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EMR Implementation in Small Independent Practices Essay
Achievements in public health and technology have created growth in the health care industry.
Significant advances in prevention as well as declines in death rates have created a need for a more
sophisticated system of record keeping. While monitoring the health of the nation, planning and
developing better health services, and delivering effective and efficient care is now more important
than ever. The need to manage patient data has increased as well. Moving from a world where paper
records are kept in file cabinets, to implementing a system where documents are stored and
maintained on computers and accessed through EMR systems is a complicated procedure for a large
system, let alone the smaller independent practices that still ... Show more content on
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EMRs will contain the same, but with an easily searchable index for faster and more efficient
administration of care that can be cross–referenced for evidence–based care (Hillestad, et al, 2014).
One of the greatest benefits is that of interoperability (Ouellette, 2012). Not only will entire systems
be able to access patient records, but eventually with a national database, a patient can be anywhere
in the country and their entire history can be pulled to provide care (Ouellette, 2012). This will
ensure that that quality care is given quickly with fewer errors. There are concerns about the
implementation and maintenance costs of EMRS. With the increase of costs for implementing
EMR's most facilities will eventually have to make up the cost somewhere, and that usually is in the
form of higher costs to the consumer (Freudenheim, 2012). However, there are government
programs and low interest loans to offset the costs for those facilities that are strictly non–profit, as
well donors might help offset the costs (Callahan,2014). Other concerns include security and privacy
of health data, access control and
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Conversion to Electronic Health Records Essay
What an exciting time to become part of the health care industry! Medical research makes new
discoveries to improve the quality of patient care and save lives on a daily basis. Health care reform
is gaining momentum, revolutionizing the industry and requiring many administrative changes, such
as the creation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Rules
and standards evolved from this act provide a way to ensure your protected health information
remains confidential. In this digital age, it is particularly relevant. The digital evolution impacts
many areas. Digital TVs, computers, smart phones and iPods have totally changed the way we do
business and enjoy entertainment. In the medical industry, the ... Show more content on
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Electronic retrieval of patient demographics, allergies, current medications, complete medical
history, diagnostic and radiologic results, etc. occurs by clicking a few buttons. Electronic patient
charts provide quick and easy access to physicians, hospitals, independent labs, and pharmacies.
EHRs allow simultaneous access by independent providers and allow a collaborative effort for
health care management of the patient. "EHRs are the next step in the continued progress of
healthcare that can strengthen the relationship between patients and clinicians". (Electronic Health
Records Overview, 2011) A lengthy list of EHR benefits supports the evolution from paper to
electronic medical record keeping. One such benefit, the significant reduction of needed storage
space. Bulky paper charts require a lot of space and misplaced charts waste time and effort to locate.
Since EHR data remains on the computer, medical practices no longer require secure on–site
storage, and electronic files eliminate misplacing files. Another benefit to data remaining on the
computer rather than a medical chart, electronic records allow immediate access from several
locations. EHRs provide emergency room personnel access to allergies and other pertinent
information of unconscious patients. The on–call physician accesses patient information from their
home computer, rather than driving to the medical
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The Benefits Of Electronic Medical Records
Introduction The benefits of Electronic Medical Records (EMR) significantly outweigh the
disadvantages, when it comes to the nursing care of patients in multiple settings. There have been
multiple studies proving the enhancement and efficiency of nursing care in various areas, when
electronic documentation is properly taught and utilized. Likewise, there is evidence supporting the
reliability of the documentation, after comparing nurses' verbal accounts of previously recorded
information. When the programs used in electronic documentation are continually evaluated for
completeness, accuracy, and quality, they become excellent tools for legislation. Electronic medical
records present many advantages to the nursing care of a vast majority of patients, and also help
uphold satisfactory legal and ethical implications of nursing documentation. Body (Review of
Literature) Bruylands, Paans, Hediger, & Müller–Staub (2013) provide evidence of electronic health
records improving the nursing process. The purpose of their study was to assess the effectiveness of
electronic nursing documentation, when it was and was not coupled with an instructive program.
The experiment sampled electronic nursing documentation over time, and ranked the groups in
terms of accurateness of the nursing process. It was shown that groups who were provided with
continual education had a substantially higher accuracy, when it came to using the nursing process.
While all groups benefited immensely from the
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Electronic Medical Records And The New Age Of Electronic...
