Nursing And Electronic Medical Records

Nursing And Electronic Medical Records
Nursing and Electronic Medical Records Thomas Stinde April 28, 2016 Coconino Community College Nursing and Electronic Medical Records
In our society today, we have a broad range of computer technology for our use. This technology in the nursing field is called informatics.
Informatics is defined as a combination of computer science, information science, and nursing science designed to assist in the management and
processing of nursing data, information, and the knowledge to support the practice of nursing and the delivery of nursing care (Thede, 1). Nearly
anywhere we go, and whatever career we choose we all need to have basic computer skills. Computers are used in the health care profession due to
an increase of productivity they can provide, therefore allowing for better patient care. Computers also allow for hospitals, doctor's offices, and other
healthcare facilities to change over to and begin keeping electronic medical records (EMR). An EMR has the medical information that the doctors and
nurses obtain when you have an office visit. The patient's paper medical record is put into an EMR program is basically made into a digital version of
that patient's medical information. The patient's healthcare provider can then use these EMRs for diagnoses and treatment. There can be advantages
and disadvantages for healthcare providers to transition to an EMR system, and those providers will have to decide which one will outweigh the other.
Discussion An
... Get more on HelpWriting.net ...

Electronic Medical Records ( Emr )
Electronic medical records (EMR) Introduction For centuries, paper–based records were the only way of communicating patient's medical records
throughout the health care system. Gradually, for the past two decades, the healthcare system has been transitioning toward computerized systems
called electronic medical records better knowns as EMR. Dr. Clem McDonald from the Regenstrief Institute stated that his "goal was to solve three
problems, to eliminate the logistical problems of the paper records by making clinical data immediately available to authorized users wherever they are
– no more unavailable or undecipherable clinical records; to reduce the work of clinical book keeping required to manage patients – no more missed
diagnoses when laboratory evidence shouts its existence, no more forgetting about required preventive care; and to make the informational 'gold' in
the medical record accessible to clinical, epidemiological, outcomes and management research."(website McDonald, Clement). EMR is said to benefit
the healthcare system by improving quality, safety, and efficiency of care. "With this in mind, the benefits will be presented in terms of access;
quality, safety, and efficiency of care delivery" (Health informatics book). The writer herself has been able to experience the benefits and
disadvantages of using EMR. Working as a school nurse and a skilled home health nurse it is required to document electronically. Electronic medical
records has benefits and

Electronic Medical Record ( Emr ) Essay
Data Errors in Electronic Medical Records
Amanda Baksh
Nursing 232
Professor Virgona
May 19,2015
An Electronic Medical Record (EMR) is a digital account of a paper chart in a health facility. It comprises of a systematic collection of treatment and
medical account of the individual patients in one practice. An EMR permits a medical officer to keep track of data over time, simply recognize which
patients are in line for for preventative screenings, look how patients are faring on particular factors such as vaccine sand screen or blood pressure
examination and develop the general quality of medical treatment within the practice.
An EMR is meant to make the procedure of record keeping simpler and easily accessible, more precise and all–inclusive and more proficient.
Clinicians employ dedicated software, which permits them to enter data electronically using computers and other electronic devices and patient's
comprehensive account, is presented instantaneously (Thomas & Petersen, 2003). Doctors can use a computer, laptop and tablet to track through
patients' record notes and charts. This paper focuses on the identified data errors with Electronic Medical Record (EMR) also known as Electronic
Health Record (EHR).
The value of healthcare across the universe depends on the accuracy, reliability, and integrity of health data. Implementation of Electronic Medical
Record, including health information technology (HIT) is important for the revolution of the current world

Application Of Electronic Medical Records
City Hospital, a 200–bed inner–city hospital that has a 30–member primary care physician group that has one hospital–based clinic and 4 clinics
dispersed throughout the local community. The purpose of electronic medical records is to improve the efficiency of health care delivery by sharing
information of a patient 's history, treatment and outcomes. With this product we will save time, increase reimbursement, decrease physicians, nurses
and other staff members wait time and increase better clinical outcomes. EMR generates data that can drive care quality, patient safety and effective
financial management. The Center for Medical Services known as CMS has mandated that all facilities will have electronic records for all facilities
by October 2019. CMS started making the mandate for people to use electronic medical records for submission for payment for Medicare and
Medicaid (Entrikin, Tom. 2012).
The Design
In finding a system that was appropriate for City Hospital, there was a group of 13 team members of various levels, there were people selected from
(5) representatives from senior management, The CEO the Operations person, the CFO, IT and a Project manager (1) board members (1) physician
from the hospital and (1) physician representing the clinics, there were (3) nurses one from the hospital and (2) nurses representing the clinics. This
group was selected to gather information, thoughts and feedback about Electronic Medical Record's system that would

Electronic Medical Record ( Emr )
An electronic medical record (EMR) is a digital version of the paper based medical record for an individual. An electronic medical record contains
the standard medical and clinical data gathered in one provider's office. Electronic health record goes beyond the data collected in the provider's
office and includes a more inclusive patient history. This system is intended to store data that accurately captures the state of a patient across time.
One reason why health care organizations have been hesitant to use electronic medical records is the cost. "It is not only the $40,000 that software
vendors charge to install an electronic records system and the $10,000 to $15,000 for annual maintenance. It is the hassle factor and the often
prohibitive cost of hiring staff to enter the data and to comply with new rules and regulations"(Reece, 2011). Facilities would have to hire IT people if
the system goes down.If this system goes down that would impact the whole office. Electronic medical records will cost large amounts of money to
buy and maintain. Second is the disruption of the doctor–patient relationship. You cannot read a computers body language or look it in the eye. You
cannot empathize or sympathize with it. "Doctors must continue to practice the art of medicine which requires that doctors actually talk and listen to
their patients. We cannot forget the value of interacting with patients, looking them in the eye, and providing them undivided attention. Alot of people

Institutional Affiliation: Electronic Medical Records
Electronic Medical Records Student's Name Institutional Affiliation Electronic Medical Records The advancement in technology has changed the way
the world functions and has become an important part of the lives of people. Consequently, the medical world has adopted the electronic medical
records which ensure that patient's information is stored electronically (Celluci, Wiggins & Woodhouse, 2010). The advantages of electronic medical
records exceed the challenges that come along with it. Firstly, the records are accessible from any location at any time and therefore a patient's
medical team can efficiently coordinate care and this is more important in cases of emergency. Secondly, the electronic medical records have secure

