Component 5; Unit 6: History of Electronic Health Records (EHRs)
Description:
This unit describes the history of electronic health records.
Objectives:
- Describe some early examples of electronic medical records.
- Discuss lessons learned from the early EHR implementations.
- Discuss how the attributes that were identified for a computer-based patient record in the 1991 Institute of Medicine Report relate to the concept of meaningful use.
- Discuss differences between the terms electronic health record (EHR) and personal health record (PHR).
Component 5; Unit 6; Lecture 6a comp5_unit6a_lecture_slides
Early EHR Prototypes (18:09); 1) EHR terminology changes over time; 2) Example of an early EHR–COSTAR; 3) Example of an early EHR—TMR; 4) Example of an early EHR—RMRS; 5) Lessons learned from the early systems; 6) Barriers to widespread use
Component 5; Unit 6; Lecture 6b comp5_unit6b_lecture_slides
Evolution of Functional Requirements (16:35); 1) The Computer-Based Patient Record (1991); 2) Electronic Health Record System Capabilities (2003); 3) Meaningful Use (2010); 4) Increased Adoption of EHRs
Suggested Readings
Barnett GO, Zielstorff RD, Piggins J, et al. COSTAR: A Comprehensive Medical Information System for Ambulatory Care.Proc Annu Symp Comput Appl Med Care. 1982 November 2: 8–18. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2580195/pdf/procascamc00008-0032.pdf
Dick RS, Steen EB, Detmer DE. Committee on Improving the Patient Record, Institute of Medicine. The Computer-Based Patient Record: An Essential Technology for Health Care, Revised Edition. Washington, DC: National Academy Press, 1997(Free Executive Summary). Available from: http://www.nap.edu/catalog/5306.html
Hammond WE. How the past teaches the future. J Am Med Inform Assoc. 2001 May–Jun; 8(3): 222–234. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC131030/pdf/0080222.pdf
Committee on Data Standards for Patient Safety, Institute of Medicine. Key Capabilities of an Electronic Health Record System: Letter Report. National Academies Press. Available from: http://www.nap.edu/catalog.php?record_id=10781 Additional Materials