Electronic Medical Records (EMRs) are now exercising a more significant impact on healthcare
practices than ever before. The United States healthcare system stands on the brink of a new age of
electronic health information technology. The potential for innovation within this new technology
represents a great opportunity for the future of medicine. However, in seeking to implement EMRs
caution must be exercised to ensure that implementation does not have adverse effects on the
personal nature of the patient–physician relationship an important issue that must be addressed in
order preserve the integrity of healthcare in the new electronic age.
Electronic Medical Record system role in Healthcare Field
Introduction:–
Electronic medical records (EMR) software is a rapidly changing and often misunderstood
technology with the potential to cause great change within the medical field. Unfortunately, many
healthcare providers fail to understand the complex functions of EMRs, and they rather choose to
use them as a mere alternative to paper records. EMRs, however, have many functionalities and uses
that could help to improve the patient–physician relationship and the overall quality of patient care.
In order for this potential to be realized, both the patient and the healthcare provider must have a
deeper understanding of EMR purpose and function. In this paper will highlights the historical
developments and its potential effects on the patient physician relationship in order to
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Ethical Implications Of Electronic Health Records
Ethical Implications of Electronic Health Records
Brian Davis
Dr. Kemp defines an electronic medical record (EMR) as "the digital version of a paper chart that
contains all of a patients ' medical history from one practice" (Kemp, 2014). He also differentiates
between the use of the term electronic medical record (EMR) and electronic health record (EHR).
An EHR is more "comprehensive" than an EMR. It allows for data sharing across multiple practices.
The use of both EMRs and EHRs has gained in notoriety in the last decade. And it appears that the
use of these two terms is interchangeable. The idea of data sharing and having one's health records
at the click of a button is highly appealing. While there are several ethical implications to explore
when dealing with computerized charting, the objective for this research review will focus primarily
on three interesting concepts: autonomy, finance, and privacy, as it relates to information
technology.
Autonomy
Autonomy explores the idea of every person having rights in regards to healthcare and decision
making. "Autonomy is an agreement to respect another's right to self–determine a course of action
and support independent decision making" (Beauchamp & Childress, 2009). In 1990, the ideas of
autonomy lead to the Patient Self Determination Act which allows competent people to make their
wishes known about end of life. The act includes living wills and health care power of attorneys,
which deals with end of
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A Brief Note On The And Central Station Desktop Ehrs
Slide 10: Within nursing practice, assessment, documentation, and communication are the most
frequent activities, consuming 18.1%, 9.9%, and 11.8% of nurses ' time, but with EHR nurses have
more time to analyze and deliver patient care. The selection of bedside or central station desktop
EHRs will influence documentation time for the two main user groups, physicians and nurses
(Vondrak, 2012).
Slide 11: Human errors, such as medication errors or allergy errors, are minimized with alerts on the
electronic health record. The electronic health record has shown to reduce the number of missing
charts (82%), and improves data accessibility to patient records and documentation remotely (75%)
(Narisi, 2013). By eliminating paper charting, the EHR makes all patient's data and information
available at all times to all physicians. The EHR improves patient care delivery by reducing the error
of hand–written orders and allows for other physicians to access the order. This is great for when the
doctor orders a medication to start stat, and puts the order into the EHR, so the nurse can start the
medication right away (Palma, 2013).
Slide 12: EHR can help detect possible errors in the system. For example, EHR alerts providers of
possible conflict in medications that were prescribed to patients.
In a case of emergency when a patient is unconscious and not able to communicate, clinicians can
pull the patient's medical history from the EHR in order to better treat the patient.
With the EHR
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The Patient Physician Relationship For Effective Delivery...
1.0 Introduction and Background of the Study Privacy is an underlying governing principle of the
patient–physician relationship for effective delivery of healthcare. Patients are required to share
information with their physicians to facilitate correct diagnosis and determination of treatment,
especially to avoid adverse drug interactions. However patients may refuse to disclose important
information in cases of health problems such as psychiatric behavior and HIV as their disclosure
may lead to social stigma and discrimination. Over time, a patient's medical record accumulates
significant personal information including identification, history of medical diagnosis, digital
renderings of medical images, treatment received medication ... Show more content on
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Extended Enterprise Figure 1.1: Typical Information flow in a Healthcare System On the other hand,
one must also protect sensitive patient information from being distributed to unauthorized persons,
that is, one should strive to maintain patient privacy. Patient information is thus a critical factor in
healthcare and should follow the patient during the whole patient process even if the patient visits
more than one healthcare provider, that is, in distributed healthcare. Protecting patient information
has always been a high priority within the healthcare domain. When electronic healthcare records
(EHR) are used, the availability of patient information increases. Think for instance of the medical
information of patients: a typical hospital is visited by thousands of patients each year and for each
patient, the hospital needs to store contact details, insurance information, appointments with medical
specialists, and a medical data: medical reports, radiography pictures, laboratory results and more.
