...Electronic Patient Charting Implementation HCS/587 April 11, 2011 l Electronic Patient Charting Implementation In today’s ever -changing health care system there is a need for constant updates but also thorough accuracy. The way these pieces of information are assembled and implemented is vital to the survival of any health care organization. The addition of Electronic Patient Record Charting (EPR) will provide for continued patient confidentiality and charting accuracy. In addition, it is a necessary step in the direction of Electronic Patient Records. The goal of the implementation of the EPR is to enhance health care delivery from the nursing spectrum and allow for improved charting accuracy, decrease errors, and provide thorough documentation. Nurses are an essential part of today’s health care system. Pt care is the core of all health care organizations. Many institutions have moved focus to electronic charting. One of the most important aspects of this is patient focused charting. It is necessary for the organization to implement this change and move forward with a proposal for this change as we focus on the information technology vital today for our health care system. In addition, we recognize that there will be organizational and individual barriers that will occur. We will look at proposed factors and a proposed theory model that influence the change to EPR and show how...
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...Nursing: Benefits and Challenges of Electronic Health Records Abstract The Informatics Nurse plays a vital role in training and educating healthcare professionals as they move from paper charting to employing an electronic health record system. According to Zandieh et al., (2008, p. 758) research demonstrates that one of the biggest challenges for moving from paper-based systems to EHR is the perceived skills of staff and their comfort level with a new computer system. The utilization of the Informatics Nurse in the delivery of new EHR initiatives is a critical component in providing a successful outcome for quality nursing care. Nursing: Benefits and Challenges of Electronic Health Records Introduction According to Murphy (2010, p. 283) the Health Information Technology Act in 2009 has required Healthcare systems to implement the conversion of paper documentation to electronic health records. Throughout this process, the need for the role of the Informatics Nursing is growing. Many modalities including, but not limited to, standardizing records and computerizing patient data, all play key roles in the development of best practice. Although EHR, Electronic Health Record, will prove to be extremely beneficial, EHR presents new challenges to the nursing profession. One of these challenges is staff resistance and being able to provide sufficient technical training. This topic is of particular interest because...
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...Matrix of Theoretical Models HCS/587 Theoretical Model | Description of Theoretical Model | Type of Health Care Change Situation Where Model Best Applies | 1. Kurt Lewin’s field theory model 2. Lippitt’s change theory model | Kurt Lewin’s field theory model has three stages of change: * Unfreezing * Change or Moving * Refreezing The unfreezing stage requires altering the patterns of employee behavior. The employee adaptive behavior must align with the organizational goals and vision. The lack of alteration in behavior changes can result in employees’ resistance during the implementation process. The management should communicate effectively with the staff explaining the need for change. The management should encourage the staff to submit their ideas and be a part of the change process. The change stage refers to the introduction of new organizational policies and procedures. The management should ensure that the affected staff fully understands the reasoning behind the changes and offer support for adapting the new organizational business culture. It is imperative that management includes the staff in the development of new policies and designing the new procedures. The refreezing stage requires reevaluation of the implemented procedures in which the management evaluates the efficacy of the implemented changes and makes adjustments to meet organizational goals (Borkowski, 2005). The management should seek feedback from the staff and fine tune the...
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...remains low despite overwhelming evidence that the use of electronic medical records (EMR) has improved staff efficiency, increased preventative care measures, and decreased medical errors thus lowering healthcare cost (Childs, 2009). Even in an environment that is rich with evidence-based innovations, diffusion of successful electronic medical records remains a problem in the healthcare industry. This paper will explore the implementation of transitioning to an EMR in a specific facility. Implementation of an Electronic Medical Record The change initiative in this scenario is implementation of an EMR. In 2004, the Office of the National Coordinator for Health Information Technology was developed as a part of the Department of Health and Human Services. In 2009, the American Recovery and Reinvestment Act was signed into law, the goal of this act was to create new jobs and spur economic activity and invest in long-term growth (U.S. Government, 2012). The Act had a plan to achieve goals by providing $787 billion that would offer tax cuts and benefits for many working families, fund entitlement programs, such as unemployment benefits, and offer federal loans, and contracts (U.S. Government, 2012). After the Act was signed, the National Coordinator for Health Information Technology (HIM) was given $2 billion in discretionary spending (Steinbrook, 2009). The coordinator of HIM set a goal of utilizing an effective electronic health record for every person in the United States by 2014...
