...Course Project Compare & Discuss Electronic Software for Health Records MediTouch EHR Electronic Health Record Software HSM 330: Health Services Information Systems Devry University September 12, 2013 Compare & Discuss Electronic Software for Health Records An electronic health record or EHR is a concept defined as a collection of electronic health information about individual patients or populations. Once an EHR system is installed and staff are trained in its proper use, retrieving and updating patient clinical records is performed substantially faster and with fewer errors. In most cases, this allows health care providers to finish patient charting more quickly, and to do so while with the patient, increasing accuracy and completeness of the record. This can result in an increase in scheduled visits per hour with no lessoning of patient care quality. Also, by reducing the burden of administrative work, it allows a healthcare provider to concentrate more on the patient and less on paperwork. By definition, an EHR system is a record in digital format that is capable of being shared across different health care settings. In some cases this sharing can occur by way of network-connected, enterprise-wide information systems and other information networks or exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics...
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...EHR selection and decision-making process An electronic health record or EHR is a concept defined as a collection of electronic health information about individual patients or populations. Once an EHR system is installed and staff are trained in its proper use, retrieving and updating patient clinical records is performed substantially faster and with fewer errors. In most cases, this allows health care providers to finish patient charting more quickly, and to do so while with the patient, increasing accuracy and completeness of the record. This can result in an increase in scheduled visits per hour with no lessoning of patient care quality. Also, by reducing the burden of administrative work, it allows a healthcare provider to concentrate more on the patient and less on paperwork. By definition, an EHR system is a record in digital format that is capable of being shared across different health care settings. In some cases this sharing can occur by way of network-connected, enterprise-wide information systems and other information networks or exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information. There is much variety of health record software available for medical records. Sharing patient charts and medical information with other health care providers is also made substantially...
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...Electronic Health Record Functionality Standards or Certification HSM 330 DeVry University October 1, 2015 In describing how I would incorporate my findings into the HER selection and decision making process, I would analysis the criteria that must be met to qualify for functionality or certification. The basic functionality supports the belief that if a provider were armed with information about the functional capabilities of software, they would be better equipped to compare systems, resulting in making decisions about acquiring systems appropriate for their practice needs. The CCHIT, which is the Certification Commission for Healthcare Information Technology, expects that the process of achieving goals of quality, safety, and cost effectiveness will accelerate initiatives toward the electronic health record. Electronic Health Record Functionality standards are or Certification is a ranking system for electronic health records systems. To qualify for HER certification, vendors had to meet more than 300 criteria devised by the Commission’s physicians, medical societies, vendors, and payer. Most of the requirements concerned HER functionality, security, and reliability. CCHIT, Certification Commission for Healthcare Information Technology, will ass new requirements for certification each year. Healthcare level H7, which is the application protocol for Electronic Data Exchange in healthcare environments, it is considered a gold standard benefit in the healthcare...
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...turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116). The responsibility of employing the new EHR Medicare and Medicaid incentive programs has been given to the Centers for Medicare and Medicaid Services (CMS) under the American Recovery and Reinvestment Act of 2009. CMS established and launched standards and managed the implementation specifications. CMS also oversaw the certification criteria, including the certification process for the EHR technology. The Centers for Medicare and Medicaid Services also insured the safety of the patients by establishing privacy and security protections under the Health Information Technology for Economic and Clinical Health (HITECH) Act (Burchill, 2010, p. 232). The Centers for Medicare and Medicaid Services provided incentive payments to eligible professionals and hospitals that are determined to be meaningful users of a certified EHR program. According to an article by Jones, Heaton, Friedberg, and Schneider (2011) incentives totals may add up to $27 billion dollars between the years 2011-2016. Implementing electronic health record systems (EHR) is simply...
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...In health information technology context, an organization or individual should have properly demonstrated meaningful use and should have successfully fulfilled the requirement for electronic health records and related technology. According to the institute of Medicine (2003) the adoption and meaningful use of health information technology (HIT) would play a “critical role” in our 21st- century health care system. One of the major components of using HIT was the development and adoption of Electronic Health Records system (EHR). EHR is a digitalized system, which is used by care providers to treat and diagnose the patient. Adoption and use of EHR has been growing in rapid pace in recent years. According to the Institute of Medicine, widespread use of effective EHRs would be key to improving health care delivery...
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...Office of the National Coordinator for Health Information Technology (ONC) Federal Health Information Technology Strategic Plan 2011 – 2015 Table of Contents Introduction Federal Health IT Vision and Mission Federal Health IT Principles Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal III: Inspire Confidence and Trust in Health IT Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System Appendix A: Performance Measures Appendix B: Programs, Initiatives, and Federal Engagement Appendix C: HIT Standards and HIT Policy Committees Information Flow Appendix E: Statutes and Regulations Appendix F: Goals, Objectives, and Strategies Appendix G: Acronyms ONC Acknowledgements Notes 3 6 7 8 21 28 36 49 51 65 67 70 74 77 77 78 Goal V: Achieve Rapid Learning and Technological Advancement 43 Federal Health IT Strategic Plan 3 Introduction he technologies collectively known as health information technology (health IT) share a common attribute: they enable the secure collection and exchange of vast amounts of health data about individuals. The collection and movement of this data will power the health care of the future. Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve...
