...medical record systems are proved as more efficient than paper providers, but it will cost a lot to build up a fully functional Electronic medical record keeping system, and there are also some disadvantages and difficulties for building EMR systems. 2. What management, organization, and technology factors are responsible for the difficulties in building electronic medical record systems? Explain your answer. There is no standard for EMR systems, people in hospitals need to change the way they work. Besides, building a new record keeping system can cost a lot, and it is more difficult to make it functional. 3. What is the business, political, and social impact of not digitizing medical records (for individual physicians, hospitals, insurers, patients, and the U.S. government)? Many smaller medical practices are finding it difficult to afford the costs and time commitment to upgrading their record keeping systems. EMR systems cost a lot from individual physicians and hospitals. Although stimulus money should eventually be enough to cover that cost, only a small amount of it is available up front. Small providers are less likely to have done any preparatory work digitizing their records compared to their larger counterparts. Implementing an EMR system also requires physicians and other health care workers to change the way they work. It will cost a lot to train them. 4. What are the business and social benefits of digitizing medical record keeping? ...
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...undergo a change in their style or working pattern after they get the knowledge of computer. * An individual becomes more competent to take a decisions due to the computer because all the information required to take the decision is provided by the computer on time. As a result, any individuals or institutions get success very fast. * The person working at the managerial level becomes less dependent on low level staff like clerks and accountants. Their accessibility to the information increases tremendously. This improves their working patters and efficiency, which benefit the organization and ultimately affects the society positively. * In common life also, an individual gets benefited with computer technology. When airports, hospitals, banks, departmental stores have been computerized, people get quick service due to the computer system. * Computers have created new fields of employment. These employments are in the field of designing, manufacturing, teaching, etc. Harmful or Negative Impact...
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...known as identity theft. This paper will look at the occurrence at St. John’s Hospital and discuss what should have been done with the patient documents, what actions, if any, should these personnel take toward the actions of the cleaning staff. Also this paper will discuss the actions, if any, that should be taken by IS for the management plan and code of conduct. Security Breach The administrative department has been notified that there was a security breach in the handling of protected client information in concerns to policies and procedures. On a number of occasions, employees who work late into the evening have seen the house keeping staff reading unwanted records. This is a direct violation of the Health Insurance Portability and Accountability Act (HIPAA) Laws. These laws are put into place for patient protection. This breach of security took place in a department of restricted-access, and certainly should not have transpired. Any unwanted patient records should be shredded before being discarded in the trash. When a document is thrown away like the records were, all information is open to the public and now considered a breach of privacy. Discussing patient information in areas such as: waiting rooms, hallways, elevators where people can overhear the conversation is also considered a security breach (Hicks, Joy, 2014). Action towards the house keeping personnel The house keeping employee was observed while performing their...
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...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 were utilized in...
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...Abstract I am a complete advocate for switching to computer-based medical records. This is done completely electronically, versus the other paper method of dealing with medical records. Using hard copies of patient records are still commonly used in hospitals and doctor’s offices, but are quickly becoming a thing of the past. Healthcare professionals are trading in the traditional pen and notepad for electronic data entry and storage devices. Keeping records electronically allows all healthcare professionals involved to have access to all of the patient’s medical history, status of immunizations and lab results as well as x-rays. A record of the patient’s known allergies and medications, and billing and personal information such as height and weight. Electronic Health Records The submission of medical health records electronically has been helping the medical field, hospitals and doctors offices greatly since being implemented. Using electronic health records offers much better continuity, communication, coordination and accountability of patient records. I read in an article about EHRs and sums up what people using the computerized electronic health records feel, it seems that building a virtualization of EHRs can be very expensive, but ultimately works well. And does everything that they need it to. Hudson, NY-based Columbia Memorial Hospital has used an EHR to support its clinical works system since early 2010, one that serves 26 clinical locations and...
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...affordable prices. Since the American Recovery and Reinvestment Act or ARRA as it is known was signed into law on the 23rd of March 2010 by President Barrack H. Obama, it has changed the way healthcare works in America. Over the past six years there have been many new programs implemented not only in the medical field such as hospitals, clinics, doctors, offices, and other areas of medicine, but in insurance companies private and government run...
