Leadership & Professional Development

Electronic Health Records: Current Issues in Oncology

Judith A. Schreiber

health resources
ONF 2012, 40(1), 14-16. DOI: 10.1188/13.ONF.14-16

The electronic world continues to advance in the 21st century. In 2009, the American Recovery and Reinvestment Act (ARRA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act were enacted; in response, hospitals and oncology physician offices have or are implementing electronic health records (EHRs). As with any new technology or process, a steep learning curve is associated with the implementation of EHRs. Often, the full impact of a sweeping, nationwide change such as EHRs is not realized for many years after implementation, and many suppositions about the usefulness and benefits of EHRs still exist. The current article focuses on the initial impact of EHRs, their role in diagnosis, and the responses of healthcare providers in patient outcomes and in research.

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    Abelson, R., Creswell, J., & Palmer, G. (2012, September 21). Medicare bills rise as records turn electronic. The New York Times. Retrieved from http://www.nytimes.com/2012/09/22/business/medicare-billing-rises-at-ho… http://www.nytimes.com/2012/09/22/business/medicare-billing-rises-at-hospitals-with-electronic-records.html?pagewanted=all
    Abernethy, A. P., Ahmad, A., Zafar, S. Y., Wheeler, J. L., Reese, J. B., & Lyerly, H. K. (2010). Electronic patient-reported data capture as a foundation of rapid learning cancer care. Medical Care, 48(Suppl.), S32-S38. doi:10.1097/MLR.0b013e3181db53a4
    Bennett, A. V., Jensen, R. E., & Basch, E. (2012). Electronic patient-reported outcome systems in oncology clinical practice. CA: A Cancer Journal for Clinicians, 62, 336-347.
    Caligtan, C. A., & Dykes, P. C. (2011). Electronic health records and personal health records. Seminars in Oncology Nursing, 27, 218-228. doi:10.1016/j.soncn.2011.04.007
    DesRoches, C. M., Painter, M. W., & Jha, A. K. (Eds.). (2012). Health information technology in the United States: Driving toward delivery system change, 2012. Retrieved from http://www.healthreformgps.org/wp-content/uploads/74262.5822.hit_.full_.rpt_.final_.041612.pdf
    Fisher, B., Bhavnani, V., & Winfield, M. (2009). How patients use access to their full health records: A qualitative study of patients in general practice. Journal of the Royal Society of Medicine, 102, 539-544.
    Glasgow, R. E., Kaplan, R. M., Ockene, J. K., Fisher, E. B., & Emmons, K. M. (2012). Patient-reported measures of psychosocial issues and health behavior should be added to electronic health records. Health Affairs, 31, 497-504.
    Houser, S. H., Colquitt, S., Clements, K., & Hart-Hester, S. (2012). The impact of electronic health record usage on cancer registry systems in Alabama. Perspectives in Health Information Management. Retrieved from http://perspectives.ahima.org/the-impact-of-electronic-health-record-us… http://perspectives.ahima.org/the-impact-of-electronic-health-record-usage-on-cancer-registry-systems-in-alabama/
    Jamoom, E., Beatty, P., Bercovitz, A., Woodwell, D., Palso, K., & Rechtsteiner, E. (2012). Physician adoption of electronic health record systems: United States, 2011. NCHS Data Brief, 98, 1-8.
    Kerr, W. T., Lau, E. P., Owens, G. E., & Trefler, A. (2012). The future of medical diagnostics: Large digitized databases. Yale Journal of Biology and Medicine, 85, 363-377.
    Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Risk Management and Healthcare Policy, 4, 47-55.
    Poulter, T., Gannon, B., & Bath, P. A. (2012). An analysis of electronic document management in oncology care. Health Informatics Journal, 18, 135-146.
    Presant, C. A., Bosserman, L., McNatt, W., & Emilio, B. (2011). Implementing EHRs in community oncology practices. Oncology, 25, 19.
    Rodriguez, E. S., Thom, B., & Schneider, S. M. (2011). Nurse and physician perspectives on patients with cancer having online access to their laboratory results. Oncology Nursing Forum, 38, 476-482.
    Ronquillo, J. G. (2012). How the electronic health record will change the future of health care. Yale Journal of Biology and Medicine, 85, 379-386.