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...Meaningful Use Information Technology in Healthcare Mohammad Ali Torabi Meaningful Use In 2009 president Obama signed the Affordable Care Act, which is also known as ObamaCare, into law. ObamaCare is a national health care plan, which its main goal is to reform the American health care system so that every citizen would be insured by the year 2014. Healthcare providers are overwhelmed by the amount of patients they visit everyday due to the shortage of doctors we are having. One article from New York Times estimated that by the year 2025, America would be in shortage of 100,000 primary care physicians, based on the amount of doctors graduating and an increase demand of healthcare. Having said this, the atmospheric state in the healthcare environment can be described as barred linear unit in which everything within is in an incessant movement, whether it’s the personal, semantic role, and/or the application. In this crucial environment, access to patients’ medical record in a timely manner is essential in providing efficient and quality patient care. In a town meeting held in Northern Virginia Community College in Annandale, Va., President Obama called for fixing the inoperative healthcare system by investing in electronic medical records. President stated, “ I know that people say the costs of fixing our problems are great – and in some cases, they are”. He also stated that, “The costs of inaction, of not doing anything, are even greater. They’re unacceptable.” In an...
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...A. Analyze three current federal government programs related to health informatics by doing the following: 1. Evaluate how each current program is impacted by licensure, certification, or accreditation standards. 1. The Electronic Medical Record and the Office of the National Coordinator for Health Information Technology (ONCHIT). 1 2 2. The Certification Commission for Health Information Technology (CCHIT). 3 3. HL7 –Health Level 7 4 (1)The Office of the National Coordinator for Health Information Technology (ONCHIT) was formed in 2004 to promote and oversee the adoption of interoperable electronic health records in the US within a 10 year period or by 2014. 1 Currently my employer, St. Mary’s Medical Center has begun an initiative moving towards the Electronic Medical Record and MPI – Master Patient Index. In 2005, the US government funded a nonprofit group, the Certification Commission for Healthcare Information Technology (CCHIT). This group was created to develop a set of standards for the EHR and supporting networks. They were also to certify vendors who met these standards. The CCHIT is approved by the Office of the National Coordinator for Health Information Technology (ONC) as an Authorized Testing and Certification Body.3 They have been performing this certification since 2006. This certification was independently developed but includes a thorough inspection of the electronic health record for interoperability, security and integrated functionality meeting...
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...Analyze three current federal government programs related to health informatics by doing the following: 1. Evaluate how each current program is impacted by licensure, certification, or accreditation standards. 1. The Electronic Medical Record and the Office of the National Coordinator for Health Information Technology (ONCHIT). 1 2 2. The Certification Commission for Health Information Technology (CCHIT). 3 3. HL7 –Health Level 7 4 (1)The Office of the National Coordinator for Health Information Technology (ONCHIT) was formed in 2004 to promote and oversee the adoption of interoperable electronic health records in the US within a 10 year period or by 2014. 1 Currently my employer, St. Mary’s Medical Center has begun an initiative moving towards the Electronic Medical Record and MPI – Master Patient Index. In 2005, the US government funded a nonprofit group, the Certification Commission for Healthcare Information Technology (CCHIT). This group was created to develop a set of standards for the EHR and supporting networks. They were also to certify vendors who met these standards. The CCHIT is approved by the Office of the National Coordinator for Health Information Technology (ONC) as an Authorized Testing and Certification Body.3 They have been performing this certification since 2006. This certification was independently developed but includes a thorough inspection of the electronic health record for interoperability, security and integrated functionality meeting...
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...Health Information Technology (HIT) is becoming increasingly useful and implemented more frequently by health care providers throughout the United States. This technology may include Electronic Health Records (EHR) or Electronic Medical Records (EMR). The shift towards implementing Electronic Health Records has a significant influence on the quality of care provided by health care providers; however, some providers still stick to the basic paper documentation due to skepticism and disregard the benefits to adopting new technologies. Many questions arise when a health care provider is interested in adopting EHR’s, such as why adopt EHR’s? What are the benefits of EHR’s in relation to paper documentation? What steps need to be taken in order to adopt and implement EHR’s? What barriers will be encountered during the decision making process and how will these barriers be addressed? A health practice interested in adopting and implementing an EHR system must establish priorities, identify potential risks and how to avoid or overcome these risks, outweigh the pros and cons, set goals, and adhere to strict guidelines to ensure adopting a successful system. The terms Electronic Health Records (EHR) and Electronic Medical Records (EMR) are often used interchangeably by health care providers when in fact there is a subtle difference between EHRs and EMRs. Electronic Medical Records and Electronic Medical Records are both digital versions of a patient’s medical history and information;...
