Key points: - Preserving patient privacy must be a key component of any electronic medical records proposal.- Hospital and healthcare systems need to prepare for hosting and storing unprecedented amounts of patient data. - A nation-wide move to electronic medical records requires a widespread, interdisciplinary training component.
Newswise — Ready or not, electronic medical records (EMRs) are coming to a hospital near you. President Barack Obama has devoted $20 billion to healthcare IT in the American Recovery and Reinvestment Act, and in February 2009, he announced his aspirations to have an electronic health record for each person in the U.S. by 2014. Dr. James Pierce, chair of the Bioinformatics and Computer Science Department at University of the Sciences in Philadelphia, notes that a nation-wide implementation of EMRs comes with considerable challenges, as well as tremendous advantages.
"Digitization of the healthcare system will be much more efficient and cost-effective, and will enable easier communication among different parts of the system, simpler manageability, and less storage compared to paper records," explained Dr. Pierce. "EMRs allow healthcare providers to send queries electronically, which is expected to decrease the errors that are made on paper and ultimately, save lives."
Despite the clear benefits of EMRs, there are important issues that need to be addressed before implementing the system, Dr. Pierce cautioned.
"¢Storage: While EMRs will likely be stored in internal hospital systems or external servers, each patient's file could generate a colossal amount of data. "In the near future, terabytes of information may be generated during a doctor visit," said Dr. Pierce. "It's very difficult to transfer files of that magnitude, and the software must be able to store and send every x-ray, cat scan, genomic analysis data, MRI, prescription, and test that a patient gets."
"¢Compatibility: Because most EMR programs are developed and sold by private companies, different hospital systems may not be interoperable with each other, making the transfer of electronic files complicated or impossible. Rapidly changing technology also poses a financial strain. "When a hospital or physician's office invests millions of dollars into purchasing a system today, it may be outdated in five years, at which point, it can be very expensive to update and get a new program."
"¢Privacy and Security: Given the infinite shelf-life of electronic files, EMRs incite debate about serious privacy, security, and ownership concerns, as well as the potential for past medical information to be used against a person. Dr. Pierce hypothetically notes a person who was prescribed antidepressants in college, and years later, the individual may not want this information available to potential employers. However, if the patient's history is catalogued in an EMR, it will not only live-on forever, it is also highly accessible.
"¢Training: EMRs are still a relatively new system, and as such, require a form of interdisciplinary training that is not yet widely available. "Traditionally, hospitals staff an IT person who has little or no training in healthcare, and doctors and nurses who aren't familiar with IT," said Dr. Pierce. "A nation-wide move to EMRs prompts the need for trained individuals who are well-versed in both IT and medical technology."
As the healthcare system transitions to EMRs, it is vital that the nation's healthcare students are prepared to work with these revolutionary changes. The recently-approved Medical Informatics curriculum in the Computer Science program at University of the Sciences combines a strong background in biology and medicine with advanced training in computer science, IT, and technology management in modern healthcare systems. The new curriculum provides undergraduate interdisciplinary training that normally limited to graduate programs and prepares students directly from high school to create the healthcare IT professional of the future.
NOTE: On Thursday, May 14, 2009, from 5"7 p.m. the Future of Health Information Technology will be the topic as the Department of Health Policy and Public Health at the University's Mayes College of Healthcare Business and Policy presents a panel of prominent experts with experience in industry, government, and academia who will seek to define a vision for digital healthcare.
At University of the Sciences in Philadelphia, students embark on a challenging learning experience in a proving ground for successful professionals in the healthcare-related fields. A private, coeducational institution dedicated to education, research, and service, and distinguished as the nation's first college of pharmacy, the University has produced leaders in the healthcare marketplace since its founding in 1821, including founders of six of the top pharmaceutical companies in the world. With undergraduate, graduate, and doctoral degree programs in such disciplines as pharmacy, bioinformatics, physical therapy, healthcare business, and health policy, the 3,000 students in the University of the Sciences' five colleges learn to excel in scientific analysis and to apply their skills to improving healthcare in their communities and in the lives of people worldwide. For more information about University of the Sciences, visit www.usp.edu.
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