Medical professionals need to access
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Ehr's Will Benefit the Medical Field
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How EHR's will Benefit The Medical Field
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Abstract
EHR, known as electronic health record, refers to some systematic collection of an individual's or a
population's electronic health information. The record is in a digital format which is theoretically
sharable across various health care settings. Sometimes, this sharing can happen by way of network–
connected, information systems or some other information networks. The electronic health record
may include a wide range of data, like demographics, the patient's medical history, their medication
and allergies their immunization status, lab test results, vital signs, statistics like weight and age, and
billing information. These systems are designed to ... Show more content on Helpwriting.net ...
Since the moment that technological advances changed data entry from the use of punch cards to
keyboards, as well as data display from showing printed results to the use of video display terminals,
innovative physicians around the country have continued seizing the opportunities to improve
delivery of healthcare (Fridsma, 2009). Some well–known efforts made include:
The Lockheed Corporation, in 1971, created a system that eventually came to be known as Eclipsys
for the El Camino Hospital, that featured computerized physician order entry and allowed multiple,
simultaneous users.
In the early 70s, the University of Utah, Latter Day Saints Hospital, and 3M created the Health
Evaluation system through a Logical Processing system.
Though each of the designers of these systems had different ways of describing their motivations,
their objective was to solve two problems:
Eliminating paper records logistical problems by making the clinical data immediately available to
the authorized users regardless of where they are, eliminating undecipherable or unavailable.
Reducing clinical book keeping work required to manage the patients eliminating cases of
misdiagnoses in the laboratories.
The biggest challenge that presented itself to the design of EHR systems in the 90s was creating user
heterogeneity with the advent of the personal computer. The differences in the nature of
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Advantages And Disadvantages Of Paper Medical Records
Medical records play an essential role at any hospital, because it is considered as a depository of
patient's health observations, analysis, and physical examinations. Since the 1920s, paper medical
records have gradually grown all over the world. They are easy to use for senior doctors, nurse,
physicians, and anyone with medical expertise, and all of them can use it without any additional
skills. It revolutionized the field of medical services, which benefited both patients and medical
service providers. The daily use of paper–based medical records sometimes become out of control,
because these records have some problems according to their nature. First, the paper–based records
need to record by hand and store in physical database that can ... Show more content on
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As the evolution of electronic medical records continued, there were also new amendments and laws
made to regulate the privacy of the electronic medical records. Thus, the United States Congress
declared a new law, which is the Health Insurance Portability and Accountability Act (HIPAA), and
president Bill Clinton signed this law in 1996. This law was introduced to fulfill some of the privacy
and security issues that faced healthcare in the United
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The Role Of Patient Care At Madigan Army Medical Center Essay
Interview Paper On October 22, 2016 I interviewed Major Alicia Robinson, nursing informaticist at
Madigan Army Medical Center (MAMC), a 220 bed military hospital located on Joint Base Lewis
McChord, WA, approximately 45 minutes south of Seattle. Madigan Army Medical Center is
considered the second largest military treatment facility. It is also one of the two designated level
trauma II medical centers in the Army, as well as, only one of the four in the state of Washington
(Major Robinson, personal communication, October 22, 2016).
Major Robinson stated that she has been in this position for two years and has previously worked as
a staff nurse on the Medical Surgical Floor. She is an active duty officer who has a BSN in nursing
and is certified in informatics. Ultimately, after working bedside nursing she decided to focus on
informatics because of an interest in advancing military medical systems (personal communication,
October 22, 2016). The following questions were asked during the interview and her responses are
immediately following.
