Records tsa Bophelo ba Elektronike
Litlaleho tsa bophelo bo botle ba elektronike (EHRs) le litlaleho tsa bongaka tsa bongaka (EMRs) ke melemo ea thekenoloji ea kajeno ea theknoloji ea bophelo bo botle. Le hoja lipolelo tsena tse peli, EHRs le EMRs, li atisa ho sebelisoa ka tsela e sa tšoaneng, li-EHR li latela nako ea morao-rao 'me li leka ho kenyelletsa lintlha tse ngata ho feta li-EMR. Li-EHR li na le boitsebiso bo tsoang ho lingaka tsohle tse amehang tlhokomelo ea mokuli 'me li hahiloe ka morero ho arolelana tlhahisoleseding ena.
Litlaleho tsa elektronike li amoheloa ka ho eketsehileng hohle United States, ho nkela mekhoa e mengata ea lipampiri tse sa ntseng li sebelisoa le tse sa tšepahaleng tse ntseng li le teng lipetlele tse ngata. Sena se etsa hore tlhokomelo ea rona ea bophelo bo sireletsehe 'me e sebetse hantle. Hase feela lipetlele tse etsang ho fetoha; liofisi tsa ngaka, tlhokomelo e fapaneng ea bophelo bo botle le lik'hamphani tsa inshorense li etsa phetoho ea ho boloka lintlha tsa elektronike. Sebaka sena se secha, se tsamaisoang ke litsebi se kopanya bafani ba bophelo bo botle le ho atolosa menyetla ea mokuli.
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Fumana Tlaleho e feletseng ea bongaka ka 6 Likarolo tsa motheo
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6 Melao e amanang le Tlaleho ea Bophelo ba Elektronike
Maemo a tšohanyetso, a kang likotsi, likoluoa tsa tlhaho le litlhaselo tsa likhukhuni, ke khopotso e bohloko ka ho khetheha ea bohlokoa ba ho fumana boitsebiso ba mokuli. Haeba litlaleho tsa bongaka li fumaneha ka potlako-ho sa tsotellehe boemo ba moahi kapa mokuli-liphello tsa kalafo li ka ntlafatsoa.
Li-EHR le Li-EMR li boetse li bohlokoa haholo maemong a letsatsi le letsatsi a bongaka. Ho e-na le ho itšetleha ka ho itlaleha ha mokuli historing ea bona ea bongaka, lingaka tse sebelisang EHRs hona joale li hloka feela tlhahisoleseding ea boitsebiso ba mokuli (e kang lebitso le letsatsi la tsoalo) ho fihlella histori eohle ea bongaka. Sena se etsa hore ts'ebetso ea ho hlahloba e se e potlakileng feela, empa e boetse e sireletsehile haholoanyane.
'Muso oa United States o khothalletsa ka mafolofolo tšebeliso ea litlaleho tsa elektronike ka ho fana ka mananeo a ts'usumetso. Haeba bafani ba bophelo bo botle ba ka paka hore ba sebelisa li-EHR 'me ba lumellana le melao e tsejoang e le Tšebeliso e Nang le Morero, bafani ba bona ba na le tokelo ea ho lefa chelete e itseng ea phaello ea bona. Palo ea bahlokomeli ba bophelo bo botle ba sebelisa litlaleho tsa bophelo bo botle ba 'mele e tsoela pele ho eketseha, e leng ho re tlisetsang' nete ea tsamaiso ea bophelo bo botle bo sebetsanang le bophelo bo botle ho ea ho ntho ea sebele.
Melemo ea EHRs
Tse ling tsa melemo ea litlaleho tsa bophelo bo botle ba digital li kenyelletsa:
- Boitsebiso bo bokelloa ke bafani ba tlhokomelo ea mantlha bo ka arolelanoa le mafapha a tšohanyetso Ka mohlala, haeba motho a e-na le allerji ho sethethefatsi se seng, tlhokomelo ena e pholosang bophelo e fetisoa esita le haeba mokuli a sa tsebe letho.
- Ho na le tlaleho ea liteko tsa meriana tsa morao tjena, kahoo ho phetoa ho sa hlokahaleng ho ka qojoa.
- Litlhaloso tsa sepetlele, merero ea ho qhala le litaelo tsa ho latela li fumaneha habonolo, e leng se etsang hore phetoho e tlohe ho tloha ho e 'ngoe ho ea ho e' ngoe e boreleli.
- Basebedisi ba ka kena mananeong a bona le ho fumana boitsebiso ba bona ba bongaka.
Mesebetsi ea EMR / EHR Systems
Li-EHR li na le tlhahisoleseding ea motheo e kang lebitso la hau, linomoro tsa ho ikopanya, histori ea bongaka, tlhahisoleseding e mabapi le meriana le ho kula, tlhahisoleseding e mabapi le litaba tsa bongaka tsa morao-rao, liphello tsa liteko le lintlha tsa tsoelo-pele, hammoho le litokomane tsa tsamaiso le tsa lichelete Litlaleho tsa li-Digital li tlisa boitsebiso bohle ba hau hammoho 'me li lumella litsebi tse fapaneng tsa bophelo bo botle hore li arolelane le ho fetisa lintlha tsena Ka mohlala, ngaka ea hau e ka khona ho bala kakaretso ea hau ea sepetlele, litlaleho tse tsoang ho litsebi le liphetho tsa morao-rao tsa tlhahlobo ka ho fumana feela EHR ea hau Inthaneteng.