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...Chupein Case Study Review A father arrives at the Methodist Hospital with his six-year-old son Tavion Robinson. Tavion is suffering from a broken arm and abrasions. Tavion’s father advises the hospital that Tavion fell from the jungle gym at the park. Tavion’s father displays reluctance to Tavion being left alone with hospital staff. Emergency room staff suspects that Tavion’s injuries did not happen as his father reported because the abrasions were too clean. Tavion’s abrasions would not have been so clean if brought in immediately after his fall from the jungle gym. While Tavion was undergoing his x-ray, the staff did not allow Tavion’s father in the room, and they were able to question Tavion about his injuries. Tavion verified his father’s story and consistently denied and abuse or fear of his father. Before leaving the hospital, Tavion’s father advises the staff to make note that he should be notified before the release of Tavion’s records to anyone. Tavion’s father advises that Tavion’s parents are divorced and that Tavion’s mother is the noncustodial parent. Tavion’s father requests that Tavion’s records not be released to his mother without his father’s consent. The following weekend Tavion’s mother made a request to the Health Information Department for Tavion’s medical records. Tavion’s mother advises the department that she feels that Tavion’s father is abusing him, and she wanted to see the records. Some of the ethical and legal dilemmas, in this case, are...
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...doctors and patients and hospital staff as a whole. Communication plays a key role in maintaining a patient’s health as any patient or doctor can tell you. Records must be improved upon how there are kept and stored. They must now be kept and stored digitally in order for doctors to have better access to them. Old handwritten files and charts can be misplaced, hard to read, or even out of date. A doctor would probably say if I know what’s going on then I could treat you which is basically what communication does. There’s also Compliance which plays a another big part of innovating technology. Compliance goes a long way by making sure the health care providers keep up with current innovative practices will insure better patient care on their part. Compliance plays a major role on the part of the patient. The patient must do whatever is asked of them by the doctor and health care staff that includes taking medications, keeping appointments, and communicating with doctors. Patients must also report any changes in the health which will let doctors know if the changes or compliance is working improving overall patient care. Another big need for innovation is Security. Security plays a big role because a patient must feel safe when coming into the hospital. We all know that if a person feel safe then they will interact better with doctors. Also their personal information must be safe guarded while in and out of the hospital. Many people feel if they go to the hospital their information will...
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...its main characteristics and potential benefits to a hospital. How did these influence the decision to adopt an EMR at SHC? What other reasons were influential? EMR: - EMR stands for electronic medical record. It is primarily employed at an institution that provides health care facilities i.e. at a hospital or at a physician’s clinic. Its primary purpose is to improve the communication among different departments of a hospital to increase productivity, to minimize errors and to improve customer care. Main Characteristics: - One of the main characteristics of EMR is its cohesive bond with information and technology (IT). The reason for employing IT is to make sure that all the organizational information stored in hospital’s mainframe can be communed to particular departments, which need particular information. Of course this approach takes technical expertise of people associated with IT and additional expenses, but on the bright side it decreases all the other costs i.e. cost of paper based information system. Thus, decreases the errors and mishaps by a considerable margin and saves a lot of time that can be utilized in other areas of the hospital to increase productivity. Potential Benefits of EMR: - Time Saving: EMR is most beneficial when it comes to time saving. In times of recession, where many hospitals are closing down or going bankrupt, EMR comes as life saver in maintaining and obtaining patient records. It is particularly helpful in times of quarantine and...
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...database technology is such a familiar tool in the operations of HIM departments in hospitals. This technology is usually adequate to allow HIM professionals to work with vendors or information services staff. Database technology is moving from the task of supporting paper systems to actually becoming the central digitized health information system. The success of Google database technology depends on the skills of HIM professionals to entering the data to the database accordingly. Reports that more countries and states in the world such as the United States has are becoming nations of databases. Today, Google database technology is being used to track patient information. Many patients die in hospitals or at their homes due to errors that arise from medication errors and that’s why the healthcare institutions are adopting use of Google database technology to track everything from prescription medications and laboratory tests to patient outcomes. The reason for the shift to Google database technology is that most medical information is recorded on paper, a practice that has led to a great deal of record waste and data duplication which leads to inappropriate treatments. Hospitals are now creating a Google database structures that contains electronic medical records to track patient’s interaction with the medical staff from birth to death. To stay current in ever changing technology hospitals has adopted a strategic plan called electronic health information management, which...
