Implementing The Affordable Care Act Essay

Implementing The Affordable Care Act Essay
Meaningful Use
Toward a more efficient, consumer–mediated and transparent health and human services enrollment
process on March 23, 2010, President Obama signed the Affordable Care Act, which extends health
care coverage to an estimated 32 million uninsured individuals and makes coverage more affordable
for many others. This seek to encourage adoption of modern electronic systems and processes that
allow a consumer to seamlessly obtain and maintain the full range of available health coverage and
other human services benefits. [1]
Meaningful use means in simple providers need to show they are using certified EHR technology in
ways that can be measured significantly in quality and in quantity.
The five core objectives of Meaningful use are: [2]
Improve Quality, Safety and Efficiency
Engage Patients and Families
Improve care coordination
Improve Public and Population Health
Ensure Privacy and Security for Personal Health Information.
In July 2010 CMS Centers of Medicaid and Medicare services published a final rule which
established three phases of the EHR Incentive Program. The Medicare and Medicaid EHR Incentive
Program provides financial incentives for the "meaningful use" (MU) of certified Electronic Health
Record technology to improve patient care. 36$ billion was authorized.
Eligible providers must enroll in the EHR Incentive Program established by the Centers for
Medicare & Medicaid Services (CMS) in order to participate in the program and receive incentive
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Information Risk Management in the NHS (London)
Recording and handling of information is a crucial part of any organisation. Wyatt (1995) defines
information as, "organised data or knowledge that provides a basis for decision making". The health
care sector usually involves recording and maintaining patient information (medical history,
personal information, etc.) to provide patient with proper healthcare advice and treatment. Risk
management is a vital part that includes identification, assessment, and finding solutions for
handling any risk. Whereas Information Risk Management involves handling risk related to the
recoding, maintaining, securing information's important for any organisation, project or person.
There are plenty of systems that allow appropriate management of information, such as Information
technology (IT) systems, electronic recoding, and manual recording. Lemieux (2004) believes there
are two approaches that can be taken to manage the information risks that is either event based or
requirements based. The event based approach is planning on the bases of events such as theft of
computers, loss of information due to breakdown of computers or information systems (Lemieux,
2004). Whereas the requirement based approach is to record and maintain the information in
according to the standards laid down by the organisation to avoid risk (Lemieux, 2004). Various
types of sources to record information is database, audit data, paper notes, etc. Database is described
by Connolly and Begg (2001) as "database is a

Personal Narrative: My Goal Of Becoming A Mental Health...
"Only a life lived for others is a life worthwhile." –Albert Einstein
The search for the perfect school is difficult. There is an immense amount of schools and options
that make finding a starting point grueling work. The summer before senior year, I was hit with a
mix of emotions that were filled with anxiety yet excitement to apply to the colleges that put me on
the path to the rest of my life. I am dedicated to my goal of becoming a mental health counselor.
College would be the beginning to explore different experiences. The dreaded task of finalizing the
list of colleges I would apply to that following Fall had started and I was drowning in a sea of
college brochures.
NYU is a microcosm of the world's diverse and unique population. Not

The Healthcare Industry Face And Ways
Abstract
During this research I will discuss the challenges that the Healthcare Industry face and ways to
mitigate these risks. It will also discuss security safeguards that will assist with preventing data
breaches, from physical security up to network security. Protecting the organization data is the most
important thing in a Healthcare facility. In the Healthcare industry, Health Insurance Portability and
Accountability Act (HIPAA) has security rules that were established to protect individuals'
electronic personal health information (ePHI). There has been countless number of data breaches
lately in healthcare facilities. They are at a much–much larger risk with the demand of healthcare
facilities switching all of the data to an Electronic Health Records system. "Electronic Health
Records is an electronic version of a patient's medical history, that is maintained by the provider
over time, and may include all of the key administrative clinical data relevant to that persons care
under a particular provider, including demographics, progress notes, problems, medications, vital
signs, past medical history, immunizations, laboratory data and radiology reports." (Centers for
Medicare & Medicaid Services, 2012) There has been a rule created called the "Breach Notification
Rule" which I will explain in detail.
The security of the nation's critical infrastructures is something that needs to be addressed, we are at
risk in many different areas. We

Electronic Health Records ( Ehr )
Electronic health records The electronic health records (EHR) is almost certainly the foundation of
all real global eHealth advancements at present occurring globally, including NHS CFH 's NPfIT
(Lewis et al., 2011; Mackert et al., 2014). A definitive objective is to have accessible complete
longitudinal health data for all individuals from the populace, with the potential for getting to and
adding to these records by different clients working over a scope of medical services settings.
Electronic health records range from straightforward stockpiling gadgets to those with fluctuating
degrees of included usefulness, including the capacity to electronically recommend (ePrescribing)
and access to supportive networks, which are dynamic ... Show more content on Helpwriting.net ...
EPrescribing There is impressive variety in the nature of recommending. Drugs administration
mistakes are regular, exorbitant and an imperative wellspring of iatrogenic mischief. ePrescribing
can be characterized as the utilization of processing gadgets to enter, change, survey and yield or
convey solutions. EPrescribing frameworks are exceptionally variable in family history, usefulness,
configurability what 's more, the degree to which they incorporate with different frameworks
(Mackert et al., 2009). Further research into the configuration highlights, information bases and
basic calculations, clinical significance of yield, interoperability of ePrescribing frameworks and
socio–specialized components that upgrade use is required with a specific end goal to repeat the
advantages of ePrescribing that have been shown in US focuses of perfection (Odukoya & Chui,
2013). Specialists in the change administration custom are typically peppy about the advantages of
the EPR however expect these might be acknowledged if the change procedure is legitimately
overseen (Dainty et al., 2011). We discovered 16 observational concentrates, most contextual
analyses,

