...Implementation of an Electronic Medical Records (EMR) System. Course Project Eniola A. Joseph ejoseph@csu.edu Michael Gershman MIS 535-64227 Table of Contents 1. Abstract 2. Brief Company background 3. Discussion of business problem(s) 4. High level solutions 5. Benefits of solving the problem 6. Business/technical approach 7. Business process changes 8. Technology or business practices used to augment the solution 9. Conclusions and overall recommendations 10. High-level implementation plan 11. Summary of project 12. References Abstract Purpose: New Mexico Heart Institute ( NMHI) has implemented a new electronic medical record system (EMR) to achieve meaningful use. Prior to this implementation, NMHI’s problems were numerous. It had a demanding ambulatory computing setting that caused clinical workflow inefficiencies, eroding physician satisfaction and straining IT resources. Printing was particularly difficult as the laptops could not differentiate when a clinician had moved from one clinic to another intelligently. In addition, slow keyboard-based authentication and login processes were creating more workflow blockages, frustrating caregivers, and increasing patient wait times. Methods: Aventura is context and location aware, a leading provider of awareness computing for the healthcare industry. New Mexico Heart Institute’s partnership with Aventura coincided...
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...technology to improve the management of patient information is not new. Research into the implementation of health care information systems spans more than thirty years at a cost of millions of dollars (Zheng, McGrath, Hamilton, Tanner, White, Pohl, 2009). In spite of those costly efforts, patient records continue to be primarily paper-based. The Institute of Medicine (IOM) (1991) of the National Academy of Sciences recognized the magnitude of the problems associated with paper medical records systems and called for the adoption of computer-based patient records (CPR) or electronic medical records (EMR) as the standard for all patient records by the year 2001. EMR systems have been shown to have value in patient care; they are not widely used by clinicians in community-based practice. Although there are barriers to the productive use of EMR systems in primary care and there are situations in which such systems have failed, there are early adopters of this technology who have successfully implemented the systems and made them an integral part of their organizations. Gaining better understanding of the usefulness of EMR systems and how they might be broadly utilized and successfully implemented in the community-based practice environment requires further investigation. Identifying, analyzing, and understanding certain organizational factors that contribute to the use and acceptance of EMR among health care providers in ambulatory care, community-based settings will add to a...
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...Health care organizations that choose to convert to an electronic medical record system (EMR) have several advantages; most important it increases patient safety, efficiency, cost-effectiveness and security. Accepting such a transition also presents with its share of challenges like preparing for the required significant time obligation and resources that will make the transition a successful one. Leadership and management must create an atmosphere that will get the buy-in of all stakeholders. Providing information about the process and what methods will be best to make the conversion to an EMR system is an important aspect of the implementation process. When the change process is initiated those involved in the success of the organization needs to examine the current processes and systems, including different roles that may be affected by the proposed change. With that in mind, effective communication during the implementation of this change will allow they may have regarding the new system. All of the above experiences taken into consideration, the organization can implement a successful organizational change with the support of those vested . Once the organization has accepted the proposed plan of change, leadership, and management will create methods that will monitor the implementation process. According to Leibel, Currie, Gelowitz, Aldridge and Kuncewicz (2012), “Transitioning to an EMR system can be an overwhelming project, but standard project management principles can...
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...(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 EHR design is driven by patient care and satisfaction. He also wants to make sure that proper work-flow planning occurs and areas where EHR use could be best...
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... Health Information Management (HIM) Specialist, in charge of medical records, and ensuring regulatory compliance, Information Technology (IT) Specialist who is knowledgeable in computer software and hardware, Physician who is a the Medical director with extensive experience with electronic medical charting, Pharmacy Director who is a pharmacist with EMR and PYSIX experience and , Chief Financial Officer to manage the budget, and the Director of staff development who is a Mastered prepared RN with EMR experience and is in charge of staff education. The HIM Specialist is chosen because of his experience with health information management, regulatory compliance and HIPAA. This knowledge is vital for implementing this system to ensure that the EMR chosen will meet the criteria for the stages of Meaningful Use. The IT Specialist is chosen for his knowledge of computer hardware and software and will be instrumental in the purchasing and setting up of the required hardware and computer trouble shooting. The IT specialist and his staff will be responsible for setting up passwords and access for all users. The Medical Director is chosen for his knowledge of the physician work flow and his experience with using EMRs as this will not only be helpful in selecting the system but will help to facilitate the...
