The Recovery and Reinvestment Act (ARRA) in February 2009 adopted, authorizing the Centers for Medicare and Medicaid for physicians about the appropriate use of electronic health records (EHR), an incentive of up to $ 44,000, to pay to try in 2011. Doctors do not meet these time lines are planned cuts in Medicare payments face. Although there are concerns about the attack to be respected at this time, there is no doubt that the doctorsThe implementation of this system dramatically change medical practice.
Wise use of electronic patient data has identified a number of priorities for a greater commitment to patient-centered, a reduction in racial disparities, improving safety performance and efficiency of care provided, and increased health of the population. The hours of good use to define a set of goals and processes to improve the health of the people to secureYears.
The vision of appropriate use is:
• Patients Engage proactively in the health sector.
• Making available real-time access to patient records and medical information in one place with doctors and specialists in electronic documents.
· Avoid long waits for health inequalities.
· Use new information technologies for open communication and timely treatment.
Use · Tools for security and quality of medical care.
Hourswise use are aligned to changes in health care, reduce costs and enable the global nature of the treatment. It is expected that at the time of complete transformation of the current system of health care, the following objectives:
· Prevention of Diseases in order to avoid unnecessary and premature deaths.
to provide · management of chronic diseases such as diabetes and heart disease early and effective treatment.
·Minimize medication errors.
· Health care efficiency measurement using statistical tools and forecasting.
Timetable and stages for the appropriate use
The wise use of time is divided into three phases, starting in 2011. The first phase requires service providers to collect data and integrate them into an electronic format that are stored on a single file and can be shared by multiple providers. So, updates, and records of past patients, includingList of allergies, medical history, all available in a single-file and format. More specific phase requires the use of drug-drug interactions should be, which at the time demanded it. At the end of this stage, doctors have electronic prescribing and computerized Physician Order Entry to use processes.
The second phase, from 2011, requires that electronic data, including criteria for disease management, and automatic sharing lab reportsFunctionality with the health authorities to better manage the disease and preventive measures are applicable for the identification of the population of patients with specific conditions.
The last phase of the action focuses on sensitive ultimate goal of improving quality and improving patient care through access to real-time data at the time of prescription drugs and transmission of prescriptions electronically to avoid a way of medication errors.
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