Describe the Use of Patient Care Technologies to Deliver and Enhance Care
Major Robinson stated that the military systems are behind in terms of technologies compared to
civilian counterparts. For example, big changes are expected because scanning will become a
standard of care on the inpatient and outpatient areas of the hospital with implementation of a new
computer system summer 2017; this has been a standard of care
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Healthcare Informatic Essay
7. Describe the main points of the Pod/Vodcast. Healthcare Informatics is defined by the U.S
National Library of Medicine as the Interdisciplinary study of the design, development, adoption,
and application of IT– based innovations in healthcare services delivery, management, and planning
(Ong, 2014). Health informatics is being utilized to enhance process efficiency. The wave of health
informatics began in the 1990's. It has changed the way we do things from shopping to work to the
way we live our daily lives (Kudyba, 2010). Health Informatics has doubled productivity (Kudyba,
2010). Healthcare is slowly emerging into the world of informatics. Many healthcare facilities are
now utilizing electronic medical records. Healthcare Informatics will help reduce cost. Utilizing
technology increases the speed of routing ... Show more content on Helpwriting.net ...
Would you recommend this Pod/Vodcast to others to listen to or view. Explain why or why not. The
Pod/Vodcast "What is Healthcare Informatics" was very informative. The presentation was brief and
held the attention of viewers. Mr. Kudypa was able to give a brief history of healthcare informatics
and how informatics is changing daily the way we do everything. The topic of healthcare
informatics can be very detailed. This presentation gives the audience a few samples of the
importance of healthcare informatics and the future of healthcare informatics. I would definitely
recommend this podcast to individuals who are beginners with the new wave of healthcare
informatics.
9. If you created a Pod/Vodcast on this topic, what would you do to improve it? "What is Healthcare
Informatics" was presented very well. Changes I would make to the podcast would be giving
viewers some additional resources they can research to get more in depth regarding the topic. The
imaging and setting were in date and holds the audience's attention. The length of the podcast was
appropriate and the presentation could be understood by a wide range of
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Benefits Of Electronic Medical Records
There are many reasons why some health care organizations have been reluctant to use electronic
medical records. First let's talk about, what is an electronic medical record. An (EMR) Electronic
Medical Record consist of standard medical and clinical data gathered in the provider's office which
include a more in debt patient history. EHRs are created to hold and distribute information from all
providers dealing with patient care. EHR data can be created, managed, and advised by authorized
providers and staff from across more than one health care organization. EHRs is another name for
digital paper chart that hold all of the patient's medical history from one practice. While expanding
daily, electronic medical records are becoming extremely popular. Research shows that some
healthcare organizations continue to be reluctant to purchase electronic record programs. The
pressure on hospitals, clinics, systems, physicians and other providers to get with the program is
outstanding. Cost is a major concern for single practitioners, which are least likely among
physicians to adopt EHRs. EHR systems are not cheap by any means. Physicians have to weigh the
cost of not only creating, but supporting their own IT structure and applications as well. The option
to decide to use external vendors to provide the services is given also. Consideration of cost include
purchase price, coordination cost, monitoring cost, and negotiating cost along with upgrade costs,
and governance cost.
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Electronic Medical Records And Electronic Health Records
Technology has advanced throughout the years. The effects of these advancements have been both
positive and negative. Not only have these advancements helped make our lives easier, it has also
helped us lived longer. For example, the use of the computer has evolved in health care. Medical
Professionals use the computer for their daily operations. As a result of the use of the computer, the
Electronic Medical Records (EMR) and Electronic Health Records (EHR) were created. In 2009,
President Obama signed the American Recovery and Reinvestment Act, which included the
HITECH (Health Information Technology for Economic and Clinical Health) Act. HITECH
instructed the Centers for Medicare & Medicaid Services to get eligible providers to start ... Show
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EMR and EHR also helps keep information up–to–date. A study was done by to evaluate the staffed
nurses attitude and perception of the EHR in Sri Ramakrishna Hospital. The study found that
majority of the staffed nurses (95.5%) found the EHR as beneficial (Juliet & Sudha, 2013). About
68% of the nurses believed that EHR would be helpful and the about 73% of them believed EHR
will reduce the workload (Juliet & Sudha, 2013). Cons Nurses have found the EMR and EHR
beneficial. Many of them have positives views of them. However, not all nurses have reciprocal
feelings towards having patients medical records electronically distributed. According to Nelson
(2016), challenges to EHR usability include workflow issues, forced word choices, lack of or
limited free text, and difficulty finding data or information, among others. Nurses have stated that
inputting information to the EMR and EHR takes too much time and it is also time consuming. The
most common problem with EMR and EHR are system failures. Computers crash every time and
power outages are really common. If the system ends up failing, then there might be no back up
charts. One major problem would be the change to EMR and EHR. New nurses might find the
change is not difficult. However, for older nurses that are used to charting might find the change to
electronic charting difficult. Another disadvantage of the EMR and EHR is the
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Electronic Health Record Analysis
There are many similarities and differences between the electronic health record and the paper
record. The paper record and the electronic health record are created to document and incorporate
the patient's history and physical, demographics, recent and past diagnosis, medication list, nurses
and physician progress notes, advance directive, and insurance information. Both have advantages
and disadvantages in terms of use, cost, and the effect on an organization (Davis & LaCour, 2014).
