With the high adoption rate of the Electronic Health Record (EHR), it is often asked what is the difference between Ambulatory EHR vs. Inpatient EHR? Knowing the difference is important. Here’s an overview:
The Hospital Inpatient EHR Environment
Traditionally, a hospital is not a single entity, from an IT perspective but a group of various departments and systems. In the recent past, hospitals have purchased and installed software designed to its specific departments i.e. the in-house lab systems, an X-ray system, billing systems and many others that perform the desired functions for the hospital. Each department could print out the results for all the patients collected in the patients table. Data entry to the systems was done by a nursing or ward clerk station and was mostly through a different edge report for each to assemble information.
Many hospitals still lie in this challenging stage where they cannot get the systems correlate and communicate with each other. To remove and replace the outdated department system is one of the most disruptive processes that many resist carrying out. As EHRs grow more refined, they have become the hub that links each and every interior section together. The lab, pharmacy, x-ray and many other departments are customized and integrated. The inpatient EHR and the Ambulatory EHR were a way of capturing medical records at first. The integration with each had to be tailored to make each particular installed system in the departments nonstandard, unique and may be locally modified.
The Ambulatory Healthcare Setting
Compare this situation by that of the general physicians. A doctor practice has archives that are not in the event of care but longitudinal and are core to the practice relatively to the records put to the same chart as in hospitals record case. They do not just deal with one hospital pharmacy department but rather hundreds of different stores. There is no imaging department or in-house and x-ray, so the linking to this information is an external link. One lab or more is often used by the practice patients and is determined mostly by the preferences of the patient’s health strategy and coverage’s.
Small practices do not have incomes necessary to install and house an EHR scheme. This points out to the admiration of the web based resolutions like the Practice solutions which reduce IT practice burdens. This web-based resolution only works in an ambulatory setting. The records can be accessible anywhere and are portable. Information can move among the staff members not as order sheets but as messages.
Unlike a hospital, the consultant can access patient’s hospital chart, and this is a referral to a stand-alone practice consultation.
Ambulatory EHR vs. Inpatient EHR: Difference in Certification
The National coordinator of the health IT, in the meaningful use era recognized the differences in the EHR environments. Some elements are shared to both inpatient and ambulatory systems, for EHR certification i.e. privacy and security standards, medication lists, keeping problem lists and many more are universal.
Inpatient systems require capabilities that are different for Computerized Physician Order Entry(CPOE). Ambulatory system need electronic recommending capability to external pharmacies while inpatient systems do not. Ambulatory systems require broader access each summary on every counter while Inpatient systems require giving electronic and timely access to their liberation reviews.
Ambulatory systems need on the three top measure items having a greater focus on the management of chronic conditions diseases prevention screening and immunization. Inpatient systems clinical tests, measure different things like inbound prevention basis, acute stroke management, deep venous thrombosis, and emergency department through time.
If you’re evaluating EHR systems for your practice, here are some excellent additional resources to get started: