Presented at "Hospital Management 2015" Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 18, 2015
Presented at "Hospital Management 2015" Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 18, 2015
The history of EHRs from the 1960s until 2021.
In modern health systems, the clinicians' digital experience is dominated by the Electronic Health Record system (EHR). These systems are a primary source of digital health information, and a key player in healthcare digital transformation.
For the full article A Brief History of EHRs https://mayaberlerner.medium.com/
The Transition from Paper to Electronic RecordsMatthew Kim
A presentation depicting the history, selection criteria, implementation process and market share among various electronic health record (EHR) vendors.
An electronic health record (EHR) is a collection of patient’s electronically-stored health information in a digital and systematic format. EHR system can store data accurately.
http://inarocket.com
Learn BEM fundamentals as fast as possible. What is BEM (Block, element, modifier), BEM syntax, how it works with a real example, etc.
The history of EHRs from the 1960s until 2021.
In modern health systems, the clinicians' digital experience is dominated by the Electronic Health Record system (EHR). These systems are a primary source of digital health information, and a key player in healthcare digital transformation.
For the full article A Brief History of EHRs https://mayaberlerner.medium.com/
The Transition from Paper to Electronic RecordsMatthew Kim
A presentation depicting the history, selection criteria, implementation process and market share among various electronic health record (EHR) vendors.
An electronic health record (EHR) is a collection of patient’s electronically-stored health information in a digital and systematic format. EHR system can store data accurately.
http://inarocket.com
Learn BEM fundamentals as fast as possible. What is BEM (Block, element, modifier), BEM syntax, how it works with a real example, etc.
Content personalisation is becoming more prevalent. A site, it's content and/or it's products, change dynamically according to the specific needs of the user. SEO needs to ensure we do not fall behind of this trend.
10 Insightful Quotes On Designing A Better Customer ExperienceYuan Wang
In an ever-changing landscape of one digital disruption after another, companies and organisations are looking for new ways to understand their target markets and engage them better. Increasingly they invest in user experience (UX) and customer experience design (CX) capabilities by working with a specialist UX agency or developing their own UX lab. Some UX practitioners are touting leaner and faster ways of developing customer-centric products and services, via methodologies such as guerilla research, rapid prototyping and Agile UX. Others seek innovation and fulfilment by spending more time in research, being more inclusive, and designing for social goods.
Experience is more than just an interface. It is a relationship, as well as a series of touch points between your brand and your customer. Here are our top 10 highlights and takeaways from the recent UX Australia conference to help you transform your customer experience design.
For full article, continue reading at https://yump.com.au/10-ways-supercharge-customer-experience-design/
How to Build a Dynamic Social Media PlanPost Planner
Stop guessing and wasting your time on networks and strategies that don’t work!
Join Rebekah Radice and Katie Lance to learn how to optimize your social networks, the best kept secrets for hot content, top time management tools, and much more!
Watch the replay here: bit.ly/socialmedia-plan
Each technological age has been marked by a shift in how the industrial platform enables companies to rethink their business processes and create wealth. In the talk I argue that we are limiting our view of what this next industrial/digital age can offer because of how we read, measure and through that perceive the world (how we cherry pick data). Companies are locked in metrics and quantitative measures, data that can fit into a spreadsheet. And by that they see the digital transformation merely as an efficiency tool to the fossil fuel age. But we need to stretch further…
The Six Highest Performing B2B Blog Post FormatsBarry Feldman
If your B2B blogging goals include earning social media shares and backlinks to boost your search rankings, this infographic lists the size best approaches.
Cis evaluation final_presentation, nur 3563 sol1SBU
An overview of a Computer Information System (CIS) and considerations that need to be taken with implementing an Electronic Health Record (EHR) in a healthcare setting.
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docxrandymartin91030
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
Electronic Health Records: purpose of electronic health records, popular electronic health record system, advantages of electronic records, challenges of electronic health records, the key players involved.
Chapter 17 Implementing and Upgrading an Information System Soluti.docxcravennichole326
Chapter 17 Implementing and Upgrading an Information System
Solution
Christine D. Meyer
No matter whether the electronic health record (EHR) is new or an upgrade, the ultimate goal in implementations is to provide the highest level of care at the lowest cost with the least risk.
