...Records As the Media will portray America is on the forefront of a healthcare whirl wind with the new legislations coming into healthcare in the month and years ahead. Electronic Health Records (EHR) is one of the many things coming into healthcare in the coming months and years. Obama’s pledge to ensure all American health records would be electronic by 2014 and the allocation of $19.2 billion as part of the American Reinvestment and Recovery Act (ARRA) will ensure that Electronic Health Records (EHR) are here to stay (Jacques, 2011). It may seem that healthcare’s dependence on Electronic Health Records (EHR) makes this a great accomplishment in the healthcare field but since 1960 and on into the early 20th century computer technicians, scientist, healthcare workers and many others have been working on Electronic Health Records (EHR) (Jacques, 2011). However, there are many critics that argue that Electronic Health Records (EHR) is opening up many issues that will allow compromising American’s vital healthcare privacy. The point over the next few years coming up to the mandated implementation of Electronic Health Records (EHR) is to work thru the issues that will eliminate the critics concern of compromising vital health information by implementing Electronic Health Records (EHR). “While it may never be possible to ensure the absolute security of all records held in cyberspace, with the necessary safeguards in place, the government can at least assure the American people that...
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...DB Post 9/27/2015 Electronic Health Records (EHRs) are becoming a part of the U.S. healthcare transformation because of federal incentive payments. Although the liability risk is increased for physicians, EHRs have multiple benefits and offer opportunities to improve care coordination and standardize clinical documentation. The Health Information Technology for Economic and Clinical Health (HITECH) is the policy initiative signed into law in 2009 to incentivize health care practitioners on a large scale to implement and utilize EHRs. EHRs have key functionalities designed to enhance health information exchange, reduce errors and liability including clinical decision support systems and computerized order entry systems. A 2008 Harvard public health study of high EHR users versus low EHR users found that litigation risk was reduced. It noted that 5.7 percent of high EHR users had malpractice payouts compared to 12.1 percent of low EHR users. Outlined below are the unique benefits and challenges that the EHR presents for patients and providers. Patients Advantages: * Improvement in the quality of care, medical diagnosis and treatment * Reduction in medical errors impacting patients * Improved delivery of care including faster decision making and care from providers Disadvantages: * Patient privacy concerns * Centralized repositories heighten security risk for patient files and data breach * Increased opportunities for identity theft ...
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...EHR Value in Medical Office Practices: EHR vs PPR Tonya Durham: L26388489 Liberty University Tamela Crickenberger 201520 Spring 2015 AMOA 203-D01 LUO EHR Value in Medical Office Practices: EHR vs PPR Many medical offices are adopting EHR systems into their practices, to improve patient care. The use of EHRs physicians and providers can develop an improved and complete patient information records. Electronic Health Records are legible, complete documentation that facilitates can accurately do coding and billing as well as interfaces with labs, registries, and other EHRs easily. While also improving their ability to make well-informed treatment decisions quickly and safely. Reliable access to complete patient health information is essential for safe and effective care. EHRs place accurate and complete information about patients' health and medical history at providers' fingertips. With EHRs, providers can give the best possible care, at the point of care. This can lead to a better patient experience and, most importantly, better patient outcomes. Practices also report that they utilize extracted reports on patient and disease registries to track patient care as well as facilitate quality improvement discussions during clinical meetings. EHRs Support Provider Decision Making EHRs can help providers make efficient, effective decisions about patient care, through: * Improved aggregation, analysis, and communication of patient information * Clinical alerts...
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...I personally do not have personal experience from working with an EHR as I have not been in clinical yet however this is the information I gathered from my readings. The Electronic Health Record (EHR) stores a patients information in a digital format. This information is shared with different health care units. The basic components of the EHR are: Patient Management Component- The component is used for patient’s registration, admission and discharge functionality. Whenever a patient is admitted a unique ID is generated which is used for extracting all the information of patient whenever required. Clinical Component- This includes electronic documentation, nursing component,etc. which is used for future use. Laboratory Component- This includes...
