...NLU HCL 425 "EMR as HUB” What an exciting time to become part of the health care industry! Medical research makes new discoveries to improve the quality of patient care and save lives on a daily basis. Health care reform is gaining momentum, revolutionizing the industry and requiring many administrative changes, such as the creation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Rules and standards evolved from this act provide a way to ensure your protected health information remains confidential. In this digital age, it is particularly relevant. The digital evolution impacts many areas. Digital TVs, computers, smart phones and iPods have totally changed the way we do business and enjoy entertainment. In the medical industry, the digital evolution provided advanced imaging technology, and a variety of other significant improvements for treating patients. On the administrative side, the development of practice management programs and electronic health records streamline office workflow and helps provide patients a more efficient and cost effective experience. EMR is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. CPOE Computerized Physician Order Entry or CPOE is the process of capturing a physician's instructions for a patient's care electronically to improve the efficiency of care delivery. Use CPOE for medication...
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...in updating notes on EMR by the transcriptionist. 3) Still relying on paper approach for prescriptions. 4) Superbill form used in place of EMR for coding. | 1) Transformational training of EMR required- Will take less time, electronic prescription- good for records, no need for transcriptionist. 2) Removal of superbill and introduction of electronic billing codes. | Dr Jones | 1) Positive about EMR use. 2) Positive change in work style- good adaptation. 3) Does not rely on his memory completely by feeding few important notes in the EMR during patient visits. | 1) Incomplete notes at start, which are filled later- taking extra time. 2) Many prescriptions not signed at the end of day. 3) Undercoding due to fear. 4) Reduction in patient revenue due to incomplete work & undercoding. 5) Prescriptions entered using CPOE. | 1) Professional training of EMR use required to sharpen EMR skills. 2) Training will increase confidence thereby reducing wastage of time, incompleteness of notes, timely updating prescriptions. 3) Revenue might pick up(per patient and number of patients) as the time taken will reduce, thereby facilitating more patient intake and proper coding measures. 4) An effective CPOE system needs clinical decision support (CDS) to help prescribers, pharmacists, nurses, and others use the system effectively. So use of CDS is required for increased efficiency. | Dr Johnson | 1) Most positive approach towards EMR- pre visit preparation...
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...Twenty years many changes has occurred in technology at Methodist Hospital. Each nurse’s station has computers that are never idle. Technology has improved patient care by leaps and bounds. Patient information is readily available to caregivers with a click of a little button and the help of information technology (IT) and the electronic medical record (EMR). Changes seen from charting to receiving information about a patient . Computers has changed from using a large central computer with many dumb terminals to the microcomputer (Kidd, 2010). Centralized computer services supported by Information Management Services (IMS), which is under the umbrella of information technology (IT). When the microcomputer showed up in the workplace, they connected to the mainframe as a dummy terminal, it did not take long before the development of Local Area Networks (LANs) took over providing a wider area for computers to talk to one another. Today Wide Area Networks (WAN’s) communicate over a wider area in hospitals and businesses. The 90s saw the introduction of the Internet, which enabled communication and collaboration across distances (Ozbolt & Saba, 2008). Billing patients improved as the computer have changed. Billing the customer was the beginning for the need to use computers. The primary focus was to collect funds in a timely manner (Wager, Lee, Glaser, 2009). If the bills went out quickly, the hospital would be paid more quickly. The larger hospitals had no problem...
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...Computerized Physician Order Entry (CPOE): How are physicians affecting implementation? Anita Marban University of Maryland The Benefits and Challenges of Computerized Physician Order Entry (CPOE): How are physicians affecting implementation? Executive Summary: Physicians have always been the driving force behind the success of new technologies and their effects on healthcare. They are interested in new ways of providing care by utilizing medications or trying new procedures and medical devices. Through research they seek to understand the human body and find cures for the diseases that attack it. They spend years in school and incur debt in upwards of $200,000 dollars before they graduate and have the opportunity to practice independently. Confronted with technology that can improve patient safety by up to 95% and save billions of dollars, they resist change. In the U.S. less than 10% of hospitals and less that 25% of physician offices have fully functioning CPOE systems. Cedars Mt Sinai pulled the plug on their multi-million dollar CPOE system, as did 6 other hospitals because physicians refused to use them. A review of the literature shows that approximately 68% of physicians surveyed identify CPOE as the solution to preventing many medical errors, adopting best-clinical-practices and reducing healthcare costs by billions of dollars annually. It also shows that physicians have issues and concerns with adopting CPOE and until hospitals and government...
