Due to the Rapid Adoption of EHR technology new pitfalls emerge such as:
- Design Flaws
- Password Sharing
- EPHI Security Breaches
- Copy and Pasting Text
- Complex Templates (using EHRs in a non-standard way)
- Careless Provider Usage
- Ignoring Clinical Decision Support Alerts
- User documentation errors
- Lack of Patient Interaction due to use of EHR Technology
- Increase in Forensic Medical Record Audits
Awareness of the potential EHR legal dangers and taking steps to prevent them can save patients lives, clinicians time, expense, and their reputation.
Under HIPAA, the healthcare provider is the covered entity responsible for maintaining the integrity of the patient’s medical record, not the EHR vendors, not the consultant, and not the system integrator. Practices must understand what they are using and verify that the system is appropriately set up to document the care they provide.
The MPL market acknowledges the electronic health record documentation issues are becoming a major emerging issue.
Allow our industry experts at CareVitality, Inc. safeguard your practices, clinic and hospitals from liability.
ONC Safety EHR Guides
Released by the Office the National Coordinator (ONC) for Health Information Technology for EHR Safety.
Series of 9 Evidence-Based Guidance Documents in 3 Areas used to assess a practice to promote safer use of electronic health records and other health information technologies with their patients.
- Organizational Responsibilities SAFER Guides
- High Priority Practices SAFER Guides
- System Interfaces SAFER Guides
- Contingency Plan SAFER Guides
- System Configuration SAFER Guides
- Patient Identification SAFER Guides
- Test Results Review and Follow Up SAFER Guides
- Clinical Communication SAFER Guides
- Computerized Physician Order Entry with Decision Support SAFER Guides