...Excellence: Case Study Jessica Moss October 9th, 2012 The HIMSS Davies Award of Excellence originated in 1994. The program and award is named after Dr. Nicholas E. Davies who was a practicing physician and the President elect of the American College of Physicians as well as a member of the Institute of Medicine Committee on Improving the Patient Record. Dr. Davies passed away in a plane crash in 1991 but he dedicated his work into improving the patient record. He believed that computer based patient records needed improvement to provide better care for the patients. The Davies Award of Excellence is an award that requires the staff in the health care system applying for the award to document and assess their progress and accomplishments using a framework for thinking about the implementation process of an electronic health records system. The HIMSS Nicholas E. Davies Award of Excellence identifies organizations use of health care information technology in four categories: public health, organizational health, ambulatory care and community health organizations. Each case study demonstrates the facilities innovation and the use of an existing application that delivers the new or improved functionality or original solutions created by the applicant enterprise. (HIMSS, 2011) In 2011, five case studies were awarded with the Davies Award. The New York City Department of Health and Mental Hygiene applied their case study and was awarded the Davies Award in the Public Health sector...
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...Running head: Electronic Medical Records (EMR) Electronic Medical Records (EMR) Student Names Florida Atlantic University College of Business Health Administration Program Dr. Attila J. Hertelendy Introduction to Health Care Systems HSA 6103 Electronic Medical Records (EMR) November 15, 2011 Table of Contents 2 Abstract ............................................................................................................................................3 Introduction ......................................................................................................................................4 Types of EMRs ................................................................................................................................4 EMR Technology ....................................................................................................................4 Practice Management ..............................................................................................................7 Vendors and Cost of EMR ......................................................................................................7 EMR Stimulus.........................................................................................................................8 Different Uses of EMR ....................................................................................................................9 Uses of EMR in Health Management .............................
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...outages. The Electronic Medical Records system of Kaiser Permente has been nothing short of an IT project gone awry. Questions began to rise when Cliff Dodd, the company’s CIO, resigned. Dodd stepped down January 14, 2010 after another Kaiser employee, Justin Deal, sent a memo to every company worker warning of technological and financial repercussions related to the rollout of the nearly $4 billion system from Epic Systems Corp. Deal said he also sent letters to Kaiser management expressing his concerns. But in internal memos, officials said they investigated those concerns and denied that the implementation of the Health Connect system has been a failure. The system is suppose to give more than 100,000 of Kaiser’s physicians and employees instant access to the medical records of some 8.6 million patients, along with e-messaging capability, computerized order entry and electronic prescribing. In addition, the system is suppose to integrate appointment scheduling, registration and billing functions and will offer various features to Kaiser members through KP.org. A power outage on May 9, 2009 at Kaiser’s data center in Corona, California, lasted for 55 hours and 7 minutes and affected the ability of numerous health care facilities to access the Health Connect system. This outage affected every Kaiser Permente region. Providers/clinicians across KP would not have access to medical information to treat members, process lab and pharmacy requests, and in some cases were in full...
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...HCS/514 MANAGING IN TODAY'S HEALTH CARE ORGANIZATION Start Date: 11/08/2011 Print COURSE DESCRIPTION This course focuses on the adaptation of organizational management to evolving health systems. Students will examine organizational theory, organizational performance, structure, change management and human resource management. Students apply various organizational theories to contemporary issues. Week 1 - Topic 1: Organizational/Management Theory Objectives Describe organizational design, function, and processes. Explain how accountability affects the behavior of an organization. Illustrate factors that define and shape an organization. Materials READ ME FIRST Week One Textbook used in this course: EBOOK COLLECTION: Liebler, J.G. & McConnell C.R (2008). Management Principles for Health Professionals. (5th ed.). Sudbury, MA: Jones and Bartlett. Reading Assignments for Week One: EBOOK COLLECTION: Management Principles for Health Professionals, Chapter 1 EBOOK COLLECTION: Management Principles for Health Professionals, Chapter 3 EBOOK COLLECTION: Management Principles for Health Professionals, Chapter 4 READING: Required Electronic Reserve Readings:"Ethical implications of transparency." by Nelson and Campbell ARTICLE: Week One Electronic Reserve Readings Assessment Memo Assignment: A new CEO has just taken over your organization and would like a brief report on the current state of your organization in order to formulate a strategy for improving its performance...
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...The Impact of Electronic Health Records on Pediatric Patient Flow Elizabeth Dutton September 24, 2014 HCM-500 Healthcare Informatics 4-1 Case Study: EMR Implementation and Patient Flow The goal of integrating to the use of electronic health records (EHRs) is to improve quality and reduce costs, however, these systems experience a number of challenges. Electronic health records are computerized paper charts that allow hospitals and medical facilities to compile patient information into one system. This case assesses the effect of employing EHR on “overall patient length of stay, time to medical provider, and provider productivity during implementation of the EHR” (Kennebeck, 2011, p. 443). While the focal point of these systems is to improve the quality and timeliness of patient care, there are a number of challenges facilities face throughout the implementation phase. The implementation of EHRs faces an assortment of trials within the medical industry. The largest concern regarding electronic systems is the protection of patient information, which is required by law through HIPAA. In addition, Stephanie Spellman Kennebeck (2011) describes the potential difficulties involved with the evolution of electronic medical records, stating, “as EHR systems evolve from first generation computerized physician order entry or simple niche system to large hospital-wide EHR integrated records, the risks of the implementation on impacting patient safety, efficiency, and financial...