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...The importance of medical management Records may be termed as any information and documents kept in a systematic, scientific and easy ways that help to receive the required data at the time of necessity. Similarly, Medical record is also a systematized way of storing the required data, information and other relevant documents with the objective of making easy availability of necessary data at the time of its need. Medical record consists of name of patient, address, age, sex, occupation, disease, modes of diagnosis and recommendations made the after by the concerned doctor in course of undergoing treatment. It helps patients to acquire the right and apt treatment. Moreover, it acts as a tool for the doctor who is looking into the patient. When we talk of the development of medical record, we have to go back to the seventeenth century. In 1752 A.D. Benjamin Franklin set up a incorporated Hospital in Philadelphia in United State of America. This hospital is presently known as Pennsylvania Hospital. He introduced medical record by preparing file of special cases on which patients' name, admission date, discharge date etc. were written. In the same way, another hospital was opened in Boston in 1821 A.D. where a typical method of keeping relevant data was initiated. Separate files were opened for different individual patients in order to keep records. This process proved to be more helpful in finding the necessary data regarding the patients. Besides this, it helped in acquiring important...
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...In this assignment I am going to explain my understanding of working practices and strategies that are used to minimise abuse within the health and social care contexts. The caring professions provide some examples of what people thought may have been a good practice of care then but actually is poor or even abusive practice. The main reason why this happens is due to the changes that occurs within working policies. Within my workplace we have different policies that safeguard vulnerable adults, here are some of working practices that I believe help safeguard: • Complaints Policy Effective communication • Record-keeping Policy Risks Assessments • Confidentiality Policy Recruitment procedures • Data Protection Policy Induction • Protection of Vulnerable Adults Policy Training • Whistleblowing Policy Codes of conduct • Care plans – Person Centred Care Reflective practice • Anti – discriminatory / Anti – oppressive practice • Organisations safeguarding policy & procedures Each resident is assessed before arriving at the home, once assessed our nurse manager produces a careplan for that resident. The resident and their family have the right to be involved in developing a meaningful and effective care plan. The nursing home must work with the resident to develop an individualized, written care plan and must update it at least quarterly and any time your condition changes. Each resident important right...
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...Electronic Health Records Abstract I am a complete advocate for switching to computer-based medical records. This is done completely electronically, versus the other paper method of dealing with medical records. Using hard copies of patient records are still commonly used in hospitals and doctor’s offices, but are quickly becoming a thing of the past. Healthcare professionals are trading in the traditional pen and notepad for electronic data entry and storage devices. Keeping records electronically allows all healthcare professionals involved to have access to all of the patient’s medical history, status of immunizations and lab results as well as x-rays. A record of the patient’s known allergies and medications, and billing and personal information such as height and weight. Electronic Health Records The submission of medical health records electronically has been helping the medical field, hospitals and doctors offices greatly since being implemented. Using electronic health records offers much better continuity, communication, coordination and accountability of patient records. I read in an article about EHRs and sums up what people using the computerized electronic health records feel, it seems that building a virtualization of EHRs can be very expensive, but ultimately works well and it does everything that they need it to. Hudson, NY-based Columbia Memorial Hospital has used an EHR to support its clinical works system since early 2010, one that serves 26 clinical locations...
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...care records are stored and the people that manage them. This combination of people and systems are vital to the industry standards and how companies across the United States will utilize them to manage 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...
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...HIPAA Security Compliance When a hospital is first starting out they need to make sure they have HIPAA security compliance in place so they can protect themselves from fines and help protect the patient’s information. Some things that the hospital should implement in order to be compliant with HIPAA are; policies and procedures, compliance process, and a tracking mechanism. The first thing would be to have policies and procedures in place. If the hospital is going to go with EHR or electronic health records they need to have a policy in place that specifies how grant access, terminate access and how it should be used. They need to make sure that they know that a policy “is a set of statements, including decisions, and a policy indicates what an organization intends to do” (HIPAA checklist). So with that being said the policy towards HIPAA compliance needs to state how they will use the HIPAA act, the determination of what happens if an employee does not follow the policy how will it be dealt with. It will also state how to deal with a threat to the company that could be an outside source attacking the company. Then with the procedures it will be what they intend to do. If there is a breach happening what is the company going to do to stop the threat, what if an employee is terminated how are they going to deactivate their access and how quickly will it be deactivated so they cannot still access any information. With the HIPAA compliance process it will show the approach...
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