From the Department of Occupational and Environmental Medicine, University of California San Diego Health, San Diego, California (M.I., A.S.); Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville, Florida (R.C.); UCSD/SDSU General Preventive Medicine Residency Program, Herbert Wertheim School of Public Health, UC San Diego, San Diego, California (J.P.); Harvard T.H. Chan School of Public Health, Boston, Massachusetts (K.S.); Dartmouth Geisel School of Medicine, Hanover, New Hampshire (K.S.); and Department of Biomedical Informatics, University of California San Diego Health, San Diego, California (A.M.S., M.M., C.L.).
J Occup Environ Med. 2023 Jul 1;65(7):615-620. doi: 10.1097/JOM.0000000000002864. Epub 2023 Apr 11.
Occupational health (OH) documentation has traditionally been separate from health system electronic health records (EHRs), but this can create patient safety and care continuity challenges. Herein, we describe outcomes and challenges of such integration including how one health system managed compliance with laws, regulations, and ethical principles concerning digital privacy.
Occupational health integration with the enterprise EHR at the University of California San Diego Health was started in June 2021 and completed in December 2021.
Integrating with the enterprise EHR allowed for a secure telehealth system, faster visit times, digitization of questionnaires medical clearance forms, and improved reporting capabilities.
Integration and interoperability are fundamental building blocks to any OH EHR solution and will allow for evaluation of worker population trends, and targeted interventions to improve worker health status.
职业健康(OH)文档传统上与卫生系统电子健康记录(EHR)分开,但这可能会带来患者安全和护理连续性的挑战。在此,我们描述了这种整合的结果和挑战,包括一个卫生系统如何管理有关数字隐私的法律、法规和道德原则的合规性。
加州大学圣地亚哥分校健康分校于 2021 年 6 月开始将职业健康与企业 EHR 整合,并于 2021 年 12 月完成。
与企业 EHR 整合实现了安全的远程医疗系统、更快的就诊时间、问卷和医疗许可表格的数字化以及改进的报告功能。
整合和互操作性是任何 OH EHR 解决方案的基础,将允许评估工人人群趋势,并进行有针对性的干预以改善工人的健康状况。