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...payors, patients and a host of ancillary entities. These ancillary organizations can include the insurance industry, schools, employers, public health agencies, and various research organizations. Individuals, organizations, and agencies must comply with the regulations and rules to protect the “privacy and security of health information” (U.S. Department of Health & Human Services., n.d. pp.1). Electronic Medical Record An Electronic Medical Record (EMR) is the documentation, and utilization of a consumer’s health care encounter, created and managed by the providers and staff within one health care organization (Wager, K. A., Lee, F. W., & Glaser, J. P. 2013). The majority of health care records are currently in the format of EMRs. Basic office formatted systems include patient demographic information, patient problem lists, clinical notes, orders for prescriptions, and ancillary test results, including radiology and laboratory. In 2009, approximately 41.5% of physician offices used at least a basic EMR system (Centers for Disease Control and Management, December 2009). Beginning in 2009, and continuing until 2021, eligible providers may...
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...to approximately 98,000 deaths in 2009. To address the dual challenges of cost control and quality improvement, some have argued that what is needed is an integrated electronic medical record (EMR) system and associated information technology-enabled processes. While the information systems currently available may meet the needs of the industry, the question remains as to what is required within and by the health care services organization to achieve a satisfactory response to these dual challenges. At the present time, Partners Healthcare System (PHS) maintains a centralized digital records library on over 5 million patients, augmented in real-time by data, textual comments, and artifacts (i.e. x-rays, MRI’s, EKG’s, etc.) as these patients visit doctor offices, receive hospital-based or home care services, and obtained prescription medications and other therapies. Procedures are in place to ensure the data quality and integrity of these patient files. Going forward, any health care professional across the network can access a patient’s complete record, ensuring accurate, timely, and comprehensive information sharing about that patient’s medical history, allergies, current treatments, and so forth. In and of itself, this investment in this electronic medical records system (EMR) - called the Longitudinal Medical Record or LMR within Partners – was implemented to reduce delays in service delivery, mistakes in treating the patient, and...
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...Health Care Information Systems Terms HCS/483 June 3, 2013 University of Phoenix Health Care Information Systems Terms Health Insurance Portability and Accountability Act (HIPAA) - HIPAA is the federal legislation signed in 1996 to protect all patients’ medical records with privacy guidelines that are seen by health care professionals. It also gives patients more control over their medical records. The Health Insurance Portability and Accountability Act are used mainly to protect patient information in a health care setting. HIPAA is also used to reduce fraud and abuse from health care professionals. If HIPAA regulations are not met the consequences could be great. Electronic medical record (EMR) – An EMR is an electronic record of an individual’s health information that is generated, assembled, and managed by those who are authorized physicians and other staff from a health care facility. Electronic medical records are used in a health care facility to record patient information such as patient identification, insurance information, visits, diagnosis, and labs. EMR’s can be accessed easily, and there is no need for paper files. EMR’s can be accessed by portable devices like a tablet. Electronic health record (HER) – An electronic record of an individual’s health information that is generated, assembled, and managed by authorized physicians and other health care professionals between several health care facilities. Electronic health care are used in health...
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...In the ever-changing world of the “world-wide web,” healthcare is in the forefront of innovative computerized management systems and the provision of excellence in quality care is dually the journey and goal to enhance patient safety. Before venturing out this journey, it is of importance to understand the ‘why’ and the “how” and “what” will come naturally in succession. The patient is the “why” clinical information transformation is the push for all care providers within the four walls of a hospital, and private and satellite physician offices. Patient safety is the shared vision why pioneers of Health Information Technology (HIT) created computerized systems such as Electronic Health Record to meet the demands of healthcare today and tomorrow. As an example, Cerner Corporation and Dell Corporation- two big giants in the IT industry- are in a continuum to enhance their products and services. In addition, these products, services, and “solutions” are the “platform” that shell the delivery of safe patient outcomes and equip multi-disciplinary clinicians to guide and drive this patient-centered care; best practice and evidenced-care medicine is now the expected and standard of care for what is right for the patient. Furthermore, the present millennial generation drives or is driven by the “cloud’ world and the product is fast and smart, safe and secure, information gathering and sharing that is access anytime and anywhere. For example, a mobile device- IPhone- allows...
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...Partners Healthcare System (PHS): Transforming Health Care Services Delivery Through Information Management Harvard Case Solution & Analysis PARTNERS HEALTHCARE SYSTEM (PHS): TRANSFORMING HEALTH CARE SERVICES DELIVERY THROUGH INFORMATION MANAGEMENT Question 01 The Partners Healthcare System (PHS) faced a lot of obstacles in implementing the ERP system whose sole responsibility was to make the current processes as efficient as possible. In addition to this, once this information system is along with Computerized Patient Order Entry (CPOE) system then it would help the health care professionals in accessing patient complete profile from the scratch that is the patients’ first visit to the health practitioner. However, there was a lot of resistance regarding the system from the doctors. It is reported that two-third of the doctors had prior links to the hospitals and were hesitant to adopt the latest technology. In addition to this, the same number of doctors who had affiliations with the PHS hospital also met their patients at some other venues. The already established workforce lacked in its ability to use the advanced technology and was reluctant to this type of system. As they were trained to write prescriptions manually, hence they were not accepting this new mode of data reposition. In addition to a lack in ability to apt the latest technology, they also lacked the basic infrastructure or resources to finance this implementation. Moreover, if the technology gets implemented...
