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Running Head: ELECTRONIC HEALTH RECORD
1
ELECTRONIC HEALTH RECORD
5
Electronic Health Record
Name
Course Title and Number
Professor’s name
Date
Electronic Health Record
Introduction
EHR is a systemized digital chart that contain collective
information about patients. The EHR at Practice Fusion offers
free sign up which offers an experience that does not incur any
cost. There are minimal requirements to sign up as only
personal information is needed. Navigation around the record is
efficient and easy due to the availability of tutorials. The
information is provided instantly through the easy access from
any location, making it relatively fast. Information security is
enhanced because access to the records is only by authorized
users (Shan 2015)
Charting with doctors is a feature in the EHR and there are
many doctors present to attend to patients. Online services
present at the system are effective because I have the ability to
book appointment online. The history of a patient treatment can
be recovered from the records for further treatment. Information
from the EHR can be shared between doctors in different
departments or facilities that facilitates treatment at different
locations and facilities.
Standards
Acute care is treatment that is short-term but treats severe
injuries and illness. Ambulatory care involves the outpatient
care where patients receive treatment and go home the same day
without admission in the hospital. There are certain standards
that govern the EHR in this type of care. For both the medical
care, security and privacy standards should be maintained. This
entails that those who are authorized to access patient
information should not disclose the information to anyone. This
promotes confidentiality and privacy.
The EHR keeps lists of all the problem as per the standards for
reference in continuous treatment. Medication issued to patients
also have to be listed to provide a follow up. The EHR offers
information on all allergies affecting customers together with
their preventive measures. According to the regulations the
EHR should be enabled to exchange and share patient
information. The ERH has to be certified by the health and
human services.
Challenges
The web-based nature of the EHR poses as a threat to healthcare
provider as records are vulnerable to hacking. Information
leakage may damage the reputation of the provider. Healthcare
providers’ maybe resistance to EHR due to time taken to adapt
the system. The adaptation duration decreases productivity
hence ineffective in initial stages. Doctor patient interactions
are disrupted by the EHR due to lack of face to face
appointments.
Doctors tend to overlie on the EHR systems to make decision
which leads to poor medical assistance. The EHRs are relatively
expensive because most are offered to patients for free and have
to integrate with old systems in the healthcare. Change in work
flow brought by EHR is not embraced by the providers as there
is interruption. Issues associated with the use and maintenance
of the EHR poses as a challenge to the providers (Wu 2013)
Features of EHR
The practice fusion EHR is absolutely free which makes
accessibility easy for all patients. The EHR provides reports on
various sections. There is an activity feed where the patients in
puts his or her personal data. Chart reports are present and are
shared among physicians in a similar network. There is a live
feed from patients and physicians can contact a patient of their
choice. The EHR contains patient’s history in terms of
medication and diagnosis. Records of patient’s lab tests are in
the system for doctors to analyze and prescribe medication
through the e-prescribing tab. E-prescribing has a prescription
history and email tab for sending dosage instructions and
information. Centers for patients to receive disease control
together with immunization records are included in the system
(Basu 2012)
What impresses about Web-based HER
Accessibility of the EHR in any given location is an impressive
aspect and advantage. No charges incurred when accessing the
services as the EHR is free. Booking of appointment online
saves on time and is very efficient making it an advantage. E-
prescription allows for treatment at the one’s personal comfort
together with online billing. Availability of tutorials increases
efficiency in navigation and accessing doctors.
References
Basu, S., Karp, A. H., Li, J., Pruyne, J., Rolia, J., Singhal, S., ...
& Swaminathan, R. (2012). Fusion: managing healthcare
records at cloud scale. Computer, 45(11), 42-49.
Shah, N. H., LePendu, P., Bauer-Mehren, A., Ghebremariam, Y.
T., Iyer, S. V., Marcus, J., ... & Leeper, N. J. (2015). Proton
pump inhibitor usage and the risk of myocardial infarction in
the general population. PLoS One, 10(6), e0124653.
Wu, A. W., Kharrazi, H., Boulware, L. E., & Snyder, C. F.
(2013). Measure once, cut twice—adding patient-reported
outcome measures to the electronic health record for
comparative effectiveness research. Journal of clinical
epidemiology, 66(8), S12-S20.
