Patients with congestive heart failure (CHF) require complex medical management across the continuum of care. Electronic health records (EHR) are currently used for traditional tasks of documentation, reviewing and managing test results, computerized order entry, and billing. Unfortunately many clinicians view EHR as merely digitized versions of paper charts, which create additional work and cognitive burden without improving quality or efficiency of care. In fact, EHR are revolutionizing the care of chronic diseases such as CHF. This review describes how appropriate use of technologies offered by EHR can help standardize CHF care, promote adherence to evidence-based guidelines, optimize workflow efficiency, improve performance metrics, and facilitate patient engagement. This review discusses a number of tools including documentation templates, telehealth and telemedicine, health information exchange, order sets, clinical decision support, registries, and analytics. Where available, evidence of their potential utility in management of CHF is presented. Together these EHR tools can also be used to enhance quality improvement, patient management, and clinical research as part of a learning health care system model. This review describes how existing EHR tools can support patients, cardiologists, and care teams to deliver consistent, high-quality, coordinated, patient-centered, and guideline-concordant care of CHF.

中文翻译：

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电子病历支持的心力衰竭管理创新。

充血性心力衰竭（CHF）患者需要在整个护理过程中进行复杂的医疗管理。电子健康记录（EHR）当前用于传统任务，包括文档编制，检查和管理测试结果，计算机化订单输入和开票。不幸的是，许多临床医生将EHR仅仅视为纸质图表的数字化版本，这会增加工作量和认知负担，而不会提高护理质量或效率。实际上，EHR正在彻底改变诸如CHF等慢性疾病的护理。这篇评论描述了EHR提供的技术的适当使用如何有助于标准化瑞士法郎护理，促进遵守循证指南，优化工作流程效率，改善绩效指标并促进患者参与。这篇评论讨论了许多工具，包括文档模板，远程医疗和远程医疗，健康信息交换，订单集，临床决策支持，注册表和分析。如有可能，将提供其在瑞士法郎管理中潜在用途的证据。这些EHR工具也可以一起用作学习型医疗保健系统模型的一部分，以提高质量，改善患者管理和临床研究。这篇评论描述了现有的EHR工具如何支持患者，心脏病专家和护理团队提供CHF的一致，高质量，协调一致，以患者为中心以及符合准则的护理。这些EHR工具也可以一起用作学习型医疗保健系统模型的一部分，以提高质量，改善患者管理和临床研究。这篇评论描述了现有的EHR工具如何支持患者，心脏病专家和护理团队提供CHF的一致，高质量，协调一致，以患者为中心以及符合准则的护理。这些EHR工具还可以一起用作学习型医疗保健系统模型的一部分，以提高质量，改善患者管理和临床研究。这篇评论描述了现有的EHR工具如何支持患者，心脏病专家和护理团队提供CHF的一致，高质量，协调一致，以患者为中心以及符合准则的护理。