...Sciences HCS/531 Version 3 Health Care Organizations and Delivery Systems Copyright © 2012, 2011, 2007 by University of Phoenix. All rights reserved. Course Description This course is a comprehensive approach to health care delivery systems that provides the student with an in-depth understanding of health systems and organizations. Students will examine historical evolutions of the health care industry and recent impacts that influence the delivery of health care. 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 Shi, L., & Singh, D. A. (2012). Delivering health care in America: A systems approach (5th ed.). Boston, MA: Jones and Bartlett. All electronic materials are available on the student website. Assignment Breakdown Week One Individual Assignment: Significant Health Care Event Paper 10 Week Two Learning Team Assignment: The Evolution of Health Care Paper and Timeline...
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...Communication Paper The new form of Medical records are the Electronic medical records or the EMR which are paperless forms of the patients’ (The Future of EMR's Forecasting HIPPA's Evolution and Implementation, 2012) medical records. This form of medical records are digital and computerized systems of keeping and maintaining the patient’s personal and medical information. The EMR system is designed to increase the efficiency and reduce any documentation errors. The Electronic Medical Records (EMR) is a very complex and ultimately expensive investment for the hospitals or clinics that are trying to implement this new program (The Future of EMR's Forecasting HIPPA's Evolution and Implementation, 2012). With these implementation of these new EMR’s it has created a high demand for healthcare professionals with a background in IT. The information technology has finally come to the healthcare system to make it more efficient and gives then physicians and the patient’s access to the medical records. The implementation of the EMR system reduces the administrative overhead that may affect the profits of the healthcare providers. Also this could affect the number of patients being seen by the medical professionals and be able to better utilize the resources (Benefits from EMR, 2010). The EMR that are being implemented for all hospitals and clinics in the country, the standards for developing these solutions for the electronic medical records systems lack the integration and interoperability...
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...Health Care Experience Dolores Williams HCS/212 December 8, 2014 Theresa McClelland Health Care Experience The article “Refocusing Medical Education in the EMR Era” by Natalie Pageler, Charles Friedman and Christopher Longhurst, discusses the importance of proper training for health care professionals. It suggests ways in which to enhance the performance of the caregiver/operator along with improving patient care through the use of technology. This review will discuss some of the changes, good and bad that technology has brought into the workplace. Technology in the Workplace The implementation of the electronic health record has changed the way in which health care is delivered in facilities all over the United States. The difficulty of using computerized systems is, in fact proving to be a bit of a challenge to get clinicians to use and document in this form. With written notes, the documentation was brief and to the point. The electronic record requires more documentation during and after visits. Because of the increased workload, the providers wait until the end of the day to document which could lead to mistakes. The computer has caused the interaction between patient and provider to be less meaningful in the sense that the provider has their back turned to the patient during the visit. These computer systems are not user friendly and they cause irritation and frustration when trying to retrieve patient information such as lab test results. In addition, there...
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...Evolution of Health Care: Effects of the Health Insurance Portability and Accountability Act HCS/533 AHMED JAMAL The Health Insurance Portability and Accountability Act (HIPAA) have been under a continuum since it was signed during the Clinton administration in 1996 (Schwartz, 2003). Policies have been implemented to protect patients’ privacy. What the establishment of HIPAA has enforced is that patients’ information must be protected from all unauthorized parties. Patients’ information is being stored electronically. The electronic form will protect the patient’s record from all parties involved with any change that a patient is involved with including insurance companies, employers, and health care providers (Degaspari, 2011). HIPAA has become a routine function in the health care system. Safeguards have been installed on facilities that have computers that store or have access to patient information. HIPAA’s involvement with the electronic system has improved the transmission of patient data while decreasing the number of errors which by comparison improves efficiency. Organizations must implement specific security objectives under HIPAA to be compliant. Under HIPAA standards any unauthorized exposure regardless of the circumstances to which the violation takes place is harmful to the patient. The continued changes have revisited the liability of violators which suggests any organization that is involved or responsible for such actions will be held accountable regardless...
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...Introduction Health care information systems (HCIS) have evolved so much in the last two decades. The evolution has helped transform the way administration and health service providers store and access data. The emergence of personal computers and the internet has helped change the physician workplace and the ease in which information is stored and utilized (Beaver, 2003). The last two decades have been periods of significant change as the health systems have increased in efficiency, decreased costs, increased the quality of care and improved channels of communication. Comparison between a current physician office and 20 years ago The Obama administration placed health reforms in place that have neccesitateed change of physician operations today. Health organizations can now purchase health insurance over the internet. Many health care providers are diverting their attention towards concierge and urgent care services in order to serve the rising demand for health services. Concierge care and critical care organizations have led to the integration of HCIS and improved quality, patient-centered care, assurance standards, easier reimbursement and easier control of costs (Koutsouris & Lazakidou, 2014). Urgent care is defined as offering ambulatory services outside the confines of a hospital. 80% of health organizations in the country today use technology for clinical systems while the other 20% have placed measures in place to do in the coming years (Koutsouris & Lazakidou, 2014)...
