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Electronic Medical Records

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Increasingly, collections of medical records are stored and shared digitally by multiple medical service providers. RAND research has explored the costs of implementing electronic medical record systems; the benefits accrued, including the improved quality of care; the rate of technology adoption; individual privacy concerns; and the role of government in the use and growth of electronic recordkeeping.

Report
Patients Could Help Improve Record Matching
When health providers exchange medical records, the success rate can be as low as 50 percent. The ubiquity of mobile phones offers a promising opportunity to create a patient-empowered system to confirm identities that would allow hospitals and other providers to match records more accurately.
Aug 22, 2018
Report
Quality of Patient Care Drives Physician Satisfaction; Doctors Have Concerns About Electronic Health Records
Being able to provide high-quality health care is a primary driver of job satisfaction among physicians, and obstacles to quality patient care are a source of stress for them. For example, the systems for electronic health records in use today are cumbersome to operate and contribute to their dissatisfaction.
Oct 9, 2013

Explore Electronic Medical Records

Journal Article
Implications of Missingness in Self-Reported Data for Estimating Racial and Ethnic Disparities in Medicaid Quality Measures
This study demonstrates the feasibility of using Bayesian Improved Surname Geocoding (BISG) in a Medicaid population, producing imputed estimates for more than 99% of beneficiaries.
Nov 10, 2022
Journal Article
Assessment of Postoperative Opioid Prescriptions Before and After Implementation of a Mandatory Prescription Drug Monitoring Program
In this study of adult patients who received a postoperative prescription for opioid medication, mandatory consultation with EHR-based alerts was associated with decreases in prescription quantities.
Mar 29, 2022
News Release
Audio-Only Telehealth Remains Common at Safety Net Health Clinics; Trend Raises Questions About Quality
Rapid adoption of telehealth helped safety net clinics in California to maintain consistent levels of service after the onset of the COVID-19 pandemic, but the use of audio-only care has persisted in the clinics longer than in other types of health care settings.
Mar 15, 2022
Report
Audio-Only Telehealth Remains Common at Safety Net Clinics; Raises Questions About Quality
Early in the COVID-19 pandemic, rapid adoption of telehealth helped safety net clinics in California maintain service. But the use of audio-only care has persisted in the clinics, raising questions about the quality of care and equity for low-income patients.
Mar 14, 2022
Journal Article
Assessment of Electronic Health Records for Infectious Disease Surveillance: Final Mapping Exercise Report
The objective of the project is to investigate the current status of EHR systems in the EU and European Economic Area and the potential capacity for the use of these data for surveillance of infectious diseases within ECDC's remit.
Dec 1, 2021
Journal Article
Use of Information and Communication Technologies in Health Care: Telehealth in 2021
Book chapter reviewing the current state of telehealth use.
Dec 1, 2021
Journal Article
Use of Real-World Evidence for Regulatory Approval and Coverage of Medical Devices: A Landscape Assessment
Use of real-world evidence in FDA processes has the potential to contribute important evidence to drug approval processes.
Nov 3, 2021
Journal Article
Electronic Health Data Quality and Population Health Management Algorithms
In this perspective piece, we explore the implications of poor quality electronic health data on the use of population health management algorithms for patients, clinicians, and policymakers.
Aug 27, 2021
Journal Article
Assessment of Variation in Electronic Health Record Capabilities and Reported Clinical Quality Performance in Ambulatory Care Clinics, 2014–2017
Between 2014 and 2017, clinics with EHRs having greater capabilities had better quality measures than other clinics, but clinics that gained EHR capabilities during this time had smaller increases in quality that were not statistically significant.
May 4, 2021
Journal Article
Low-Value Proton Pump Inhibitor Prescriptions Among Older Adults at a Large Academic Health System
Older adults are particularly vulnerable to complications from proton pump inhibitor drugs. We sought to characterize the prevalence of potentially low-value PPI prescriptions among older adults to inform a quality improvement intervention.
Apr 9, 2021
Journal Article
Visualization of Electronic Health Record Data for Decision-Making in Diabetes and Congestive Heart Failure
The aim of this study is to study the impact of graphical representation of health record data on physician decision-making to inform the design of health information technology.
Dec 22, 2020
Journal Article
Health Information Technology for Ambulatory Care in Health Systems
The relatively low uptake of health IT functionalities important to care improvement suggests substantial opportunities for further improving adoption of ambulatory health IT even among the current EHR users.
Dec 18, 2020
Journal Article
Optimizing Health IT to Improve Health System Performance: A Work in Progress
We describe activities that health systems are pursuing to better leverage health IT to improve performance, in a qualitative thematic approach.
Dec 4, 2020
Journal Article
Common Laboratory Results Frequently Misunderstood by a Sample of Mechanical Turk Users
Use of Mechanical Turk to determine how well patients understand common laboratory test results.
Oct 2, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 5: Selection, Protection, and Abstraction
Of the records abstracted, many revealed incomplete provider documentation regarding the details of and rationale for care. Better documentation and more standardized record keeping would facilitate future research using patient records.
Jun 11, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 4: Putting Practice Back Into Evidence-based Practice by Recruiting Clinics and Patients
This study found that clinics can be successfully recruited for practice-based studies, and patients can be recruited using iPads. Obtaining patient records presents considerable challenges, and clinics varied in whether they had electronic files, nonelectronic records, or a mixture.
Jun 10, 2020
Report
Reuse of health data by the European pharmaceutical industry: Current practice and implications for the future
Health data is re-used for a variety of reasons by pharmaceutical companies across the R&D pathway. RAND Europe suggests seven ways which might help create a sustainable ecosystem in which health data is reused effectively.
Nov 12, 2019
Journal Article
Benchmarking Deployment of Ehealth Among General Practitioners: Executive Summary
A study measuring the use of ICT and eHealth applications by primary care physicians in the EU. Researchers analysed the main drivers of change and factors that can enhance or inhibit the role and use of technologies within health care.
May 30, 2019
Commentary
How Smartphone Apps Could Help Keep Health Records Accurate
Electronic health records have helped streamline record keeping but providers aren't always able to reliably pull together records for the same patient from different hospitals, clinics, and doctor's offices. The growing use of smartphones offers a promising opportunity to improve record matching.
Oct 4, 2018
News Release
Mobile Phones and Smartphone Apps Hold Promise for Allowing Patient Participation in Improving Medical Record Matching
Mobile phones and smartphone apps offer a promising approach to ensure that an individual's medical records when shared between different health care providers are matched correctly.
Aug 22, 2018

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RAND Topic:
Electronic Medical Records

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