Access this comprehensive guide to learn about all aspects of electronic patient records.
In today’s healthcare arena, independent providers and practices face ongoing pressure to deliver exceptional care, comply with regulatory standards, and increase revenue without compromising either. To stay afloat, you need efficient and consistent workflows throughout your practice. However, efficiency is difficult to achieve if you’re struggling with paper charting or an unreliable electronic record system.
Implementing or upgrading a patient electronic medical record (EMR) system can unlock the tools your practice needs to keep up with the pressures of modern healthcare. Independent healthcare providers and practices can use this comprehensive guide to learn about all aspects of electronic patient records, including features, benefits, legal concerns, selecting a platform, and more.
"EMR" stands for "electronic medical record." It refers to a digital version of a patient’s medical chart. Although often used interchangeably, electronic medical records aren’t the same as electronic health records (EHRs). We’ll discuss the differences between EMRs and EHRs in detail below.
An EMR is a digital file kept by a healthcare organization that contains a patient’s health-related information. EMRs include the same information as paper charts, such as clinical notes, diagnoses, medications, and medical history. Many EMRs offer increased accuracy and flexibility over paper records by incorporating clinical summaries, data tracking, and medication reconciliation.
Before EMRs, physicians relied on handwritten patient notes for thousands of years, forming the bedrock of patient history records. However, the time-consuming process of handwriting notes in a paper chart can impede clinical efficiency and accuracy.
Other drawbacks of paper medical records include:
In contrast, studies show that electronic medical records have significant advantages over paper records. We explore the advantages of EMRs for providers further in this article.
Academic medical centers developed internal EMR systems as early as the 1960s. In 1972, the Regenstreif Institute introduced a system implemented in several government hospitals in the United States. However, using EMRs in private healthcare organizations didn’t become mainstream until the 1990s.
Most early EMR systems couldn’t guarantee the privacy of patient data. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was the first legislative measure regarding digital patient data security. In the early 2000s, EMRs gained momentum. Some platforms are still in use, butclunky interfaces and security concerns plague many.
Today’s sophisticated EMR platforms offer agility, insights, and interoperability (the ability of 2 or more systems to exchange and use information), going well beyond simple record-keeping.
EMRs let providers access clinical information easily, print charts and graphs, create patient alerts, and more. Practice-wide accessibility enhances administrative processes, supporting the operational and financial health of the organization.
Electronic medical records (EMRs) and electronic health records (EHRs) are the foundation of modern healthcare management, offering improvements to traditional paper records. Still, they serve distinct functions within the healthcare ecosystem.
“ While both EMRs and EHRs contain clinical data, notes from patient encounters, and financial and insurance information, the key distinction lies in their scope and accessibility. ”
An EMR is a digital version of a patient’s chart contained within a single healthcare organization. Only internal staff can access or modify an EMR.
EHRs take the concept of EMRs further and are designed to be accessed and updated by healthcare providers across different organizations.
Sample of an EHR:
While both EMRs and EHRs contain clinical data, notes from patient encounters, and financial and insurance information, the key distinction lies in their scope and accessibility. EHRs offer broader access to patient data across multiple healthcare settings, enabling a more holistic view of a patient's health history and facilitating coordinated care among different providers.
So far, 13 states have enacted strict data privacy laws regarding electronically stored personal information. These laws are currently in force in 5 states. Another 14 states have introduced similar legislation. Additionally, Washington state enforced a privacy law specifically for health data beginning July 23, 2023.
Most of these laws have exemptions for PHI handled by HIPAA-covered entities, but some have limitations. The threshold that defines a covered entity may exempt independent practices in certain states.
The legal landscape is changing rapidly in this area, so staying informed is critical. The following chart provides an overview of state data privacy laws and PHI exemptions.
If the majority of your answers fall in the:
If most of your answers are split between the second and third columns, it may be worth investigating both EHR and advanced EMR platforms.
Many healthcare practices use EMR systems, and choosing a system for your specialty is essential. Many EMR platforms offer a wide selection of software modules tailored to accommodate an array of specialties. In some cases, EMR developers offer customizability so you can align your platform more completely with your practice needs.
Examples of specialty modules include:
Family medicine covers a broad scope of medical practice. An EMR for family practices should include a comprehensive template library so providers can make notes regarding cardiac care, respiratory illnesses, pediatric or geriatric medicine, and other specialties.
Helpful features include referral integration, lab interface, embedded coding that self-updates, and robust administrative integration to streamline whole-practice workflows.
EMRs for dental practices require complex technology integrations. Periodontal charting and notation templates for tooth extraction, endodontics, orthodontics, and other areas streamline workflows for dentists, hygienists, and other team members. Equipment, imaging, and anesthesiology integration help dentists manage patient data.
Ophthalmologists need an EMR that integrates with vision testing technology, including keratometers, autorefractors, and visual field machines. Ophthalmologists collect large amounts of patient data and rely heavily on clinical documentation. Software that simplifies data collection and documentation best supports ophthalmologists and their practices.
For instance, an EMR for ophthalmology should include chart templates for a broad range of eye conditions; self-updating, embedded ICD-10 codes, and a dashboard designed explicitly for ophthalmology.
A great EMR platform provides easy, fast access to patient health information, evidence-based clinical decision support, and straightforward, secure communication and coordination between team members.
An EMR system offers advantages in several areas, including:
Working with budget constraints? EMR platforms suited to smaller practices typically offer subscription-based pricing, tiered pricing, or one-time licensing fees, which help keep implementation costs down. Going with a cloud-based EMR solution can minimize the need to purchase and maintain expensive equipment such as servers and other hardware.