Running Head: Unit 9 Assignment
Unit 9 Assignment
Jordan Paltani
Purdue Global University
HS410: Organization and Management for Health Care
R. Todd Kane
09/05/2018
Unit 9 Assignment
Health care providers, managers, and administrators are faced
with a variety of ethical issues. These issues range from right to
life and abortion to right to die and physician assisted suicide.
Common ethical issues found in health care can include
legalizing the market for human organs, end of life issues, and
respecting religious beliefs.
Should we Legalize the Market for Human Organs?
“Nearly 7,000 people in the United States alone die each
year while waiting on the list for an organ transplant (Social
and Ethical Issues - A Market for Human Organs.). The demand
for solid organs far beats the number of organs available from
deceased donors, also known as cadavers. Organ donation by
living donors (altruistic) clearly saves lives, improves
transplantation, and decreases recipients’ waiting times (Read
"Organ Donation: Opportunities for Action" at NAP.edu.). An
ethical concern about living unrelated donation that arises is
that the organ is actually being sold or that financial incentives
partially motivate the donation. UNOS policy maintains that
donors may not receive compensation for their donation, and
cannot even receive payment for follow-up treatments, or even
transportation and lodging during the period of surgery (Social
and Ethical Issues - A Market for Human Organs.).
Compensating living donors’ opens up the possibility of “using”
poor and underprivileged people while also increasing the risk
that potential donors will withhold important medical
information (Read "Organ Donation: Opportunities for Action"
at NAP.edu.). If legalizing the sale of human organ we often
wonder how can we be sure that the organs people are donating
for monetary compensation are not infected, or these donors are
not lying about their medical history? It can also be argued that
misuse would increase if legalization of an organ market were
to occur. While the legalization of organ markets may eliminate
a black market for organs, it may also create a market for crime
and violence. In the end, the goal is to save lives. People can,
and currently will do, what they need to get an organ. Whether
this is paying someone under the table or going to the black
market, this always going to be an issue up for debate.
End of Life Issues
End-of-life care decision making carries vital importance due to
the advancements in medical sciences (Karnik, S., & Kanekar,
A. 2016, June). Advancements in medical technology are
changing the means of natural death. “Decision-making” for
end-of-life care has earned vital importance as it has capability
to prolong human life with the support of medical technologies
or can let the natural death process continue by foregoing the
treatment option (Karnik, S., & Kanekar, A. 2016, June).
“Decision making” is a very complex process of thoughts and
sets-up various challenges for patients and their families to
make up an end-of-life care decision. Autonomy gives patients’
a right to control their treatment according to their preferences,
though many a times their autonomy is not respected (Karnik,
S., & Kanekar, A. 2016, June). Healthcare professionals can
play an important role by providing detailed information about
an advanced medical treatment which can be used during end-
of-life care . Physicians have to reach a mutual agreement with
the patient about withholding or withdrawing a futile treatment
and explain the drawbacks of unrealistic expectations from the
treatment (Karnik, S., & Kanekar, A. 2016, June). An “advance
directive” enables competent individuals to design and
document their health care decision plan in advance in case of
future disability or terminal illness (Ethical Debates: End of
Life Issues - Who Chooses and When and Why? 2013, June 09).
In the case of incapacitated individuals, families play a central
role as proxies or primary care givers. Families playing the
crucial role of proxy are emotionally attached to the
incapacitated patient and due to their moral interest may be
diversified in opting for a treatment or declining them ((Ethical
Debates: End of Life Issues - Who Chooses and When and Why?
2013, June 09). The technological advancements and
innovations are reshaping the decisions and treatment
preferences surrounding end-of-life care. People should
understand that they are humans and consider getting
information and making plans for end-of-life care preferences.
Ethical Debates: End of Life Issues - Who Chooses and When
and Why? (2013, June 09). Retrieved from
https://www.chuckgallagher.com/2013/06/09/ethical-debates-
end-of-life-issues-who-chooses-and-when-and-why/
Karnik, S., & Kanekar, A. (2016, June). Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934577/
Read "Organ Donation: Opportunities for Action" at NAP.edu.
(n.d.). Retrieved from
https://www.nap.edu/read/11643/chapter/11#273
Social and Ethical Issues - A Market for Human Organs. (n.d.).