Electronic Medical Records: A Case Study
Step 1: Your tentative topic Electronic Medical Records (EMR's) Step 2: Make a basic statement Electronic Medical Records, are being used
throughout the country in medical offices, chiropractic offices, dental offices, nursing homes, & hospitals, and many more. Step 3: Make a stronger
more specific statement Electronic Medical Records are great for the physician, nurse or other medical staff, but there is some issues with the EMR's
as well. By putting your company at risk of identity theft from hackers. Step 4: Compose a specific problem statement that can be argued and
supported A problem with the EMR's is privacy is major concern, as I've personally seen multiple times when going to a medical office (dentist, family
physician) the nurse will log on to input information into the system and leave the room without logging out. So with that being said, I could see the
patients... Show more content on Helpwriting.net ...
The goal is not perfection this week but a progression to ensure "on track" to be ready for unit 3 when the problem statement is researched and
finalized. The Unit 2 discussion with peer and instructor dialogue will further help you achieve the top ten criteria. Top Ten Criteria for a Strong
Problem Statement 10. Defines the problem clearly without use of pronouns or acronyms. YES 9. States the problem without posing a question.
YES 8. Provides more than a sentence or two that only describes a topic. YES 7. Consists of one to three bold sentences that present a specific
focus, a point of view, an opinion, or an idea that is arguable. YES 6. Goes beyond making an observation, makes a case for or against something
(avoid contractions, eliminate the word "not" and the word "but").YES 5. Contains one main subject that is IT discipline related. YES 4. Offers the
subject's importance. YES 3. Appeals to an audience of IT professionals. YES 2. Has no spelling, grammar, usage, or mechanic errors.

The Electronic Medical Record ( Emr )
Meaningful Use and its Development The electronic medical record (EMR) is the replacement of paper manual charts and is being used all across the
country. As per Hebda and Czar (2013), the EMR is the "building block" of the electronic health record (EHR), which can be defined as "a longitudinal
record that includes client data, demographics, clinician notes, medications, diagnostic findings, and other essential healthcare information" (p.293).
The widespread use of EHR's in America is foreseeable and inevitably unavoidable, but by no means a simple and undoubtedly an effortless task to
achieve. In an attempt to reduce costs in the introduction, conversion, and implementation of patient health records the government has provided
regulations for "meaningful use (MU)" (p.280). In the attempt to improve the safety and quality of the nation's healthcare system, the government
enacted the Health Information Technology for Economic and Clinical Health (HITECH) Act. The HITECH Act is part of the American Reinvestment
& Recovery Act (ARRA), enacted on February 17, 2009, which includes many measures intended to modernize the nation's infrastructure (cdc.gov.).
The HITECH Act, encourages the use of EHR's – meaningful use in order to reduce the redundancy of data entry with integration and interoperability.
Centers for Medicare & Medicaid Services (CMS ) and the Office of the National Coordinator for Health IT (ONC) consider meaningful use of
interoperable electronic health records

Electronic Medical Record ( Emr ) System
For as long as any of us can really remember, paper based medical records have been the way to go. Sadly if changes had to be made to the files then
the files would need to be physically taken out of storage and then returned after. More times than not patients will have more than one health care
provider and in this case, the patient files are not necessarily being successfully shared among them due to the fact that the files are tangible.
Fortunately the implementation of Electronic Medical Record (EMR) system is the answer to increasing efficiency and reducing the need for storage.
The EMR allows the medical records to be retrieved and accessed by any of the health care professionals that need the information to help a patient.
Implementing an EMR would have improved diagnosis and treatments, significantly reduce errors found within personal health records, and improve
the speed of care and decision making responses from assigned medical professionals. As with everything there are always cons as well as the pros.
The unfortunate cons of an EMR are the technological side. It may be difficult to teach all of the people who will be using it how to use the EMR and
more importantly getting a majority of people on board with it. After weighing out the pros and cons, there are series of steps that are conducted
through stages otherwise known as phases. EMR implementation require making sure that the organization is ready for the commitment, making an
outline, creating a system

I.Background
When the Obama government pushed for the automation of Electronic Medical Record (EMR), hospitals and private practices were required to follow
the government mandate to avail of the incentives and at the same time to qualify for Medicare and Medicaid reimbursements. Moving from paper to
electronic records was a monumental tasks not only in the implementation of the software but also in training all hospital providers to properly use the
EMR.
In 2010, the University of Maryland Medical System (UMMS) decided to switch its current system to Epic to consolidate its variety of applications and
most important of all to streamline billing. With this new endeavor, the administration needed to build a new department to ... Show more content on
Helpwriting.net ...
All providers are paid for the time they will be spending in classes. Without sacrificing the quality of training, and not to endanger lives of the patients
because of misuse of the EMR, the call to utilize current technology to deploy some classes asynchronously will reduce classroom training time.
III.The Training Department
The manager of the training department envisions training to split into asynchronous and synchronous. The basic functionality of the EMR can be
taught using E–Learning courses, and a more personal approach will be a face to face training. He is "responsible for all the subsystem that lead to
the design, delivery and implementation of the program." (Moore & Kearseley, 2012, p.18).
The new training department will be divided into two entities. The 1st entity comprises of Instructional Designers who are responsible for developing
classroom materials. They are called the IT Training Team. The 2nd entity is composed of Instructional Technologists who are responsible of building
E–Learning materials, a Learning Management System administrators and Quality Assurance personnel who check grammar and test the deployed
E–Learning courses. They are called the E–Learning Team.
The E–Learning Team is tasked to pick the right technology to meet the high demand of training. They will choose the applications to build the
E–Learning courses, a robust LMS to house them and track down training completion, and utilize the Web 2.0