Objectives
At the completion of this chapter the reader will be prepared to:
1.Discuss the regulatory and nonregulatory reasons for implementing or upgrading an electronic information system
2.Compare the advantages and disadvantages of the “best of breed” and integrated system approaches in selecting healthcare information system architecture
3.Explain each step in developing an implementation plan for a healthcare information system
4.Develop strategies for the successful management of each step in the implementation of a healthcare information system
5.Analyze the benefits of an electronic information system with an integrated clinical decision support system
6.Explain the implications of unintended consequences or e-iatrogenesis as it relates to implementing an electronic health record (EHR)
Key Terms
Best of breed, 277
Big bang, 284
Phased go-live, 284
Scope creep, 276
Tall Man lettering, 276
Workarounds, 279
Abstract
The decision to implement a new electronic health record (EHR) or to upgrade a current system is based on several factors, including providing safe and up-to-date patient care, meeting federal mandates and Meaningful Use requirements, and leveraging advanced levels of clinical decision support. Implementing EHRs entails multilayered decisions at each stage of the implementation. Major decisions include evaluating vendor and system selection, determining go-live options, redesigning workflow, and developing procedures and policies. The timeline and scope of the project is primarily dictated by expenses, staff, resources, and the drop-dead date for go-live. Success depends on variables such as a well-thought-out and detailed project plan with regular review and updating of the critical milestones, unwavering support from the organization's leadership, input from users during the design and build phases, mitigation of identified risk factors, and control of scope creep. The implementation of an EHR is never finished. Medication orders, nonmedication orders, and documentation screens or fields will continuously need to be added, modified, or inactivated; patches will be installed and tweaks to workflows and functionality will be ongoing.
Introduction
This chapter focuses on the implementation of healthcare information systems. Of course, many different types of applications are used within a healthcare information system. The general principles for implementing these many different applications are the same; however, for the purposes of discussion this chapter will focus mainly on the implementation of an electronic health record (EHR) to demonstrate these general principles. In 2004 President George W. Bush promoted the i ...
This is a presentation I delivered at AIIM 2010 in Philadelphia. It presents a holistic look at the make up of a patient record and the challenges in moving to a digital environment.
In the healthcare industry, speed, efficiency, and accuracy are key elements in providing the best care to patients. Doctors, nurses and various support staff need access to a lot of data and information at their fingertips.
HIM 500 Milestone One Guidelines and Rubric Overview I.docxpooleavelina
HIM 500 Milestone One Guidelines and Rubric
Overview: Imagine you have been contracted to consult on the recent developments at the Featherfall Medical Center. Featherfall has been struggling of late; it
has had a series of problems that have prompted your hiring. It has faced the following issues:
1. Featherfall has recently violated several government regulations regarding the current state of its technology and how it is being used. The technology
system is vastly out of date, and staff are not always using the technology that is in place or they are using the technology inappropriately. These
problems have lost the institution lots of money for not meeting government regulations and have caused operational and ethical problems from
inefficient and ineffective use of technology.
2. The staff at Featherfall are not well-trained on the use of technology and do not communicate appropriately about technology use. The roles that
pertinent to your consult are the health information management team, the clinical staff (doctors, nurses, etc.), and administrative staff. The health
information management team uses proper coding practices, and the current technology system serves them well, despite its age. However, other roles
in the hospital have had issues with the system. Clinical staff, for instance, have had record-keeping issues both due to lack of training on the system and
the system itself being out of date. Administrative staff within the organization have taken issue with the lack of communication about the technology
and its use between the various roles. When the current technology system was chosen many years ago, the needs of these various roles were not
considered.
In this milestone, you will submit a discussion of the history of healthcare information management/informatics and the current landscape in terms of
technology. This milestone will set the stage for your project.
Specifically the following critical elements must be addressed:
I. Preparation for Consult: In this section of your final project, you will prepare for your consultation on the organization’s technology choice. To prepare,
you will analyze the field of health information management for determining standard technologies and guidelines related to technology use in order to
inform your technology selection.
A. Analyze key historical events in the field of health informatics for how technology has been used that could inform the management of health
information. Be sure to support your response with appropriate examples.
B. Determine guidelines for technology use in the field of health information management that Featherfall could implement. Be sure to support
your response with research.
C. Determine the standard technologies currently used in the field of health information management. Be sure to support your response with
research. For example, what record-keeping technologies are typically used in the field?
