Electronic Medical Records Are There Reasons for Low Implementation

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Why Is Electronic Medical Records Implementation Still Low?


Summary:

Despite the potential benefits of Electronic Medical Records (EMRs) for patients and healthcare providers, only 10% to 15% of doctors currently utilize them. This article explores the main reasons behind the slow adoption of EMRs: cost, data security, and lack of standardization.

EMR Costs


Implementing an EMR system requires a significant initial investment, especially for those transitioning to a paperless system for the first time. Unsurprisingly, smaller practices, which often operate with tighter budgets, are more resistant to adopting EMRs. Larger organizations, such as hospitals, adopt these systems more readily due to better financial resources and the realization of long-term benefits.

Despite the costs, studies have shown that even small practices can see strong returns on their investment. An article from the American Journal of Medicine in April 2003 noted that small practices could gain an average of $86,400 over five years, with an initial investment of around $6,600, thanks to increased productivity and reduced claim denials.

EMR Security


Concerns over securing patient records are another barrier to EMR adoption. Many EMRs use client/server technology, meaning the responsibility for backups and security falls on the medical office itself. Web-based EMRs, however, shift this responsibility to the software provider, which is typically better equipped to handle security. While no system is entirely immune to hackers, web-based solutions do offer enhanced security.

EMR Standardization


Perhaps the most significant challenge to widespread EMR adoption is the lack of standardization. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 encouraged the creation of electronic records but did not establish specific standards. Technology has evolved dramatically since then, leading to a fragmented landscape with multiple names and formats for EMRs.

Here are some of the different names EMRs go by:

- PMRI: Patient Medical Record Information (US)
- ICR: Integrated Care Record Services (UK)
- CMR: Computerized Medical Record (US, International)
- CPR: Computer-based Patient Record (US, International)
- PCR: Patient-carried Patient Record (Germany)
- PHR: Personal Health Record (International)
- EMR: Electronic Medical Record (US)
- DMR: Digital Medical Record (Asia)
- EPR: Electronic Patient Record
- EHR: Electronic Health Record
- LHII: Local Health Information Infrastructure (US)
- CCR: Continuity of Care Record

Concerns about potential changes in government regulations and the need to switch systems further discourage adoption.

EMR Implementation: Looking Forward


Doctors may soon find EMR systems a necessity rather than an option. HIPAA's scope is expanding, affecting providers with less than $5 million in revenue. Additionally, insurance companies and other payers are increasingly requiring electronic filings. Patients also see the value, with a 2005 survey indicating that many believe EMRs can reduce wait times, paperwork, and visit costs. It’s essential for smaller practices to recognize these opportunities and act accordingly.

References:

- [AC Group White Paper](http://www.acgroup.org/images/2005_ACG_Mid-Year_White_Paper_-_EMR_Marketplace.pdf)
- [DMIESemi Study](http://square.umin.ac.jp/DMIESemi/y2004/20040913_2.pdf)
- [Healthcare IT News Article](http://www.healthcareitnews.com/story.cms?id=3355)

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