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...Natural Sciences HCS/405 Version 5 Health Care Financial Accounting Copyright © 2012, 2010, 2007, 2005, 2004, 2002, 1999 by University of Phoenix. All rights reserved. Course Description This course provides an understanding of the general principles of accounting applied in the health care environment. It includes an overview of sources of revenue for various health care entities. The fundamentals of financial planning, cost concepts, capital budgeting, and management analysis are applied in the health care environment. Issues surrounding the development and management of budgets are also examined. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: University policies: You must be logged into the student website to view this document. Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Baker, J. J., & Baker, R. W. (2011). Health care finance: Basic tools for nonfinancial managers (3rd ed.). Sudbury, MA: Jones & Bartlett Publishers. All electronic materials are available on the student website. Week One: Overview of Health Care Finance Details Objectives...
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...Electronic Medical Records HCS/320 August 5, 2011 Electronic Medical Records Health care organizations have changed drastically over the years. Technology has made it more advanced than ever before. New technology has affected the way of health care communication. This paper has been written to show how efficient and effective communication is with electronic medical records, its advantages and disadvantages, its influence on consumers, and the electronic medical records short- and long-term financial impact on organizations. An electronic medical record (EMR) is a computerized medical record created in an organization that delivers care, such as a hospital or physician's office. Electronic medical records tend to be a part of a local stand-alone health information system that allows storage, retrieval, and modification of records (Wikipedia, 2011). Efficient and Effective Electronic Medical Records (EMRs) are increasingly used in health care organizations in general and ambulatory settings in particular. Electronic medical records include comprehensive documentation of a patient’s medical history, easy access to medical data from remote sites, improved communication among the various providers involved in health care, easy access to medical information and state of the art resources over the Internet (medical journals, guidelines, evidence-based medicine databases, medication databases,) and clinical decision support. A recent systematic literature review suggests...
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...Describe problem-solving methodologies. Readings Read Ch. 1 of Health Care Ethics. Read Ch. 1 & 2 of Medical Law and Ethics. Read this week’s Electronic Reserve Readings. Read the Week One Read Me First. Participation Participate in class discussion. 4/10/2014 1 Discussion Questions Respond to weekly discussion questions. 4/10/2014 1 Nongraded Activities and Preparation Ethics Case Study Begin working on the Ethics Case Study due in Week Two. Learning Team Instructions Begin working on the Code of Ethics Paper due in Week Three. Review the Week One objectives and discuss additional insights and questions that may have arisen Individual Health Care Ethics Matching Exercise Complete the Health Care Ethics Matching Exercise, located on your student website. Match keywords commonly used in health care ethics to the definitions on the page. Discuss the exercise in class and turn in your answer sheet to your facilitator. 4/10/2014 15 Week Two: Application of Ethics Within Individual Organizations Details Due Points Objectives 2.1 Describe ethical principles used in health care organizations. 2.2 Explain the relationship between an organization’s culture and ethical decision-making. 2.3 Recognize the role and importance of ethical values within an organization. Readings Read Ch. 3 & 5 of Health Care Ethics. Read Ch. 8 of Medical Law and Ethics. Read this week’s Electronic Reserve Readings. Read the Week Two Read Me First. Participation...
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...before implementing the system. It also predicts the cost of the system and the money it will save the business that is using it. The system I am going to be using is the implementation of Electronic Health Records (EHR) into small rural health care facilities. This particular one is for D.W. McMillan Memorial Hospital. D.W. McMillan Memorial Hospital is a 49 bed community hospital who are located in Brewton, Alabama. D.W. McMillan Memorial Hospital decided they wanted to take a shot at implementing HER to make their organization more modern and up to date on technology that is being used nationwide. Not only will it benefit their patients, but also the workers, and the organization as a whole. D.W. McMillan Memorial Hospital realized they needed and EHR system when they started using the bar code medication administration system. Up until the point they realized they need an automated system, they always used the traditional paper version of medical records. They used system analysis to take a look at their current paper medical records that were being used and they wanted to implement a software that would be an easy transition, with easy-to-navigate screens that “mirrored paper-based processes” (EHR implementation in a smaller hospital: A case study, 2014) This helped the health care providers to adapt to...
