TY - CHAP M1 - Book, Section TI - Electronic Health Records A1 - Khan, Abu N.G.A. A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert PY - 2019 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - Electronic health records (EHRs) are evolving as an essential technology for use in medical practice. They have the potential to improve quality and safety in modern healthcare and reduce costs.“Meaningful use” is the set of standards defined by the Centers for Medicare & Medicaid Services (CMS) Incentive Programs that must be met by eligible providers and hospitals to earn incentive payments and avoid penalties.Clinical decision support (CDS) is still in its infancy and will likely improve in the future with artificial intelligence and become an essential element in improving healthcare delivery. It is also a measure of “meaningful use.”The emergency department electronic medical records (ED EMRs) should be integrated with the hospital EHR, preferably as different faces or displays of the same EHR system.The ED EMR module must have additional specialized features to optimally match the workflow of the ED, including a dynamic status board and ability to create a chart quickly.ED EMR documentation for teaching physicians must comply with CMS regulations.The ED is a 24/7 dynamic service. It is important to have a clear downtime policy and procedure in case the system fails partially or entirely.Despite the potential benefits of EHRs, obstacles and controversies persist. It is vital that future eHealth technologies are evaluated against a comprehensive set of measures. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1155750845 ER -