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MER-014: Principles of Electronic Health Record Design, Implementation and Policy

 
Principles of Electronic Health Record Design, Implementation and Policy: The Wisconsin Medical Society supports the following Electronic Health Record (EHR) principles regarding its design, implementation and policy.

Patient-centered design

  1. The use of an EHR should add value for the patient.
  2. The primary function of an EHR is clinical care.
     
    Health care professionals

  3. The use of an EHR should improve, or at a minimum not reduce, the well-being of health care workers.
  4. The use of an EHR should align the work with the training of the worker.
  5. The EHR is a shared information platform for individual and population health.
  6.  
    Efficiency

  7. The use of an EHR should minimize waste.
  8. Electronic workflows should align with clinical work.
  9. Various methods of communication, including nonelectronic forms, will be necessary for optimal patient care.
  10.  
    Regulation and payment

  11. Sufficient resources should be available for the new work associated with the advanced use of an EHR.
  12. Policies around EHR use should reflect the strength of the evidence base supporting them.
  13. Regulatory balance between often competing values (i.e., clinical quality vs. security or efficiency vs. performance measurement) should be sought. (HOD, 0415)