As health care delivery within the global community moves towards a greater degree of digitization, there will likely be more technical
challenges health care delivery organizations must face as they move from their existing legacy systems to those that are digital.
In this Discussion, you will compare and contrast an electronic medical record (EMR), electronic health record (EHR) and a personal health
record (PHR).
The Institute of Medicine has recommended that electronic health records (EHR) should possess eight core functions including:
• Health information and data
• Result management
• Order management
• Decision support
• Electronic communication and connectivity
• Patient support
• Administrative processes and reporting
• Reporting and population health
To prepare for this Discussion, research the Internet for information on EHR, EMR, and PHR, such as can be found at the Web site,
http://www.healthit.gov/providers-professionals/benefits-electronic-health-records-ehrs.
In this Discussion, address the following:
• Identify the primary differences between an electronic medical record (EMR), electronic health record (EHR), and a personal health record
(PHR).
• What are the primary technical and design complexity issues with delivering these eight core functions? Choose one issue and identify how you
would address it.
• How does the integration that is required between the EHR and other middleware products vary depending on whether one is running locally, on
an office-based LAN, or online within an ASP model?
Illustrate your points in the context of a patient’s visit to a health care provider.
• Resources Overview
During Week 2, you will use a variety of resources, both required and supplemental, including the course text, Web resources, and a video. The
Weekly Schedule (a navigation link under Week 2) outlines the resources you will need to participate in the Discussion and complete the
Application and Group Project.
This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources.
To access select media resources, please use the media players below.
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Media
Video: Week 2 Overview
Note: The approximate length of this media piece is 21 minutes.
This video provides an introduction to the week’s resources and assignments.
• Reading
Course Text: Wager, K. A., Lee, F. W., &Glasser, J. P. (2013). Health care information systems: A practical approach for health care management
(3rd ed.). San Francisco: Jossey-Bass.
• Chapter 2, “Health Care Data Quality”
Chapter 2 discusses how to ensure the quality of data through the use of information technology. Ten characteristics of data quality are
presented as well as strategies to prevent, detect, and fix errors.
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Web Resource
American Health Information Management Association (AHIMA)
This Web site provides a data quality management model. AHIMA identified four key processes to improve the quality of data, information and
knowledge within the health care system. Explore this Web site to find out about the 10 characteristics data should have and how to ensure data
quality especially when integrating multiple systems.
________________________________________
Web Resource
EHR, EMR, and PHR
The key difference between an electronic health record (EHR) and an electronic medical record (EMR) is that an EHR provides interoperability. It
allows data to be shared among providers. This Web site explores the differences and the value of an electronic personal health record (PHR).
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Web Resource
Electronic Medical Record Screenshots
View the different screenshots of forms from a sample EMR. From this site, you can also explore how an EMR functions from a client’s perspective
by clicking on Test Drive.
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Media
Video: Laureate Education (Producer). (n.d.). Electronic medical record [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 5 minutes.
Dr. Vincent Grasso discusses three situations—radiology, cardiology, and cancer—in which data is gathered. The analytical components that drive
decisions about what to do with such data and how to devise medical treatment are discussed. The critical piece is the medical context. Dr.
Grasso discusses the combinations of factors and how those drive treatment decisions and the abilities and shortcomings of software to
facilitate those.
Accessible player
Rubrics
Rubrics in Table Format
Week 2 Discussion 1: EHR, EMR, and PHR Assessment Rubric
• (4 Points) Exceptional, complete, clear, exceeds performance indicators
• (3 Points) Excellent, complete, meets performance indicators
• (2 Points) Approaching performance indicators, missing some detail, not fully developed
• (1 Point) Developing competence, vague, weak, needs more detail
• (0 Points) Not present
Points Earned
Response to Discussion—The response includes comments related to each part of the Discussion prompt.
Quality of Comments—The content of the posts is substantive and enhances the quality of the Discussion. The response illustrates a point with
examples, presents new ideas, and asks questions that help further discussion. The response to peers’ posts is constructive and subject-related.
Insightful Feedback—The response provides insightful feedback to a response that agreed or disagreed with the original post. If the response
disagrees with the post, the response includes a constructive rationale.
Critical Analysis—The post exhibits critical analysis of posted ideas by asking for evidence to support claims, providing evidence to support
claims, and revisiting the Discussion to respond to other responses about the posting.
Form and Style—The post is well-organized and uses grammatically correct complete sentences that are free of spelling errors. The post provides
a correct reference of sources by using page numbers or URLs
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