Confidentiality : A True Therapeutic Nurse Patient...
Confidentiality in Nursing Wayne Browning Austin Peay State University Abstract In a true
therapeutic nurse–patient relationship, establishing trust is a key factor to promote quality and
compassionate care. This trust can be easily jeopardized by a breach in confidentiality of the
patient's personal health information. This paper will focus on the importance of confidentiality as it
relates to nursing and patient information and the vulnerabilities that can attribute to breaches of that
information. Whether verbal, electronic, or written documentation, confidentiality must encompass
all information obtained about a patient and exist only on a need to know basis among those
healthcare professionals involved in that patient's care. In today's age of information technology and
the use of electronic medical records, a patient's personal health information may be vulnerable to
inappropriate misuse. When confidentiality is broken then the ever important nurse–patient
relationship is broken. The ethical dilemmas and legal issues that accompany confidentiality
breaches can result in large fines and lawsuits against healthcare facilities and also end nursing
careers. It is the patient's right to have his or her personal medical information protected at all times
and the nurse must understand the responsibility to protect that right is an important factor in
maintaining the nurse–patient relationship. Keywords: confidentiality, nurse–patient relationship

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 Agency For Healthcare Research And Quality
Information system (IS) is an arrangement of information (data), processes, people, and information
technology that interact to collect, process, store, and present information that support the
organizations. Information systems are complex system and therefore it is essential to approach their
acquisition, implementation, and management with proven methodologies (Burns, Bradley, &
Weiner, 2011, p. 389). System acquisition refers to the process that occurs from the time the decision
is made to select a new system (or replace an existing system) until the time a contract has been
negotiated and signed (Wager, Lee, & Glaser, 2013, p. 210). The Agency for Healthcare Research
and Quality (AHRQ) plays an important role in the acquisition and ... Show more content on
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My Wellness Portal was developed by Dr. James Mold and his team. My Wellness Portal is a
patient–centered, prevention oriented, Web–based personal health record. It can help improve
patient–centered care, increase the delivery of individualized recommended preventive services, and
increase clinician knowledge of patients ' medical histories. "My Wellness Portal," a Web–based
project, is a novel, comprehensive care delivery system for patients and clinicians. The portal
recommends care based on individualized risk factors. Patients can log in to the portal before
appointments, enter data, and be prepared for visits; clinicians can show patients where they are
headed in their care.With evidence–based guidelines in the software, the system allows clinicians to
no longer think of individual diseases but think in terms of outcomes, moving away from disease–
oriented care. Clinicians also liked the portal because it includes evidence–based information but
also does not

Electronic Health Records And The Healthcare Field
Introduction The major change from traditional systems to electronic record systems in the
healthcare field within the last couple decades has made a huge impact. Patient records, risk
management, planning, staff, and more in the organization are affected by the IT staff. "The
penetration of Internet access, mobile technologies and social networks collectively offer a future in
which it is possible to deliver highly personalized care without necessarily having to do it in person,
or even with a doctor."(Healthcare IT News, n.d.) Many hospitals use paper records for patients long
after electronic record technology was available. According to forbes.com in an article published
two years ago, less than 2 percent of all healthcare organizations within the United States had and
properly deployed information systems. Statement of Problem The problem the industry faces today
is the lack of utilizing available IT resources within the healthcare organization. "As per the 2008
statistics in the NEJM article Electronic Health Records in Ambulatory Care – A National Survey of
Physicians, NEJM 359:50–60, just four percent of physicians in the U.S. reported having an
extensive, fully functional electronic–records system, and just thirteen percent reported having a
basic system." (Scot, 2015) The major implication of the problem is quality of care. Healthcare IT
can help an organization improve medical efficiency, reduce costs, improve research, provide earlier
detection and more.

Annotated Bibliography
Galen College of Nursing
Mayo Clinic (2011). Personal health record: A tool for managing your health. Retrieved from
http://www.mayoclinic.com/health/personal–health–record/MY00665 This source talks about how
electronic health records makes it easy to gather and manage medical information in a secure
location (Mayo Clinic, 2001, pg. 1). They explain what a health record is and what goes into it. The
advantages and disadvantages to this system are discussed as well as if your information will be kept
private. They tell you where you should start if your interested in using a personal health record
system and they explain how the Mayo Clinic has a Health Manager that will ... Show more content
on Helpwriting.net ...
They also explain all the benefits there are to EHRs. Then at the bottom of the page they have a blog
going, so you can see what other people think related to this topic.
I obtained this site through Medline Plus, which has reliable information sources. There information
is current, there is no advertising and they don't endorse any product or company. The National
Library of Medicine and the National Institutes of health produce and review their information.
There audience I would say could be the patient, a students or anyone else in the medical field. I
believe that the goal of this source was to leave you with a better understanding of the differences
between EMR and EHR.
This information was greatly directed toward my topic, which is Electronic Medical/Health Records.
It was straight to the point in stating what the main differences were between the two. This site will
definitely aid in a research project because it gives a compare and contrast aspect to the project
which so far the first two site did not. The more sites I go to the more interested I am becoming in
this topic.
Ford, E., Menachemi, N., Huerta, T., & Yu, F. (2010). Hospital IT adoption strategies associated
with implementation success: implications for achieving meaningful use. Journal Of Healthcare
Management, 55(3), 174–188. Retrieved from CINAHL This article is called Hospital IT Adoption
Strategies Associated with Implementation Success:

Electronic Health Record System : A Rapid Transformation...
Healthcare system have undergone a rapid transformation over the past 50 years. An Electronic
health record (EHR) allows healthcare providers to record patient information electronically instead
of using paper records; a user of an Electronic Health Record System describes it benefits: One of
the first physicians in the country to be certified as a meaningful user of health information
technology says the electronic health record system she implemented has significantly improved her
performance on measures of clinical quality by providing immediate feedback on her adherence to
evidence–based standards of care. The system has also reduced the administrative burden on
physician and staff, resulting in increased productivity and income for ... Show more content on
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Keeping patient's healthy with Electronic Health Records
Electronic Health Records (EHR) has support the engagement of patient with their medical
conditions, meaning that physicians are not the only ones guiding patients to their treatment of
different medical choices. Now patients are actively engage in their treatment, and have an open
mind for the different medical options that they can have.
As per Mr. Makenna, the fact that patients are actively engage in their treatment with the use of
Electronic Health Records (EHR) such as patient's portals where they can access their own records,
it help to keep the facility running smoothly because it reduces the number of calls and visits to the
Medical Record office to ask for specific data such as lab work or different tests such as CT scan of
MRI results.
Keeping Electronic Health Record errors free
Electronic Health Records (EHR) promises a number of substantial benefits, such as decreased in
health care costs, but its use can cause EHR–related errors that jeopardize the integrity of the
information, the consequences can imply legal issues, Mr. Makenna recall a case where a patient has
an