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...the Profession of Nursing Monica Soto Grand Canyon University October 17, 2013 The IOM’s recommendation on improving the delivery of care begins with the transformation of the nursing profession. The Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine (IOM) established a two year Initiative on the Future of Nursing (Institute of Medicine [IOM], 2011, p. 2). In an unprecedented partnership to explore challenges central to the future of the nursing profession. The IOM and RWJF stated that accessible, high quality care cannot be achieved without exceptional nursing care and leadership (IOM, 2011, p. 2). This paper will discuss and explore how the IOM report impacts nursing education, nursing practice, and the nurse’s leadership role. The IOM recommends entering the field of Nursing prepared with a baccalaureate degree can provide a consistent foundation. Due to the complexities of managing patient care with chronic illnesses qualified nurses will need to possess the knowledge and training of a higher level of education. The IOM recommends that hospitals have a workforce of at least 80 percent of registered nurses with a minimum of a BSN degree by the year 2020 (IOM, 2011, p. 173). Although, there still exists various modalities to entering the nursing profession without having a BSN. The goal for nurses with a diploma and associate degree are encouraged to further their education by entering a baccalaureate nursing program. The future...
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...ERMA: Electronic Record Management Application Stacey N. Tucker DeVry University Table of Contents Section Page Number Introduction 3 The Creation, Birth, and Development of ERMA 4 Legal Aspects 5 Strengths of Vizion 7 Weaknesses of Vizion 8 Strengths of ERMA 9 Weaknesses of ERMA 10 Recommendations for Improvement 11 Conclusion 12 Terminology 13 References 14 ERMA: Electronic Record Management Application ERMA, or the Electronic Record Management Application, was designed and developed by Correct Care Solutions for use in correctional facilities across the country. Used primarily in the ambulatory setting and clinics within correctional facilities. ERMA was primary created, and copyright protected for Correct Care Solutions in 2011 and since has been implemented in over two hundred correctional facilities. In 2013, the El Paso County Criminal Justice Center underwent a change of contract, this meant that their medical department was no longer ran by Correctional Health Care, and as such was no longer privy to their current electronic health record Vizion. The conversion from Vizion to ERMA would end up taking almost 2 full years to be put into full effect. The program implementation was meant with many challenges, these included both legalities and overall functionality. Compared to its predecessor ERMA is was still in its infancy and had a long way to go before it would...
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...down is likely to be deeply disillusioned. In fact, businesses should embrace change. Change is imperative for any organization because it prevents business from losing their competitive edge and meets the needs of what most hope to be a growing base of loyal customers. Changes however, are unavoidable and are a significant part of every organization. They are implemented to improve the company, or as a response to a problem or a predicament. This paper will examine the need for the implementation of electronic medical records (EMR), assess organizational and individual barriers to EMR implementation, identify factors that might influence the change, summarize factors influencing organizational readiness for EMR implementation, identify the theoretical model that relates to the proposed change, and identify internal and external resources available to support the change initiative. Electronic Medical Records (EMR) Electronic Medical Records (EMR) are patients electronic medical health records. In the past, patient’s health records were kept in a physician’s office locked away in a filing cabinet collecting dust. However, the advancements in technology and Medicare’s and Medicaid incentive program, more physician offices and hospitals are in the process of acquiring an EMR system. The federal government is planning to spend approximately $29 billion in incentives to encourage hospitals and physician offices to digitize health care records (Lee, 2013). Another benefits...