The Electronic Medical Record ( Emr ) Is It Really Secure
Educational to the hospital RN's and LVN's teaching how to be safe with EMR's. The Electronic Medical Record (EMR) is it really secured? The
Electronic Medical Records (EMR) is a secure source of information that give clinicians real–time access to a variety of patient health information, such
as patient history, billing or insurance data, allergies, immunizations, medications, orders, laboratory tests, diagnostic results, and images. Such
technology has enormous potential to enhance the efficiency and effectiveness of health care through decreased medical errors, increased
preventative care and enhanced detection and treatment (Fiato, K. A., 2012). With the rapid development of information technology, EMR is likely
to have medical records disclosure issues. Some international medical records leakage happens recently. In USA 2011, there is a leakage about
hospitalized Hawkeye football players. In Philippines 2009, president Arroyo is leaked information on her breast medical checkup. In Taiwan, artist
Selina, due to severe burns in 2010, came news that physicians of other subjects are free to browse the medical records used his position in the
medical records privilege. Such well–known facts reflect that EMR document divulgation is overflowing and can cause serious damages. Thus the
management security of EMR documents catches highly attention in these few years and it induces the development of teaching nurses on how to
provide safe care using EMR's. The need to control

Benefits Of Electronic Medical Record
Introduction
There are many benefits of using electronic medical record (EMR). This paper will discuss the benefits of electronic medical record for the physicians,
patients, and the healthcare organizations.
Benefits of EMR for Physicians There are so many benefits for physicians to use electronic medical record, for example, they can eliminate a
tremendous amount of paperwork since most of their charting is done on the computer. Another advantage of usingelectronic medical record is the fact
that it allows for easy transfer of data or information to other departments or medical providers. This ability of the electronic medical record helps to
eliminate errors, it also less time consuming and it prevents physicians and patients from repeating the same test. It also helps to prevent patients from
over exposing their body to unnecessary radiation. It is also important to note that healthcare insurance is also enjoying this feature of the electronic
medical record since they are saving money whereby they will not have to pay for duplicate testing. The electronic medical record being able to
transfer patients' data and information from one provider to the next is important since it allows collaborations among various departments and
healthcare facilities, also, physicians do not have to worry about paperwork being misplaced or misfiled. Most patients find themselves at some time or
another gone to another healthcare facility that is not affiliated with their current

Electronic Medical Record ( Emr ) Essay
Electronic Medical Record Introduction The introduction of computers has allowed the medical community to rapidly change the way they
practice. Healthcare providers are no longer using paper records but have instead opted to utilize an electronic medical Record (EMR). While not
all offices and hospitals have switched to an EMR it is becoming more standard to be a routine part of healthcare. Now patients can even view their
health care records on the cellphones. Providers can access a patient's health records at home and no longer be stuck in the office. EMR's changed
healthcare greatly, did it change for the better? Positive Effects of EMR More accurate record keeping. Perhaps the most positive change related to
the creation of EMR is more accurate records. Everything about a person's health is kept in one place. Their allergies, immunizations, medications
can all be accessible at the push of the button. This means from one visit to the next it can be easy to track someone's weight or to know when their
last mammogram was. Keeping a list of a patient's medication that is constantly being updated at every visit helps both patient and provider. A
patient can easily view their medical records to see what changes were made during an office visit. A provider can quickly review medications even
if a patient is unable to remember all their prescribed medications. These records are updated with every visit. Previously a provider may have
documented by hand, which is not

The Benefits Of Electronic Medical Records
Introduction The benefits of Electronic Medical Records (EMR) significantly outweigh the disadvantages, when it comes to the nursing care of patients
in multiple settings. There have been multiple studies proving the enhancement and efficiency of nursing care in various areas, when electronic
documentation is properly taught and utilized. Likewise, there is evidence supporting the reliability of the documentation, after comparing nurses'
verbal accounts of previously recorded information. When the programs used in electronic documentation are continually evaluated for completeness,
accuracy, and quality, they become excellent tools for legislation. Electronic medical records present many advantages to the nursing care of a vast
majority of patients, and also help uphold satisfactory legal and ethical implications of nursing documentation. Body (Review of Literature) Bruylands,
Paans, Hediger, & MГјller–Staub (2013) provide evidence of electronic health records improving the nursing process. The purpose of their study was to
assess the effectiveness of electronic nursing documentation, when it was and was not coupled with an instructive program. The experiment sampled
electronic nursing documentation over time, and ranked the groups in terms of accurateness of the nursing process. It was shown that groups who were
provided with continual education had a substantially higher accuracy, when it came to using the nursing process. While all groups benefited
immensely from the

Benefits Of Electronic Medical Records
There are many reasons why some health care organizations have been reluctant to use electronic medical records. First let's talk about, what is an
electronic medical record. An (EMR) Electronic Medical Record consist of standard medical and clinical data gathered in the provider's office
which include a more in debt patient history. EHRs are created to hold and distribute information from all providers dealing with patient care. EHR
data can be created, managed, and advised by authorized providers and staff from across more than one health care organization. EHRs is another
name for digital paper chart that hold all of the patient's medical history from one practice. While expanding daily, electronic medical records are
becoming extremely popular. Research shows that some healthcare organizations continue to be reluctant to purchase electronic record programs. The
pressure on hospitals, clinics, systems, physicians and other providers to get with the program is outstanding. Cost is a major concern for single
practitioners, which are least likely among physicians to adopt EHRs. EHR systems are not cheap by any means. Physicians have to weigh the cost of
not only creating, but supporting their own IT structure and applications as well. The option to decide to use external vendors to provide the services is
given also. Consideration of cost include purchase price, coordination cost, monitoring cost, and negotiating cost along with upgrade costs, and
governance cost.

Electronic Medical Records And Electronic Health Records
Technology has advanced throughout the years. The effects of these advancements have been both positive and negative. Not only have these
advancements helped make our lives easier, it has also helped us lived longer. For example, the use of the computer has evolved in health care.
Medical Professionals use the computer for their daily operations. As a result of the use of the computer, the Electronic Medical Records (EMR) and
Electronic Health Records (EHR) were created. In 2009, President Obama signed the American Recovery and Reinvestment Act, which included the
HITECH (Health Information Technology for Economic and Clinical Health) Act. HITECH instructed the Centers for Medicare & Medicaid Services
to get eligible providers to start... Show more content on Helpwriting.net ...
EMR and EHR also helps keep information up–to–date. A study was done by to evaluate the staffed nurses attitude and perception of the EHR in Sri
Ramakrishna Hospital. The study found that majority of the staffed nurses (95.5%) found the EHR as beneficial (Juliet & Sudha, 2013). About
68% of the nurses believed that EHR would be helpful and the about 73% of them believed EHR will reduce the workload (Juliet & Sudha, 2013).
Cons Nurses have found the EMR and EHR beneficial. Many of them have positives views of them. However, not all nurses have reciprocal feelings
towards having patients medical records electronically distributed. According to Nelson (2016), challenges to EHR usability include workflow issues,
forced word choices, lack of or limited free text, and difficulty finding data or information, among others. Nurses have stated that inputting information
to the EMR and EHR takes too much time and it is also time consuming.The most common problem with EMR and EHR are system failures.
Computers crash every time and power outages are really common. If the system ends up failing, then there might be no back up charts. One major
problem would be the change to EMR and EHR. New nurses might find the change is not difficult. However, for older nurses that are used to charting
might find the change to electronic charting difficult. Another disadvantage of the EMR and EHR is the