D. Dev ...
GDG Cloud Southlake #33: Boule & Rebala: Effective AppSec in SDLC using Deplo...James Anderson
Effective Application Security in Software Delivery lifecycle using Deployment Firewall and DBOM
The modern software delivery process (or the CI/CD process) includes many tools, distributed teams, open-source code, and cloud platforms. Constant focus on speed to release software to market, along with the traditional slow and manual security checks has caused gaps in continuous security as an important piece in the software supply chain. Today organizations feel more susceptible to external and internal cyber threats due to the vast attack surface in their applications supply chain and the lack of end-to-end governance and risk management.
The software team must secure its software delivery process to avoid vulnerability and security breaches. This needs to be achieved with existing tool chains and without extensive rework of the delivery processes. This talk will present strategies and techniques for providing visibility into the true risk of the existing vulnerabilities, preventing the introduction of security issues in the software, resolving vulnerabilities in production environments quickly, and capturing the deployment bill of materials (DBOM).
Speakers:
Bob Boule
Robert Boule is a technology enthusiast with PASSION for technology and making things work along with a knack for helping others understand how things work. He comes with around 20 years of solution engineering experience in application security, software continuous delivery, and SaaS platforms. He is known for his dynamic presentations in CI/CD and application security integrated in software delivery lifecycle.
Gopinath Rebala
Gopinath Rebala is the CTO of OpsMx, where he has overall responsibility for the machine learning and data processing architectures for Secure Software Delivery. Gopi also has a strong connection with our customers, leading design and architecture for strategic implementations. Gopi is a frequent speaker and well-known leader in continuous delivery and integrating security into software delivery.
Transcript: Selling digital books in 2024: Insights from industry leaders - T...BookNet Canada
The publishing industry has been selling digital audiobooks and ebooks for over a decade and has found its groove. What’s changed? What has stayed the same? Where do we go from here? Join a group of leading sales peers from across the industry for a conversation about the lessons learned since the popularization of digital books, best practices, digital book supply chain management, and more.
Link to video recording: https://bnctechforum.ca/sessions/selling-digital-books-in-2024-insights-from-industry-leaders/
Presented by BookNet Canada on May 28, 2024, with support from the Department of Canadian Heritage.
LF Energy Webinar: Electrical Grid Modelling and Simulation Through PowSyBl -...DanBrown980551
Do you want to learn how to model and simulate an electrical network from scratch in under an hour?
Then welcome to this PowSyBl workshop, hosted by Rte, the French Transmission System Operator (TSO)!
During the webinar, you will discover the PowSyBl ecosystem as well as handle and study an electrical network through an interactive Python notebook.
PowSyBl is an open source project hosted by LF Energy, which offers a comprehensive set of features for electrical grid modelling and simulation. Among other advanced features, PowSyBl provides:
- A fully editable and extendable library for grid component modelling;
- Visualization tools to display your network;
- Grid simulation tools, such as power flows, security analyses (with or without remedial actions) and sensitivity analyses;
The framework is mostly written in Java, with a Python binding so that Python developers can access PowSyBl functionalities as well.
What you will learn during the webinar:
- For beginners: discover PowSyBl's functionalities through a quick general presentation and the notebook, without needing any expert coding skills;
- For advanced developers: master the skills to efficiently apply PowSyBl functionalities to your real-world scenarios.
State of ICS and IoT Cyber Threat Landscape Report 2024 previewPrayukth K V
The IoT and OT threat landscape report has been prepared by the Threat Research Team at Sectrio using data from Sectrio, cyber threat intelligence farming facilities spread across over 85 cities around the world. In addition, Sectrio also runs AI-based advanced threat and payload engagement facilities that serve as sinks to attract and engage sophisticated threat actors, and newer malware including new variants and latent threats that are at an earlier stage of development.
The latest edition of the OT/ICS and IoT security Threat Landscape Report 2024 also covers:
State of global ICS asset and network exposure
Sectoral targets and attacks as well as the cost of ransom
Global APT activity, AI usage, actor and tactic profiles, and implications
Rise in volumes of AI-powered cyberattacks
Major cyber events in 2024
Malware and malicious payload trends
Cyberattack types and targets
Vulnerability exploit attempts on CVEs
Attacks on counties – USA
Expansion of bot farms – how, where, and why
In-depth analysis of the cyber threat landscape across North America, South America, Europe, APAC, and the Middle East
Why are attacks on smart factories rising?
