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Differences in Ehrs

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Differences between EHRs
Kimyatta K. Vinson
Herzing University

Differences between EHRs Whether it is in an acute care or ambulatory setting, the true goal of an electronic health record (EHR) is to provide quality care to patients efficiently. Though the goal may be the same, there are differences in the infrastructure, data presentation and use, and in a pharmacy benefits management system versus an e-MAR. In an acute care setting, its infrastructure consists of source systems that capture data and usually include laboratory information systems (LIS), pharmacy information systems (PIS), radiology information systems (RIS), nutrition and food service information and many other departmental systems (Amatayakul, 2009, p.4). An ambulatory EHR does not have as many source systems, in fact, “many clinics approaching an EHR have only a practice management system (PMS) or billing system” (Amatayakul, 2009, p. 418). The presentation layer for use of data refers to the way data is displayed and used. In an acute care setting, a physician, pharmacist, nurse, or other clinician can have “screens tailored to their needs” (Amatayakul, 2009, p. 390) thereby having a different screen for each professional. In an ambulatory setting, “the various functions [point-of-care, charting, or picture archiving communication systems] are truly integrated and much less likely to have different presentation styles” (Amatayakul, 2009, p. 420). Just like healthcare insurance companies manage the complex reimbursement to its providers, so a pharmacy benefits management (PBM) company manage benefit plans that pay for prescription drugs. A PBM is designed to save beneficiaries on their prescription costs. A PBM can be accessed through a beneficiary’s personal health record (PHR), but they may not alter the information. An electronic medication administration record (EMAR) system

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