Retrieved from
https://sites.google.com/site/amarketforhumanorgans/social

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Running Head ELECTRONIC HEALTH RECORD .docx

  • 1. Running Head: ELECTRONIC HEALTH RECORD 1 ELECTRONIC HEALTH RECORD 5 Electronic Health Record Name Course Title and Number Professor’s name Date Electronic Health Record Introduction EHR is a systemized digital chart that contain collective information about patients. The EHR at Practice Fusion offers free sign up which offers an experience that does not incur any cost. There are minimal requirements to sign up as only personal information is needed. Navigation around the record is
  • 2. efficient and easy due to the availability of tutorials. The information is provided instantly through the easy access from any location, making it relatively fast. Information security is enhanced because access to the records is only by authorized users (Shan 2015) Charting with doctors is a feature in the EHR and there are many doctors present to attend to patients. Online services present at the system are effective because I have the ability to book appointment online. The history of a patient treatment can be recovered from the records for further treatment. Information from the EHR can be shared between doctors in different departments or facilities that facilitates treatment at different locations and facilities. Standards Acute care is treatment that is short-term but treats severe injuries and illness. Ambulatory care involves the outpatient care where patients receive treatment and go home the same day without admission in the hospital. There are certain standards that govern the EHR in this type of care. For both the medical care, security and privacy standards should be maintained. This entails that those who are authorized to access patient information should not disclose the information to anyone. This promotes confidentiality and privacy. The EHR keeps lists of all the problem as per the standards for reference in continuous treatment. Medication issued to patients also have to be listed to provide a follow up. The EHR offers information on all allergies affecting customers together with their preventive measures. According to the regulations the EHR should be enabled to exchange and share patient information. The ERH has to be certified by the health and human services. Challenges The web-based nature of the EHR poses as a threat to healthcare provider as records are vulnerable to hacking. Information leakage may damage the reputation of the provider. Healthcare providers’ maybe resistance to EHR due to time taken to adapt
  • 3. the system. The adaptation duration decreases productivity hence ineffective in initial stages. Doctor patient interactions are disrupted by the EHR due to lack of face to face appointments. Doctors tend to overlie on the EHR systems to make decision which leads to poor medical assistance. The EHRs are relatively expensive because most are offered to patients for free and have to integrate with old systems in the healthcare. Change in work flow brought by EHR is not embraced by the providers as there is interruption. Issues associated with the use and maintenance of the EHR poses as a challenge to the providers (Wu 2013) Features of EHR The practice fusion EHR is absolutely free which makes accessibility easy for all patients. The EHR provides reports on various sections. There is an activity feed where the patients in puts his or her personal data. Chart reports are present and are shared among physicians in a similar network. There is a live feed from patients and physicians can contact a patient of their choice. The EHR contains patient’s history in terms of medication and diagnosis. Records of patient’s lab tests are in the system for doctors to analyze and prescribe medication through the e-prescribing tab. E-prescribing has a prescription history and email tab for sending dosage instructions and information. Centers for patients to receive disease control together with immunization records are included in the system (Basu 2012) What impresses about Web-based HER Accessibility of the EHR in any given location is an impressive aspect and advantage. No charges incurred when accessing the services as the EHR is free. Booking of appointment online saves on time and is very efficient making it an advantage. E- prescription allows for treatment at the one’s personal comfort together with online billing. Availability of tutorials increases efficiency in navigation and accessing doctors. References
  • 4. Basu, S., Karp, A. H., Li, J., Pruyne, J., Rolia, J., Singhal, S., ... & Swaminathan, R. (2012). Fusion: managing healthcare records at cloud scale. Computer, 45(11), 42-49. Shah, N. H., LePendu, P., Bauer-Mehren, A., Ghebremariam, Y. T., Iyer, S. V., Marcus, J., ... & Leeper, N. J. (2015). Proton pump inhibitor usage and the risk of myocardial infarction in the general population. PLoS One, 10(6), e0124653. Wu, A. W., Kharrazi, H., Boulware, L. E., & Snyder, C. F. (2013). Measure once, cut twice—adding patient-reported outcome measures to the electronic health record for comparative effectiveness research. Journal of clinical epidemiology, 66(8), S12-S20. Running Head: Unit 9 Assignment Unit 9 Assignment Jordan Paltani Purdue Global University HS410: Organization and Management for Health Care R. Todd Kane 09/05/2018
