DQ 2: Differentiate between EMRs and EHRs.
Differentiate between EMRs and EHRs. Discuss the importance of interoperability in
relationship to both types of records and to how the EMR and EHR improve quality and access
Electronic Medical Records (EMRs) and Electronic Health Records (EHRs) are not the same.
Though they are only one letter apart, EMRs and EHRs actually have very different functions.
Both are digital programs that house patient information, thus greatly decreasing the reliance on
physical paper copies. Both can be used for data tracking and as a tool to ensure patients are
receiving proper preventative care, such as immunizations and screenings (Garrett & Seidman,
An EMR is a digitized version of a patient’s medical chart from one specific facility. It includes
provider notes, diagnoses, and treatments, all of which occurred at that one clinic in particular
(Garrett & Seidman, 2011). EMRs are not easily transferrable to other facilities, however, and
often may need to be physically printed out for the information to be shared outside of the
clinic/facility (Garrett & Seidman, 2011).
While an EMR focuses on the “medical” aspect, an EHR focuses on “health” as a whole, which
is a much broader view (Garrett & Seidman, 2011). EHRs can do everything an EMR can do,
and more. They can house information not just from one specific clinic or facility, but from all
providers a patient may see, providing a holistic look at the patient’s care as a whole (Garrett &
Seidman, 2011). Information can be shared between facilities without the cumbersome process
of printing and faxing, providers can collaborate with confidence knowing they’re seeing the
same information, and the EHR moves with the patient wherever they go (Garrett & Seidman,
There are more than 800 certified commercial EHRs for inpatient facilities (DeNisco & Barker,
2016). A commonly used EHR is Epic, which is what my hospital system just switched to, from
Cerner/ORCA. We made the switch to Epic for our inpatient facilities because our outpatient
clinics were already using it, and Epic and Cerner did not share information with each other.
While switching to Epic was not a smooth transition and we are still working through ongoing
issues months later, it was a move made in the name of interoperability and patient quality and
access to care. Having out outpatient and inpatient systems talk to each other provides invaluable
information when a patient finds themselves inpatient. Providers and care teams can be confident
that they see the holistic picture of the patient’s medical care, instead of having to fill in holes in
records and spend time piecing together the history.
Read Also:DQ 1: Informatics
DeNisco, S.M., & Barker, A.M. (2016). Advanced practice nursing. Essential knowledge for
the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Garrett, P., & Seidman, J. (2011). EMR vs EHR—what is the difference? The Office of the
National Coordinator for Health Information Technology. https://www.healthit.gov/buzz-
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Grading Rubric Guidelines
Demonstrates achievement of scholarly inquiry for professional and academic decisions.
|Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.
(5 points possible per graded thread)
Summarizes what was learned from the lesson, readings, and other student posts for the week.
|Minus 1 Point||Minus 2 Point||Minus 3 Point||Minus 4 Point||Minus 5 Point|
|Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.
Points deducted for improper grammar, syntax and APA style of writing.
The source of information is the APA Manual 6th Edition
|0 points lost||-5 points lost|
|Total Participation Requirements
per discussion thread
|The student answers the threaded discussion question or topic on one day and posts a second response on another day.||The student does not meet the minimum requirement of two postings on two different days|
|Early Participation Requirement
per discussion thread
|The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.||The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.|