Paper and electronic records are similar in many ways. One way paper and electronic records are
similar are that they both are record information on a form. Both electronic record and paper record
can be put in order so the data is easy to locate and retrieve. Both are produced at the time a patient
is admitted or seen at a health care facility. Paper records, as well as, electronic health records can be
printed and faxed. The records have to be secured and protected due to HIPAA laws and ... Show
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"The electronic health record is a secure, real–time, point–of–care, patient centric information
resource for clinicians" (Davis & LaCour, 2014, p. 71). The electronic health record can be viewed
by several different caregivers at a time in different locations. A paper record is only accessible
where the patient is being treated. The electronic record has a secured password in order to gain
access to the information on the computer. Caregivers are able to have immediate access to past
medical history such as lab results, previous problem list, medications, and hospitalizations.
Electronic records set reminders and alerts to inform caregivers about medications and allergies
(Davis & LaCour, 2014). Electronic records are easier to read than paper records. Everyone,
especially doctors' penmanship is not legible. It takes most nurses and other caregivers time to
decipher a physician orders or progress note due to their
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Ethical Healthcare Issues Essay
Running Head: ETHICAL HEALTHCARE Ethical Healthcare Issues Paper Wanda Douglas Health
Law and Ethics/HCS 545 October 17, 2011 Nancy Moody Ethical Healthcare Issues Paper In
today's health care industry providing quality patient care and avoiding harm are the foundations of
ethical practices. However, many health care professionals are not meeting the guidelines or
expectations of the American College of Healthcare Executives (ACHE) or obeying the
organizations code of ethics policies, especially with the use of electronic medical records (EMR).
Many patients fear that their personal health information (PHI) will be disclosed by hackers or
unauthorized users. According to Carel (2010) "ethical concerns shroud the ... Show more content
on Helpwriting.net ...
Autonomy has an effect with ethics concerning EMR systems because health care organizations
should have an EMR system that should maintain respect for patient autonomy. Respect for patient
autonomy should have health care organizations to make decisions concerning user access of the
records. Access of Records Before a health care organization implements an EMR system, they
should have a security system in place, which includes "access control" component. Access control
within an EMR system is controlled by distinct user roles and access levels, the enforcement of
strong login passwords, severe user verification/authorization and user inactivity locks. Health care
of professionals regardless of their level, each have specific permissions for accessing data. Even
though the organization have the right security system in place to prevent unauthorized users from
access patient records, autonomous patients will expect to have access to his or her records with
ease. Access their record will ensure that their information is correct and safe. Beneficence
According to Kennedy (2004) "beneficence is acting to prevent evil or harm, to protect and defend
the rights of others to do or promote good" (p. 501).
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Electronic Medical Records: Improving Health Care
Chapter 1: Introduction Background Electronic medical records (EMR) improve healthcare by
handling personal information of the patient and reducing the frequent errors caused by storing
personal information. There is no specific definition of EMR, it is only a collection of data in digital
form to give the best care to the patient while accessing their personal health information. EMR
caused great changes in the healthcare industry as electronic medical records are easily portable and
accessible from anywhere at any time. The United States 'American Medical Association reveals
information that 80,000 death occur every year because of poor medical record–keeping that was
totally paper–based several years back. Technology has made a great ... Show more content on
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So proper portal sites with professional IT vendors will bring some changes to implement cost
management by having different portal sites. Advancement in e–Prescribing: This method of
prescription is very beneficial to providers, doctors, pharmacists, and patients as it is a time–saving
method and it enables physicians "to prescribe in a single form electronically" and instantly allows
pharmacies to receive and archive information electronically. EMR replaces all paper–based records
in different hospitals which allows providers and patients to obtain certain benefits by reducing
medical errors. There are numerous benefits of EMR including better health care by improving an
aspect of patient care, improved diagnosis and treatment, and faster care and decision–making
responses from assigned medical
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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.