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...The Evolution of Health Care Paper Abdallah Muqedi, Ashall Smith, Brandi Bevely, Karla Hopkins, Kendrick Bogan, Latasha Cormier HCS/531 June 9, 2014 Dr. Rachael Kehoe Abstract The Evolution of Health Care Paper The health care industry has changed dramatically as the years have passed. One major way that health care has evolved is the use of technology. Technology has helped health care expand in a major way. It has changed simply from the way people can be seen by a doctor to the technology doctors use to diagnose and treat the patients. One way in particular has changed the health care system is Health information technology. The United States Department of Health and Human Services defines Health information technology as “the exchange of health information in an electronic environment. Widespread use of health IT within the health care industry will improve the quality of health care, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrease paperwork, and expand access to affordable health care. It is imperative that the privacy and security of electronic health information be ensured as this information is maintained and transmitted electronically” (Health Information Technology, 2014). With this improvement it is easier for the patients, nurses, physicians, insurance companies, billing departments and health care administrators to look at a patient’s information and access their needs, diagnose and treat, bill the insurance...
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...Evolution of Health Care Information Systems Since the early 1980s, the U.S. health care system has experienced a rapid growth in the sector of health care information technology. This growth can be viewed as an attempt to standardize our fragmented health care system. The health care information technology is no longer an option but a necessity to be compliant with the mandated federal regulations. President George W. Bush in 2004 asked health care providers to implement Electronic Health Records (EHR) by 2014. The Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA) also joined this initiative by asking health care providers to be compliant with the new legislation. Many community-based physician practices previously reluctant to embrace technology are realizing the benefits of the health care information systems, such as computerized physician order entry (CPOE), electronic medical records (EMR), tele-medicine, complex disease management, and automated billing systems. The purpose of this paper is to compare and contrast a contemporary health care facility with a health care facility of 20 years ago. Additionally, the paper will identify at least two major events and technological advantages that influenced the current health care information system (HCIS) practices. Definition of Health Care Information Systems Prior to discussing the evolution of HCIS in the last two decades, it would...
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...Decision-Making of Health Care Information Systems HCI/500 Concepts of Health Care Informatics December 5th 2011 Decision-Making of Health Care Information Systems Today’s health care delivery model is undergoing an unprecedented evolution driven by industry-wide initiatives to improve patient safety, quality of care, and efficiency of delivery. At the heart of this evolution is Health care Information Technology. This paper discuss about the two types of health care information system are that includes an electronic medical record, known as the Veterans Health Information Systems and Technology Architecture (VistA) and PACS (picture archiving and communication systems): filmless radiology “A patient record system is a type of clinical information system, which is dedicated to collecting, storing, manipulating, and making available clinical information important to the delivery of patient care. The central focus of such systems is clinical data and not financial or billing information. Such systems may be limited in their scope to a single area of clinical information (e.g., dedicated to laboratory data), or they may be comprehensive and cover virtually every facet of clinical information pertinent to patient care for example it is computer-based patient record systems” (Institute of Medicine, 1997). As medical care gets more and more complex and new information is already overwhelming physician‘s capacity to treat patients with the latest information, physicians need...
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...Evolution of Health Care Information Systems There has been a very fast growth in the U.S. health care system since the early 1980s with regard to the information technology related to health care. This can be viewed as an attempt towards the standardization of the fragmented health 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...
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...Running head: Evolution of Health Care Information Systems Evolution of Health Care Information Systems HCS 533 Health Information Systems Tana M. Daniel Steven Fowler January 31, 2011 Evolution of Health Care Information Systems Bridging the gap in health care information technology will promote safe, proficient, patient-focused, and effective patient care in a timely manner. In this paper the subject is to examine two contemporary health care organizations and compare and contrast several features that will include the type of information systems currently in use, analyze the transmission of data 20 years ago and how the exchange of data today. In addition, this paper will cover two major events and technology advances that have influenced current HCIS practices. Five information systems seen in health care organizations are (Wagner, 2009) 1) computerized provider order entry 2) medication administration 3) telemedicine 4) telehealth, and 5) personal health records (p. 121). Each system can provide quality improvement, improve patient safety, and be cost effective. Skilled Nursing Facilities have made significant changes over the last 20 years, in comparison to now. Looking at a skilled nursing facility present time versus a skilled nursing facility operation of Dunseith Community Nursing Home in North Dakota 20 years ago. With the implementation of new rules and regulations, this requires skilled nursing facilities to focus...