Electronic Medical Records ( Emr )
Information Technology Technology plays a vital role on the overall productivity of a medical practice. Electronic medical records (EMR) are
commonly used by both large and small practices. They offer practices an efficient mean of storing patient data; furthermore, the government offer
incentives for meaningful use of electronic medical records. Generally when it comes to implementing an EMR, it is necessary to choose the right
vendor. EMRs usually fall into three vendor systems: single–vendor, best–of–breed, and best–of–suite. The single–vendor strategy offers the most
cost–effective strategy for a small single–specialty practice because it combines both the administrative and clinical aspect of the practice; thus,
allowing for a single contract with the vendor (Naleef, Ozcan, and DeShazo, 2012). The other two vendor strategies, while offering more flexibility,
tend to require increase staffing, which may be too costly for a small practice. Electronic medical records are not sufficient enough to efficiently run a
medical practice; therefore, other information technology is required. Computerized provider order entry (CPOE), is another information technology
that will be implemented. Prescription errors are common causes of medical errors, which can have adverse effect on the patient and lead to
malpractice litigation against the practice. The CPOE software can be integrated within an already established EMR system; within the CPOE,
physicians are able to prescribe

The Electronic Medical Records For The Provider
Marsha:
1. The electronic medical record promises to revolutionize the delivery of health care services. Identify the advantages and disadvantages for the patient
and for the provider. How much Government regulation should be involved in the development and use?
There are many advantages with the implementation of electronic medical records for the patient. One important advantage is the ability for the patient's
medical record to be shared amongst the patients other physicians. Information that can be shared includes recent labs, diagnostic testing, and
prescribed medication. Another advantage is patients are provided access to certain medical information in his or her medical record through a patient
portal. This allows patients to have a more active role in their health care. One disadvantage for patients is many feel that once electronic medical
records are implemented, office visits become less personal due to the medical assistant, nurse, and/or physician is too busy answering questions on a
computer or tablet. Providers also incur advantages with the use electronic medical records. As mentioned above, data can be shared therefore,
physicians are able to obtain pertinent medical information following an emergency room visit, a hospital stay, or receiving treatment from another
physician. Having access to this information can assist physicians in ensuring that the proper treatment plan is executed along with eliminating the
patient having to endure any

Electronic Medical Record Essay
An electronic medical record [EMR] is a "computerised record that maintains patients' health–related data, which is available to be used and accessed,
only by authorised personnel, in order to deliver healthcare services within the health organisation" (Hasanain, Vallmuur & Clark, 2014, p. 1). From
patient record keeping to administrative reporting and clinical support tools, the extensive functionality of an EMR solution has the potential to
fundamentally transform how healthcare services are provided by the hospital (Goo, Huang & Koo, 2015). EMRs have been available worldwide for
some time and are implemented into hospitals because of the expected benefits such as increased delivery of patient care, improved access to patient...
Show more content on Helpwriting.net ...
Previous research on EMR implementation has identified that EMR implementation is most likely to fail due to user rejection, so it is important to
recognize the thoughts and beliefs that doctors, nurses and other health professionals may have to be able to anticipate whether they will accept or
reject the new EMR (Goo et al., 2015). Clearly, EMR technology exists, but even with the best technology success is not guaranteed. The challenge is
the implementation, and understanding the reluctance of change amongst users is critical for developing adoption strategies (Khalifa, 2013). The
complexity and usability of the system greatly impacts user acceptance. The more accurate and timely that data can be entered into the system, the
more beneficial the system will be (Struik et al., 2014). If the system is poorly designed or if there is a lack of technical support and training, clinical
workflow may become more time–consuming creating resistance from clinicians (Goo et

Electronic Medical Record Analysis
The Electronic Medical Record, or "EMR," is a digital version of the paper charts in a hospital or physician's clinic. The Electronic Medical
Record is capable of storing all of the patient's medical history, both past and present. Prior to the creation and implementation of the EMR, all
physicians were on paper records. EMR's are far superior to paper records in many ways, most notable the ability to comprehensive data collection,
ease of access and transferability, and transparency. In the 1980's there began on slight influx of computers being used for tracking and storing of
patient data in hospitals and clinics. The transferability of the patients paper record was greatly increased by the "Fax" machine, but "time is often of
the essence in most caregiving scenarios, and... Show more content on Helpwriting.net ...
Epic is one of the largest EMR systems, and is used in a majority of healthcare systems throughout North America and various places globally. Epic
has become the innovative industry standard in most minds, because of its "one stop shop" approach. The successes of Epic comes from the desire
to do things better, and different. A majority of health systems EMR's are a combination of several software systems that provide the various needs
for health systems functionality. A system for registration, a system for provider documentation and orders, a system for revenue, a system for lab, a
system radiology, etc. Epic created a single robust system that (generally) has applications built within for every process in the health system from
registrations till discharge and even dropping a charge for revenue and billing purposes. The "one stop shop" approach was innovation in its finest for
the healthcare IT world, and has yet to be

