HIMS655 Electronic Longitudinal Health Records
Hi, please read and contribute to peer discussion in 100 words minimum with at least 2-3 credible references.
The term womb to tomb, also known as the longitudinal health record, refers to the documentation of a patient’s health occurrences from birth to death as recorded by a health professional.
The purpose of a longitudinal health record is for the attending practitioner to be able to see a patient’s overall health state from start to finish without substantial gaps in data, giving them a holistic perspective.
In an ideal world, a lifetime’s worth of health data would be accessible and interoperable across the United States, regardless of context or location.Diagnostics, observations, test results, treatment plans, imaging data, and other relevant information gathered over a lifetime could potentially save lives. Patient demographics, progress notes, issues, prescriptions, vital signs, past medical history, vaccines, laboratory data, and radiological reports are all included in a patient’s longitudinal health record..
The longitudinal health record, streamlines and automates the workflow of the practitioner. It also can create a complete record of a clinical patient interaction, as well as supporting other care-related activities, such as evidence-based decision support, quality management, and outcomes, directly or indirectly via interface.
The following are the characteristics of a longitudinal health record:
Documentation from a variety of healthcare providers and encounters is included.
Saves patient data for a set amount of time, usually as long as the patient is receiving care.
Is dynamic, i.e., it changes over time as the patient’s needs alter (Oachs & Watters, 2020).
The healthcare business is increasingly requiring practitioners to access patient-recorded data that may be shared across several sites, documented in a variety of paper or digital formats, and delivered as a set of well-thought-out, integrated, and unambiguous entries. Longitudinal electronic patient records provide long-awaited answers to physicians’ requirements (Bassi, 2016).
Bassi, Z. (2016, August). Longitudinal patient records: A re-examination. Retrieved from University of Wisconsin Milwaukee: https://dc.uwm.edu/cgi/viewcontent.cgi?article=225…
Oachs, P., & Watters, A. (2020). The Longitudinal Health Record. In P. Oachs, & A. Watters, Health Information Management, Concepts, Principles, and Practice, 6th Edition (p. 105). American Health Information Management Association (AHIMA).
An Electronic Health Record (EHR) is an electronic medical form consisting of patients’ health information, which is maintained in any medical delivery setting and is generated in more than one encounter (de Benedictis, 2020). The records contain critical administrative, clinical data such as progress notes, past medical history, vital signs, immunization, and laboratory data, which provide complete and accurate information enabling reliable prescribing.
Electronic health records are also referred to as womb to tomb records or longitudinal health records; this is because a patient’s health documentation events are recorded from birth to death time (“Development of the Electronic Health Record,” 2011). The major aim of the longitudinal health record is to make it easier for a medical provider to view the overall health status of a patient without any gap.
It is termed a longitudinal health record because it provides dependable, secure, and real-time access to patients’ health information specifically where needed; it captures and manages occasional information, resulting to risk and performance management supporting unceasing quality improvement and functions as the primary source of information. In surgical setting electrical health records have resulted to significant impact on quality medical records.
It is a longitudinal health record because it incorporates data from overtime and crosswise systems promoting progressive care across various health care networks through collaborative sharing of data since a medical history is available (Broyles et al., 2016). To be able to provide a more comprehensive and longitudinal representation of medical history, an electronic health record system combines health datasets from various sources.
With electronic health records, health information in a digital platform is created and managed by authorized providers and shared across more than one healthcare facility (Dutta & Hwang, 2020). This results to complete and legible documentation, privacy and security of a patient’s information, and, lastly, convenient healthcare services.
de Benedictis, A., Lettieri, E., Gastaldi, L., Masella, C., Urgu, A., & Tartaglini, D. (2020). Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants. PLOS ONE, 15(6), e0234108. https://doi.org/10.1371/journal.pone.0234108
Broyles, D., Crichton, R., Jolliffe, B., Sæbø, J. I., & Dixon, B. E. (2016). Shared Longitudinal Health Records for Clinical and Population Health. Health Information Exchange, 149–162. https://doi.org/10.1016/b978-0-12-803135-3.00010-4
Dutta, B., & Hwang, H. G. (2020). The adoption of electronic medical record by physicians. Medicine, 99(8), e19290. https://doi.org/10.1097/md.0000000000019290