Research on Technology in the Medical Field
Research on Technology in the Medical Field
Certain types of technology have the potential to be very beneficial to the medical field. There are a
few types of technology that may be particularly beneficial to medicine such as 3D printing,
electronic health records, and robotic surgery. 3D printing can change medicine by being able to
print bones, organs, and custom hearing aids. Electronic health records make medical information
more available to patients and make it easier for doctors and nurses to chart patient's medical
information. Also, robotic surgery is very beneficial because they are less invasive and require less
recovery time. Due to the potential benefits of this technology to the medical field research should
be implemented for the technology such as 3D printing, electronic health records (EHR), and robotic
surgery. First, 3D printing is very beneficial to the medical field. 3D printing in medicine can be
used in order to create exact replicas of certain organs so that they can study it without risking the
patient's life. ("3D Printing in the Medicine: Saving Time and Saving Lives | ABAAD." ABAAD.
N.p., n.d. Web. 05 Mar. 2014.) 3D printers use materials such as bio–ink, which comprises stem
cells and other types of cells from a patient, which can be laid down layer by layer to form a tissue.
Human organs such as blood vessels, bladders and kidney portions have been replicated using this
technology. 3D printers also use materials such as bone material, skin

Communication and Leadership in Health Care Essay
Introduction This paper employs multiple research techniques and sources to give a holistic analyst
of the partnerships developed with people from different division of a healthcare organization. I
identify problems from my personal experience as an Ophthalmic Technician and System Analyst
for the Department of Ophthalmology at The Ohio State University Medical Center. The Literature
Review, Analysis, and Solutions sections are based on research and without personal reflection. This
paper addresses two questions. First, has Personal Health Records (PHR) made communication
simpler and safer for the healthcare industry? Second, how to improve communication between
Information Technology services and Healthcare providers? These two ... Show more content on
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This gratification in my career helped me realized the importance of integrating clinical and
technology knowledge and to seek education at the Master's level to improve my ability to assist in
the use of technological tools to improve service to our patients, our physicians, and our staff. The
Ohio State University Medical Center identifiable issues with regards to the development,
integration, and use of PHR is the lack of communication and understanding between healthcare
providers, information technology services, and patients. Effective communication requires the
utilization of collaboration and leadership to create an organization that uses innovated technology
to provide the highest level of patient care. Problem Statement Personal Health Records have
improved patient care, but as an organization the Ohio State University Medical Center is not
embracing change and working together to utilize technology. The problem is poor communication
and leadership, due to poor understanding of the clinicians need. Information technology services
update the PHR program without first understanding what improvements clinicians need and
secondly, end–users are not being educated on the updates; therefore, are not utilizing new features
or the features do not meet the needs of clinicians. Figure 1 illustrates the current flow of
information between healthcare providers and information technology services. Figure 1: Current
Communication pathway The

Simulation Review Paper
1 Administrative Ethics Paper Shannan Eddings HCS/335 December 10, 2011 Joann Wilcox In the
healthcare field there are many institutions that specialize in different methods of treatment such as a
nursing assistant, dentist, pathologist, psychiatrist and physical therapists to name a few. With these
different jobs and countless employees in the medical profession, there are plenty of patients to be
cared for because everyone needs medical attention no matter if it is a broken arm or getting a tooth
pulled, health care is a necessity. Patients come to the physician because of a problem that they are
having and with that notion they are prepared to give full details of their problem. Giving
information to the medical staff is a ... Show more content on Helpwriting.net ...
Hospitals and other medical facilities can possibly be sued for medical malpractice and negligence
among other charges due to patient's information being compromised. The inclusion of genetic
testing into Electronic Health Records impacts the overall healthcare of patient's because it informs
the physicians and other medical professionals the selection of effective treatment or preventive
action. A manager's responsibilities are to implement policies to protect the confidentiality, privacy,
and security of genetic tests results and information of patient's. Policies contributing to potential
discrimination acts are also advised because genetic/genomic testing reveals a patient's physical
characteristics. According to the HIPAA, several laws have been introduced to protect the rights of
individuals with regard to accessing their personal information. Proposals such as patient's having
the right to control their personal files while at the same time, medical professionals can have access
to pertinent information on a need to know basis. Controlled access gives the patient an opportunity
to control disclosure of select information in the Electronic Health Record so that certain
information can be available to health providers. The broad networking capabilities enabled by the
internet

The Role Of District Health Boards In New Zealand
Healthcare in New Zealand is delivered by various network of organizations and people themselves.
Each network within a community has a specific role to play to achieve better healthcare for all New
Zealanders. Healthcare in New Zealand has recently transformed from market based structures to
community focused District Health Boards(DHBs). District Health Boards (DHBs) in New Zealand
are organisations established by the New Zealand Public Health and Disability Act 2000,
responsible for ensuring the provision of health and disability services to populations within a
defined geographical area citep{dhb}. Currently there are 20 District Health Boards across New
Zealand and even though they all differ in size and their structure, they all ... Show more content on
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Each DHB is governed independently from each other by board members consisting of 11 members
whom are elected by the public every three years.
section{Electronic Medical Records (EMR) Vs Electronic Health Record (EHR)}
Electronic Medical Record or EMR is basically the digitized version of the patient's medical record
which might include demographic information, scanned copies of the patients report and any other
information that might be collected by the healthcare provider about the patient. With EMR, it is
usually collected and maintained by a single entity. The single entity can use EMR for diagnosis of
treatment and the diagnosis reports cannot be shared with other entity because EMR are designed
not to be shared by outside entity. Figure ref{emr} displays the visual representation of EMR and
EHR within New Zealand. It shows how medical information is collected from various healthcare
providers and feeds to the national EHR. EMR are single records that can be accessed and modified
by everyone within the practice and can be referred to anything that can be found on a paper chart,
such as patients treatments, diagnosis etc.
Electronic Health Records is the aggregated medical information that is maintained by and shared
across multiple entities. EHR is a vital document that contains very sensitive information about the
patient such as name, address, date of

