Focusing on the outcome and not the process of the outcome, a needs assessment is a systematic approach to the electronic record adoption project scenario. The outcome of a needs assessment given scenario is the adoption of an Electronic Health Record system by the health care organization. For the site to adopt and accept implementation of an electronic health record system, benefits have to be clearly outlined and presented to the site staff. The staff must be convinced that the core functions of implementation of an electronic health records system is management of patient health information and data. Transitioning from an analogous patient records too EHR system, patient information and knowledge becomes immediately accessible and navigable by medical personnel. Electronic Health Record system would also provide the staff immediate access to testing result and CPOEs. Electronic health record CPOEs eliminates the self-evident sometimes ineligible physician order. Eliminating the time from when the physician prescribes the order to the time the procedure is performed is a core benefit to electronic health record application. Finally the staff needs to be informed that one of the outcomes of an electronic health record application system is decision support. Prevention, drug prescription, diagnosis, and disease management are functional EHR decision support functionality applications (“Comprehensive Needs Assessment,” ed.gov, 2001). Mailing patient paper charts by mail to
In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.
As electronic health records are conceptualized in order to better fit the workflow patterns in physician offices, the insights from our electronic health record system in several cases identified affordances which were available in a paper-based system but were not easily translated into the current generation of electronic health records. Their comments are not provided in order to suggest a return to paper, but rather to identify functionality to support with the electronic health record design as well as with choices made during the implementation of electronic health records. There are several ways in which paper-based documentation was more flexible in nature. One is that access to a piece of paper for entering, viewing, highlighting, updating, and annotating information was done by other means (primarily physical constraints) than by an electronic login with an associated defined organizational role.
Amatayakul, M. K. (2009, January 01). Electronic Health Records: A practical Guide for Professionals and Organizations. VitalSource Bookshelf(4). Chicago, Illinois, USA: AHIMA Press. Retrieved August 2012, from <http://online.vitalsource.com/books
As the national health care system transitions to the electronic health record (EHR), it is important to recall the impetus to this reform. Prior to the implementation of the electronic health record, the national health care system encountered many problems that impeded quality patient care. There was not a standardized formal structure with the process. Consequently, it lacked communication across disciplines and among providers and
Over the previous eight years, there has been a significant investment of private and public funds to upsurge the adoption of Electronic health records (EHRs) across the nation. The extensive adoption and “meaningful use” of electronic health records is a national priority. EHRs come in various forms and can be utilized in distinct organizations, as interoperating systems in allied health care units, on a regional level, or nationwide. The benefit of utilizing an EHR depends heavily on provider’s uptake on technology. Benefits related to electronic health records are numerous and may have clinical, organizational and societal outcomes. However, challenges in implementing electronic health records has attained some attention, the implementation
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
Use of EHR (electronic health records) in United States has increased in past years and have gained widespread use in the country. The use of EHR-Electronic Health Records or EMR-Electronic Medical Records and the systems that support them have gained standardized collection of health information and data for patient and healthcare providers. Because of these technologies, healthcare providers now have information about their patients at their fingertips, which has led to better and more accurate care. There are debates on using EHR. According to Mushtaq (2015), one of the most common debate is the use of EHR compliance and the value of these technologies that surround them (Mushtaq, 2015). Providers wonder if EHR use is useful and what is to be gained for the HCP-Healthcare provider. In regards to such debates and ongoing conversations, it is important to understand the definition of meaningful use and whether these technologies have resulted in meaningful use. According to Burchell (2016), The government developed the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which incorporates the meaningful use program (Burchell, 2016). The program has goals that tell us how to use the meaningful use with EMR or EHR. It helps HCP and organizations alike attain, use and keep goals like patient and clinical outcomes, individual patient autonomy, and increased transparency for providers. When these goals are attained and kept it will greatly
Technology has come a long way over the years and continues to advance rapidly. The health care system is greatly affected by the advancements in technology. An example of this would be the use of electronic health records (EHR). In this paper I will be describing the electronic health record system. How my facility has initiated the EHR with following the six steps and describe meaningful use and how my facility is working towards this. Lastly I will discuss how to maintain patient confidentiality with use of EHR, and what my facility is doing to prevent HIPPA violations.
The purpose of this paper is to discuss the Electronic Health Record (HER) mandate, including its goals and objectives. It will further address how the Affordable Care Act and the Obama Administration connect with the mandate. The plan my facility used to meet the goals of the mandate, as well as what meaningful use is and our status of attaining it will be discussed. In addition, HIPAA laws, the dangers to patient confidentiality, and what my facility has done to prevent these will be presented.
How will the transition to an electronic health record impact patient safety and quality patient care? It was The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 being signed into law as part of a stimulus package, that started the big push for the use of electronic health records (EHRs). This initiative has been the largest initiative in the US designed to help keep American health care providers delivering higher quality of care to their patients in this computerized world we live in today. Two main areas of concern are patient safety and quality of care the patient receives.
In Stage 3, enhancements to the UMUC Family Clinic business process will be proposed by recommending HIT (health information technology) solution, consisting of a certified EHR (electronic health system)/EMR (electronic medical records) system. Once this system is implemented, it will immediately improve the current process. Customer complaints are high, and the focus is on the long wait times and redundant processes when a patient arrives to be checked in. Moreover, some nurses are not readily available, because they are preoccupied with other administrative duties within the practice. Inconsistent record keeping practices lead to additional time searching for patient records. A HIPPA violation may be detected if a patient’s record is misfiled or lost; henceforth, creating a need for supplemental time and possible duplication of another medical record may be required. This process can be greatly improved by the HIT solution using a terminal loaded with the EHR solution. This will allow patients the ability to enter all of their health record information upon their arrival and that information will be instantly available to the nurses and doctors. This process will also give the patient the opportunity to validate the information and make any necessary changes (benefit information, addresses, phone numbers, and medications).
The Agency for Healthcare Research and Quality (AHRQ) had developed the “Use of Dense Display of Data and Information Design Principles in Primary Care Health Care Information Technology Systems (Virginia)” project, which identified the electronic health records utilization. Key recommendations is to improve the lack of standardized practices, development of process, and share information freely. These reports include core establishments in the EHR aspect in a hospital environment. The development of criteria through these practices, explore the operation of EHRs are crucial. Plus, some basic steps in utilizing IT systems would be to deliver safe, effective, and efficient care.
I understand your concerns regarding the legality of the electronic signature. Electronic health record system have many policies and rules that must be followed in both state government and federal. In 2000 the U.S. Government passed a law that gave electronic signature the same legality as written signature. It doesn’t mean that its signed electronically that anyone can access it and sign it for you. Your signature authentication requires a password, biometric, and unique code this identifies that its you who is the signer in the system. If someone tries to access any documents to sigh them they will not be allowed because the system will not recognize it if it wasn’t you. To be save there are passwords that go along.
Before deciding to implement health care information technology, one should carefully weigh the costs and benefits. Successful implementation of Electronic Health Records (EHS) takes a well-thought plan and a careful
This case study is based on the integration of electronic medical records known as EMR. The integration process came from Dryden, New York and was tested by a small medical practice named Dryden Family Medicine. The practice has been known for its outstanding family based services given to their community. The implementation process of EMRs doesn’t come without risks, but with its outstanding paper based medical record keeping that continued to expand as the practice grew left the Dryden Family practice no other choice but to try out something new in hopes for a better outcome.