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The benefits of electronic records in ambulances include: patient data sharing, injury/illnes prevention, better training for paramedics, review of clinical standards, better research options for pre-hospital care and design of future treatment options, data based outcome improvement, and clinical decision support.Automated handwriting recognition of ambulance medical forms has also been successful.The US Congress included a formula of both incentives (up to ,000 per physician under Medicare, or up to ,000 over six years under Medicaid) and penalties (i.e.decreased Medicare and Medicaid reimbursements to doctors who fail to use EMRs by 2015, for covered patients) for EMR/EHR adoption versus continued use of paper records as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009.The EMR, in contrast, is the patient record created by providers for specific encounters in hospitals and ambulatory environments, and which can serve as a data source for an EHR.

EHR systems are designed to store data accurately and to capture the state of a patient across time.The health information systems literature has seen the EHR as a container holding information about the patient, and a tool for aggregating clinical data for secondary uses (billing, audit etc.).However, other research traditions see the EHR as a contextualised artifact within a socio-technical system.One VA study estimates its electronic medical record system may improve overall efficiency by 6% per year, and the monthly cost of an EMR may (depending on the cost of the EMR) be offset by the cost of only a few "unnecessary" tests or admissions.A 2014 survey of the American College of Physicians member sample, however, found that family practice physicians spent 48 minutes more per day when using EMRs.

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