Electronic Health Records : A New Division Of Health Care...
Introduction Electronic health records are increasingly being implemented in many countries. For
the longest time, Canada has always needed an easily accessible, speedy, efficient, and cost–
effective method to access information. Electronic health records, also known as EHRs, have been
introduced to be a secure and private lifetime method to that record and provide a person's health
history (Saher, CA et al., 2010). It is known to be a new division of health care, in which paper
documents have been transformed into easily accessible digital documents. These types of records
are made up information from many sources, which include doctors, pharmacies, hospitals, clinics,
etc. (Saher, CA et al., 2010). Information from these records are considered to be important, as it
helps for future treatments, and it can be easily accessed by health care providers (Saher, CA et al.,
2010). EHRs aims to be much easier and quicker compared to old–fashion paper. The main purpose
of an electronic health records is to improve the health care system, such as being organized and up
to date manner, as well as sharing information between health care groups without any problems to
occur. Although the benefits seem to be reasonable enough to be considered a replacement, however,
there are many barriers to be considered when using EHRs as a replacement from paper documents.
This means that this new concept can also lead to challenges, such as privacy issue, the impact on
the environment, changes in

The Electronic Medical Records Is A Complex Entity
Healthcare is a complex entity that encompasses a variety of specialties necessary toward meeting
the needs of patient seeking clinical services. There are multiple communications necessary to
efficiently meet patient needs. For many years detailed documentation, progress notes, specialty
consults, and physician orders have been hand written. The legibility of this documentation was
often illegible, and difficult to decipher, which resulted in clarification orders and often delays. The
electronic medical record was introduced approximately 50 years ago with an ultimate goal of
compiling healthcare information for immediate and future reference (Keller, 2016). Since the
electronic medical records was initially implemented multiple versions have since been created.
Successfully implementing the electronic medical record, requires a great deal of research to ensure
that the specifications align with the organization's short and long term goals.
Need for Transition As healthcare continues to evolve, it is necessary that care provided is
documented efficiently and without error. This documentation should be readily available whenever
needed. The electronic health record is a database that provides a reflection of all care provided.
This database would be beneficial to healthcare professionals providing care to new and frequent
patients. Assessment documentation, physician orders, progress noted, and results review will be
beneficial when comparing current assessments

Outline Of AAdvanced Healthcare Directive Essay
Memo
To: Elizabeth A. Dennis, Esquire
From: Ashley Hightower
Date: June 3, 2014
Re: Advanced Healthcare Directive
STATEMENT OF FACTS
Oakland Hospital has a health system with 3 locations. They considering a plan to implement a new
electronic health record system. Which makes patient medical records readily available to all
doctors affiliated with Oakland Hospital. Including but not limited to, doctors that are employees of
said hospital, independent practice associations and doctors working as independent contracts. This
proposed EHR system grants all DOCTORS access to the notes of other doctors (cardiologist,
General, Surgeons, etc.) on patients seen within the Oakland Hospital System.
QUESTION PRESENTED
Does this proposal comply with HIPAA and/or case law. Furthermore what steps should the Oakland
Hospital take to mitigate any penalties under HIPAA.
DISCUSSION OF AUTHORITY
In 1996, legislation passed the Health Insurance Portability and Accountability Act, known as
HIPAA. The focus of this law was/is to make it easier for people to keep health insurance, protect
the confidentiality, and security of healthcare information. HIPAA is composed of several sections
that layout health insurance reform. Title II, named Administrative Simplification, breaks down the
set of standards for receiving, transmitting and maintaining healthcare information and also ensuring
the privacy and security of individual identifiable information. Under patients request patients by
law, have

Essay National Ehr Mandate
National EHR Mandate Heidi Babcock–Marvin Ohio University National EHR Mandate An
electronic health record (EHR) defines as the permissible patient record created in hospitals that
serve as the data source for all health records. It is an electronic version of a paper chart that
includes the patient's medical history, maintained by the provider over time, and may include all of
the key administrative clinical data relevant to that persons care. Information that is readily available
includes information such as demographics, progress notes, allergies, medications, vital signs, past
medical history, immunizations, laboratory data, & radiology reports. The intent of an EHR can be
understood as a complete record of patient ... Show more content on Helpwriting.net ...
The Medicare and Medicaid EHR Incentive Program will provide incentive payments to eligible
professionals and hospitals that exhibit significant use of certified EHR technology. Participation
can begin as early as 2011. Eligible professionals and hospitals can receive up to $44,000 over five
years under the Medicare EHR Incentive Program. There is an additional incentive for eligible
professionals and hospitals that provide services in a Health Professional Shortage Area (HSPA). In
order to receive the maximum incentive payment, Medicare eligible professionals must begin
participation by 2012. Health care professionals and hospitals that do not meet the requirements by
2015 will be subject to a decrease in reimbursement (CMS, 2011). The Medicaid EHR Incentive
Program will provide incentive payments to eligible professionals and eligible hospitals as they
adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology in their first
year of participation and demonstrate meaningful use for up to five remaining participation years.
The Medicaid EHR Incentive Program is voluntarily offered by individual states and territories and
may begin as early as 2011, depending on the state. Eligible professionals can receive up to $63,750
over the six years that they choose to participate in the program. Eligible hospital incentive
payments may begin as early as 2011,

Confidentiality of Health Information Essays
In the modern era, the use of computer technology is very important. Back in the day people only
used handwriting on the pieces of paper to save all documents, either in general documents or
medical records. Now this medical field is using a computer to kept all medical records or other
personnel info. Patient's records may be maintained on databases, so that quick searches can be
made. But, even if the computer is very important, the facility must remain always in control all the
information they store in a computer. This is because to avoid individuals who do not have a right to
the patient's information.
Below are some of general question:
1. Should corrections be date and time stamped?
2. When should the patient be advised of the ... Show more content on Helpwriting.net ...
Then, the AMA states that, "Additions to the record should be time and date stamped, and the person
making the additions should be identified in the record" ("Ama code of," 1998). "If there are
changes to the data, the patient concerned must be notified" ("Ama code of," 1998). So well–
maintained electronic health records are important because they protect both the patient and the
physician.
According to the AMA policy, "The patient and physician should be advised about the existence of
computerized databases in which medical information concerning the patient is stored" ("Ama code
of," 1998). On the other hand, many patients also curious who has access to them and how this files
being stored for safety and privacy of the individuals. When before the facility release any records to
any one or company, they needs to inform the patient right away. Finally, "All electronic entities are
required to inform doctors and patients before the release of any health information" ("Ama code
of," 1998).
To protect patient's records the facility need to notified the patient right away before the purge takes
place. "The Rule gives individuals the right to have covered entities amend their protected health
information in a designated record set when that information is inaccurate or incomplete" (U.S.
Department of, 2003). Next, "Procedures for purging the computerized database of archaic or
inaccurate data should be established

