EMR: electronic medical record
An electronic medical record for a patient at a particular site, providing such functionalities as e-prescribing, order/results management, work-flow tasking, communication and messaging  An EMR is NOT a paper record made electronic
EHR: electronic health record
The sum of a patient’s EMRs and other health- related information from multiple sites

CCR: Continuity of Care Record
Electronic core data set about a patient’s health-care status and treatment, current and historical

What is Pushing You toward EMRs?

• Patient safety?

• Quality improvement?

• Rising healthcare costs?

• Competitiveness?

• Consumer-driven care (participatory health)?

1. Internet resources
2. Personal health records

Evolution not only toward electronic medical record but also to computer-guided and -supported healthcare

What Can You Gain from EMRs?

• More timely, accurate, complete patient information

1. No longer practicing blindly
2. Point of care access to, capture of, transmission of patient information
3. Real-time, remote access

• Improved patient care

• Improved patient safety

• Improved outcomes

• Reduced costs of healthcare

1. Reduced wasteful duplication
2. Improved efficiency
3. Financial squeeze on physicians

• Reduced hassles

• Improved quality of life

1. For yourselves
2. For patients

How Can You Use EMRs for Quality Improvement?

Templates with guideline prompts.  Flow sheets, tables, summaries, etc. as decision aids.  Internal messaging and flags for coordination, self-reminders, goal prompts . Personalized results letters or handouts for patient education. Lab interface for results reporting. Advance scheduling for followup.  Queries to identify patients needing specific care leading to flags or outreach


Remember
EMRs differ for each application,  Different needs, benefits, and implementation paths for different domains/practices/individuals,  Sharing all information is not the goal,  Ask questions! Don’t assume!

more information About ERM & Electronic Prscribing : EHR Software, Practice Management Software, eRx

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Next time you find yourself lost despite having a map and satellite navigation, spare a thought for the unfortunate ant that must take regular trips home to avoid losing its way. Dr Markus Knaden, from the University of Zurich, will report that a visit back to the nest is essential for ants to reset their navigation equipment and avoid getting lost on foraging trips. “Knowledge about path integration and landmark learning gained from our experiments with ants has already been incorporated in autonomous robots. Including a ‘reset’ of the path integrator at a significant position could make the orientation of the robot even more reliable”, says Dr Knaden who will speak on Tuesday 4th April at the Society for Experimental Biology’s Main Annual Meeting in Canterbury, Kent [session A4]

Ants that return from foraging journeys can use landmarks to find their way home, but in addition they have an internal backup system that allows them to create straight shortcuts back to the nest even when the outbound part of the forage run was very winding. This backup system is called the ‘path integrator’ and constantly reassesses the ant’s position using an internal compass and measure of distance travelled. Knaden and his colleagues hypothesised that because the path integrator is a function of the ant’s brain, it is prone to accumulate mistakes with time. That is, unless it is regularly reset to the original error-free template; which is exactly what the researchers have found.

When they moved ants from a feeder back to a position either within the nest or next to the nest, they found that only those ants that were placed in the nest were able to set off again in the right direction to the feeder. Those left outside the nest set off in a feeder-to-home direction (i.e. away from the nest in completely the opposite direction to the source of food) as if they still had the idea of ‘heading home’ in their brains. “We think that it must be the specific behaviour of entering the nest and releasing the food crumb that is necessary to reset the path integrator”, says Knaden. “We have designed artificial nests where we can observe the ants after they return from their foraging trips in order to test this.”

What next? The group plan to study other ant species that live in landmark rich areas. “Maybe we will find that such ants rate landmarks more highly and use them, not the nest, to reset the path integrator”, explains Knaden.

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2010 brabus mercedes benz viano
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