Security Risks Surrounding Electronic Medical Records
In this paper we identify security risks surrounding Electronic Medical Records (EMR) and discuss strategies healthcare providers can employ to
mitigate those risks. We begin with a brief overview of the legislative history driving the rapid adoption of EMR and other health information
technology. Legislation Driving Rapid Adoption of EMR Perhaps the most important piece of legislation relevant to our understanding of security risks
surrounding EMR and health information technology is The Health Information Portability and Accountability Act (HIPAA), which was signed into
law in 1996 by the Clinton administration. HIPAA impacts the healthcare industry in many ways, but of particular importance– at least for our
purposes of understanding security risks surrounding EMR – is HIPAA's security rule, which governs how providers must protect private health
information during the process of adopting and implementing new health information technology such as EMR. HIPAA requires "covered entities" to
take reasonable measures to protect electronic private health information. HIPAA is vitally important to our understanding of EMR risks because
providers can face harsh penalties if found in violation of HIPAA. Over the next decade, significant advances were made on the technology front, and
in 2009 president Obama signed into law The Health Information Technology for Economic and Clinical Health Act (HITECH). The HITECH Act
introduced the concept of "meaningful use" as a way to

Assessing the Value of Electronic Medical Records
Assessing the Value of Electronic Medical Records Introduction The potential for Electronic Medical Records (EMR) to transform healthcare making it
more accurate, efficient and cost–effective is significant. Studies indicate that the most common workflows and processes that EMR systems are used
for automating can save a healthcare provider up to 67% of the total costs of correcting error–filled reports and minimizing the costs of malpractice
insurance as a result (Walker, 2005). The best and most significant Return on Investment (ROI) of all however are the significant gains made in patients'
recovery time and effectiveness of treatment programs (Darr, Harrison, Shakked, Shalom, 2003). Between the cost reductions made possible through
effective use of EMR systems and the ROI of saving lives, the collection of these technologies, systems and processes show significant potential in
streamlining patient–based workflows while increasing the quality of care (Richards, Prybutok, Ryan, 2012). Analysis Of EMR Benefits To The
Patient And Healthcare Providers The greater the accuracy and efficiency of analysis and diagnosis of a given condition or disease, the more
completely a physician can define a treatment plan with a high probability of success. EMR systems provide a single system of record for the entire
treatment history of a patient, including any previously–attempted treatment programs and their results (Walker, 2005). This system of record on a
per–patient basis

Electronic Medical Records (EMR)
Electronic Medical Records (EMR) Electronic medical records are contained in a data management system, usually an electronic health system
designed specifically for clinical organizations. They consist of all the information that pertains to a patient's medical care including: demographics
medical history allergies medications lab testing results imagery such as X–rays or MRIs insurance and billing information statistics like age, weight,
and blood pressure EMRs have replaced traditional paper records since they eliminate legibility, duplication, or misplacement issues that physical paper
systems had. As these electronic database records have become prevalent, they have also made population studies of medical trends much easier

Electronic Medical Records In Healthcare
Electronic Medical Records (EMRs) are used throughout the hospital where I work. An EMR has led to many improvements in having access to
medical records, in a timely manner. When a patient registers in the Emergency Department, I can see how many visits they have had. I can see all
records, including past medical problems, allergies, test results, and a list of current medications they have filled at a Pharmacy. This is very useful
when the patient omits information. It only takes a few steps to input protocols. An EMR decreases the risk of losing information or having to wait
on records from the Medical Records Department. Additionally, the EMR allows Physicians to easily compare lab values from different visits and
track a trend. EMR's have become a valuable tool in Healthcare.... Show more content on Helpwriting.net ...
When patients present to the Emergency Department with Stroke symptoms they are at immediately sent for a Cat Scan (CT). If the patient has a
"brain bleed" they are sent to our other facility to receive services of a Neuro Surgeon. Additionally, If the patient has Neuro deficits with the absents
of a brain bleed, we use Tele Neurology. With Tele Neurology we use a Computer on Wheel's (COWs) and dial directly into the Neurologist on call.
The Neurologist can watch at the Nurse completes a Neurological Exam and obtain a National Institutes of Health (NIH) Stroke Scale scoring. With a
Neurologist being able to see the patient, it reduces misinterpretation of the findings from the exam. Then the Neurologist consulted then can make
recommendations for treatments. With this technology, we can better take care of the Stroke patients that come to the Emergency

The Electronic Medical Record
For a nation to be technologically advanced, the United States (U.S.) is having a hard time overcoming the dark era of utilizing hand written scripts,
progress notes, and paper records. In comparison to other countries, the U.S. is lagging behind in the health care system. Even with all the
improvements that have been made recently, the U.S. ranked last in 2014 in areas such as access, efficiency and equity compared to Australia, Canada,
France Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom (Davis, Stremikis, Squires, & Schoen, 2014).
Now, as our nation is trying to improve the quality, access, and proficiency of our health care, concerns have been raised whether the new policies are
adequate enough for privacy amongst sharing and obtaining health information. This paper was put together to give background information on how the
electronic medical record came about and whether privacy is a major concern amongst the American population.
Background
The dark era of medical records caused people's private health information not to be safe. A few examples of how patient records were not protected
includes patient records were found in dumpsters outside of physician's offices, patient records were found washed ashore in Maine, and in one
instance a teacher from Salt Lake City purchased medical records from 28 Florida hospitals to use as scrap paper for her students (Thede, 2010).
Moreover, in the past patient records used to be fully

HIS, also known as healthcare information system is a broad system used in healthcare settings. Depending on the needs of the facility, determines the
complexity of the system. This can range from basic needs such as billing to the more complex which encompasses several systems that help manage
every service available to the patient. Learning to use and integrate this into the nursing field is crucial to effectively care for and manage patients. In
2004, the Office of the National Coordinator (ONC) was established. This merged healthcare and IT programing in the United States. In 2008, ONC
decided on terms used to identify patient's records. Within the clinical information system, there are three different types of patient records being...
If a HIE is not present, the EMRs are not able to communicate with other facilities EMRs causing duplicate information on patient that isn't always
correct. A situation where this is common is when a patient has surgery and then goes to another facility for complications due to the surgery, the
patients knowledge doesn't always coincide with the actual events that took place. While EHRs have several benefits, they still come at a cost to the
provider and the consumer. It wasn't until 2009 when the Health Information Technology for Economics and Clinical Health (HITECH) Act, signed
the largest US initiative to date. This enticed the widespread of use of EHRs as a part of the stimulus package(4). Electronic health records have
propelled IT into the next generation of healthcare. Not only is everything at the providers fingertips, it allows autonomy for the patient. Our world is
becoming very digital, from purchasing concert tickets, to applying for college, this is done at the click of a fingertip. Yet healthcare has aspects that
are still stuck in the paper documentation era. From receive paper prescriptions from their doctors to filling out patient history every time someone
sees a different physician, there is still work to be done to seamlessly transition to a digital platform. According to Collum and Menachemi, EHRs are
defined as "a longitudinal electronic record of patient health information generated by one or more encounters in