Improving The Quality Of Electronic Health Records And...
From many years, Electronic Health Records have been saying to improve the quality of Electronic
Health Records and increase it over Canada. Medicare systems in Canada have been unsuccessful to
attain and advance health care system for individuals compare to other countries. Many of these
missions to make it successful involve numerous stakeholders including the federal government, and
other organization that have the insights of operating the procedure of EHRs. Canadian government
health care spend billions of dollars in the past decade, and only 30% of care providers are using
EHRs Lorenzi, 2009). This is an important factor to our lives though they need increase EHRs
system into their work situation and continue it on daily basis. ... Show more content on
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Introduction
Living in a world full of technology, more and more of us are overall connected to computerizing,
and we expect it to do everything for us. Many years before we didn 't have technology, and mostly
everyone was into making it. Now if we look at our world, everything is mostly done online. More
Canadians do shopping online, students receive more knowledge about the subject their learning
online, booking hotels, flights, and even do schooling online. Though looking after all this, most
patients in Canada are still handed with paper based records. When we go to the doctor, most of us
still receive handwritten prescriptions and our records are unrecognized.
We live in an era where we are more dependent on technology and want an enhanced access to
health care system in Canada. Though not having full access to EHRs might be the barriers for many
people in different areas in Canada. Some could have issues concerning about losing their medical
documents, and it can diminish the waiting time in hospitals or even health clinics as well(Wiljer,
2008). Electronic Health Record systems, have the high chance of making the health care system
better and that uses medical and other important information to support providers in achieving better
care to

Electronic Health Record (Ehr). The Use Of Technology Can
Electronic Health Record (EHR) The use of technology can be seen everywhere in the world today.
One area which has seen a big push to add technology is the healthcare industry. Healthcare has now
progressed to the age of electronic health records (EHR). The purpose of this paper is to discuss the
evolution of the EHR, including the EHR mandate and the role of the Affordable Care Act in this
mandate. It will discuss the EHR plan at Hackettstown Medical Center (HMC) to include the
progress HMC has made with the mandate. This paper will discuss meaningful use and HMCs status
with meaningful use. Lastly, the paper will define the Health Information Portability and
Accountability Act (HIPAA) and what HMC is doing to prevent HIPAA violations. ... Show more
content on Helpwriting.net ...
I spoke with the Director of Informatics, Dorothy Vanderweil, to learn how our hospital addressed
the implementation of an EHR. Dorothy was able to tell me how they assessed readiness, planned
their approach, selected a certified EHR, and conducted training and implementation of the EHR.
HMC assessed the specific flow of each department. At the start, they discovered there were
individual needs for each department. They then assessed which departments could consolidate to
share work flow. They evaluated the need for training of individuals and found many staff could
barely use a mouse. HMC determined which devices would best suited when documenting in the
EHR, along with how many devices were needed. The planning then began and the decision was
made to use the C5 tablet for documenting. Of course, they needed to know the cost involved with
the procurement of these devices. Decisions were made as to how and what they wanted to be able
to view and chart. Since they were moving from paper charting there was no data integration to be
concerned about. They formulated a plan for training including the adoption of super users for extra
support during the first few months of going live. They selected Cerner as the EHR system to
implement. Once all staff were trained and physicians as well, a decision was made to go live. By
January 2010 HMC was ready and implemented the EHR certified system Cerner. Go live was very
well planned with extra staff

National Electronic Health Records
Angela Harvey
Ohio University
Health information is important to every person caring for a person. If pertinent information is
missed or not communicated it could be deadly. The Department of Health and Human Services
developed a plan to help control this issue.
In 2004, federal government, under President Bush, developed a plan for caregivers to make it easier
for patients to have access to their health records. The plan was developed to enable patients to have
a better say in the healthcare they receive from all caregivers whether it be their family practitioner
or hospital systems. The government has given healthcare providers a timeline to complete the goals
... Show more content on Helpwriting.net ...
Many of the nurses explained they felt the same way but learnt to adapt to the situation. By going to
physician order entry it will prevent medication errors from poor handwriting and will result in less
calls to the physician. Along with physician order entry, we have revised or invented order sets to
have a more uniformed way of admitting patients. Once again come January it will be a long process
of training and having great patience with the physicians just as they had for the nurses. We have a
few family practitioners using electronic records for patients in the office but they do not have a way
for the patient or the hospital to use it. So they give a print out to the patient about the visit having
just general information on it. I am not aware of any physicians utilizing a website for patient
information yet.
I do not believe my facility is where it needs to be to be complaint with the strategic plan. It just
seems like we are making movement slowly. To make the process complete we would need to
involve the family practitioner. I am not aware of any such plan. Our hospital rooms all have
computers available in the rooms. So it is important to always be aware of who is around you when
using the computers and would be able to see private patient information. We also have private and
semi–private rooms. It is very difficult to protect privacy in a semi–private room when the other
patient is

Electronic Health Records ( Ehr )
Electronic Health Records
The concept of electronic health records (EHR) was introduced in 2004 (Sheridan, 2012), and in the
13 years that have since followed hospitals across the United States have adopted computer charting
systems. As of 2015, 96% of hospitals in this country are using electronic health records systems
(Conn, 2016). It is important for facilities to maintain safe and secure computerized charting to
better care for patients and to protect and exchange medical information.
Description of the Electronic Health Record
An electronic health record is a digital copy of a patient's medical chart, which replaces the paper
charts formerly used by facilities. The EHR contains diagnoses, history, prescriptions, laboratory
data, ... Show more content on Helpwriting.net ...
Facilities and providers were given financial incentives to select and begin using electronic health
record systems that correlated with meaningful use, as further described below.
My Facility's Plan Last March, my facility underwent the Epic system. This was a major project
several years in the making. My hospital is part of a large health system consisting of 13 hospitals,
numerous physicians' offices, home health care, and skilled nursing facilities (SNF). The two
smallest hospitals were chosen to go first; these included my hospital and another small one about
an hour and a half away. My hospital is currently in the midst of the six step EHR transition. Assess
your practice readiness. This was done at the administrative level, which took a hard look at our
current practices. Strengths and weaknesses of the current system were noted. Goals were identified,
as well as financial and technological concerns. Since my hospital was mostly on paper, a weakness
that administrators surely recognized was the need for extensive computer training, especially for
employees who were not used to using computers in other aspects of their lives. They may have also
recognized the need to purchase new computers and upgrade existing computers, as well as the costs
of such an endeavor. A significant goal would have of course been to link all facilities within our
system through the same EHR,

