Lecture:  Introduction to Electronic Health Records


Assigned Reading

  1. Introduction to health information technology Read► Slides►  You Tube►
  2. A system of systems Read►
  3. Read about personal health records  PubMed► Listen►  Slides►
  4. Adoption of electronic health records. Read► Blog► Read more►  Listen► You Tube►  SWF►

Narrated slides and videos require Flash.  Download►

What do you know?

Advanced learners like you, often need different ways of understanding a topic. Reading is just one way of understanding. Another way is through writing about what you have read.  The following questions get you to think more about the concepts taught in this session.

  1. What percent of hospitals have an Electronic Health Record (fully or partially functional)?
  2. What is the extent of adoption of Electronic Health Record in United States clinics (not hospitals)?
  3. In the most recent year of published information, what percent of physicians enter their hospital orders into a computer, i.e. have access to Computerized Physician Order Entry (CPOE)? 
  4. Does CPOE interefere with patient-physician interactions?  Give evidence and source. 
  5. What are the different types of personal health records?  Why have personal health records not succeeded more broadly? 
  6. Can a nurse practitioner receive financial incentives from CMS for using EHR? Give details and source.  

Do One: Use EHR

  1.  Use OpenEMR demo (http://demo.open-emr.org:2107/openemr/interface/login/login_frame.php?site=default). Use username: admin and password pass
  2.  Insert data for 4 patients, including demographics, notes, and reminders (include screenshots when submitting assignment) 
  3.  Insert medical problems and medications for those patients.
  4.  EXTRA CREDIT: Visit MAP clinic. Instructions will be provided.
  5. Complete the assignments in these simulations and send the image of the completed assignments to your instructor. 

Alternatively, you can download the VistA demonstration.  Download►  

  1. Select a patient.
  2.  View the cover sheet and take an image of the cover sheet (use Control and Print Screen to capture the screen) and insert it in a slide, adjust the image size to fit the slide.  Note the elements of cover sheet.
  3. Complete three of the following tasks and take an image of your work:
    • Create a Patient Record
    • Create an Appointment
    • Check in a Patient
    • Record Patient Vital Signs
    • Record Patient Medications
    • Create a Patient Note
    • Start the Patient Order Process
    • Explore Patient Orders
    • Complete a Patient Order
    • Update Reference Information
    • View Patient Events 


For additional information (not part of the required reading), please see the following links:

  1. Practice with a simulated Electronic Health Record  Lesson 1► Lesson 2► Lesson 3►
  2. Rap about frustration with EHR You Tube►
  3. The difference between EMR and EHR You Tube►
  4. Read about Electronic Health records on the Wikipedia Read►
  5. Useful public links for electronic health records  Go►
  6. Hunt, Dereck L. MD; Haynes, R. Brian MD, PhD; Hanna, Steven E. MA, PhD; Smith, Kristina Effects of Computer-Based Clinical Decision Support Systems on Physician Performance and Patient Outcomes: A Systematic Review. JAMA. 280(15):1339-1346, October 21, 19  Accession Number: 00005407-199810210-00031  PubMed►
  7. Dexter, Franklin MD, PhD Design of Appointment Systems for Pre-anesthesia Evaluation Clinics to Minimize Patient Waiting Times: A Review of Computer Simulation and Patient Survey Studies. Anesthesia & Analgesia. 89(4):925, October 1999. Accession Number: 00000539-199910000-00020  PubMed►
  8. The Hawaii Independent Physician's Association video on early adopters of electronic health records Video►


This page is part of the course on Information Systems.   Edited by Farrokh Alemi, Ph.D.  ┬ęCopyright protected.