Assignment task: Research question or objective
Abstract An EMR system implementation would significantly reduce clinician workload and medical errors while saving the US healthcare system major expense. Yet, compared to other developed nations, the US lags behind. This article examines EMR system efforts, benefits, and barriers, as well as steps needed to move the US closer to a nationwide EMR system. The analysis includes a blueprint for implementation of EMR, industry comparisons to highlight the differences between successful and non-successful EMR ventures, references to costs and benefit information, and identification of root causes. 'Poka-yokes' (avoid (yokeru) mistakes (poka)) will be inserted to provide insight into how to systematically overcome challenges. Implementation will require upfront costs including patient privacy that must be addressed early in the development process. Government structure, incentives and mandates are required for nationwide EMR system in the US. Keywords application program interfaces, health information exchanges, national health information network, poka-yoke Introduction This article explores major challenges, opportunities, benefits, and barriers for nationwide EMR system implementation in the US.1-5 Quality and efficiency improvement of healthcare delivery are also considered.6-10 Nationwide adoption of EMR systems in the US could lead to more than $81 billion in annual savings.11 Other industry estimates have placed the annual savings as high as $300 billion.12 Currently, less than 30 per cent of US physicians use electronic medical records, compared with 89 per cent or more in several countries including the Netherlands, New Zealand, and the UK.13 Less than 10 per cent of US hospitals use a robust health information system that includes records and physician order-entry capabilities.14 Table 1 shows the progressive stages and percentages of US. Want Professional Help?