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Medical Records and the Implementation of Health Informatics
Introduction
Health Informatics or Medical Informatics is the intersection of information science, computer
science, and health care. Health Informatics offers resources, devices, and methods required to
optimize the acquisition, storage, retrieval, and use of information in health and biomedicine. The
applicable areas would be nursing, clinical care, dentistry, pharmacy, public health, and bio medical
research.
Electronic health information systems are the science that addresses how to use information to
improve health care. This paper will present the concept of electronic health records (EHRs) and the
current developments and analysis of the transition and implementation of health informatics in
health care organizations ... Show more content on Helpwriting.net ...
Electronic health records only allow access to the required information from authorized personnel.
Electronic Records and Physicians
The evolution of health care informatics developed in four stages. The development of
bioinformatics the first stage, in the 1950s, medical informatics was the second stage in the 1960s,
public health informatics, the third stage in the 1990s also consumer health informatics, the fourth
stage in the 1990s. In the first stage of health care informatics, Robert Ledley was the first to use a
computer for health purposes at the National Bureau of Standards, to study dental projects.
The field of Health Informatics collects data from a variety of patients, and uses that information to
create successful patient care. Health Informatics is a combination of computer sciences,
communication technologies, biological, and cognitive sciences to address today's health care
problems utilizing data management, analysis, and transmission. Dental hygienists handle vast
amounts of data in clinical practice. There are new techniques/products that they read about on the
Internet, and they ask if this particular treatment would be of benefit. On the other side of the
equation, we find that dental hygienists are using the Internet to search for the same types of
information.
However, being bombarded with a plethora of information from both sides of the spectrum, how
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Hcs 571 Essay
Capital Project
HCS/571
Capital assets are generally purchased to improve quality of care, or to provide needed equipment
for a new service or expansion of an existing service. The key element in capital budgeting is that
the building or piece of equipment being acquired has a lifetime that extends beyond the year of
purchase and it is a capital asset or long–term investment for the hospital. Capital assets are good
financial investments for the organization.(Finkler, Ward, & Baker, 2007). The Electronic
health record software system is one of the important operational priorities in the US healthcare. The
change from paper–based record system to electronic record system supported by technologies and
help for reducing errors and ... Show more content on Helpwriting.net ...
(McCarthy & Eastman, 2010).
Cost containment
The software related Electronic health record implementation need to be appropriate for the needs of
the organization and budget.(Swab, & Ciotti, 2010) The EHR software system has many areas
of market depending upon the size of the hospital bed size. The first criteria for the vendors
according to the bed with 100 and small hospital The Electronic health record system cost about
between $ 1 million and 2 for the electronic health record system The electronic health record
software cost for the organization about medium hospital cost is much larger than the first one. It
comes around three to ten million. The hospital and organization with more than average bed cost
for the electronic health record system will be higher amount than the other one. The cost and
amount of electronic health record system will depend upon the size of the hospital . The
management has to decide about the budget for the organization. (Swab, & Ciotti, 2010). The
organization must evaluate its mission and goals in light of its particular strengths and weakness and
in light of the demand for services and competition in the external environment. Based on that
evaluation it can make a plan that will take advantage of opportunities like Electronic health record
implementation according to the goals of an organization.(Finkler, Ward, & Baker, 2007).
The
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Health Information Exchange And The Health Care Field
Health information exchange has become a very important part of today's health care field. It is used
every day, in almost every part of the medical field. Electronic medical records, digital imaging, e–
mails, and fax are all used daily. Health information exchange has moved forward the health care
field and helped medical professionals give their patients faster, more efficient and safer care day to
day. In this paper, you will read about the history of the health information exchange, the benefits,
the privacy and security concerns, and the current challenges faced by the workers in the health
information field. History of HIE According to HRSA (2015), "Health information exchange (HIE)
is the electronic movement of health–related ... Show more content on Helpwriting.net ...
While many people believe that health information exchange is a relatively new thing, it has been
around for over four decades. However, in the beginning phases it was nowhere near as complex as
it is now. Sometime in the middle of the 60's, an early form of a data processing system was formed
and it focuses on clinical data management. This system began to catch on even though they were
nowhere near as sophisticated and or functional as the health records in today's time. In 1972, at the
Regenstrief Institute the first medical record system was created as "a modular system to provide
service functions for clinics, laboratory, radiology, and pharmacy" ("Structure, Functions, and
Activities of a Research Support Informatics Section," 2003). This was a pilot project in a diabetes
clinic and not something they thought would change the face of health information forever.