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...HCS/587 September 24, 2012 Dr. Margaret Walker We Need a Change The Autauga-Elmore Mental Retardation Board has decided an electronic medical record system should be purchased and implemented. The board and team feel an electronic medical record would help to bring cohesion between the nurses, case managers, physicians, and families. However, there are barriers to the change and factors that could influence the proposal and implementation of changing to a paperless system. Lewins’ theory of change is the model the agency will be using to implement the change process. However, as the change process takes place, there are methods the organization will use to monitor the change process. An examination if the relationship between the organization’s related processes, systems, and personal or professional roles and their affect on the proposed organizational change will be completed. Furthermore, an identification of communication techniques used to address any implementation issues that may arise will be addressed to ensure a successful organizational change. Monitoring Implementation Once the change has been implemented the organization is moving toward a new direction and employing new practices monitoring of the change and its success must begin. Monitoring the implementation plan of the organizational change will be accomplished with the use of questionnaires, interviews, and observation. Questionnaires are often the first method used for collecting information from...
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...now engaged in jobs that include providing care and assistance, especially in education and medicine. This work is satisfying for some people, but it can also be highly stressful. In the following scenario, consider how a company in the nursing care industry is responding to the challenges of the new environment. Major Topic Areas * Stress * Organizational change * Emotions * Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The company was founded in 1972 with just two nursing homes in Phoenix, Arizona. The company was very successful, and throughout the 1980s it continued to turn a consistent profit while slowly acquiring or building 30 more units. This low-profile approach changed forever in 1993 when venture capitalist Robert Quine decided to make a major investment in expanding Parkway in return for a portion of its profits over the coming years. The number of nursing homes exploded, and Parkway was operating 180 homes by the year 2000. The company now has 220 facilities in the southwestern United States, with an average of 115 beds per facility and a total of nearly 30,000 employees. In addition to health care facilities, it also provides skilled in-home nursing care. Parkway is seen as one of the best care facilities in the region, and it has won numerous awards for its achievements in the field. As members of the baby boom generation become senior citizens, the need for skilled care will only...
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...Nightingale Executive Summary Western Governor’s University Nightingale Executive Summary Nightingale Community Hospital is a 180 bed hospital that provides acute care and a range of services to their community. Nightingale has four core values that consist of safety, community, teamwork, and accountability. Communication is a key concept in achieving and defining those values. According to the National Patient Safety Goal Data in regards to communication for Nightingale Community Hospital there is not consistency and goals are not being met for the following: reporting critical results within 60 minutes as evidenced by documentation, verbal orders/read-backs, unacceptable abbreviations, and time out hospital wide. Critical Results Within 60 Minutes Nightingale Hospital has showed variations in compliance with reporting critical results within 60 minutes for the months of January through December. Compliance went from 63% in January to 80% in December. In between this time there have been significant variances. As noted there from the data there was only 56% and 57% compliance for the months of June and July. Reporting of Critical Results with 60 minutes should be at 100% compliance. Verbal Orders/Read-Backs The ED met 100% compliance with verbal order/read-back audits for the fiscal year to date. Ortho is at 62% compliance. The other departments at Nightingale Hospital are ranging from 91% to 99%. For JCAHO standards the departments should be at 100%. ...
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...second most common nosocomial infection in the United States and is associated with high mortality and morbidity (Seymann, 2008). Higher rates of hospital-acquired pneumonia (HAP), functional decline, pressure ulcers, and falls are a few factors that leads to prolonged bed-rest . HAP Iis a pneumonia that begins within 48 hours after hospitalization and does not incubate at the time of admission. Because individuals with hospital-acquired pneumonia usually have underlying illnesses and are exposed to more dangerous bacteria, it tends to be more deadly than community-acquired pneumonia (Seymann, 2008). Those at risk include patients with a compromised immune system, are HIV positive, have been hospitalized for more than two days, reside in a nursing home, have COPD, diabetes, heart failure, are elderly, alcoholics or have other underlying disorders (Smeltzer, et al). A new report regarding the high death rate due to hospital acquired pneumonia was a an issue that could not be ignored by congress in light of the fact that it was published days before President Barack Obama convened a Health Care Summit in Washington last week (Zigmond, 2010). Goals/learner outcomes for the lesson. One of the main educational needs determined in the hospital is infection control. According to the U.S. National Library of Medicine National Institutes of Health (2011) “infectious diseases kill more people worldwide...