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...effective and time efficient. The pros of the Lean model include eliminating majority, if not all forms of waste. Another pro to this model is it helps organizations to increase competitiveness and reduces operation cost. A con to this model is that support has to come from every level within the organization and because people do not adapt to change very well, this can be a difficult task, especially in larger corporations. Another QI tool is the FADE model. FADE stands for Focus-define process to be improved, analyze-collect and analyze data, develop-develop action plans for improvement, execute-implement the action plans, and Evaluate-measure and monitor the system to ensure success. Six Sigma is a business strategy that seeks to identify and eliminate causes of errors or defects or failures in business processes by focusing on outputs that are critical to customers (Snee, 1999). It is also a measure of quality that strives for near elimination of defects using the application of statistical methods. A defect is defined as anything which could lead to customer dissatisfaction. The fundamental objective of the Six Sigma methodology is the implementation of a measurement-based strategy that focuses on process improvement and variation reduction. The pros to the Sigma Six model it that it defines and identifies a bottom-line impact for the organization that has both a measurable and quantifiable financial return for the organization. Another pro the Sigma Six is that is also...
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...Information Technology and Systems for Health Care Ursula Sheran HI300-01/Unit 3 June 1, 2015 Nakisha Floyd Unit 3 Assignment When the physicians tries to buy the same EHR product as their hospital it’s trying to accomplish how to make process writing order from their practices to the hospital. The physicians would have better access to the information that is needed to monitor the patients. The provider would be able to tap into the other providers’ through EHR systems when they are covering the emergency room. The pros of EHR are: It provides accurate and up to date information about the patients at the point of care. It also enables quick access to patient records. It has secure sharing information that is electronic and also helps provider to be more effect when diagnosing patients that leads to a minimally errors in the medical field. It’s a convenience and a source of communication because patient and provider. It’s a more reliable way to prescribing and also help streamline data to the billing department that would enable them to complete the coding process. The cons of EHR are: A lack of security which is one of the biggest problems. The information that stored in the database can be access without authorized authority. This leads to more medical records breeches. Hospitals cannot emerge the systems overnight so this means that a whole lot of time would be needed to make sure the paper information is inputted correctly. Not everyone...
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...Many health care organizations have implemented the electronic health record (EHR) system. Assess the issues that are being presented by the technology and evaluate the benefits against the issues. Before the computerized era started, patient’s health records were kept on paper or other non-sophisticated methods. Those color tabbed folders are still in place, but all the information contained in those folders now can be stored in electronic files utilizing huge memory banks and backup systems to protect this information. Everything can be saved and preserved for a very long time. Health information management (HIM) has become a main concern of all healthcare organizations, not only to stay with law compliance, but also to run a more efficient operation. The pros of keeping electronic record versus paper out weight the cons. The main con could be the possibility of someone “hacking” those records. However, that someone could also have access to the paper records and use them illegally. The important issue here is that these records must be kept for a number of years depending of the state and federal requirements (five years or more depending on the state). ACA and HITECH (Health Information Technology for Economic and Clinical Health) act have encouraged the widespread use of electronic records versus paper for obvious reasons. Now, HITECH act is designed to enforced HIPAA (Health Information and Accountability Act) standards, and prosecute major PHI (Protected Health Information)...
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...duplicating services, data organization, order entry and many other problems one may face in the healthcare industry. In my most recent conversation with a Licensed Practical Nurse at the local health department in Northeastern North Carolina, I was astonished to learn that this region, serving 12 counties, is still currently using paper file folders for recordkeeping of all of patient medical records. Although they have begun the process of seeking to move toward an electronic health records (EHR) application system, it is a very slow process as they are currently keeping records on both paper files and the newly EHR system. By implementing the EHR system, access to medical records will be available to all persons involved with caring for each patient while alleviating the endless paper trail associated with medical records. Garets and Davis (2006) report that many people in the healthcare industry and the government confuse the terms electronic medical record (EMR) and electronic health record (EHR). Garets and Davis (2006) proposed the following definition for the two interchangeably terms: The EMR is an application environment composed of the clinical data repository, clinical decision support, controlled medical vocabulary, order entry, computerized provider order entry, pharmacy, and clinical documentation applications. The data in the EMR is the legal record of what happened to the patient during their encounter at...