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 Health Record Implementation ( Ehr )
Electronic Health Record Implementation
Sara Morrison
Ohio University
Electronic Health Record Implementation
Technology has come a long way over the years and continues to advance rapidly. The health care
system is greatly affected by the advancements in technology. An example of this would be the use
of electronic health records (EHR). In this paper I will be describing the electronic health record
system. How my facility has initiated the EHR with following the six steps and describe meaningful
use and how my facility is working towards this. Lastly I will discuss how to maintain patient
confidentiality with use of EHR, and what my facility is doing to prevent HIPPA violations.
Description of the Electronic Health Record (EHR)
In 2004 president George Busch announced the goal to mandate electronic health records for every
American by 2014. This would require every paper chart to be converted to electronic chart so that
health care providers and the patient themselves can access their information through the internet
(Simborg, 2011). The purpose of developing the EHR is to provide appropriate patient information
from any location. Also to improve health care quality and the coordination of care among hospital
staff. To reduce medical error, cost and advance medical care. Last to ensure patient health
information is secure (DeSalvo, 2014) The Department of Health and Human Services appointed the
Office of the National Coordinator for Health

Electronic Health Records And Health Information Technology
In the last decade of USA medical history there have been little to no change in medical errors in
regards to improvement of care. Meaningful Use, Electronic Health Records and Health Information
Technology are practices and programs that can be possible solutions for this issue. The goals of
meaningful use include improving quality, safety, efficiency, and to reduce health disparities,
improve care coordination and ensure adequate privacy and security of personal health information
(Hoyt,2014). With meaningful use, there are three stages: stage one begins the process of capturing
date and sharing the information. Stage two is advancing the data processing and sharing and
building off of the first stage. Stage three is the examination of the outcomes. Meaningful Use is
defined under the Center of Medicare and Medicaid (CMS) and is essentially an incentive program
through the government to create a health system that is run electronically and provides higher
quality of care through technology. Since the goal is to create safer and higher quality through HIT
by providing an incentive for EP's to further develop their use of the technology there must be a
time line in place in order to know whether the Ep's hitting the requirements. This year, 2014, is
originally a major year for Meaningful Use however, with changes in the time line, the cost of HIT,
and the increasing of objectives can lead to major complications in the initial timeline created.
Meaningful use is a subsection

Week 6 Integrating The Into Ehr Platforms Db 6401-3 Main Post
Week 6 Integrating PHRs into EHR Platforms DB 6401–3 Main Post Patients are taking an
aggressive role in their healthcare needs. Patients desire to in touch with their medical records.
Medical professionals are utilizing the Electronic Health Records to implement current data into
information necessary to provide quality care for the patient. Thereby, managing patients' current,
and past histories. To understand what is occurring today, one must recognize why patients are
taking an active approach to their healthcare. The purpose of the discussion is to reflect on Dr.
Simpson's video concerning who owns the patient data assimilates the personal health records
(PHR) and the (EHRs) platforms. Some visions and fears relate to the integrated records. It is
necessary to discover one benefit or challenge when using the integrated records. Determine the
PHRs considered benefit or challenge for the healthcare professionals and patients. Policies
Associated with Informatics Initiatives Impact Healthcare Settings Patient–Centered Technologies,
and Ownership of Patient Data In the media presentation, Dr. Simpson (Laureate Education, Inc.
2012f) discusses ownership of the patient data. Patient data is the property of the insurance company
that pays for patient care. Simpson (2012f) suggest that it may be necessary to look at "ownership
through a different concept" (Laureate ed, 2012f, p 2.) The author expresses the "need for those that
manage or owns patient information must

Health Information Technology ( Hit ) Essay
Executive Summary: Health information technology (HIT) involves trading of health information in
an electronic format to advance health care, reduce health expenditures, improve work efficiency,
decrease medication errors, and make health care more accessible. Maintaining privacy and security
of health information is crucial when technology is involved. Health information exchange plays an
important role in improving the quality and delivery of health care and cost–effectiveness. "There is
very little electronic information sharing among clinicians, hospitals, and other providers, despite
considerable investments in health information technology (IT) over the past five years" (Robert
Wood Johnson Foundation, 2014, p. 1). Per HeathIT.gov (https://www.healthit.gov/patients–
families/basics–health–it), HIT includes the following: 1. Electronic health records (EHRs): Medical
records are now kept in an electronic versus a paper chart. All health information regarding past and
current medical history, treatment plans, and medications are kept in the EHR. The system also
allows sharing of medical information from provider to provider as needed. Many HER systems
have a feature to allow patients to log into a patient portal to review lab results, diagnostic tests,
plans of care, and email access to the provider 2. Personal health records (PHRs). PHRs allow
patients to monitor and track of information from provider visits. PHR can also follow the trajectory
of food intake,

Personal Health Record ( Phr ) : An Emerging Model Of...
Encryption in Cloud Computing
Mannava Vijay Chand (2632462)
Nandan A Lahurikar (2634375)
Pavan Teja Kilari (2626715)
Abstract
Personal health record (PHR) is an emerging model of patient–centric health information exchange
system, which has been often outsourced to be stored at any third party locations, such as cloud
service providers. However, there have been wide privacy concerns as the personal health
information could be exposed to unauthorized parties and to those third party servers. To assure the
patients control over accessing their own Personal Health Records, it is required to encrypt the
PHRs before outsourcing. Yet, there are issues such as risks of scalability in key management,
privacy exposure, flexible access, and efficient user revocation, has been remained the most
important challenges toward achieving fine–grained, cryptographically enforced data access control.
For, designing the above system different methods of encryption techniques have to be studied and
see what are the main advantages and disadvantages of the system as few of disadvantage in one
system can be used advantage of another system. We have to study how data is stored in cloud
system and how users can access them. To design a system such that it has different level of
accessing flexibility such that the owner can choose which accessing is required for different user
such that data tamper and data corruption can be eliminated. To design a system which has time
limited access and data

