Electronic Medical Records (EMRs) are digital versions of patient medical records. They have become increasingly popular in recent years as more healthcare providers move from paper-based records to digital ones. There are two main types of EMRs: cloud-based and premise-based. Premise EMRs are installed and run on local servers within a healthcare provider's facility. In this blog post, we'll explore the advantages and disadvantages of using a premise EMR.
What is Premise EMR
Premise EMR is a medical record system where the software is installed and run on local servers within a healthcare provider's facility rather than being hosted in the cloud. This means that the medical data is stored on the healthcare provider's servers and managed by their IT staff. Premise EMRs typically include patient demographics, medical history, laboratory and imaging results, medication orders, and clinical notes. Premise EMRs are often chosen by healthcare providers who prioritize security, customization, and control over their medical records data.
Advantages of Premise EMRs
- Security: Premise EMRs offer a higher level of security than cloud-based EMRs because the data is stored locally. This means that the data is not vulnerable to attacks from outside sources.
- Customization: With a premise EMR, healthcare providers have the ability to customize the system to their specific needs. This can include adding features, modifying workflows, and creating custom reports.
- Speed: Premise EMRs typically run faster than cloud-based EMRs because they are running on local servers. This can be especially important for healthcare providers that need to access patient records quickly.
- Control: With a premise EMR, healthcare providers have complete control over the system. They can choose when to upgrade or update the software, and they don't have to rely on a third-party vendor to make changes.
Disadvantages of Premise EMRs
- Cost: Premise EMRs can be expensive to set up and maintain. Healthcare providers need to purchase the hardware and software, and they may need to hire IT staff to manage the system.
- Downtime: If the local server goes down, the entire EMR system may become unavailable. This can lead to delays in patient care and frustration for healthcare providers.
- Scalability: Premise EMRs may not be as scalable as cloud-based EMRs. If a healthcare provider needs to add more users or expand the system, they may need to purchase additional hardware and software.
- Remote access: Premise EMRs may not be as accessible from remote locations as cloud-based EMRs. This can be a disadvantage for healthcare providers who need to access patient records from outside the facility.
Conclusion
premise EMRs offer a high level of security, customization, speed, and control for healthcare providers. However, they can be expensive to set up and maintain, may experience downtime, and may not be as scalable or accessible from remote locations as cloud-based EMRs. Healthcare providers should carefully consider their needs and budget before choosing which type of EMR system to implement.