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...EMERGING ROLES IN HIM National EHR Database Security Synthia Ross ITT Tech Online OLA 1- Managing Business Information Systems Professor Mikal Wilkerson July 27, 2013 Abstract In 2009, President Barack Obama declared that by 2014, all American health records would exist in an electronic format. As part of this undertaking, the federal government has budgeted $19.2 billion in incentives for medical institutions to invest in EHRs via the American Reinvestment and Recovery Act (ARRA). By making health records completely digital, we are entrusting our most private information to “cyber-space” and opening ourselves up to potential violations of privacy. It is imperative that everyone consider the new security issues faced when approaching data storage, transmission and retrieval from various electronic devices. HIPAA’s agenda was to establish privacy, security, and electronic standards for health care providers that handle different types of patient information. The accountability part of the act includes the penalties for breaches in medical privacy, disclosures of patient records by e-mail, or un-authorized network access. How will this mesh into the emerging National Electronics Health Records Database managed by the US Government? National EHR Database Privacy Since 1996, the U.S. government has been forcing the health care industry to take responsibility for the security and control of your personal health information (PHI) by requiring the protection...
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...Electronic Health Record: Evaluation of a System Electronic Health Record: Evaluation of a System There are many different systems, within an organization, that have an impact on how an organization operates. Some systems within an organization play a passive role while others have a significant impact on the way an organization operates. These systems transform the operations within that organization. One system that has greatly transformed the way that hospitals operate is the Electronic Health Record (EHR). The EHR was introduced into the health care sector around 2004 when President Bush included this topic in his state of the union address. That same year, David Brailer was appointed as the national health information technology coordinator. In this new role David was to provide “leadership for the development and nationwide implementation of an interoperable HIT infrastructure, with the goal of establishing electronic health records for all Americans within 10 years” (A Brief History of Electronic Health Records, 2012). In 2006, the Center for Medicare and Medicaid Services (CMS) defined their role in the initiative, and in 2009 continued to move forward with new -found support from President Obama. (A Brief History of Electronic Health Records, 2012) Within the healthcare are arena there was a business requirement for an EHR due to continual redundancies and mistakes on paper records. Mistakes within healthcare can have an obvious impact on patient care as we...
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...Medical record keeping has change in the last couple of decades. In the past patients records were kept in a file on paper taking up excessive room. In the past, paper charts were the only means of keeping a patient’s medical diagnoses documented. Some of these charts are still used today in healthcare facilities, lately; there have been great advancements in the medical field involving the creation and maintenance of patient records. There are electronic medical record computer systems and internet-enabled doctor correspondence methods. All of this is to make the experience better for the patient and easier for the medical provider. In 2009, the 111th Congress allocated $19 billion of the American Recovery and Reinvestment Act, toward the creation of an electronic health record (EHR) for each person in the United States by 2014. The recent debate over EHRs has focused largely on the economic, logistical, and political consequences of implementing such a system; however, the country should also contemplate the ethical ramifications of EHRs. Addressing these concerns requires the application of ethical principles such as autonomy, justice, beneficence/non-maleficence, and privacy and confidentiality. The use of electronic technology for the management of health information presents expanded security risks due to increased capacity and mass storage. A single breach in security could lead to the unauthorized disclosure of private health information. Both health care organizations...
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...Electronic Health Record Selection Process DeVry University HSM 330 Professor: Dr. Eric Oestmann Introduction More and more healthcare facilities are switching over to electronic health records. With that switch comes the mind-bending process of selecting which electronic health records system is the best in regards to features, functionality, and cost effectiveness. What healthcare administrators, and their teams, will be looking for is; a) An increased access to healthcare records, so a larger database b) Support in the medical providers decision-making process c) Increase communication between healthcare staff, and with the patient d) Be cost effective, not only in the purchase price but also the price of training and implementation. NextGen Electronic Health Record System Dating back to 2001 when NextGen first started as an electronic health record system, it has been striving, and evolving, to become the best electronic health record system around. Jordan Barrish reports (2014) that as of 2014 NextGen EHR only has about 4,000 clients. That would not be even close to being the biggest EHR provider, or system. However, they do report that they have interoperability between third party systems and Health Information Exchanges (HIE) (NextGen HIE 2015). NextGen does have some great support tools for medical providers and patients alike. For the office, they have a practice management system that can increase productivity, and incoming revenue...
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...address. While addressing many topics. However, with just two sentences uttered in the middle of an hour plus speech, President Bush set forth a ten year motion that would change the face of health care as we once knew it. Towards the middle of the Presidents Union Address, he states “By computerizing health records, we can avoid dangerous medical mistakes, reduce costs and improve care. To protect the doctor-patient relationship and keep good doctors doing good work, we must eliminate wasteful and frivolous medical lawsuits” (Bush, 2004). “President Bush outlined a plan to ensure that most Americans would have electronic health records within the next ten years. Bush believed that innovations in electronic health records and the secure exchange of medical information would help transform health care in America – improving health care quality, preventing medical errors, reducing health care costs, improving administrative efficiencies, reducing paperwork, and increasing access to affordable health care” (The White House, n.d.). The ten years following the 2004 State of the Union Address allowed development of electronic health records (also known as EHRs) to be adopted into health care facilities across the nation. An EHR is defined the Centers for Medicare & Medicaid Services as “an electronic version of a patients’ medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular...
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