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... [pic] Abstract EHR, known as electronic health record, refers to some systematic collection of an individual’s or a population’s electronic health information. The record is in a digital format which is theoretically sharable across various health care settings. Sometimes, this sharing can happen by way of network-connected, information systems or some other information networks. The electronic health record may include a wide range of data, like demographics, the patient’s medical history, their medication and allergies their immunization status, lab test results, vital signs, statistics like weight and age, and billing information. These systems are designed to represent accurate data capturing the patient’s state at all times. This allows the viewing of the entire patient history without tracking down the previous medical records of the patient and assisting in ensuring that the data is accurate, legible and appropriate. This reduces chances of replicating data since only one modifiable file is available, which means that the file is always up to date if it is viewed at a later date thus eliminating the issues of lost data forms or paperwork. Owing to all this information being in one single file, it’s much more effective to extract medical data for examination of possible occurrences or trends and long term health changes in any patient. Introduction As more health organizations tend to adopt electronic health records, nurses, clinicians and physicians...
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...Future Trends in Health Care Your Name HCS/533 10 February 2014 Professor Here Future Trends in Health Care Electronic health records have become more prevalent in the current health care system than it was 10 years ago. Electronic health records were not used to the extent it is today for patient documentation. Without the advancement in electronic medical records, most of the information that is transferred so easily to other providers would not be able to happen. Electronic Health Records (EHR) is the quintessence of a trend changing the health care system. Because more medical facilities are adopting the use of electronic health records, members are receiving faster more efficient care whereas the medical facility is saving money. EHRs are “digital repositories of patient data accessible to multiple stakeholders” that include “patient’s health history, medical conditions, test and treatments, medication, demographics” and other pertinent information about the patient (Otto & Nevo, 2013. p. 165). Electronic health records eliminate misplacement of documents, destruction of the documents via handling, and to retrieve documents for continuity of care providers needed to seek information from multiple places. EHRs streamline processes; place the information in...
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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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...T. Shih, K. Davis, S. Schoenbaum, A. Gauthier, R. Nuzum, and D. McCarthy, Organizing the U.S. Health Care Delivery System for High Performance (New York: The Commonwealth Fund Commission on a High Performance Health System, Aug. 2008). 2 Information about Kaiser Permanente was synthesized in part from a presentation by CEO George Halvorson to a Commonwealth Fund Commission on a High Performance Health Care System meeting in San Francisco, and from the Commission’s site visit to the Kaiser Permanente San Francisco Medical Center in March 2007. Additional information was obtained from presentations, telephone interviews, or e-mail communications with the individuals named in the acknowledgments; from information and documents available on the organization’s Web site (www.kp.org) and from regulatory filings; and from other presentations and publications cited below. 3 A summary of findings from all case studies in the series can be found in D. McCarthy and K. Mueller, Organizing for Higher Performance: Case Studies of Organized Delivery Systems. Series Overview, Findings, and Methods (New York: The Commonwealth Fund, 2009). 4 For examples, see A. C. Enthoven and L. A. Tollen, “Epilogue,” in Toward a 21st Century Health System, edited by A. C. Enthoven and L. A. Tollen (San Francisco: Jossey-Bass, 2004). 5 The Colorado region developed an EHR in collaboration with IBM Corporation that was fully functional by 1997. Physicians in the Northwest region...
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...what those terms are meant to be in order to master that field of study. In order to master the study of Information System in Health care, a thorough under-standing of the following terms are very important. AMR. The Automated Medical Record. The Automated Medical Record is a clinical information system with powerful facilities for querying and decision support. Automated Medical Record is the beginning of using electronic medium for the purpose of communication between health care providers, and between patients and health care providers and vice versa. Automation of medical record was originally intended to promote timely billing and securing prompt payments, but it came to stay as the most beneficial development for the patient in the scheme of delivery of care. Lack of proper and complete medical record may be the most important reason for the medical error in the treatment process. CMR. Computerized Medical Records. Computerized Medical Records are the digital counterparts to patient medical records kept in paper files and folders in health care offices. They are, in essence, an electronic version of the same medical records. In many cases, when a health care practitioner wants to invest in computerized medical records, paper medical records are simply scanned and entered into a medical records system. Instead of documenting patient information on paper and creating a file for every patient, electronic medical record store the information in its server (Gonzales,...
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...EMR implementation to improve patient outcomes Florida International University The problem Quality of care has been low for Mesey hospital over the past few years. Medical errors, near misses and poor patient safety are at an increased rate. Communication has been lack luster, and patient satisfaction surveys have yielded unsatisfactory results. Mesey has invested in quality training, has had continuous education sessions and in-services in an attempt to improve care but has seen no improvements despite the efforts. The CEO, not realizing that it’s the system not the people, is looking into new and different strategies for improvement, including hiring new employees as the current staff is set in their ways and cannot seem to turn quality around. Mesey is currently using the traditional paper charting system and has not yet converted to electronic medical records (EMR). The CEO has done some research and has learned that the competitor Wellness hospital has been using EMR for over two years and has had great success - high quality rating and excellent patient satisfaction scores. The CEO of Mesey has been contemplating if implementing EMR within the facility will improve patient outcomes and satisfaction through improved safety and quality of care? Traditionally, paper based medical records have been used due to its simplicity and ease of use, low cost implementation, and widespread acceptance. This system does however come with a vast number of disadvantages including...
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