Electronic Medical Records Systems Essay
Electronic Medical Records systems lie at the center of any computerized health information system, without them other modern technologies, such as
decision support systems cannot be effectively integrated into routine clinical workflow. The paperless, inter–operable, multi–provider, multi–specialty,
multi–discipline computer medical record, which has been a goal for many researchers, healthcare professionals, administrators, and politicians for the
past 20+ years is however about to become a reality in many western countries. The Obama administration has proposed, as part of the effort to revive
the economy, a massive effort to modernize healthcare by making all health records standardized and electronic by 2014. ... Show more content on
Helpwriting.net ...
Getting access to them takes a lot of time and effort. Time and money spent on phone calls, faxes, emails obtaining these records from other places can
be saved. Sometimes, medical tests have already been done over again, incurring unnecessary costs to the patient and the healthcare system.
2)EMRs keep records safe. Paper records can be easily lost. Fires, floods and other natural disasters have destroyed medical records for many years,
data which is lost forever. Digital records can be stored virtually forever and can be kept long after the physical records are gone.
3)EMRs facilitate coordination between health care professionals. Coordination between primary care providers and care of patients has always been
problematic. Paper charting leaves room for deficits in medical information exchange. The reports from hospitals generally do not get to primary
providers and results in decreased quality of care after hospitalization.
4)EMRs can save lives. EMRs can save lives in unusual circumstances. EMRs can be used for disease surveillance during epidemics and bioterrorism.
5)Using reminders, prompts, and alerts from computerized decision support systems would help improve compliance with the best clinical practices,
ensure regular screenings, and other preventive practices, identify possible drug interactions and facilitate diagnoses and treatments.
6)Computerized administrative tools, such as

Electronic Medical Records ( Emr ) Implementation
In recent years with huge advances in information technology and health, the initiatives of electronic medical records (EMR) implementation has
become an on–going and difficult process. The computerization of medical practice is considered to be a new standard for medicine practice. With the
promotion of EMR 's, the support for the implementation is supported by the government, people who request higher–quality care, and health
organizations. This review will focus on the implementation process of EMRs within the hospital setting. It is known that the paper system has
disadvantages that concerns the utilization of patient information in a quick, accessible, and organized manner. The implementation of a hospital wide
EMR however, is a extremely complex matter that involves a range of external skills needed to successfully implement the system (Boonstra, 2014).
A hospital can not only rely on it 's internal resources or staff to carry out the implementation of a EMR system. With concerns of quality and costs,
the long term plan of an EMR systems could save billions of dollars from faster data communication, increase d patient care with fewer errors, and in
addition to improving the quality of health care. From the articles and studies that this review will be referring to, a similar pattern of implementation
process reoccurs. None of the articles share the same stages of the implementation process, however I have concluded that the main theme withinthese
articles

Electronic Medical Records
A computer program that addresses the illegibility of paper is the Electronic Medical Record (EMR) Computer System, which is a system that allows
physicians to add medical information into an electronic profile (Holroyd–Leduc, 2011). However, this system introduces new dilemmas: virtual
disorganization and lost information (Rull, 2007). In addition, electronic document scanners try to address the mechanical destruction of paper.
Though, the fate of these records is the same as desktop EMR systems (Laerum, 2013). So, how can health care be reformed to address the present
medical errors? I believe the adoption of Apple iPads combines the freedom of writing on paper and the legibility of computers into a single
technological solution. Implementing technology that decreases the occurrence of medical errors not only fixes the health care issue, but also sets
your product as a model of success in reforming health care. The Inefficiency of Paper Based Medical Records A majority of health care providers still
rely on paper based medical records due to the ease of recording information.... Show more content on Helpwriting.net ...
Paper based records must be stored away in cabinets, which over time can experience wear and tear (2012). Therefore, the result is the mechanical
destruction of the patient file. For example, some information can be torn off or even no longer legible through such destruction (2012). This may
permanently erase diagnostic tests from a patient's record. This ultimately leads to the repetition of diagnostic tests. Interestingly, the Commonwealth
Fund Foundation issued a survey toward Americans with chronic diseases. The results have shown that 25% of these individuals have experienced
clinical offices claim that their patient records were unavailable or lost (Cutler, 2011). Furthermore, 20% of Americans surveyed stated that diagnostic
tests had to be repeated due to the reasons stated above

Electronic Medical Records
Computer Based Medical Records Abstract 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. Computer Based Medical Records Electronic...
All the patients' files should be backed up at least on a weekly basis to ensure that none of the information is lost. (HIPAA, 2011) Another way for
accountability of the electronic health record is to have each person in the office has a key card or password to access the system. This will allow
for the physician to check back and see if anyone is releasing information or making changes that are not authorized. This also allows for physicians
to find out who made changes to a patients record if information is inaccurate. (HIPAA, 2011) Electronic Health Records will include the same
information as the paper record. This includes basic patient information such as demographics, medical history, medications, allergies, laboratory
results, radiology images, and billing information. (2006) Each individual doctor can specialize their system and what they want it to include. They
can add different components to the electronic health record that are important to them and needed in their practice. (2006) Even though I am an
advocate for the electronic health record there are drawbacks to the system. Each individual physician will have to determine if the drawbacks are
worth the advantages of the system. One of the drawbacks to the system is privacy. Privacy will always be a big factor. Some patients may not like
the idea of having their medical information easily accessible by almost anybody. (The HWN Team, 2009) Electronic health records