Mehla ea kajeno ea digital, EHRs e lokela ho kenyelletsa mesebetsi e mene : ho hlophisoa ha elektronike, taelo ea tlhahlobo ea elektronike, tlaleho ea liphello tsa liteko le ho boloka lintlha tsa lingaka. Leha ho le joalo, ke habohlokoa ho hlokomela hore hangata ma-EHR a mangata a sa arolelane tlhahisoleseding. Ho ba le botsitso le ts'ebetsano ho nkoa e le litaba tsa morao-rao, 'me ho hlokahala mosebetsi o mongata ho haha tsamaiso ea tlhokomelo ea bophelo bo botle . Tsela e kopanetsoeng e kopanetsoeng, e kopanetsoeng naheng ka bophara e amoheletsoe ka ho pharaletseng, e hlahisang liketsahalo tsa bohlokoa tseo batho ba fapaneng ba sebetsang le sechaba ba ikemiselitseng ho se finyella.
Boiteko bona bo tsoelang pele bo kenyelletsa ho ntlafatsa litekanyetso tsa theknoloji, ho fetola le ho khothaletsa mekhoa ea ho lefella chelete, ho tsamaisa maano le mekhoa ea khoebo, le ho kopanya boinotši le litekanyetso tsa tšireletso Mokhoa oa hona joale oa tsela o nkoa e le tokomane ea bophelo, 'me liphetolelo tse ncha li thehiloe ho latela phihlelo le maikutlo.
Ho Fumana Mamello le Likopi tsa Bophelo ba Botho (PHR)
Bafani ba bangata ba bophelo bo botle hona joale ba fana ka lithulusi tsa elektronike Lisebelisoa tsena li re fa monyetla oa ho fumana boitsebiso ba rona ba bophelo bo botle le ho kenella ts'ebetsong ea rona ea ho boloka tlaleho. Sena se re nolofalletsa ho rarolla likheo kapa liphoso leha e le life tse ka hlahang litlalehong tsa rona. Ha re kopanela ka mafolofolo, ho arolelana tlhahisoleseding ho ba bonolo, ho etsa hore re be balekane ba lekaneng tshebetsong ea tlhokomelo ea bophelo.
Li-portal tsa mamello li phetha karolo ea bohlokoa ho ntlafatsa phihlelo ea rona ea tlhokomelo ea bophelo. Tsoelo-pele ea morao-rao ka bophelo bo botle ba digital e fa bakuli monyetla oa ho fumana li-EHR le ho tsamaisa likarolo tse sa tšoaneng tsa tlhokomelo ea tlhokomelo ea bophelo bo botle, ho kenyeletsa le ho hlophisa likhetho, ho kōpa meriana ea ho phekola le ho ntlafatsa ho nepahala ha litlaleho tsa bongaka.
Litlaleho tsa bophelo bo botle kapa litlaleho tsa botho tsa meriana (PMR) li fapane le li-EHR ho isa tekanyong eo u ka li laolang (ho e-na le ho ba feela mofani oa tsa bongaka). Li fumaneha ho uena 'me li ka bolokoa ka litsela tse fapaneng, mohlala, li lefshoa k'homphieutheng e thata ea k'homphieutha kapa li bolokiloe ka leru.
Ho Sebelisa Molemo
Ho sebelisa ka mokhoa o nang le morero ke sete sa melao le merero e behiloeng ho etsa bonnete ba hore li-EHR li sebelisoa ka tsela e nang le moelelo e lumellang litšiea tse hlano tsa bophelo bo botle. Ts'ehetsoeng ke Tlhahiso ea Boitsebiso bo Botle ba Theknoloji bakeng sa Economic and Clinic (HITECH), Tšebeliso e Nang le Morero e kenyelletsa ho sebelisa theknoloji ea tlhahisoleseding ea bophelo bo botle ho ntlafatsa boleng ba tlhokomelo ea bophelo bo botle, ho fokotsa maemo a bophelo bo botle, ho kopanya bakuli (le malapa a bona), ho hlophisa tlhokomelo ea bophelo bo botle, tšireletso ea boitsebiso ba mokuli. Sepheo sa tšebeliso ea bohlokoa ke ho ntlafatsa bophelo bo botle ba baahi, ho eketsa pepenene, ho matlafatsa bakuli le ho fana ka dintlha tse ngata tsa lipatlisiso.
