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The Computer-Based Patient Record An Essential Technology for Health Care, Revised Edition (1997) / Chapter Skim
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Summary
Pages 45-51

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From page 45...
... But in spite of more than 30 years of exploratory work and millions of dollars in research and implementation of computer systems in health care provider institutions, patient records today are still predominantly paper records. This evident lack of diffusion of information management technologies in the health care sector has limited the tools available for effective decision making from the bedside all the way to the formulation of national health care policy.
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From page 46...
... Second, they should enhance the productivity of health care professionals and reduce the administrative costs associated with health care delivery and financing. Third, they should support clinical and health services research.
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From page 47...
... , in management of the health care system, and in extension of knowledge. In the past, a patient record has served the basic function of storing patient data for retrieval by users involved with providing patient care.
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From page 48...
... Standards to facilitate the exchange of health care data are needed so that clinical data may be transmitted on networks or aggregated and analyzed to support improved decision making. Standards are also needed for the development of more secure CPR systems.
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From page 49...
... ; laws and regulations that protect patient privacy but do not inhibit transfer of information to legitimate users of data outside the clinical setting; experts trained in the development and use of CPR systems; institutional, local, regional, and national networks for transmitting CPR data; reimbursement mechanisms that pay for the costs of producing improved patient care information; and a management structure (i.e., an organization) for setting priorities, garnering and allocating resources, and coordinating activities.
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From page 50...
... The committee has proposed a framework for the establishment of such an organization, but it also emphasizes that achieving adequate resources for and engaging the appropriate parties in CPR development efforts are more important than the precise structure of the recommended organization. RECOMMENDATIONS The committee believes its recommendations (see Box 1)
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From page 51...
... It extends to management of care through the establishment of a mechanism by which quality assurance procedures and clinical practice guidelines are accessible to health care professionals at the time and site of patient care. It also includes opportunities for reducing administrative costs and frustrations associated with health care financing and for capturing administrative data for internal and external review.
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Key Terms

  • patient records
  • patient care
  • care professionals
  • future patient
  • care environment

  • cpr development
  • patient data
  • improved patient
  • information management
  • legal constraints

  • clinical decision
  • improve patient
  • patient information
  • identified five
  • decision support

  • services research
  • care data
  • emerging user
  • committee identified
  • cpr data

  • administrative costs
  • accurate data
  • care policy
  • meet emerging
  • easily transferable

  • legitimate users
  • experts trained
  • storing patient
  • care entities
  • five conditions


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