to those who utilize systems, such as EMR,which ensure proper maintenance of electronic health records. Manyphysicians lack information as to why the use of CPG portion in theEMR is beneficial. I will, therefore, highlight some of theconstraints that may occur when the system is not used. Electronicmedical record plays a key role in eliminating issues that may resultfrom manual records. Poorly coordinated care systems may lead tounnecessary tests and treatment, adverse drug events, and highercosts (Holroyd,Lorenzetti, Straus, Sykes, &amp Quan, 2011).The critical linkages between the primary care and specialty servicescannot be established without utilization of the EMR systems.

Physiciansmay not be the only barriers to adoption of the CPG portions in theuse of EMR. Clinical practice guidelines (CPG) are among tools thatimprove the quality of medical care provided by the healthprofessionals. Practical implementation of the CPG needs acomprehensive approach that is beyond mere dissemination andpublication of documents. CPG portion requires the utilization of theelectronic medical records to be effective. Hospitals (Burke, 2013)currently adopt the systems, but there are several barriers thataffect the use of the system. The barriers may range from attitudinalbarriers to and availability of the medical resources. Lack of timeto search for reliable information and lack of resources are the mainobstacles that face the adoption of the systems with respect tophysicians, patients, and family doctors.

Manybarriers keep doctors from moving forward with the selection,implementation, and use of the electronic medical records. Inovercoming the barriers then, many aspects should be considered.Rural hospitals face challenges such as lack of a real idea of whereto start. Steering committees should be adopted which will be able toaccess the hospitals needs and what the EMR should address. In such asituation, I will convene hospital managers do a thorough researchand only settle to appropriate solutions that may serve thehospitals, unique needs in utilizing the EMR system (Dhar, 2008).

Physicianssometimes take long to decide on whether or not to use the electronicmedical record, and many of them prefer working without the system.Hospital leaders should take responsibility to inform their subjectson the meaningful use, goals, and roles of electronic medical recordsystems (Hsiao,Hing, Socey &amp Cai, 2010).I will engage strategies such as informing the physicians on theimportance of the EMR, thus motivating them to adopt and utilize thesystem. Physicians will receive incentives for supporting theprogram, but I will try to inform them that the end goal is not onlyto receive incentive (Hoyt, 2012). Utilizing of CPG portion in theutilization of the EMR tends to offer many benefits such as creatinglong impact on community, enhancing patient care, and improving thequality of the care patients receive (Rao,DesRoches, Donelan, Campbell, Miralles &amp Jha, 2011).


Clinicalpractice guideline and primary medicine are often referred to as‘cookbook medicine`. On many occasions, physicians tend to beresistant to adopting and utilizing the CPG portion of new EMRsystems. There are many barriers that affect the adoption of theprogram in addition to physician’s hesitation to adopt such asystem. The main solution to encouraging the use of the system is byhighlighting various benefits of the systems to patients, clinicians,and physicians.


Bennett,A. V., Jensen, R. E., &amp Basch, E. (2012). ElectronicPatient‐ReportedOutcome Systems, CA:a Cancer Journal for Clinicians,62(5),336-347.

Blumenthal,D., &amp Tavenner, M. (2010). The Meaningful Use, Regulation forElectronic Health Records. Journalof Medicine,363(6),501-504.

Boonstra,A., &amp Broekhuis, M. (2010). Barriers to Acceptance of ElectronicMedical Records by Physicians from a Systematic Review to Taxonomyand Interventions. BMCHealthServices Research,10(1),231.

Burke,J. (2013). HealthAnalytics: Gaining the Insights to Transform Health Care.New York: Wiley.

Dhar,B. (2008).Complyingwith TRIPs Commitment: EMR versus Product Patent Regime. Economicand Political Weekly,33, 51, 3230-3231.

Holroyd-Leduc,M., Lorenzetti, D., Straus, S. E., Sykes, L., &amp Quan, H. (2011).Impact of the Electronic Medical Record on the Structure, Process,and Outcomes of Primary Care. Journalof the American Medical Informatics Association,2, 1-16.

Hoyt,R.E. (2012). HealthInformatics: Practical Guide for Healthcare and InformationTechnology Professionals.(5ed).

Hsiao,C. J., Hing, E., Socey, T. C., &amp Cai, B. (2010). ElectronicMedical Record Systems of Office-Based Physicians: NationalCenter for Health Statistics,1, 1-23.

Rao,S. R., DesRoches, C. M., Donelan, K., Campbell, G., Miralles, P. D.,&amp Jha, A. K. (2011). Electronic Health Records In SmallPhysician Practices: Journalof American Medical Informatics Association,18(3),271-275.

Romano,M. J., &amp Stafford, R. S. (2011). Electronic Health Records andthe Clinical Decision Support Systems: Impact on National AmbulatoryCare Quality. Archivesof internal medicine,171(10),897-903.