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Pediatric Electronic Health Records - Transforming Pediatric Care

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Pediatric electronic health record is a system for the secure storage, exchange, and disposal of pediatric healthcare information.

Written by

Dr. Saima Yunus

Medically reviewed by

Dr. Veerabhadrudu Kuncham

Published At January 29, 2024
Reviewed AtFebruary 7, 2024

Introduction:

Pediatric electronic health records help secure the storage, exchange, accumulation, and disposal of healthcare information for pediatric patients. It is used in the healthcare system to care for newborns, children, and adolescents.The pediatric electronic health record is a system of records and processes designed to help pediatricians efficiently manage daily activities.

Pediatric electronic health record systems have special features and functionality for pediatric clinics. Electronic Health Records (EHRs) have become integral to delivering efficient and comprehensive patient care in the ever-evolving healthcare technology landscape. This is more evident than in pediatric healthcare, where adopting pediatric electronic health records (PEHRs) reshapes how healthcare professionals manage and monitor children's health. This article explores the evolution, benefits, and challenges of PEHRs in enhancing pediatric care.

What Are Pediatric Electronic Health Records (PEHRs)?

Pediatric electronic health records, tailored specifically for the unique needs of children, encompass a digital version of a child's health information. These records include a range of data, from medical history and growth charts to immunization schedules and developmental milestones. Unlike adult-focused EHRs, PEHRs also consider children's developmental stages, offering a holistic view of their health. The pediatric EMR software is beneficial in pediatric practices as the official electronic record of a clinic's correspondence and organizational processes:

  • Modernizing the workflow.

  • Tracking and scheduling treatment options.

  • Focusing on the general well-being of their patients.

Pediatricians can manage patient encounters more effectively and save time on processes like writing refills or completing charts. However, billing staff must ensure charges are accurately documented by evaluation and management (E&M) documentation guidelines. Offices still using paper charts or an old practice management system face a bigger challenge in achieving operational effectiveness than a practice using pediatric electronic medical record (EMR)/electronic health record (EHR) software.

How Have Pediatric Electronic Health Records (PEHRs) Evolutionized Over the Years?

The journey of PEHRs began with the broader adoption of EHRs in the early 21st century. Recognizing the need for specialized systems for pediatric patients, healthcare providers, and technology developers worked collaboratively to create platforms that address the intricacies of child healthcare. Most systems use immunization management that can perform the following functions:

  • Tracks vaccines.

  • Notifies providers when a vaccination is due.

  • Connects with state immunization registries.

Pediatrician EMRs also document preterm, infant, and child growth and body mass index (BMI) charts. They will have a certain level of reporting, including school and camp physical forms, vaccine for children (VFC) eligibility status, Healthcare Effectiveness Data and Information Set (HEDIS) immunization compliance, and more. Generally, most systems have customizable templates and workflows designed for pediatricians.

What Are the Benefits of Pediatric Electronic Health Records (PEHRs)?

The benefits of PEHRs include:

  1. Comprehensive Patient History: PEHRs allow healthcare providers to access a child's complete medical history, including prenatal care, birth records, and developmental milestones. This comprehensive view aids in more accurate diagnoses and treatment plans.

  2. Immunization Tracking: One of the significant advantages of PEHRs is the ability to track and manage immunization schedules. Automated alerts ensure that children receive timely vaccinations, promoting public health initiatives.

  3. Growth and Development Monitoring: PEHRs include growth charts and developmental assessments that assist healthcare professionals in monitoring a child's physical, cognitive, and emotional development over time.

  4. Coordination of Care: Improved communication and coordination among healthcare providers are facilitated by PEHRs. This is particularly beneficial in pediatric care, where collaboration between specialists is often required.

  5. Enhanced Patient Engagement: PEHRs empower parents and guardians to participate actively in their child's healthcare. Access to information, appointment scheduling, and secure messaging with healthcare providers contribute to increased engagement.

  6. Reduced Errors and Duplications: By centralizing patient information in a digital format, PEHRs help reduce errors related to manual record-keeping and minimize the risk of duplicative tests or treatments.

What Are the Challenges Faced in Implementing Pediatric Electronic Health Records (PEHRs)?

The challenges faced in implementing PEHRs include:

  • Privacy Concerns: The sensitive behavior of pediatric health information increases data security and privacy issues. Striking a balance between accessibility for healthcare providers and safeguarding patient confidentiality is an ongoing challenge.

  • User Training and Adoption: Healthcare professionals may face a learning curve when transitioning to PEHRs. Adequate training is essential to ensure the efficient use and integration of these systems into daily practice.

  • Interoperability Issues: The need for standardized data formats and interoperability between different EHR systems poses challenges, particularly when patients seek care across different healthcare institutions.

  • Cost of Implementation: The initial cost of implementing PEHRs and the associated technological infrastructure can be a barrier for some healthcare organizations, especially smaller practices.

  • Resistance to Change: Resistance to adopting new technologies, usually seen in various industries, also affects the healthcare sector. Some healthcare professionals may need more time to shift from traditional paper-based records to digital platforms.

What Are the Future Aspects of Pediatric Electronic Health Records?

  • Integration With Wearable Technology: PEHRs with wearable devices will likely become more prevalent. This can provide real-time data on a child's health, activity levels, and vital signs.

  • Artificial Intelligence (AI) Integration: AI applications, such as predictive analytics and decision support systems, may be integrated into PEHRs to assist healthcare providers in making informed decisions about a child's care.

  • Enhanced Parental Portals: Developing user-friendly parental portals within PEHRs can further empower parents and caregivers to actively manage their child's health.

  • Telehealth Integration: Integrating PEHRs with telehealth platforms can facilitate remote consultations, providing timely access to healthcare for children, especially in underserved or rural areas.

Conclusion:

Pediatric electronic health records represent a crucial step forward in pediatric healthcare, enhancing the quality of care, improving communication, and involving parents more actively in their child's well-being. While challenges exist, ongoing advancements in technology, increased awareness, and collaborative efforts within the healthcare community are paving the way for a future where every child can benefit from the advantages offered by PEHRs. As these systems evolve, the potential for positive transformation in pediatric care remains promising.

Highlighting successful implementations of PEHRs in various healthcare settings, including pediatric hospitals, primary care practices, and community clinics, can offer real-world examples of the positive impact of these systems on patient outcomes.

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Dr. Veerabhadrudu Kuncham
Dr. Veerabhadrudu Kuncham

Pediatrics

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