The Nurse Of The Future Core Competency : Communication
The Nurse of the Future Core Competency: Communication Communication is any form of
expressing and receiving of messages between individuals. The importance of Communication in
the nursing profession is to maintain high quality care for the patient but also maintain effective
collaboration between professionals. Boykins, D (2014) states that the "registered nurse is expected
to communicate in various formats and in all areas of practice". Various formats include speaking to
patients and coworkers as well as utilizing appropriate protocols and systems to effectively
communicate regards to patient's status. Effective Communication Therapeutic communication is
the basis to maintain a proper nurse patient relationship. Furthermore, understanding that therapeutic
communication which is so vital, patient's literacy level is also crucial in the communication
process. Boykins D., 2014 states that "individuals that experience health literacy problems receive
less preventative care and have poor understanding of health problems and care". A nurse assesses
each patients' literacy level upon their first interaction, she also uses therapeutic communication to
build a strong nurse patient relationship. Therapeutic communication can be verbal and nonverbal,
both equally important to help build a bridge for communication. An example of nonverbal
therapeutic communication would be silence; in some cultures, silence is a norm and a way of
thinking. With a precise assessment and proper

A Brief Note On The Computerized Patient Record System Essay
Introduction & Assessment
The Department of Veterans Affairs (VA) operates one of the largest nationwide healthcare systems.
(Tsai, 2012). In 1998 the Computerized Patient Record System (CPRS) was released at a national
level. (Lovis, 2011). CPRS has been made possible because of the extensive set of clinical and
administrative application within VistA.
VistA is the Veterans Health Information Systems and Technology Architecture. It is VA 's Health
Information Technology (IT) system. It provides an integrated inpatient and outpatient electronic
health record for VA patients, and administrative tools to help VA deliver quality medical care to
Veterans. (Lovis, 2011). CPRS organizes and presents all relevant data on a patient to support
clinical decision–making. It allows clinicians to interact with the patient's data, add problems, notes
and enter orders. It supports alerts, notification and guidelines. (Lovis, 2011). The adaption of VistA
to CPRS, the new addition to this was My HealtheVet portal. My HealtheVet is a secure website.
The VA follows strict security policies and practices to make sure that your personal health
information is safe and protected. The My HealtheVet Program is based on the core belief that
knowledgeable patients are better able to make informed healthcare choices, stay healthy, and seek
services when needed. The primary goal of the Program is to support veterans as empowered
healthcare consumers with improved quality, access, and

Personal Narrative: My Health Goals
My health goals were to get to bed at a better time and to make sure I eat up to three meals a day.In
the beginning it was hard because usually when I wake up I'm not very hungry for some reason, but
then at school by the end of first period I am. It's hard for me to eat in the morning because I'm too
lazy to get out of bed. So to make sure I am able to eat, I go to bed earlier at the latest 10. It's kind of
a pain, though, as a teenager we are suppose to get more sleep, but after school there is nothing more
I want to do than just be a regular kid. Homework is my number one priority and that's done first
and by the time i'm done that it's usually late at night. After doing homework, talking to friends is
something I like to do. ... Show more content on Helpwriting.net ...
Playing football is something that I love and want it to be something that I cherish. When I wasn't
eating enough working out itself became difficult. There wouldn't be enough nutrients in my body
for the exercise so, cramping would occur more often. In my history there have been moments
where cramps have caused me pain that I cannot even participate in practices. Next year is high
school. That means there are only four years given to me where I can play football. That doesn't
leave me with a lot of time and that means it's all for nothing at this point. By eating right and
getting the right amount of sleep I've realized the things I love. More than ever i've learned that it's
also made it easier for me to improve on the things I love. The night before a track meet for some
reason I couldn't fall asleep and due to that fact I found it harder to do a lot of things. The high jump
is something that I've learned to love a lot because it allows me to test my abilities and how high
that i'm able to jump. Usually I can consistently jump five feet, but I was so tired that I couldn't even
clear four six. That just killed me, to work so hard with a high school coach and to disappoint him. It
just felt as if everything I learned was wasted at that exact moment. The times that I stayed after
with coach to get some extra help in my form so that I am able to jump higher and make it to

Assignment #1 Health Information
1 Running Head: Information Technologies Applications Information Technologies Applications
Haya Zeidan Strayer University HSA 315 Dr. MOUNTASSER KADRIE Assignment #1 April 26,
2011 Information Technologies Applications 2 Abstract The information Technologies Applications
is widely used nowadays. Information technology (IT) has the potential to improve the quality,
safety, and efficiency of health care. But before everything we should increasing our understanding
of the information technologies in the health care. Also, we should understand what types of (IT)
applications are most useful for improving health care? In this paper I will compares ... Show more
content on Helpwriting.net ...
The system can remind providers to offer the service during routine visits and remind patients to
schedule care. Reminders to patients generated by EMR systems have been shown to increase
patients' compliance with preventive care recommendations when the reminders 5 are merely
interjected into traditional outpatient workflows. This system helps in disease management and
preventive services. It provides very vital information like patients without an exam for certain time,
patient with certain levels BP, patients who are taking a certain class of medication, patients who are
suffering from a certain type of disease, screening and immunization information, Lab tests Results,
etc. This is a complete DB driven system and user can create any rule that she wants on any of the
modules in the EMR and he will be alerted for the same. –HER: its Improve clinical processes or
workflow efficiency, Improve quality of care and Improve clinical documentation to support
appropriate billing service levels. Share patient information among health care practitioners and
professionals. Reduce medical errors (improve patient safety). Establish a more efficient and
effective information infrastructure as a competitive advantage. Also, it is can Share patient
information among health care practitioners and professionals. Improve clinical documentation to
support appropriate billing service levels. –E– prescribing: Improved patient safety and overall
quality of care.