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...Healthcare Winning the EHR Battle with Enterprise Content Management How Sentara Healthcare created a comprehensive EHR solution Featuring the results oF the Document management Survey June 2010 2 This article is based on a webinar presented by Hyland Software in May 2011. To view the on demand version of the webinar, please visit www.healthcareitnews.com Sentara’s EHR solution bridges the gap between paper and electronic documents A ssembling a full-scale, workable electronic health record system is like solving a puzzle. There are multiple pieces, variables and options to coordinate. System designers at Sentara Healthcare in Norfolk, Va., faced this situation in 2003 when they embarked on their own EHR quest. Ultimately, the team decided on a comprehensive, integrated solution and not a single-source technology to meet their needs. The result: Roughly $34.5 million in business savings and benefits as of 2009. Aaron Koehler, a senior software engineer at Sentara, the nation’s top integrated health system ranked by Modern Healthcare magazine, played a key role in the project. In a recent Healthcare IT News webinar sponsored by Hyland Software, Koehler explained that there’s no cookie-cutter approach to implementing an EHR system. Health care providers must carefully assess what configuration best meets their needs. For Sentara, among other things, that meant including an enterprise content management (ECM) system as part of its EHR solution, the Sentara...
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...Informatics Needs Assessment Marisa Mox HSN/375 February 6, 2016 Suzanne Spradley Informatics Needs Assessment The informatics needs assessment is an essential first step in the selection and implementation of an Electronic Health Record (EHR) for a healthcare workplace. This paper will address the purpose of a needs assessment and factors that need to be considered in the needs assessment. Additionally, this paper will explore the types of data that need to be collected and how and where that data can be accessed. This paper will also describe who should be consulted and the rationale why. Finally, this paper will include how the information from the needs assessment could be organized and presented to upper management. The purpose of a needs assessment is to “determine the gap between the organization’s current state and the overall needs of the organization” (Hebda & Czar, 2013). Specifically an informatics needs assessment will assist in selecting the electronic health record that will fit the needs of the organization. This involves putting together the data and information important to the organizations goal (Sewell & Thede, 2013). A needs assessment is an excellent tool for a facility to determine how to move from where they are to where they want to be. Several factors need to be considered when conducting a needs assessment. It is important to determine who has identified the need for an electronic record and to get their input. Did the request...
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...Dannielle Caddell Nursing Informatics- NUT1 EPIC VS MCKESSON For this research, I am conducting my search based on two well-known systems for computerized charting in the medical field. These two vendors are known as, EPIC and McKesson. In the next few pages, I will be comparing these two vendors; and at the end of this project I will choose which one I would not mind being associated with or using in the future. I will be analyzing how these systems can improve quality of care for patients, how hand-held devices can or cannot help the medical professionals, how the computerized systems can help nurses, but also how these systems can possibly increase and improve patient involvement of care. Computerized management systems can amazingly increase the quality of patient care, as well as safety for the patients. Electronic Medical Records aid nurses in being able to identify if a patient may have an allergy to a medication that will be given. As a nurse, you may not always know if a certain antibiotic is in the same class as an allergy that the patient may have. If the patient does have an allergy, there will be a warning that will pop up for you to view. If the provider approves this patient to have the medication, it may be given, but the pop up is there for patient safety and for the nurse’s own awareness as well. These systems can also help increase quality of care because they will make the patients feel safer. When in nursing school you are always...
