In any disease treatment process, a patient’s medical history plays a large role in determining a treatment plan. Before a patient is even diagnosed by a medical practitioner of any particular illness, a healthcare provider will usually refer to the patients medical history. In his health record, information such as family history, personal history, medications prescribed, laboratory reports, and other pertinent information can be referenced. Armed with this knowledge, healthcare providers are better equipped to diagnose a patient quickly and accurately.
The patient’s health record plays a vital part in the effectiveness of the medical expert’s treatment plans. That is why some bright minds have come up with a great idea of improving the system of managing and sharing health records. They gave birth to Electronic Health Records / Electronic Medical Records.
An electronic medical record is simply an automated version of the documents that make up one’s previous medical records. It is a more advanced system, as it gets rid of the manual process of digging through piles and piles of paper files just to get certain details in the patient’s medical history. It is composed of sections on the administrative components, laboratory system components, radiology system components, pharmacy system components, computerized physician order entry, and clinical documentation.read more
The administrative components section shows the patient’s demographics, chief complaint, and the information on hospital admissions and discharges. The laboratory system and the radiology system components provide details on the patient’s results, schedules, and billing. The pharmacy system components give the information on the prescriptions given to the patient. The computerized physician order entry is useful any laboratory, radiology, or pharmacy service requests. And lastly, the clinical documentation part gives the information on the assessments made on the patient.
So what are the benefits of using an electronic medical record system? Here are just a few:
With the records of laboratory tests taken being available on the electronic health record, duplication of tests will be avoided thereby saving the patient from additional expenses. Physicians can save time in developing treatment plans by having access to recent test results.
The information available can reduce errors. With the complete history that can be found in electronic health records, all relevant information needed for the treatment of a patient will be only a click away. The medical practitioner can get the details needed to make informed decisions regarding the best treatment for the patient.
By integrating Electronic Health Records with Practice Management Software, billing procedures become more efficient. Just like what a medical billing service provider does in making the reimbursement system become efficient, the electronic health record also shows data on billing particularly on the laboratory tests. This is particularly important for an easier tracking of the breakdown of fees and charges that have to be settled by the patient.