The Electronic

Health Record
By Crista Mobley, Reshawn Jim, Micah McCay, Chrishannon
Keams, Samantha Dye, and Mingma Sherpa
History of the EHR
1600-3000 BC:
Egyptian
1990s-2000s: 2015-Current:
hieroglyphic
indicate the use Advocated for EHR are widely
1960s-1970s:
of medical a shift from used in the
Advancement
records. paper to healthcare
in technology
electronic industry.

1900-1920: 1980s-1900s: 2000s-2015: Future Trends:

Paper records EHR systems Initiates Enhance
were widely were “meaningful use” usability and
used. developed but and encourages patient access.
expensive and adaptation to
limited. EHR
What is an EHR?
• An Electronic Health Record (EHR) is an electronic version of a patient's
medical history, that is maintained by the provider over time. It may
include all the key administrative clinical data relevant to that patient's
care under a particular provider (EHR, n.d.).
• It includes:
o Vital Signs
o Past medical history
o Demographics
o Problems and progress notes
o Medication and immunizations
o Laboratory data and radiology reports (EHR, n.d.).

• EHR standards ensure the compatibility and integration of EHR systems

across healthcare settings. These standards allow the consistent and
secure sharing of patient information among providers, which enhances
the quality and continuity of care (Datavant, 2024).
• It automates access to information and streamlines the clinician's
workflow. Additionally, it supports other care-related activities through
various interfaces, such as evidence-based decision support, quality
management, and outcomes reporting (EHR, n.d.).
Purpose of the EHR
To Improve Patient Care and the Efficiency of Healthcare Delivery by...
• Digitalizing patient medical records
• Granting medical record access to authorized healthcare professionals
o Eliminates repeated procedures or testing in the diagnosis process
o Promotes interprofessional coordination in patient care
o Reduces medical error

• Making one's own health record information readily available to the

• patient, facilitating patient involvement in their care
• Pragmatic uses
o Billing
o Appointment scheduling
 - What is the meaningful use?
Meaningful - What are benefits of
Use meaningful use initiatives?
- What are downfalls of
meaningful use initiatives?
Safety and the EHR
Protected Information Safe Care Delivery
• Security measures • System Alerts
o Passwords, System Encryptions o Medication errors and Contraindications
o Repeated diagnostic testing/imaging
• HIPPA standards
What are my • Easily Navigable
• Cyberattacks lab results?
o Data input
Positive Outcomes from the EHR
Improve
Boosts Increases
s
Patient Efficiency of
Quality
Improves Engagement Documentatio
Care
Clinical n
Decision
Making
Quick
Access
Reduces Enhances
Medical Security
Promotes
Errors
Legible
Documentation
Negative Outcomes from the EHR
• Patient Interaction- expert panelist have concluded EHR would limit
patient encounters per day (Sines et al., 2017).

• Implementation costs- the transition from paper based to electronic

solutions have issues of cost, especially in a smaller practice with
limited resources (Sines et al., 2017).

• Learning curve- EHR necessitates the healthcare professional to

adapt to new systems and interfaces, this cause decrease in
productivity while learning the new system

• Patient Encounter would be limited due to the need to input data

into the EHR, and possibly lead to patient dissatisfaction (Sines et
al., 2017).
Division of Work on the Project
• Chrishannon Keams – History of EHR
• Mingma Sherpa – What is an EHR?
• Samantha Dye – Purpose and Safety of the EHR slides
• Micah McCay – Meaningful Use slide
• Crista Mobley – Positive Outcomes from the EHR
• Reshawn Jim – Negative Outcomes from the EHR
 References
Professional sources
Bouvé Communications.(2023). 7 Key Benefits of EHR Systems. https://bouve.northeastern.edu/news/7-key-benefits-of-ehr-systems/
Electronic Health Records. (n.d.). CMS.gov.
https://www.cms.gov/priorities/key-initiatives/e-health/records#:~:text=An%20Electronic%20Health%20Record%20(EHR,progres
s%20notes%2C%20problems%2C%20medications%2C
Evans, R. S. (2016). Electronic Health Records: Then, Now, and in the future. Yearbook of medical informatics, Suppl 1, S48–S61.
https://doi.org/10.15265/IYS-2016-s006
Hunt, D., Helwig, A. (2014). Two Questions Made Easier with an Electronic Health Record (EHR). Health It Buz.
https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/questions-easier-electronic-health-record
Tanner, C., Gans, D., White, J., Nath, R., & Pohl, J. (2015). Electronic health records and patient safety: Co-occurrence of early EHR
implementation with patient safety practices in primary care settings. Applied clinical informatics, 6(1), 136–147.
https://doi.org/10.4338/ACI-2014-11-RA-0099

Peer-Reviewed Articles
Lite, S., Gordon, W. J., & Stern, A. D. (2020). Association of the meaningful use electronic health record incentive program with health
information technology venture capital funding. JAMA Network Open, 3(3). https://doi.org/10.1001/jamanetworkopen.2020.1402
Sines, C. C., & Griffin, G. R. (2017). Potential effects of the electronic health record on the small physician practice: A Delphi study.
Perspectives in Health Information Management, 14(1), 1–9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5401692/
Upadhyay, S., & Hu, H. (2022). A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety:
Clinicians’ lived experiences. Health Services Insights, 15, 1–7.
https://doi-org.ezproxy.sanjuancollege.edu/10.1177/11786329211070722

One source from the Textbooks or ATI:

Giddens, J. (2025). Concepts for nursing practice (4th ed). Elsevier.

Other sources Used:

Datavant. (2024, June 13). Electronic health records (EHR): Best practices.
https://www.datavant.com/electronic-health-records/electronic-health-records