Ho fetoloa ho sebelisoang ka mokhoa o nang le morero ho ne ho hlophisitsoe e le mokhoa o hlophisitsoeng, o nang le mehato e meraro e meholo e hlahang ka nako ea lilemo tse hlano. Melao ea sethaleng sa 3 - mohato oa ho qetela o reretsoeng ho ntlafatsa liphello tsa bophelo - o ile oa lokolloa ka October 2015 ke Li-Centers tsa Medicare le Medicaid Services (CMS) le Ofisi ea Mohokahanyi oa Sechaba oa Bophelo ba Bophelo IT (ONC). Haeba bafani ba bophelo bo botle ba ka finyella lethathamo la merero e sebetsang ea ho sebelisa, ba fumana tefo.
Tšehetso ea Meriana ea Bophelo
Mekhoa ea ts'ehetso ea liphuputso ea meriana (CDSS) ke mekhoa ea software e neng e le tse ling tsa likōpo tsa pele tsa thepa ea bophelo bo botle. Ke likopo tse kopanetsoeng tse thusang lingaka le litsebi tse ling tsa bophelo bo botle ho etsa liqeto tse thehiloeng litabeng tsa bongaka le ho ntlafatsa liphello tsa kalafo.
Ts'ebeliso ena e ka sebetsa e le likhopotso, mekhoa ea ho hlahloba, mekhoa ea ho sebelisa lithethefatsi le lisebelisoa tsa tsamaiso ea mafu, 'me e ka boela ea kenngoa ho EHRs. Boitsebiso ba mokuli bo kopantsoe le tataiso e thehiloeng bopaking ho fana ka maikutlo le meriana e nepahetseng. EHRs e ka kopanya mehloli e mengata ea tlhahisoleseding mme e hlahisa mekhoa e metle ea ho thusa kalafo. Ka ts'ehetso ea lefu la tsoekere, mohlala, EHRs e kopantsoe le lits'ebetso tsa kliniki li bontšitsoe hore li phahametse mananeo a tloaelehileng a lik'homphieutha ha e fetolela tlhahisoleseding ea mokuli le tlhokomelo e tataisang. Mefuta ea CDSS e itšetlehile ka boitsebiso bo tsoang lihlopha tsa mehlala ea ho phela 'me e kopanya mehloli e meng ea tlhahisoleseding Sena se etsa hore e be sesebelisoa se hlakileng sa ho hlahloba.
CDSS e ka thusa haholo-holo tlhokomelo ea mathomo, moo lingaka tse sa tsejoeng libakeng tsohle tsa meriana li kopana le bakuli ba nang le matšoao a sa tšoaneng ba hlokang merero ea ho hlahloba le ho tsamaisa kapele. Tsamaiso ea CDSS ea ho hlahloba e na le libaka tse fapaneng tsa meriana, ho akarelletsa bophelo bo botle ba kelello, maloetse a pelo le mafu a mpa.
Boikarabello le Ts'ireletso ea Palo ea Litaba tsa Palo ea Litaba
Ho na le maano le mekhoa e mengata e teng ho netefatsa tšireletso ea lintlha tse bolokiloeng ka elektroniki. Tloaelo ea ho ba boinotšing le ts'ireletso e tšehetsoa ebile e nkoa e le ea bohlokoa, mme ts'ireletso ea lits'ebeletso tsa ts'ebeliso ea lits'ebeletso tsa ts'ebeliso ea lits'ebeletso tsa ts'ebeliso ea lits'ebeletso tsa ts'ebeliso ea lits'ebeletso tsa ts'ebeliso ea lits'ebeletso tsa ts'ebeliso ea boipheliso ke tsa bohlokoa haholo moo litokomane tsa bongaka li sebelisoang teng
Molao oa Bophelo oa Boipheliso ba Bophelo ba inshorense (HIPAA) o ile oa fetisoa ka 1996 ho sireletsa litlaleho le litokelo tsa bakuli. E hlalosa kamoo, 'me le mang, tlhahisoleseding ea mokuli e ka arolelanoang.
Leha ho le joalo, ho 'nile ha e-ba le ho ata ha lisebelisoa tsa bophelo bo botle tsa elektronike le theknoloji e bokellang lintlha tsa bophelo bo botle ho tloha ha HIPPA e fetisitsoe (mohlala, liaparo), kahoo boholo ha bo laoloe ke molao ona. Sena se etsa liphetoho tse tsoelang pele le tlhokomelo e hlokahalang le ka thahasello ea boinotšing le ts'ireletso ea rona.
Re na le thahasello e matla ea ho netefatsa hore litlaleho tsa rona tsa bongaka li sebetsanoa ka nepo, hammoho le ho bolokoa le ho arolelanoa ka nepo. Joaloka litlaleho tsa mokitlane, ke bohlale ho hlahloba tlhahisoleseling ea rona ea bongaka bakeng sa ho nepahala le mabaka a ho ba seli. HIPAA e bolela hore ho fumana le ho fumana boitsebiso ba bophelo bo botle ka merero ea rona ke tokelo, eseng tokelo. Sena se kenyelletsa ho fumana kopi ea elektronike ea tlhahisoleseding ea rona ea bophelo bo botle e nang le tlaleho leha e le efe ea bophelo bo botle ba elektroniki