As your practice grows, your EMR needs will evolve. Scalable EMR systems, especially cloud-based platforms, can support increasing patient volume, additional functions, and expanding interoperability. Cloud-based EMR solutions offer large-scale storage and computing resources that can quickly scale up or down.
Independent practices' EMR needs usually differ from those of larger healthcare organizations. Independent practices require an EMR system supporting unique workflows, preferences, and specialty-specific requirements. A customizable EMR solution lets practices tailor features such as patient forms, documentation templates, and user preferences to meet their specific needs. Customizable options ensure the system enhances workflows and that unnecessary elements don’t interfere with practice efficiency.
An EMR system won’t benefit your practice unless your staff understands how to use the platform and feels comfortable incorporating it into their workflows. A comprehensive implementation strategy can set your practice up for success. Plan ahead to ensure proper time and resources are available during training and beyond. Training should be mandatory and ongoing, and be sure to include post-implementation support and resources.
“ A comprehensive implementation strategy can set your practice up for success. ”
Transitioning from paper records to an EMR is a big step, so include change management strategies in your plan. You also need to determine what happens to the old paper records — are they scanned into the system and then destroyed?
Overall, training will help your team become comfortable with EMR technology while building confidence and competence.
Here’s a sample implementation plan:
Before installing the EMR system:
Mandatory EMR system training is critical for successful implementation and use. Block out time in provider and staff schedules ahead of time so everyone can attend training required sessions.
Comprehensive training should include all aspects of the EMR platform, including:
All staff who handle EMR integrations with billing and scheduling software should also have specific training.
Ensure your team knows support is always available:
Regular assessments and discussions allow team members to collaborate on making the EMR system work effectively. The administrative team should also monitor closely and conduct routine audits to ensure the practice is getting the most out of the EMR platform. It's helpful to designate some staff as experts for assistance with the EMR. With time, training should become internal.
Strategies that help smooth the transition to the EMR:
Fostering a culture of continuous improvement encourages staff to actively engage with EMR technology so it can effectively support patient care and practice operations.
Choosing the right EMR system is crucial to optimize your practice’s unique workflows. First, perform a practice-wide assessment to determine your needs based on specialty, size of practice, clinical and administrative workflows, and integration requirements. If you require third-party integration, find out which platform your associates use. When evaluating EMR systems, work with vendors who allow you to demo their systems in real-world scenarios.
Ask all vendors about the following key features:
An EMR system should promote intuitive navigation and ease of use, allowing users to complete tasks quickly. Look for an interface that’s simple to learn with straightforward documentation tools, templates, and alerts. Customizable options, including dashboards, forms, or record views, allow team members to tailor the interface to their needs.
An EMR system with robust customization options can accommodate all your specialty-specific requirements, unique workflows, and practice preferences. Look for systems that offer custom options for the interface, functionalities, templates and forms, plus integration with other software systems.
Using EMR to deliver outstanding patient care and optimize workflows requires user support. Vendors should provide implementation assistance, training, and ongoing tech support. Seek out vendors with multilevel support policies and a reputation for great customer service.
Robust integration capabilities mean you can depend on seamless connectivity with other software systems, ensuring smooth data exchange, minimizing errors, and maximizing workflow efficiency. EMR interoperability enhances internal software integration and external data exchange with other providers, eRx, lab and test results, imaging, and more.
Tebra’s EMR and EHR systems are certified to meet the standards of the Office of the National Coordinator for Health Information Technology (ONC). Designed to provide an ecosystem of free-flowing data, Tebra’s interoperability accommodates a wide range of integrations. Our cloud-based solution gives integration the security and flexibility that independent practices need.
Leading-edge EMR technologies are poised to revolutionize healthcare data management and exchange. Emerging trends for 2024 include advancements in data analytics, portability, and the integration of telemedicine and remote patient monitoring within EMR systems. At center stage, we’ll see significant innovation in security, AI, and interoperability.
Seamless integration of telehealth into EMR will give providers a one-stop solution for patient records, virtual visits, and remote vital signs monitoring.
Advancements in access controls, encryption, and auditing capabilities will heighten EMR data security. Expect to see strict enforcement of HIPAA rules across the healthcare industry. Developments in blockchain technology may provide a new level of security measures for the industry.
Advancements in natural language processing, predictive analytics, and data-driven insights give AI tools broad new capabilities. Advanced AI offers precision accuracy and can analyze vast amounts of data, increasing diagnosis accuracy, predicting disease progression, and assisting in creating effective treatment plans.
Every year, healthcare depends more on sharing data across organizations. Cloud-based EMR systems will continue offering the most comprehensive interoperability. Digital patient records will increasingly rely on standardized data formats, such as fast healthcare interoperability resources (FHIR), to streamline communication between systems.
Tebra, with its innovative EMR and EHR solution, is at the forefront of these trends. We’ve integrated a HIPAA-compliant telehealth platform with an ONC-certified records system with EMR and EHR capabilities.
The secure, cloud-based Tebra platform harnesses the power of AI, empowering providers to deliver evidence-based, patient-centered care while simplifying clinical and administrative workflows. Next-level interoperability means smoother exchanges of patient data and fewer information silos that interfere with personalized, high-quality care.
Ultimately, an ONC-certified EMR system like Tebra supports positive patient outcomes, efficient practice operations, and regulatory compliance. Book a demo to explore how independent practices can use Tebra’s comprehensive platform to revolutionize record-keeping and business operations.