Cyber risk predictions
Axis of attacks – Europe
Systemic attacks in the Middle East
Download the full report from here:
https://sectrio.com/resources/ot-threat-landscape-reports/sectrio-releases-ot-ics-and-iot-security-threat-landscape-report-2024/
Slack (or Teams) Automation for Bonterra Impact Management (fka Social Soluti...Jeffrey Haguewood
Sidekick Solutions uses Bonterra Impact Management (fka Social Solutions Apricot) and automation solutions to integrate data for business workflows.
We believe integration and automation are essential to user experience and the promise of efficient work through technology. Automation is the critical ingredient to realizing that full vision. We develop integration products and services for Bonterra Case Management software to support the deployment of automations for a variety of use cases.
This video focuses on the notifications, alerts, and approval requests using Slack for Bonterra Impact Management. The solutions covered in this webinar can also be deployed for Microsoft Teams.
Interested in deploying notification automations for Bonterra Impact Management? Contact us at sales@sidekicksolutionsllc.com to discuss next steps.
PHP Frameworks: I want to break free (IPC Berlin 2024)Ralf Eggert
In this presentation, we examine the challenges and limitations of relying too heavily on PHP frameworks in web development. We discuss the history of PHP and its frameworks to understand how this dependence has evolved. The focus will be on providing concrete tips and strategies to reduce reliance on these frameworks, based on real-world examples and practical considerations. The goal is to equip developers with the skills and knowledge to create more flexible and future-proof web applications. We'll explore the importance of maintaining autonomy in a rapidly changing tech landscape and how to make informed decisions in PHP development.
This talk is aimed at encouraging a more independent approach to using PHP frameworks, moving towards a more flexible and future-proof approach to PHP development.
GraphRAG is All You need? LLM & Knowledge GraphGuy Korland
Guy Korland, CEO and Co-founder of FalkorDB, will review two articles on the integration of language models with knowledge graphs.
1. Unifying Large Language Models and Knowledge Graphs: A Roadmap.
https://arxiv.org/abs/2306.08302
2. Microsoft Research's GraphRAG paper and a review paper on various uses of knowledge graphs:
https://www.microsoft.com/en-us/research/blog/graphrag-unlocking-llm-discovery-on-narrative-private-data/
Search and Society: Reimagining Information Access for Radical FuturesBhaskar Mitra
The field of Information retrieval (IR) is currently undergoing a transformative shift, at least partly due to the emerging applications of generative AI to information access. In this talk, we will deliberate on the sociotechnical implications of generative AI for information access. We will argue that there is both a critical necessity and an exciting opportunity for the IR community to re-center our research agendas on societal needs while dismantling the artificial separation between the work on fairness, accountability, transparency, and ethics in IR and the rest of IR research. Instead of adopting a reactionary strategy of trying to mitigate potential social harms from emerging technologies, the community should aim to proactively set the research agenda for the kinds of systems we should build inspired by diverse explicitly stated sociotechnical imaginaries. The sociotechnical imaginaries that underpin the design and development of information access technologies needs to be explicitly articulated, and we need to develop theories of change in context of these diverse perspectives. Our guiding future imaginaries must be informed by other academic fields, such as democratic theory and critical theory, and should be co-developed with social science scholars, legal scholars, civil rights and social justice activists, and artists, among others.
Smart TV Buyer Insights Survey 2024 by 91mobiles.pdf91mobiles
91mobiles recently conducted a Smart TV Buyer Insights Survey in which we asked over 3,000 respondents about the TV they own, aspects they look at on a new TV, and their TV buying preferences.
2. Here we are… First up is Susan Griffitts. She presented the portion on the overview of the CIS and also did education related to the CIS. Second up was Michelle Boswell. She did the portion on the components of the EHR and clinical decision making system in the CIS Third up was me, Twila Chambers. I did the portion on the safety and cost of the CIS. Welcome to our presentation…
4. Clinical Information System (CIS) Overview Chosen representatives from all areas of the healthcare team should have access to, and be involved with, the CIS development including doctors, nurses, nurse assistants, ward secretaries, financial office personnel, coders, etc. as they must be able to use the CIS effectively to deliver all aspects of care to the patient.
