Thesis: Ruchi Tomar Disadvantages of Electronic Medical Record

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Ruchi Tomar

Disadvantages of Electronic Medical Record

Electronic Medical Records, or EMR, has really turned into some kind of hot topic in recent years as the use of the Internet has started to expand into more areas of our life that really need to lessen health-care prices has gone up. EMR is considered to be an electronic information sharing system over the Internet which is utilized for patients and doctors both. Doctors would be able to update their information, research, or medicines into this web-based arrangement and the patient, just like the doctor will have access from anywhere in the world. Whereas there are a lot of advantages to having electronic medical records, there are also some disadvantages that really need to be kept in mind before moving to this type of organization. As a lot of hospitals, medical practices and other healthcare organizations started to moving to digital document management type of systems, this advanced form of, storing, tracking and sharing patient information is repeatedly under inspection to measure whether or not it's a judicious procedure to accept. Even though there are important technical and financial advantages, some have noted disadvantages of electronic medical records (EMRs), as recognized and argued below.

Electronic Medical record had concern of security issue

Naturally, health histories, social security numbers, and other personal information from stolen or breached electronic health records are regularly utilized by individual thieves. Criminals are able to purchase social security numbers online for around $5 each, nonetheless medical profiles can fetch $60 or more for the reason that they give identity thieves a much more different type of look into the life of a victim, said Dr. Deborah Peel, creator of the support group Patient Privacy Rights, which investigates information openings and works for security that is much restricted on people's personal health records (Heselmans & Ramaekers, 2012).

Some of the privacy specialists are the ones that worry that the current federal law will permit pharmaceutical businesses, police force, insurance providers and others to abuse these statistics deprived of a patient's information or consent (Eckman, & Jenner, 2007). The pharmaceutical business previously utilizes medical information -- for instance, pregnant women who utilize definite medicines frequently will fill out an intended questionnaire requesting for more data -- to advertise new products as the child begins to grow (Cook & Miller,1999).

Worse, when the records contain a lot of errors, connected electronic systems merely expand the errors, various privacy groups make the argument -- giving insurance businesses and employers imprecise ammunition to refute service to candidates.

However the amount of patient records controlled in electronic records is expanding, powered by billions of federal incentive dollars. Current healthcare lawmaking defended by U.S. president Barack Obama advances the cause, commanding fines that are going to start in 2015 for suppliers who are not making the shift (Sittig & Singh 2012). The exertion is pushed by the trust that a more agile and associated healthcare system will be able to save billions of dollars and also progress the overall customary of care.

Security and privacy have continuously been a key worry when it comes down to the medical data and the patient's records, most of whom desire that their information is being kept confidential (Sittig & Singh 2012). Because of paper medical records security problems over the years, the trend that is in the direction of electronic medical record administration has grown quickly amongst healthcare manufacturing practitioners of every form and at every phase (Simons & Kohane, 2005).

The institution of the Accountability Act (HIPAA) and Health Insurance Portability have really made it even more serious from a legal viewpoint to discover feasible answers to speak to paper medical records security problems (Stengel & Ekkernkamp, 2004). The superseding matters comprised those dealing with paper medical records had to have an assured consistent set of exercises which are in place for guarding medical privacy, and also defining when and how this info could will be able to be shared. The following are some of the important security distresses connected with paper medical records that administrations must talk about:

Easily misfiled or misplaced: a lot of the time paper is often hard to track and actually keep hold of, particularly if there are certain pieces that are falling out of a stack paper file, maybe they get filed by accident in the wrong place, or involuntarily end up in the hands of the wrong people -- either the original or an unlawful copy.

Hard to track: For the reason that there can be irresistible quantities of paper certification, trying to be able to keep track of everything - counting where and how frequently definite shares of a paper medical record have been dispersed and also even destroyed, this really does make it much easy for records to get lost in all of the mess. This likewise does make most of the paper files an important target for identity theft.

Unsecured housing: Every so often times, paper medical records are actually stored on shelves that are for filing or in a setting that considered being the lock-and-key setting which could be on-site or at an off-site storage facility (Cook, 1999). Typically, these types of housing locations are very vulnerable to a number of security and preservation problems -- particularly in parts where there are weather-associated alarms such as hurricanes, tornadoes, flood zones, etc. (Simons & Kohane, 2005).Virtual to theft, some storage places are not having security mechanisms in place that make sure that paper medical records are unreachable by unauthorized persons.

Faxing and copying threats: When copying paper medical records and faxing, extra copies could find their way ending up in a trash can or materials can unintentionally be conducted to the locations that are wrong, making further security worries that weaken the security and safety of a patient's medical material.

Most of these paper medical records security matters, and others, upsurge a business's level of risk and contact to proceedings form the patient also as fines that are from those that supervise places like the HIPAA compliance at large (Cook & Miller,1999). The damage and costs to an administration's reputation, permanence and general bottom line demands a concentrated risk management policy be put in place to stop these kinds of security apprehensions.

High cost to set Electronic Medical Record system

Most of the health practitioners are still caught up in the mindset that creating a paper trail of all events that are tangible is most feasible and efficient. On the other hand, the increase in the amount of patients and hospitals is making the change to computerized styles of record-keeping has become very much necessary (Simons & Kohane, 2005).

A lot of doctors and health care experts are questioning things regarding expenses, the learning curve, the trustworthiness and the comfort of switching their record system and paying the utilization of an electronic medical record business. The most shared apprehensions are the following:

A physician can still be well-organized even if they do not use these electronic record keeping products.

The cost may be too high.

It could not observe with HIPPA discretion and privacy strategies.

It could be too hard to learn and would only waste time that is precious.

What would occur to the physical records if the changeover to computerized form takes place?

There are a lot of electronic record service businesses to select from.

Electronic medical record services will at first have a huge price to them without question. An individual can start recouping their investment when they start accepting more patients, reducing overhead, and keeping the files organized. Equate it with medical transcription, which has a very high price of $25,000 and difference can be seen (Stengel & Ekkernkamp, 2004).

Many organizations that have crossed over to the Electronic medical record programs appeared to be cost effective. You are able to start recovering your investment when hospitals start accommodating more patients, lessening their overhead, and establishing their files. However, more organizations are starting to see that they are not so cost effective.

As stated by a study, doctors who were using electronic medical records essentially ordered more tests, paralleled to those who were utilizing paper records. There had been a 45% escalation in putting in orders for imaging tests, a certain amount that increased to an enormous 80% when it came to cutting-edge examinations, such as the MRIs or CT scans (Stengel & Ekkernkamp, 2004). As stated by the study's lead author, "Our research raises real concerns about whether health information technology is going to be the answer to reducing costs." (Simons & Kohane, 2005)

These discoveries have produced debate, with opponents pointing to faulty approaches and old statistics. In spite of who is supposed to be right, whether electronic medical records truthfully save cash is totally in question. The study did not provide any type of reasons why physicians ordered a lot of tests, nevertheless gambled it was for the reason that it was merely calmer. The things that took paper and… [END OF PREVIEW]

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