The Electronic Medical Record System and Computerizing...
Introduction Shadowing a physician in Haymarket, Virginia, I remember first encountering a practice using an Electronic Medical Record system.
Prior to that experience, I've always went to health clinics that had health records on paper. When the physician I was shadowing was on her
laptop, I asked what software she was using. She responded, "It's an EMR system. It basically has all our patient's records, we can easily send
prescriptions to pharmacies, can see when our patients arrive, and much more!" I was surprised of the EMR system because I have never heard of it
before and was so intrigued by its capabilities. But what specifically is an EMR? Electronic Medical Record Software (EMR) is a computer application
that helps manage ... Show more content on Helpwriting.net ...
Under subtitle D of the HITECH Act, it addresses privacy and security issues with transmitting health information electronically (U.S Department of
Health & Human Services). As one can see, these acts provide the stepping stone in computerizing all of Americans' health records. It leads to the
question though, should we computerize all Americans' health records using the EMR system in 5 years? Should we Transition to an EMR System?
I believe that having Americans' health records on paper have many limitations which can be corrected by using an EMR system. There are
definitely some pros and cons of having an EMR system but I do believe the advantages outweigh the disadvantages. As a nation, we are all trying to
move towards a more unified health care system. Having all medical records under an EMR system would help us more towards this goal. Here are
the advantages and also some disadvantages of using an EMR system in a health facility.
Benefits
Having an EMR system in a health practice has many advantages. One of the advantages of implementing an EMR system is being able to access
records mostly anywhere. Record recall enables physicians to pull up data if a patient arrives from another practice (Goldman). Imagine a patient that
doesn't originally come to my practice. If

Advantages And Disadvantages Of Electronic Medical Records
Electronic medical record (EMR) can be defined as an electronic record of health–related information on an individual that can be created, gathered,
managed, and consulted by authorized clinicians and staff within one health care organization. There are two advantages and two issues of EMR in
Malaysian Government Hospital that I will discuss in this paper. The using of EMR in Malaysian Government Hospital was enabling quick access
to patient records for more coordinated and efficient care. The medical record officer can access the patient information within a short time, and it
more save time if compared with searching the file record of staff at the shelf. Enabling quick access also referred to the benefit of EMR system that
sharing a database system, whereas the medical record officer or doctor can use the system... Show more content on Helpwriting.net ...
The characteristics of electronic record that easy to modified and changed might cast doubt on the court this is because if some data has been
changed even for correction there are no trace that showing the error was corrected, it different with a paper records, a simple line crossing out the
incorrect information will notify the reader that a change has been made. Moreover, usually using EMR especially for conversion process, the
original documents are scanned into a system and then will shred or destroyed, these process might give a problem because some paper
documentation is illegible, but once the originals are destroyed there is no way to recover the data. So, to overcome this issue, medical record officer
must not too hasty in the destruction of the original documents, they also should not destroy specific stored information that it is required to preserve.
Not only that, they also should always keep the original document as a backup, and use EMR only for a quick access purpose rather that concern it as
a system that can save a

Electronic Medical Records Essay
Electronic Medical Records or Computerized Medical Record System what is it and what are the advantages along with the disadvantages of using
this system? That is what we will discuss in this paper.
Electronic Medical Records (EMR) is a computerized database that stores all of the personal and medical information of the patient's care and billing
information by the health care providers. Today, only the providers and medical practices can implement these systems. Also there are neither known
national central storage systems nor regional sharing of information between the networks on a regional level or the national level. This is something
that needs to be changed because it is important to be able to see this information globally. This... Show more content on Helpwriting.net ...
The EMR system is better for some doctors because it eliminates the unclear handwriting, thus cutting down on the unclear writing mistakes by
doctors. The patients have been released from the hospital at a rate of at least one day earlier than the patients with paper records and these bills were
almost $900.00 less than when they used the paper records. There have been many deaths each year because of the wrong medication being written on
the prescription paperwork and a pharmacist misread the handwriting on the form. If this information is typed the chances of making a mistake are
less. There are also EMR systems that diagnose diseases and treatments, which is another advantage. Just imagine how fast the patient can be healed if a
computer program can predict the results of an illness by entering the symptoms such as a device that searches for glaucoma via computer generated
images, the analyzing of mammograms and the ultrasound device to analyze lumps in a females breast that determine if it is benign or cancerous.
Most of the time these computer systems have accuracy rate of 80% or more which is the last advantages that we will talk about today.
The last advantage we will talk about is Telemedicine, which is remote performance of medical exams, analyses and procedures using computer
networks and also specialized equipment. Some examples of where this computer system is used

Electronic Medical Record System
In Sinclair Community College Medical records department keeps its records in electronic form. It is comprised of a single director, one director, three
team leaders and 52 medical record employees, 35 transcription employees. Each employee must maintain high levels of confidentiality with regards to
health information otherwise breech of the confidentiality contract will lead to employment termination. The medical record department is divided into
two: medical records section and transcription section. The function of medical records department is to release health care information to the patient
and other customers, allow authorized health care providers, attorneys even from other hospitals. Other procedures that take place in this section is
answering court order and sepinas normally involve Health information management professional. The section also contains the following equipment:
copier and fax machine for processing hard copy medical records to patients, shredder bin for keeping an paper record that identifies a patient for
example a paper containing the name of patient. Electronic medical information is handled efficiently and quickly by Health information technician
who uses a software known as auto faxing. The department also allows employees access manuals... Show more content on Helpwriting.net ...
Data collected by this department includes demographics, diagnostics, treatment and outcomes info. The data described above is then submitted to the
state cancer registry and national cancer database. through the data given, it can be determined if optimum treatment is done to persons who are
suffering from cancer therefore try improve outcomes, pattern of referrals, determine the need for professional and public education in relation to
cancer and how to best allocate the available

Health Information Technology (HIT) is continuously evolving and holds high promising standards when it comes to improving the health care quality
in the U.S. and other countries. Health Information Technology (HIT) can improve in several areas such as: efficiency, cost reduction, quality and
safety care delivery, immediately accessibility of data to clinicians by making computerized patient records available throughout a health care network
(ahrq.gov 2006). To the point that congress in 2009 put aside billions of dollars from the stimulus package, to create incentives for meaningful use of
Health Information Technology (HIT) to physicians or health organizations. Nonetheless, despite the bright future and potential benefits of HIT some
conflicts still rise about its complete adaptation and success in the future. Mainly to those particular HITs, Electronic Medical Records (EMR),
Personal Health Records (PHR) and Electronic Health Records (EHR).
Electronic medical record (EMR) is the renovation of a patient clinical data from paper based into a computer based. EMRs consist of mainly data
gathered by a Primary Physician or one hospital. The compile information can be as follows: notes, health maintenance information, problem list,
medication list, allergy list, results of laboratory, radiology, and other testing (David W. Bates, Mark Ebell, Edward Gotlieb, John Zapp, H.C. Mullins.
2003). Electronic medical record (EMR) enhances the efficacy of health exchanges and