6. What is the EHR? The EHR, or Electronic Health Record, is a way to ensure that a patient’s health information is easily accessible to many different care providers in order to reduce cost and increase the efficiency of care that the patient will receive. At this time, there are different definitions of what makes up an EHR. Nursing Informatics and the Foundation of Knowledge tells us that the most widely used definition comes from the Institute of Medicine (p. 220). This definition takes all the parts that can be a part of the EHR and puts them into eight basic components.
7. 1: Health Information and Data This consists of all the information that has been entered about the patient, such as lab work, x-rays, and vital signs. It is all objective information that has been obtained from the patient. Any person who is caring for the patient should be able to access this information and add their own information as it is obtained from the patient. 2: Results Management This component does exactly what it’s title says- managing results that have been obtained from the patient. This can include lab values, radiology images, and any other test that has been performed such as EKG, EEG, etc. Only the care providers who need to know these results should have access to them. For example, billing/pastoral care does not need access to this information because it doesn’t effect the care they give. 3: Order Entry Management This component is for ordering anything that can be obtained for the patient. I think that the only care providers who should have access to ordering medications are the physicians, nurse practitioners, anesthetists, and pharmacists.
8. 4: Decision Support These are alerts that the computer gives us to remind us about overdue tasks, medication dosages, drug interactions, and other reminders. These are guidelines to follow in order to treat the patient as thoroughly as possible. Any care provider should have access to these if it helps them give more adequate care. 5: Electronic Communication and Connectivity This component gives the ability to the health care team members to communicate between one another through electronic means. If the health record is integrated, care providers from different institutions can gain access to the EHR without having to fax records. 6: Patient Support This includes tools for patient education and monitoring the patient. Some examples the text gives are computer-based patient education, home telemonitoring, and telehealth systems (222). This may also include templates for discharge education when sending the patient home. All fields should have access to this, because many different care givers work together to educate the patient while they are in the hospital so that they will be ready when they leave.
9. 7: Administrative Processes This component deals with the scheduling of appointments and billing aspect of health care. Any clerical person in the health care field should have access to these features. Also, any nurse involved in a procedure in the hospital that is not covered by insurance. For example, in the Newborn Nursery, the RN checks for insurance eligibility for male babies whose parents want them to receive a circumcision while in the hospital. 8: Reporting and Population Health Management This is a large component of the EHR. These are “data collection tools used to support public and private reporting requirements” (223). Each area of the hospital/clinic has specialized features and templates that can be added to most effectively take care of that specific patient. In EPIC, on the Doc flow sheet, there is a Newborn WDL Template, a Pediatric WDL Template and an Adult one as well. These eight basic components encompass an enormous amount of features of the EHR. They are essential to the proper functioning of the EHR. They are all important, and if one was omitted, some part of the EHR would not be covered.
10. The Clinical Decision Making in a CIS The clinical decision making system in a CIS should be structured in a way that is simple and easy to use. It also must be easy to get to within the system itself. The software should be updated every time new EBP research comes out. The CIS being used should send automatic updates to download when new information is available.
12. Clinical decision making systems in a CIS There are many companies out there that design these decision making systems specifically for a CIS. Here are some examples: TheraDoc, Inc. VisualDx Dxplain QMR (Quick Medical Reference) DiagnosisPro Iliad (http://www.informatics-review.com/decision-support/index.html)
13. Clinical decision making systems in a CIS Health care is modernizing every day. The EHR is an amazing tool that has helped health care providers have access to the same information, and a history is kept on each patient. It is important for health care providers to have a support system in the CIS for medication administration, ordering, and diagnosing. Since EBP comes out with new research all the time, it is important for the CIS to stay current in order to give the best and most complete care possible to every patient.
14. Clinical Information System (CIS) Education Education of the CIS should be done on several levels and at continuous intervals. Initial education should be performed in a classroom setting with the developers of the CIS to answer technical questions and provide basic training of the system. The users of the CIS should be allowed a safe “playground” to use new skills on fake patients/charts prior to trying to chart or enter orders on an actual patient.
15. Clinical Information System (CIS) Education The CIS should have integrated “pop up” windows to alert to you possible problems with orders entered. The system should be updated as often as needed to include new standards of care and also integrate improvements suggested by clinicians that have been deemed appropriate and make the system more “user friendly”. Users should be allowed to view the updates prior to implementation either by physical training sessions or through a “playground” setting.
