“As healthcare moves away from a fee-for-service (FFS) model to a value-based model, the very nature of how health records are sourced and utilized is also changing. With the advent of the longitudinal patient record (LPR) and community care plan (CCP), the old definition of an EMR system—one that’s long been used in both the outpatient and inpatient setting for the documentation of care—must now be expanded. Healthcare providers can now instantly access a patient’s LPR and CCP with integrated data sources from payers’ claims, providers’ EMRs, the patient themselves, and even wellness smart devices. This personalized health record allows the visualization of a comprehensive patient story, while the ability to integrate huge volumes of patient data creates a detailed and precise snapshot of a patient’s history and current status that will shape how a healthcare provider attends to that patient’s specific needs …
From the micro level to the macro, the healthcare system will soon offer a more effective, safer approach that will benefit all healthcare players—patients, providers, payers, and more.
And at its heart will be the LPR and CCP—invaluable tools that give providers the ability to gather all the information needed for a patient or population in order to create a better treatment plan that will keep costs low, mistakes at a minimum, and patients and families happier, and thus achieve the IHI Triple Aim [Improving the patient experience of care (including quality and satisfaction); Improving the health of populations; and Reducing the per capita cost of health care]”
The foregoing quote from the Orion Health Blog post by Dave Bennet on November 3, 2016 entitled “The Longitudinal Patient Record Dramatically Affects Population Health” (http://bit.ly/2pG9NRl) implies the impediment created by current electronic health/medical record (EHR/EMR) systems to maintenance of a longitudinal patient record (LPR, a term to my knowledge was first used by a hospital information system and vendor named PHAMIS of Seattle, Washington, founded in the 1970s; that set an illustrious standard for continuously available electronic patient records running on non-stop/no-fault systems from Tandem Computers). A Cloud Healthcare Appliance Real-Time Solution as a Service (CHARTSaaS) integrated development environment (IDE) compliant with the CHARTSaaS IT reference architecture (RA) includes the components needed for healthcare provider subject matter experts to design, develop, deploy and operate applications a.k.a. apps with minimal cost and IT complexity that collectively could emulate a LPR by a cloud-based federated approach to currently disparate and geographically dispersed healthcare provider EMRs/EHRs.
Please validate this proposition to your own satisfaction by reading the white paper at http://bit.ly/2nhwqpd and then by reviewing the details of CHARTSaaS and the CHARTSaaS RA in these presentations:
Healthcare providers will benefit significantly from appreciating and then applying a CHARTSaaS RA-compliant IT solution. To do so will mitigate medical mistakes (currently the third leading cause of patient deaths. per Makaray and Daniel http://www.bmj.com/content/353/bmj.i2139), thereby minimizing patient adverse events and optimizing clinical case outcomes while maximizing the cost-effectiveness of care and treatment while accelerating the accrual and application of medical knowledge.