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...Organizational Transition to Electronic Health Records Terry Badey- McClelland Capella University Omega Home Health Agency Omega Home Health Agency (OHHA) was established in 2010, to provide care services for disable and elderly adults in their homes in North Carolina. The organization is the second largest home health agency in the state of North Carolina. The agency is licensed by the North Carolina Division of Facility Services, as a home health care provider. Omega Home Health offer a variety of services, such as, in-home health care, mental health services, group homes, respite and adult day care. Our objective is to assist clients in maintaining their health, safety, as well as their well-being, which allows them to remain at home, through the professional and quality care provided by our agency. Our vision is to transform home health through innovative ideas and missions that embody a holistic environment for our clients. Omega Home Health Agency partners with Carolina’s Medical Center. Omega Home Health Agency’s employees are Physicians, clinicians, licensed Registered Nurses, Certified Nursing Assistants, Medical Technicians, Dieticians, Registered Health Information Administrators, Registered Health Information technicians, licensed Counselors, Qualified Professionals, and Behavioral Technicians. Omega Home Health operates seven facilities throughout North Carolina, with facilities in Statesville, Hickory, Charlotte, Huntersville, Mooresville, Lincolnton, and...
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...Patient safety: The first interventions for positive outcome Outline of the Article I. Backgound II. Objective III. Errors due to fatigue of nursing personnel IV. Healthcare Associated Infections V. Personal Protective equipments VI. Hand Hygiene VII. Transitions of care and Patient Handoffs VIII. Conclusion IX. References Hospital Workplace and Patient safety: The first interventions for positive outcome Background Safety of any workplace is very important in optimizing productivity and preventing the incidences of accidents and casualties. Hospitals are one of the significant areas where safety is of prime concern not only for the employees and care givers, but also for the patients who are admitted for receiving health care. A compromise on safety jeopardizes the goodwill of the hospital and delays health outcome in patients and prolongs their stay in the hospital. Apart from that if safe methods and interventions are not followed it ca impact the nursing personnel, other health care providers and administrative staff, that will lead to the economical and financial burden of the hospital. Hence ensuring safety in hospitals is of prime importance (ISMP,2010). The present article will discuss some of the avenues which can jeopardize...
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...discuss its benefits, trends, current issues, the impact health informatics in healthcare settings, and the role of health managers and the future. An interview will be conducted with a health professional to get their point of view of how health informatics have impacted their workplace, with further discussion of human resources, careers and the future. History The U.S. National Library of Medicine defines health informatics as a collaborative effort of designing, developing, adopting, and applying IT-based ideas in healthcare services delivery, management and planning (Kramer, 2012). In 1949, Gustav Wager of Germany founded the first professional organization for informatics and established the German Society for Medical Documentation, Computer Science, and Statistics. In 1960’s health informatics became standardized as a field of study (Westphal, 2015). It was not until the 1970s that the United States adopted informatics and the field of study and focused on billing, patient admissions and discharges. Healthcare delivery in the US changed...
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...Decisions in Health Care In this paper the role of technology in decision making is presented and systems and informatics theories are discussed followed by the DIK Model, and the role of expert system in nursing care and medicine. Furthermore, the use of decision aids and decision support systems are presented in correlation with the uses of technology for patient and client management, and the paper is concluded with an analysis of the effect of technology on health care and health status. Medical technology has major effects on health care decision making at the patient-physician interaction, community-health care institution, and the society-national government levels. Informatics and the development of what are known as tele-health/telemedicine have a variety of innovative uses to facilitate the decisions of health care professionals across the world. Some of these innovative uses are the ability to provide remote consultations among professionals outside of their facility, the ability to diagnosis and assess various disease states, the ability to access patients, and their medical histories, and the ability to prescribe medications and therapies. Many health care organizations are working to implement or upgrade their information systems. Hospitals are hiring information technology specialists to set up Intranets designed for the sharing of information among health care professionals, and is using public networks in the distribution of health-related information...
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