16. Clinical Information System (CIS) Education For technical updates, the education should come from the creators of the CIS. These would include functional changes in the system. Other education could be provided by users of the system that have expertise in the area. Such as having a lab technician that has been involved with implementing an upgrade provide education to other lab employees. There should be at least one employee in each area that stays current on all upgrades and can be a resource for their department.
17. Safety of the EHR The Health Insurance Portability and Accountability Act (HIPAA) was signed into law in 1996 under the leadership of President Bill Clinton. This act was brought to the forefront when people begin to realize and recognize the need to safeguard information. This law put consequences into place for those who violated the HIPAA act. In November of 1999 proposed rules specific to health information privacy and security were released. The purpose was to balance patient’s rights to privacy and provider’s needs for access to information (McGonigle 170).
18. Safety of the EHR continued “One of the biggest stumbling blocks to implementation of comprehensive standards for privacy was the associated cost (McGonigle 170).” A study by Blue Cross/Blue Shield projected the cost to comply and make the changes under the HIPAA act would be $43 billion over 5 years (McGonigle 171.) Health information technology continues to try and safeguard patient information. They have added additional security measures such as encryption, passwords, firewalls, retinal recognition, dedicated phone lines just to name a few.
19. Safety of the EHR continued According to the United States Department of Health and Human Services over 150 people have access to one patient’s chart during a brief hospital stay. One facility learned a lesson a hard way after losing information they had inputted over the last four months. It was in Idaho and the facility had 60 providers that saw over 46,000 patients a year. Their backups were not occurring and it took them 11 weeks to get all of their data back.
20. Safety of the EHR continued The facility came up with five things they learned. Availability: they felt their information should be available 24/7/365 even in the loss of power or equipment failure Redundancy: they have now multilevel, overlapping systems that work to protect the data even while it is being used Security: have tape backups with extra security measures, a disc storage system and logs of backups Accountability: everyone is held accountability for the safety and security of the system Transparency: everyone should know what is expected about the system and have a basic overview of how it functions (www.aafp.ord).
21. Costs Associated with the EHR At an American Health Information Management Association Conference in October of 2006, people there estimated that the cost for the purchasing and installing of an EHR was $32,000 per physician. To maintain the EHR, provide education, etc… would cost $1200/month/physician. They also said that vendors would be 60-80% of the additional costs (www.enwikipedia.org).
22. Costs with the EHR cont… Some of the additional costs associated with the implementation and maintaince of having an EHR include: Software costs, hardware, scanners, PCs, tablets, digital equipment are a few of the software costs. Upgrades as well as extra hours spent in training for those upgrades Training costs both for those already employed and those who you will hire after the implementation of the system. Additional IS help is needed and some will need to stay on as help with upgrades and new products, etc… Physicians were finding they were spending more time in the office trying to get used to the new system and less patient time. (library.ahima.org).
23. Conclusion There are many components to the EHR. It is not “just” a computer system, nor does it just involve a few people. It’s not just a computer monitor and a few wires. The EHR can affect a nation, it can change a life with just a few mouse strokes. It takes all of us working together to make the EHR the best thing for the patient and to enable us to provide safe and competent care and documentation for whoever we care for.
24. References McGonigle, D., Mastrian,K. Nursing Informatics and the Foundation of Knowledge (2009). Sonnenberg, F., M.D., University of Medicine and Dentistry of New Jersey, Informatics Institute at http://informatics.umdnj.edu/clinical/information_systems.htm
25. References McGonigle, D., Mastrian,K. Nursing Informatics and the Foundation of Knowledge (2009). Rosenthal, L. (2004, January 15). Electronic Health Record. Retrieved April 9, 2010, from http://www.itl.nist.gov/div897/docs/EHR.html The Informatics Review. (2003, November 15). Clinical Decisions Support System. Retrieved April 9, 2010, from http://www.informatics-review.com/decision-support/index.html
26. References Small Practice, Big Decision. Retrieved April 10, 2010 from http://library.ahima.org The EHR. Retrieved April 9, 2010 from http://enwikipedia.org. EHR and Lessons Learned. Retrieved April 12, 2010 from www.aafp.ord.