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...I agree with Juan Hilario's post regarding best practice and electronic health records (EHR). However, I would like to expand on the challenges that are associated with health information technology (IT). Health IT, such as electronic medical records (EMR) and computerized physician order entry (CPOE), was intended to increase communication between healthcare providers as well as facilitate compliance with hospital and/or organizational guidelines, policies and procedures (Yoder-Wise, 2015). However, there are challenges that healthcare providers must face when utilizing health IT which include: violating HIPAA, security and privacy. Increasing healthcare providers accessibility to patients medical records also increases accessibility to the population at large (Herrick, Gorman, Goodman, 2010). Utilizing health IT creates...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines. |Term |Definition |How It Is Used in Health Care | |Health Insurance Portability and |Health Insurance Portability and |HIPAA requires the confidential handling | |Accountability Act |Accountability Act of 1996, also known as |and protection of protected health | | |HIPAA was signed by President Bill Clinton |information. It also help in reducing | | |after it was enacted by the United States |health care abuse and fraud. The health | | |Congress. HIPAA makes the possible the |care industries are mandated by HIPAA on | | |ability for millions of American workers |wide standards for health care information | | |and...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines. |Term |Definition |How It Is Used in Health Care | |Health Insurance Portability and |Health Insurance Portability and |HIPAA requires the confidential handling | |Accountability Act |Accountability Act of 1996, also known as |and protection of protected health | | |HIPAA was signed by President Bill Clinton |information. It also help in reducing | | |after it was enacted by the United States |health care abuse and fraud. The health | | |Congress. HIPAA makes the possible the |care industries are mandated by HIPAA on | | |ability for millions of American workers |wide standards for health care information | | |and...
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...care system. Information technology like in every other field of life has become a necessity even in the health care system and is covered by the federal regulations. The implementation of the Electronic Health Records (EHR) by 2014 has become mandated as ordered by President George.W.Bush in 2004 which was seconded by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA). These organizations asked the health care providers to comply with the new legislation and those community-based physician practices who were earlier reluctant to accept and implement it have now realized that the health care in sequence systems in the form of CPOE (computerized physician order entry), EMR (electronic medical records), the tele-medicine, complex disease management, and automated billing systems are very beneficial to them The paper intends to showcase the comparison and contrast between a contemporary health care facility and a traditional health care facility which prevailed before twenty years. At least two major events and technological advantages influencing the practice of the current health care information system are also included in this paper. Definition of Health Care Information System It would be better to understand the two primary classes of health care information system; the Clinical and administrative information systems, prior to the discussion of its evolution and growth in the...
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...CHAPTER 7 SYSTEM IMPLEMENTATION AND SUPPORT LEARNING OBJECTIVES ■ To be able to discuss the process that a health care organization typically goes through in implementing a health care information system. To be able to appreciate the organizational and behavioral factors that can affect system acceptance and use and strategies for managing change. To be able to develop a sample system implementation plan for a health care information system project, including the types of individuals who should be involved. To gain insight into many of the things that can go wrong during system implementations and strategies health care managers can employ to alleviate potential problems. To be able to discuss the importance of training, technical support, infrastructure, and ongoing maintenance and evaluation of any health care information system project. ■ ■ ■ ■ 167 168 System Implementation and Support Once a health care organization has finalized its contract with the vendor to acquire an information system, the system implementation process begins. Selecting the right system does not ensure user acceptance and success; the system must also be incorporated effectively into the day-to-day operations of the health care organization and adequately supported or maintained. Whether the system is built in-house, designed by an outside consultant, leased from an application service provider (ASP), or purchased from a vendor, it will take a substantial amount of planning...
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...Scenario: In 2013, Jeff Magone, the new senior health care executive of Yorkshire Clinic, set the goal for the HCO to implement an electronic health record (EHR) system. Currently, the clinic still conducts patient care using paper health records. Mr. Magone and the physicians have discussed the option, and they realize that EHR usage is proven to improve the quality and safety of patient care. In fact, they all believe in implementation of the EHR so much that Mr. Magone has incorporated EHR implementation into Yorkshire Clinic's strategic plan. Recently, the company determined that your organization qualifies for government incentives—under the Health Information Technology for Economic and Clinical (HITECH) Act of 2009—with successful EHR implementation. Mr. Magone and the physicians realize that EHR implementation will be costly and will take time, but they are willing to make the investment. There is widespread support for the endeavor, and everyone has agreed to be part of the steering committee to guide project development. The various stakeholders include physicians, nurses, administrators, and patients. There have been several meetings in which the end-users have been afforded the opportunity to ask questions and provide their feedback about the initiative. There is growing enthusiasm among physicians and clinicians about the possibilities that EHR implementation will bring. Mr. Magone has made it clear that patient needs are driving the project. He wants to ensure that...
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