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...background, what you like so far about your learning, and something that you’re comfortable sharing about yourself, your family, or your hobbies. NR 360 Week 1 Discussion What Is Nursing Informatics? Discuss ways that nursing informatics could be applied to all areas of professional nursing practice, including clinical practice, administration, education, and research. Provide examples of each. What do you see as the biggest significance of nursing informatics, and why? NR 360 Week 1 Discussion Technology Literacy and Electronic Health Records (EHR) What are your experiences with using an electronic information system (EHR)? Describe the components of an EHR, and using the assigned readings, any past experiences or observations, and your imagination, share your thoughts on the following question: Can you give one pro and one con of an EHR with regard to enhancing patient care and safety? Include rationale for each. How do you see the EHR enhancing patient health literacy? NR 360 Week 2 Discussion Database Search Choose a topic related to health that has meaning to your personal health, interests, and well-being. This may be a disease, such as diabetes, or a healthy fitness activity. Conduct a database search comparing one of the following database directories with Google Scholar. CINAHL and Google Scholar PubMed and Google Scholar Explain how you were able to narrow down the number of article hits you had initially, and present within your post a summary of the credible...
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...The Electronic Health Record (EHR) is a electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter as well as supporting other care-related activities directly or indirectly including evidence-based decision support, quality management, and outcomes reporting. A government-sponsored survey of the use of computerized patient records by doctors points to two seemingly contradictory conclusions, and a health care system at odds with itself. Skip to next paragraph A government-sponsored survey of the use of computerized patient records by doctors points to two seemingly contradictory conclusions, and a health care system at odds with itself. The report, published online on Wednesday in The New England Journal of Medicine, found that doctors who use electronic health records say overwhelmingly that such records have helped improve the quality and timeliness of care. Yet fewer than one in five of the nation’s doctors has started using such records. Bringing patient records into the computer age, experts say, is crucial to improving care, reducing errors and containing costs in the American health care...
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...short like assessing a patient for congestive heart failure. How did you evaluate and combine the various pieces of data? What was the outcome of this process? diiss 2 AACN Essentials Self-Assessment Results (graded) Complete your Self-Assessment of the AACN Essentials located in Doc Sharing (Week 1). Note your total score. If you are willing, please share your total score with your classmates. Identify areas where your knowledge is lacking. Keep in mind that we are all “knowledge workers.” What areas of inquiry do you have as they relate to the essentials? week 2 Experiences with Healthcare Information Systems (graded) Share your experiences with healthcare information systems in your clinical setting. What are the pros and cons of patient care? If you are not currently working, think about your experiences as a consumer of healthcare services, keeping in mind that they are all around us regardless of where we obtain our own healthcare. diss 2 Helping Aunt Mary (graded) Your Aunt Mary is elderly and lives alone. She just returned from a visit with her primary care physician. She noticed today that Dr. Alice did not bring a chart into the exam room. Instead, she had a little computer....
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...Enterprise Resource Planning – A Human Resources Overview Enterprise Resource Planning – A Human Resources Overview Enterprise Resource Planning represents an organization’s attempt to fully integrate company information from a previously fragmented collection and retrieval system into an organized, multi-user environment that can be shared by all key departments within the organization, including sales and marketing, accounting and finance, material management, production planning and human resources. The decision to convert to such a system cannot be made hastily, and requires extensive planning to accommodate requirements, cost and expenditures, integration, implementation, and training. The complexities of such a project can be compared to an ISO program for management information systems that involve extensive software conversion and re-tooling of employees who will be required to perform new and varied administrative tasks. The existing user base must be evaluated and a needs analysis completed to determine the degree of acceptability and resistance to such a program, as well as what knowledge, skills and ability will be necessary to bring users to a level playing field prior to implementation. In essence, such a system will require initialization of cultural change and planning for the human part of the ERP. The elimination of negativity is tantamount prior to startup of such a program...
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