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...Evolution of Health Care Information Systems Wendy F Superable HCS/533 January 26,2015 Evolution of Health Care Information Systems The world has changed a lot in the past 20 years. The advancement of new technology and the Internet has transformed the way we work and even where we do our work from. The evolution of technology affected a lot of things and some of those are information exchange and health care. Health information technology has enormous potential in reducing health care cost and improving outcomes by changing how healthcare is delivered. According to World Health Organization (2008), “The health information system collects data from the health sector and other relevant sectors, analyses the data and ensures their overall quality, relevance”. In 2010, when the Patient Protection and Affordable Care Act and HITECH Act was signed into law by President Obama, health care IT became the central component for a safe, high quality health care system. The goal is to have a nationwide healthcare system transformation. Hospitals, health care providers and other health care institutions are mandated to adopt electronic health records (EHR) system to improve safety and quality and contain cost and inefficiencies. The government even has incentive programs for those institutions and providers that have become “meaningful users” of the EHR system. Soon the government will also penalize those who will not adopt the system (Glaser, J.P., Lee, F.W., & Wager, K.A...
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...Evolution of a Training Program in Use of Electronic Medical Records: Towards Efficiency and Quality Scale-Up “Doing more with less” Introduction International Training and Education Center for Health (I-TECH) is a global network that supports the development of a skilled health work force to provide effective prevention, care, and treatment of infectious disease in the developing world I-TECH provides technical assistance to the Kenyan Ministry of Health for implementation of an open-source electronic medical record (EMR) system, called KenyaEMR (hosted on Open MRS platform) within 315 public health facilities in four regions of Kenya. Before implementation, I-TECH carried out a training needs assessment among personnel in 23 facilities. Distinct training needs for health managers and front-line health care workers identified Method I-TECH implemented three different strategies in delivering KenyaEMR trainings to users Trainings were delivered by three different groups (training institutions, centrally located facilitators, county facilitators) Training locations transitioned from off-site (hotel-based) trainings to on-site (facility-based) trainings in a bid to train more health care workers (HCW) Length and content of trainings was adjusted in response to curriculum evaluation and strategy changes to incorporate mentorship sessions Strategy #1 • Five-day off site user training • Delivered by facilitators from training institutions Strategy #2 • Three-day off...
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...Evolution of Health Care Information Systems San Juana (Janie) Barbosa University of Phoenix Health Information Systems HCS/533 Ahmed Jamal August 07, 2011 Evolution of Health Care Information Systems Health care technology continues to change every day. In the past 20 years, how an individual’s health care information is seen, used, or stored in ones primary care physician private office has a dramatic change. The expansions of the worldwide web, the evolution of electronic medical records and electronic health records have dramatically changed how physician-client information is exchanged. On any given day a patient would walk into the physicians’ office to see a massive bookcase holding the vast amount of patient health information records in different stages of disarray. The office clerk or receptionist would try to answer the phone, hand write and book appointments, pull medical records, and attempt to check the patient into see the physician. Fast forward to the same physicians’ office today, and the scene is very different. The receptionist is still answering the phone and signing in the patient to see the physician, but where is the vast array of patient health information records. The large bookcase in chaotic disarray is a thing of the past. Today the office has multiple high-tech computers, and the receptionist can log the individual into the computer system, rather than handwriting a note or placing a check mark. The patient and physician benefit...
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...Laura Goldston 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...
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...Evolution of Health Care Information Systems Looking back twenty 1990’s and now in 2010 health care has changed extremely. Health Insurance Portability and Accountability Act (HIPAA) did not exist until 1996. HIPAA made it possible for everyone to qualify for health insurance and setting privacy and they established health information standards and regulation. Veterans Health Administration’s (VHA) had a reputation of poor quality of care and the 90’s were the beginning of a major transformation of VHA that was aimed at improving the efficiency and quality of care that was being provided to their patients. Capability to do data analysis in 1990 was impossible most of the data was collected and stored in a room untouched. Advanced in technology made it possible to do research and do data analysis. The advantages in technology are beneficent to health care information in providing electronic medical records, medical billing, telemedicine and teleradiology. Evolution of Health Care Information Systems Compare/contrast of either health care facility or physician’s office operation with the same 20 years prior To look back twenty years ago in the 1990’s and now in 2010 health care has changed tremendously. In the 1990’s Health Insurance Portability and Accountability Act (HIPAA) did not exist. Prior to HIPAA, which was passed in 1996, there were no regulations or standards for health care delivery in making it more efficient for patients. There...
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