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...Marketing Plan For Health Care Monitoring Tool At Dell Services Amber Littleton MM522- Marketing Management 1. Executive Summary Dell Services offers a web tool for hospitals with Electronic Medical Records that enables them the client to view real time statistic of the interfaces flowing into the EMR and various reporting tools that allows access to the database in a GUI format. Although many Healthcare IT consulting companies have recently tried to implement a Host monitoring service, none have cornered the market with their technology the way Dell Services has with their unique application. Because the Monitoring tool is such a marketable product right now, the Dell Services team needs to find ways to boost performance and improve the users experience without increasing costs. The best opportunity for Dell Services to do these things and to maintain and grow the product marketability is to do a complete revamp of the web application framework and present the newly vamped application to existing and potential clients. According to Spetz 2009, having an Electronic medical record (EMR) systems offers substantial opportunities to organize and manage clinical data in ways that can potentially improve preventive health care, the management of chronic illness, and the financial health of the Hospital. The benefits are faster chart coding, which means faster payment for services to savings in personnel, transcription and paper costs; and efficiency...
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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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...record (EMR) or electronic health record (EHR). As of 2013, 78.4% of office-based physicians are currently using an EMR system (Electronic Medical Records/Electronic Health Records (EMRs/EHRs)). According to the American Recovery and Reinvestment Act of 2009, all public and private healthcare providers and other eligible professionals must have adopted and demonstrated “meaningful use” of EMR by January 1, 2014, in order to maintain their existing reimbursement levels of Medicaid and Medicare (University Alliance). In the late 1960’s, Larry Weed introduced the idea of what would develop into the current EMR. Previously, physicians would record patient information and encounters on paper. To a great extent, physicians resent the task of documentation, as it detracts from their primary task: taking care of patients (History of EMR). Physicians also resent the duplication of effort required with documentation, as every medication that is written on a prescription pad, every lab test ordered, every x-ray ordered has to be re-written in the chart to maintain a good record (History of EMR). The Regenstreif Institute developed the first medical record in 1972 and though this was viewed as a major advance in medical practice, physicians were not completely open to the new technology (History of EMR). Today, EMR systems are becoming more widely used in hospitals and clinics, but the adoption of these systems is still far from universal. We believe that the eventual implementation of EMRs/EHRs...
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...NUT1 Task 2 A. Increase in Quality of Care Electronic Medical Records (EMR) can increase quality of care in many ways. Unlike paper records, EMR is available to multiple members of the healthcare team in different locations, all at the same time. EMR makes it easy for caregivers to have all of a new patient’s previous visit information at their fingertips, which can help with obtaining a more accurate history upon admission. An accurate history will help caregivers make better decisions when planning a patient’s care. Because records are stored in a database instead of on paper, they are safe from natural disasters, forgery, loss, or damage. Many, many years of records can be stored in a relatively small space, which will negate the need for rows and rows of filing cabinets, and microfiche. This makes them easier to manage and retrieve. Less paper also means neater workspaces and better organization in the workplace, and because records are available on the database from multiple locations, the need for faxing or mailing records is decreased, increasing security. EMR can also be used to collect data for Quality Improvement processes, and an EMR system can have pop-up alerts built in to notify caregivers of best practices, allergies, and drug interactions. EMR’s that also have a medication bar code scanning system built in will help to reduce med errors by alerting nurses to wrong patient/wrong dose/ wrong time errors. Electronic Medical Records can reduce patient’s wait...
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...unimaginable in the late 20th century. Knowledge gained through research and experience brought our healthcare system to the standards higher than anywhere else in the world. Reaching the highest of standards in quality of care would have been impossible without great new technological systems that were introduced to health care, and transformed the dynamics of its delivery. One particular area of technology that is the key to health care’s development is health care information system (HCIS). Electronic Medical Records provided the health care facilities with the ability to store large number of patient information in one place while maintaining them in perfect order and with very simple accessibility. This might not seem like a big deal to those who do not have the understanding of the ways things were not so long ago. Only when compared with the previous practices of record keeping, one can realize the revolutionary changes that EMR brought to the field. It did not take long for major hospitals and other facilities to realize the powerful potential of this system that can greatly accelerate and improve the everyday functions of the organization. However, this potential can only be realized only if the information system is appropriate for the workflow of that organization, only then is the successful and useful implementation possible (Heeks, Mundy, & Salazar, 1999) . Although the idea of EMR has been circling around since 1960’s, only small experimental pockets of it...
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...electronic health record (EHR) and electronic medical record (EMR) in the home health setting in the United States. “EHR” and “EMR” are often used interchangeably. However, this paper will discuss the differences between an EHR and an EMR. It will cover the benefits and disadvantages of the EMR in the home health setting. This paper will also cover the potential costs associated with the use of the EMR in the home health setting. Finally, the paper will discuss the Technology Acceptance Model (TAM) of an EMR in home health. Outline I. Introduction a. Purpose b. Explanation of terms II. Background a. Home Health Care i. What is it ii. History iii. How it is changing b. Health Informatics in Home Healthcare i. History of informatics in HHC ii. Current use of informatics in HHC iii. Benefits of informatics in HHC III. Comparison of EMR/EHR a. Definitions b. Settings used c. Differences d. Similarities IV. Implementation of the EMR in Home Health a. Feasibility b. Cost c. Equipment d. Staff Acceptance V. Conclusion a. Summary of benefits/disadvantages b. Cost c. Implementation d. Recommendation for implementation for EHR/EMR in Home Health Electronic Health and Medical Records...