Applying Change Theory Of Electronic Medical Records
Applying Change Theory to Electronic Medical Records Maryjo Marvin–Dixon Empire State College According to Hussain, Lei, Akram, Haider& Ali,
2016 "It is important for organizations to make changes and update old process in this competitive business environment". Implementing change in a
department of a company, hospital or doctor's office can be difficult. Lewin's Change Model is an effective way to help Managers and business
owners update old processes and structures. (Hussain, Lei, Akram, Haider & Ali, 2016, P 1.) There are many reasons why change can be resisted. It is
very important that the manager communicates with the staff effectively about the change and how it will affect everyone involved. Good ideas have
been applied... Show more content on Helpwriting.net ...
statues quo or equilibrium will change. ( Kaminski, 2011, Force Field Analysis). This theory helps managers identify if a change is needed or not
Unfreezing Phase The first step is to cause awareness or an urgency. Hold a meeting and let employees/staff know that management is going to
update equipment and switch to electronic medical records. You can use a couple different ways to create this urgency and dispel negativity. The
first is benchmarking. According to Benson ,1995 "Benchmarking is a continuous process by which an organization can measure and compare its
own processes with those of organizations that are leaders in an area." You can use bench marking to explain how other doctor's offices have
started to use EMR and profits have doubled. Inform staff about the benefits of using Electronic Medical Records. For example, EMR'S will create
space savings and will produce less waste, it will improve diagnosis and treatment, it will also help to reduce errors. And finally, it will help to
increase productivity. Next open the floor to questions and ask employees/staff if they have any concerns. Management should dispel any restraining
forces. Address any concerns staff may have and be sure the staff feels like their voices were heard. But don't spend too much time on addressing
concerns because this will be seen as weakness. It is important to keep the lines of communication open and honest, which creates a "sense of

The Electronic Medical Record ( Emr )
CHELSEA BEGIN Providence not only strives for a great experience with their customers but also with their caregivers. The main focus for
Providence at this time for their caregivers is improving their experience by; more emphasis on development, using technology to ease their way;
improving the performance review conversation and aligning performance and development. Along with improving their experience, Providence has
a lot of lean projects that are helping to standardize how things are done. All of this work will help increase standardization within the work place,
which has been one of the main downfalls that Providence has been working to fix. In 2015 the goal is to begin working on the experience for the
caregiver according to... Show more content on Helpwriting.net ...
will be trained on the "new" and "improved" way of giving a performance review. Providence really would like to focus on how the performance
review conversation takes place and when it takes place. Moving forward, Providence would like to focus on the development of each of their
caregivers. The goal for the supervisors is to have a more formal review during the first quarter. Having all of the reviews in the first quarter will
allow for a personal ownership of one's development and ensure continued support from the supervisor as described by the Providence Leadership
team. Right now there a lot of variations on how a performance evaluation should be given. Starting in January a caregiver will give a self–assessment,
the core leaders will give input/feedback through March, and all of the evaluations will be completed by April 1st. The leadership team at
Providence has shown here that when it comes to development and wanting to give the best feedback to their caregivers it matters how they give
the performance evaluation. The next big thing that Providence will be focusing on is Merit planning. Again, starting in 2015, there will be a
single schedule annual merit increase. What this means for the caregiver at Providence is that their raise will not only be based on years of
experience but really how are they doing in their job. The supervisors or core leaders will be able to look at the merit raise as a reward based on the
performance, equity

The Cost Of An Electronic Medical Record ( Emr )
The expense of implementing an electronic medical record (EMR) will be one of the most costly expenses a healthcare organization will encounter
regardless of the size of the organization. The organization will face many ethical and legal challenges with the implementation of EMR and depending
on the size of the organization may experience many organizational issues as well. The Affordable Care Act is pushing for national EMR
implementation. In order to accomplish goal, it will be necessary to work through the many ethical, legal, and organizational challenges healthcare
systems will face implementing EMR.
The cost of an EMR system is an ongoing expense with a significant initial cost. There are many financial considerations involved in implementing an
integrated EMR similar to the EMR utilized by Mayo Clinic. A fully integrated system will includecosts for each facility, as well as the central costs at
corporate headquarters.
The CIO Consortium (2011) completed a cost study of evaluating, deploying, and operating an EMR system at a 25–facility chain providing nursing
care and rehabilitation services. While the fees in this cost study may be different from what is required at another type of facility, the cost study
includes many financial considerations. The type of implementation will determine the central cost fees. One option is the software as a service option.
This would involve central headquarters contracting directly with the EMR vendor, costing an annual

The Electronic Medical Record (EMR)
Introduction: The electronic medical record (EMR) is a technological tool that was created for the "long term collection of medical information about
patients and populations" (Gunter & Terry, 2005). EMR's can be established, collected, managed, and referred too by authorized personnel" (Gunter &
Terry, 2005). According to the Healthcare Information and Management Systems Society (HIMSS) (2015) you can use EMR's to "collect
demographics, medical history, immunizations, problems/diagnosis, medications, vital signs, laboratory data, radiology reports, progress notes and
other relevant patient information/data". The Institute of Medicine (IOM) is the non–governmental organization committed to promoting
technology–led system reform in the U.S. ... Show more content on Helpwriting.net ...
EMRs with clinical decision support (CDS) tools have been shown to have an increased adherence to evidence–based clinical guidelines and effective
care (Menachemi & Collum, 2011). Studies focusing on EMR's with computerized physician order entry (CPOE) have shown a 55% reduction in
serious medication errors in hospital settings and a EMR/CPOE combined with a CDS reduced medical/medication errors by up to 86% (Menachemi
& Collum, 2011). EMR's have also been shown to be more effective than paper records because they decrease error due to handwriting issues,
physical storage requirements and access (Gunter & Terry, 2005). Other advantages to the EMR include leveraging of other error–reducing
technologies, accurate long–term tracking, limitless population data collection, and overall multifunction use (Gunter & Terry,

Nursing And Electronic Medical Records

Recommended

Recommended

More Related Content

More from Kara Liu

More from Kara Liu (11)

Recently uploaded

Recently uploaded (20)

Nursing And Electronic Medical Records