Electronic Medical Records and Their Use in Health Promotion and Population Research of Cardiovascular Disease
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CARDIOVASCULAR RISK HEALTH POLICY (W ROSAMOND, SECTION EDITOR)
Electronic Medical Records and Their Use in Health Promotion and Population Research of Cardiovascular Disease Bobbie J. Kite & Wilkister Tangasi & Marjorie Kelley & Julie K. Bower & Randi E. Foraker
Published online: 13 November 2014 # Springer Science+Business Media New York 2014
Abstract The primary use of electronic medical records (EMRs) is to record ongoing interaction between patients and the health systems in which they participate. Secondary uses of the EMR continue to emerge providing opportunities for high-quality population health research as well as health promotion efforts. Research and health promotion activities involving the EMR may be passive and/or active. Secondary EMR activities are being focused on improving patient and provider management of chronic diseases, such as cardiovascular disease (CVD). CVD affects over 30 % of American adults, and the EMR contains information relevant to this multifaceted disease. Secondary EMR use related to CVD research and awareness includes functioning as a data repository, recruiting study participants, building predictive analytics, developing algorithms for disease screening, and delivering disease management tools. Diverse secondary EMR applications have revealed successes, challenges, and limitations
This article is part of the Topical Collection on Cardiovascular Risk Health Policy B. J. Kite (*) : M. Kelley : R. E. Foraker Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, USA e-mail: [email protected] M. Kelley e-mail: [email protected] W. Tangasi : J. K. Bower : R. E. Foraker (*) Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA e-mail: [email protected] W. Tangasi e-mail: [email protected] J. K. Bower e-mail: [email protected]
highlighting new lessons learned and opportunities in health promotion and population research. Keywords Electronic medical records . EMR active use . EMR passive use . Electronic health records . Cardiovascular disease . Risk factors . Cardiovascular health . Population research . Health promotion
Introduction Electronic medical records (EMRs) and electronic health records (EHRs) contain digital information about patient history and medical treatment. EMRs and EHRs allow medical providers to track patient- or practice-level data over time, manage patient care electronically, and theoretically improve quality of care within the healthcare system [1]. The marked difference between the two electronic charting methods surrounds access and portability of the patient record. EMRs tend to be confined to a single healthcare provider, while EHRs have the connotation of patient record mobility across healthcare providers or systems. However, for the purpose of this article, we will use the terms EMR and EHR interchangeably. Primary uses of EMR include gathering and recording complete and accurate information about a patient’s health and treatment and aiding in
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