  • 5. Unit 9 Assignment Health care providers, managers, and administrators are faced with a variety of ethical issues. These issues range from right to life and abortion to right to die and physician assisted suicide. Common ethical issues found in health care can include legalizing the market for human organs, end of life issues, and respecting religious beliefs. Should we Legalize the Market for Human Organs? “Nearly 7,000 people in the United States alone die each year while waiting on the list for an organ transplant (Social and Ethical Issues - A Market for Human Organs.). The demand for solid organs far beats the number of organs available from deceased donors, also known as cadavers. Organ donation by living donors (altruistic) clearly saves lives, improves transplantation, and decreases recipients’ waiting times (Read "Organ Donation: Opportunities for Action" at NAP.edu.). An ethical concern about living unrelated donation that arises is that the organ is actually being sold or that financial incentives partially motivate the donation. UNOS policy maintains that donors may not receive compensation for their donation, and cannot even receive payment for follow-up treatments, or even transportation and lodging during the period of surgery (Social and Ethical Issues - A Market for Human Organs.). Compensating living donors’ opens up the possibility of “using” poor and underprivileged people while also increasing the risk that potential donors will withhold important medical information (Read "Organ Donation: Opportunities for Action" at NAP.edu.). If legalizing the sale of human organ we often wonder how can we be sure that the organs people are donating for monetary compensation are not infected, or these donors are not lying about their medical history? It can also be argued that misuse would increase if legalization of an organ market were to occur. While the legalization of organ markets may eliminate a black market for organs, it may also create a market for crime
  • 6. and violence. In the end, the goal is to save lives. People can, and currently will do, what they need to get an organ. Whether this is paying someone under the table or going to the black market, this always going to be an issue up for debate. End of Life Issues End-of-life care decision making carries vital importance due to the advancements in medical sciences (Karnik, S., & Kanekar, A. 2016, June). Advancements in medical technology are changing the means of natural death. “Decision-making” for end-of-life care has earned vital importance as it has capability to prolong human life with the support of medical technologies or can let the natural death process continue by foregoing the treatment option (Karnik, S., & Kanekar, A. 2016, June). “Decision making” is a very complex process of thoughts and sets-up various challenges for patients and their families to make up an end-of-life care decision. Autonomy gives patients’ a right to control their treatment according to their preferences, though many a times their autonomy is not respected (Karnik, S., & Kanekar, A. 2016, June). Healthcare professionals can play an important role by providing detailed information about an advanced medical treatment which can be used during end- of-life care . Physicians have to reach a mutual agreement with the patient about withholding or withdrawing a futile treatment and explain the drawbacks of unrealistic expectations from the treatment (Karnik, S., & Kanekar, A. 2016, June). An “advance directive” enables competent individuals to design and document their health care decision plan in advance in case of future disability or terminal illness (Ethical Debates: End of Life Issues - Who Chooses and When and Why? 2013, June 09). In the case of incapacitated individuals, families play a central role as proxies or primary care givers. Families playing the crucial role of proxy are emotionally attached to the incapacitated patient and due to their moral interest may be diversified in opting for a treatment or declining them ((Ethical Debates: End of Life Issues - Who Chooses and When and Why? 2013, June 09). The technological advancements and
  • 7. innovations are reshaping the decisions and treatment preferences surrounding end-of-life care. People should understand that they are humans and consider getting information and making plans for end-of-life care preferences. Ethical Debates: End of Life Issues - Who Chooses and When and Why? (2013, June 09). Retrieved from https://www.chuckgallagher.com/2013/06/09/ethical-debates- end-of-life-issues-who-chooses-and-when-and-why/ Karnik, S., & Kanekar, A. (2016, June). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934577/ Read "Organ Donation: Opportunities for Action" at NAP.edu. (n.d.). Retrieved from https://www.nap.edu/read/11643/chapter/11#273 Social and Ethical Issues - A Market for Human Organs. (n.d.). Retrieved from https://sites.google.com/site/amarketforhumanorgans/social