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...Medical Record (EMR) system at our hospital. This system is a much needed in our current hospital setting. With most of our results being sent through computers, the paper chart system must be updated. An EMR system will better facilitate the hospital current system. Currently we have several Information systems in different departments running. Many of these systems are not integrated with one another, thus doctors usually end up looking in different systems to see the full picture of their patients. An EMR system will also allow patients to be able to access their own records online. The initial cost for the system will be around $10000. This cost will cover: 1. Surveys for over 500 staff, on how their current system works and what their idea of an EMR is. 2. Surveys for doctor offices, outpatient services. Getting ideas on their current work flow. 3. Surveys on General public. 4. Educating staff and public on how such a system will be beneficial to them on a day to day basis. Currently for a hospital our size implementation of such a system will cost between 150- 200K. Included in this cost; 1. 75-100k cost of EMR software that is compatible with our Information systems 2. New computer servers that will be needed to store information. 3. Training of staff to use this new software. 4. Upgrading of current computer systems to run this program. 5. Data entry of current medical records into the system. 6. Surveys after implementation to see what...
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...rather than an EMR, How would that impact patient flow? Explain. 2. What would have changed if the implementation was planned for the early summer or late spring? 3. What elements are needed in order to ensure patient safety? 4. Depending on your discipline, address one of the following questions (you may respond to both, if desired): As a nurse manager, what would you like to have seen done differently with the implementation? As the office manager, you oversee the staffs who admit patients to both the ED and overflow clinic. What could you have done differently to make the implementation go more smoothly? 5. The next phase of the EMR implementation plan involves the ICU and NICU. What recommendations would you make to modify the implementation plan based on the ED experience? Explain. 6. After reading this case, how will you use the lessons learned to implement your group project? In my case study I will discuss the impact on the workflow in the Emergency Room (ER) when lab information system is implemented. I will discuss any impact on the patient flow thru the ER and the turnaround time (TAT) for lab results and any effects on the patient’s length of stay (LOS). I will discuss patient safety issues and what is needed to insure the institutions goals are met. I will look at the implementation processes for improvements and evaluate moving forward to include the ICU and NICU. Solutions and their effectiveness in the process of implementing an EMR and the effects...
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...electronic health records in and out of clinical settings. Healthcare records at the majority of clinics in the U.S. are currently stored on paper and not electronically, which can create inefficiencies with labor, care and actual timeliness to transfer care from one office to another. Specialty doctors normally require information from primary care physician offices to continue care on patients that are much needed. Computerized physician order entry is an extremely important part of the process when it comes to launching an EMR system. The capabilities of using this type of order entry will allow physicians to enter and record accurate patient medications and diagnoses necessary for treatment of each of their individual patients. Another great capability of upcoming EMR systems is the ability of physicians to use voice recognition software that will allow them enter information from medication to diagnoses and findings verbally. There is a wide variety of EMR systems that can be utilized and maintained by one or two IT professionals in both large and small clinical settings. Utilizing a system that allows physicians to record health information will cut back on costs that occur from errors or wait time when medical records are being requested from other offices or hospitals. Medication reconciliation comes close to physician order entry but is a huge area that has a...
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...Introduction: The United Cerebral Palsy of Greater Birmingham (UCPGB) is a not-for-profit organization that has various funding sources, both private and public. UCPGB has implemented various services to meet the needs of the 2,000 infants, children and adults of Birmingham, Alabama and other counties that fit within their jurisdiction. In 2006 UCPGB and LINCPoint had merged to allow patients and providers a more comprehensive location to treat, diagnose, and help patients and community members. This merge will not only introduce a new host of patients and providers but has proven to be an opportune time for a shift in administrative function to meet the growing needs. This merge will not only allow additional facility space and make it user friendly for individuals with limited mobility. The total square footage total is 42,000 with 8,000 square feet for service delivery. The merge has identified the need for an overall increase in efficiency in administrative function to therefore reflect the quality of care patients receive. Currently UCPGB is utilizing paper-based medical record systems which however has been functional yet with the increase in population served other means of record keeping are being researched. Electronic Medical Records, a byproduct of the advancement of technology has been the leading contender in order to garner an efficient system and increase the quality of care patients receive. UCPGB provides family Medicine, physical medicine and rehabilitation...
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