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Studies of early EHR's begin
Studies began to see how paperwork in the healthcare system could be reduced using new technology. This is highly beneficial for the Provider, as it reduces the amount of work that must be done. It also benefits the Patient/Payor/Population because new technology can help reduce errors and costs. -
Early EHR's Implemented
15 Input and Output terminals installed in Children's Hospital- allowing for shared data among hospital staff- extremely exciting advancement for the Provider, and a great benefit to the Population and Patient! New technology does create a higher cost, and could be a burden for the Payor. https://youtu.be/t-aiKlIc6uk -
Computer Stored Ambulatory Record Begins
Computer Stored Ambulatory Record (COSTAR) is put in place at Massachusetts General Hospital. This makes the work of the Provider more challenging in that they have to learn a new system, but beneficial in the long run. Atherton, Jim. “Development of the Electronic Health Record.” Journal of Ethics | American Medical Association, American Medical Association, 1 Mar. 2011, journalofethics.ama-assn.org/article/development-electronic-health-record/2011-03. -
Federal Government uses EHR'sIn the 1970's, the Department of Veterans Affairs begins using an EHR called VistA.
The VA has access to lots of Federal resources and is well reviewed, and widely acknowledged for reducing errors. This is very helpful for the Population, as it is an advancement within the Federal Government, which will eventually begin to affect everyone! Atherton, Jim. “Development of the Electronic Health Record.” Journal of Ethics | American Medical Association, American Medical Association, 1 Mar. 2011, journalofethics.ama-assn.org/article/development-electronic-health-record/2011-03. -
Physicians Implement Software in Offices
In the late 1980's it becomes more commonplace for physician's to have personal computers and Windows software in their offices, and having technology so readily available must have been such relief for the Providers. Atherton, Jim. “Development of the Electronic Health Record.” Journal of Ethics | American Medical Association, American Medical Association, 1 Mar. 2011, journalofethics.ama-assn.org/article/development-electronic-health-record/2011-03. -
Institue of Medicine (IOM) publishes study
The Institute of Medicine, now known as The National Academy of Medicine (NAM) publishes a study about EHR's. Security, cost and a lack of standards were the biggest issues found with EHR's. Cost is a negative across all of the 4 P's, making it one of the more difficult issues to resolve.
Institute of Medicine.1991.Committee on Improving the Patient Record; Richard S. Dick. “The Computer-Based Patient Record:An Essential Technology for Health Care, Revised Edition.”| The National Academies Press -
NAM publishes new study
NAM publishes a new study that shows just how beneficial EHR's can be in reducing the number of errors that happen within the healthcare setting. This is a huge step for the Patient, as it allows the Provider to be more knowledgeable and organized in their care. Kohn, Linda T., Janet Corrigan, and Molla S. Donaldson. 2000. “To Err Is Human: Building a Safer Health System.” Washington, D.C: National Academy Press. -
George W. Bush delivers State of the Union Address
Bush states that every person in the United States should have an EHR by the year 2014. This created an end date and a sense of urgency among the healthcare industry, that started really setting things in motion for the Providers and Patients. “By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care.” --President George W. Bush, State of the Union Address, January 20, 2004 https://www.youtube.com/watch?v=GpPwzzb0Usk&t=561s -
American Recovery and Reinvestment Act of 2009Obama signed this act into law in 2009, which included the Health Information Technology and Economic and Clinical Health Act.
This allowed the Department of Health and Human Services to take action to better the care being offered in the healthcare industry.The attached chart shows that 19% of the spending from this Act went towards healthcare. Having the Government involved forced change, which was very helpful for a variety of Populations as well as the Providers and Patients. Atherton, Jim. 2011. “Development of the Electronic Health Record.” Journal of Ethics | American Medical Association Journalofethics.com -
Adoption Rate of EHR up to 92%
As of 2015, the potion rate for EHR's in hospital clinics reached 92%. In independent clinics, they were at 80%. EHR's have become increasingly more standardized and continue to evolve to better serve the Patient, Provider, Population and Payor.Sandy. Sandy. 2019. “History of Electronic Health Records: EHR.” ICANotes, www.icanotes.com/2019/04/16/a-history-of-ehr-through-the-years/#The%202000s.