Adopting New Technologies in Nursing
Adopting New Technologies into Nursing Lisa M. Ehret
Walden University
Transforming Nursing and Healthcare through Information Technology
NURS 6051N–20
July 10, 2015
Adopting New Technologies into Nursing The healthcare system is a continuously evolving
spectrum. Nurses must take great strides in learning and adapting to new technologies to meet the
standards of the health care system. One significant change that has occurred throughout the last few
years is the transition from paper charting to utilizing electronic health record (EHR) systems. This
technological change is a major development that has the potential to significantly impact the
nursing role and overall ... Show more content on Helpwriting.net ...
15). Thus, if possible, emphasizing the simple aspects of the chosen EHR while avoiding excessive
complexity during design will be an important aspect to avoid obstacles in the adoption of the new
practice. As the nurse facilitator, realization that the older generation may be confronted with
difficulty regarding technological innovation is crucial. Providing constructive, and tolerant
instruction will help with successful adaption of the new EHR for these individuals. Adequate
training and instruction, while ensuring user–friendly technology was the base of the design for the
new EHR will help ensure simplicity and encourage positive outlook from staff and increase rates of
adaptation. Thus, emphasizing simplicity of use while avoiding complexity will give health care
workers a positive stance on their capabilities regarding the utilization of a new EHR.
Trialability
The fourth aspect of successful implementation is trialability. As described by Rogers (2003),
"Trialability is the degree to which an innovation may be experimented with on a limited basis". An
easy way to interpret this aspect is that the more practice, the easier a concept becomes or "practice
makes perfect". As the nurse facilitator, one must recognize and understand that adequate training
and available resources are the basis for trialability and success. Thus, the more the nurses who
utilize the new EHR, the faster a successful adaptation occurs. It is during this part of the

Personal Statement: Long Term Mental Health Goal
1) Long Term Mental Health Goal: To take at least 6 hours per week to decompress from the week's
stress. These six hours will be completely unstructured free time in which I will not engage in work,
school work or any kind of stressful activity.
Why is this a necessary and important goal for my healthy lifestyle?
I feel as though this goal is particularly important for me because I have recently come to the
realization that 'having enough time to do it' is not a valid excuse for working myself into
exhaustion. Over this past school year, I've been splitting my time between both my academic and
gifted courses, the Woburn basketball, track and soccer teams and my two part–time jobs and the
combination of all these activities has made my Grade

Health Information Technology And Healthcare
Introduction Before the advent of information technology, all healthcare data written and collated on
paper, and stored in cabinets at the relevant offices, all in alphabetical order. With the introduction of
the World Wide Web, healthcare agencies, with resources in information technology transitioned to
collecting health data via the web. The word wide web has been used in so many ways to share
information. Information technology have however gone beyond what was obtainable in years past.
With the introduction of more advanced information technology, things have become easier for
anyone or any organization that chooses to use it, the healthcare sector inclusive. There is now in
existence an array of health information technology tools, which for the purpose of this paper will
be briefly discussed.
The adoption of information technology in healthcare has dramatically improved patient care, and
the practice of medicine in its entirety. Health information technology (HIT or Health IT) has
created, among other things, free flow and improved communication amongst all healthcare workers
and providers, patients and the community as a whole. HIT has also availed the healthcare sector
better and easier access to information. So many people have placed their hopes on health
information technology. The hospitals have high hopes for HIT in helping them to reduce human
errors on their medical reports. Health care providers need improved care, so they place their hopes
on HIT to help

History Of Medical Record Keeping Documents
The history of medical record keeping documents have been traced back to Ancient Egypt around
1900BC to 1500BC. As Egyptian priests or physicians would make new discoveries about the
human anatomy, they would document the findings on thick pieces of paper like fabric that was
made from the vascular tissue or pith of the Cyperus papyrus plant known as papyri. During the
medieval era of Europe, Physicians were known to document patient diet recommendations,
successful treatment plans, and surgical procedure narrative and autopsy findings. As medical
academic interests grew, professionals started publishing this collection of data as 'observations' or
'casebooks'. Around the 19th century, hospital physicians started using these casebooks ... Show
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This interchange leads to locating, reporting and transparency challenges during a program and
regulatory oversight audits. Donna Coomes, MBA, RHIA, CPHQ, CCS, the corporate director of
medical records at Mountain States Health Alliance says, "One of the challenges was for the staff to
know that it is not all in a permanent file medical record, but some of it is on the computer."
(Dimick, Chris, 2008) Hybrid systems are failing at oversight. What if anything can be done to
ensure medical record documentation transparency in Multidisciplinary Health System with hybrid
health records?
In 2009 the federal government established The Health Information Technology for Economic and
Clinical Health Act (HITECH) and supported the national implementation of certified Electronic
Health Records (EHRs); funded by the Centers for Medicare and Medicaid's (CMSs) 'Meaningful
Use' Incentive program. "An Electronic Health Record (EHR) is an electronic version of a patient's
medical history, that is maintained by the provider over time, and may include all of the key
administrative, clinical data relevant to that persons care under a particular provider, including
demographics, progress notes, problems, medications, vital signs, past medical history,
immunizations, laboratory data and radiology reports." (Centers for Medicare & Medicaid Services,
2012) The purpose of the EHR is to manage and automate clinical workflows and to improve the
quality of care by eliminating

Electronic Health Record ( Ehrs )
Introduction Living in a world full of technology, more and more of us are overall connected to
computerizing, and we expect it to do everything for us. Many years before we didn 't have
technology, and mostly everyone was into making it. Now if we look at our world, everything is
mostly done online. More Canadians do shopping online, students receive more knowledge about
the subject their learning online, booking hotels, flights, and even do schooling online. Though
looking after all this, most patients in Canada are still handed with paper based records. When we go
to the doctor, most of us still receive handwritten prescriptions and our records are unrecognized.
We live in an era where we are more dependent on technology and want an enhanced access to
health care system in Canada. Electronic Health Record ( EHRs a system where the basis of
provinces health policy will provide a more rapidly and more effective usage to the society in need.
Though not having full access to EHRs might be the barriers for many people in different areas in
Canada. Some could have issues concerning about losing their medical documents, and it can
diminish the waiting time in hospitals or even health clinics as well. So electronic health records
should be available for everyone throughout Canada, and should be providing patients with a safer
health care system.
The History First, some background: It has been reported that in the year of 1980s, high efforts were
made to increase the use of

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