However, when it was first made it was not attractive to many doctors due to the high cost but was
used mostly by government hospitals since they had the funds to use them. To this day, the most
comprehensive medical records system could be found in the Regenstrief Medical Records System
based in Indianapolis. This records system is mostly in thanks to Clement McDonald, who is the
director of the Regenstrief Institute. In 1991, the Institute of Medicine stated that by the year 2000, it
would be smart for
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Patient Record Management System
CHAPTER I
The Problem and Its Setting
This chapter presents the background of the study, the statement of the problem, the assumptions
made in accordance with the design of the project, the scope and delimitation, the significance of the
study, the research design and methodology, and the definition of terms used in the study.
Background of the Study
There have been major progresses in the Information Technology for the past twenty (20) years
especially in the field of Medicine. The vast development of technology is the evident in hospitals in
other countries as they have developed and implemented different forms of Patient Record
Management System making practitioners and health professionals' work easier than the manual
way of ... Show more content on Helpwriting.net ...
(March 2009), the United States has less than 2 percent of U.S. hospitals that have completely
accepted a fully functional electronic medical records. With U.S. President Barrack Obama has
made electronic medical records a central piece of his plan to cut costs out of U.S. healthcare system
that consistently ranks lower in quality measures than other rich countries. The U.S. President also
allotted $19 billion to push into the increase the use of information technology in healthcare. The
numbers of without electronic medical records are relatively high compared to those organizations
that have adopted Electronic Medical Records.
Starfield, B. (1991) postulates that Primary Care in the United States is critical to the provision of
giving excellent medical care. From the research in the year 1996, the Institute of Medicine report
defined primary care as the provision of integrated, accessible health care services by clinicians
accountable for addressing most personal health care needs, developing a sustained partnership with
patients, and practicing in the context of family and community. These makes more people to
receive primary care than in other clinics. These clinics have adopted the innovations of information
technology giving more value to the primary care in other clinics. These clinics have adopted the
innovations on information technology giving more value to the primary care of their patients. Thus
obviously electronic medical records in the clinic are to be
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An Electronic Health Record ( Ehr )
Introduction
An Electronic Health Record (EHR) is an electronic version of a patient medical history that is
maintained by the provider over time (CMS.gov, 2012). They are patient–centered records making
the information available instantly and secured. It can include all of the key administrative clinical
data relevant to the patients care under a particular provider, including demographics, progress
notes, problems, medications, vital signs, past medical history, immunization, laboratory data and
radiology reports. EHRs are able to be shared and manage information across multiple providers,
labs specialist, imaging facilities and organization through health information exchange.
Electronic health records are to go beyond the clinical ... Show more content on Helpwriting.net ...
The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 and
the Affordable Care Act (AACA) established a number of programs in order to accelerate the
transformation of the United States Health care delivery system (HealthIt.gov).
Health care professional and hospital can qualify for Medicare And Medicaid incentive payments
when they implement EHR's, and used them to achieve their objectives. The goal of this meaningful
use is to promote the spread of EHRs; to improve health care in the United States. There has been an
increase in the adoption of health and meaningful use of EHRs. In 2015, 84% of hospitals adopted at
least a basic EHR system; this represents a 9–fold increase since 2008 (Henry, 2016). Basic EHRs
includes functionalities, such as viewing imaging results, which are not included in certified EHRs.
A certified EHR is EHR technology that meets the technology capability, functionality, and security
requirements adopted by the Department of Health and Human Services (Henry, 2016). The passage
of the Patient Protection and Affordable Healthcare Act has mandated that electronic health records
be adopted in healthcare organization around the United States. Not long ago, doctors and nurses
would write notes in a patient's chart during an office or hospital visit. Today, more and more patient
can expect to see computers instead of clipboards, since the adoption of health
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Essay about Management Information Systems
MGMT305 – Unit 5 Individual Project Week 5– Case Studies Chasity Fenn American
Intercontinental University
October , 2011
ABSTRACT This paper will discuss the questions asked about the four different case studies we are
to read this week. The case studies are When antivirus software cripples your computers, How
secure is the cloud, Are electronic medical records a cure for heath care, and JetBlue and WestJet: A
tale of two IS projects (Laudon & Laudon, 2012, pgs 304, 321, 522 & 556).
WEEK 5 CASE STUDIES
WHEN ANTIVIRUS SOFTWARE CRIPPLES YOUR COMPUTERS There are a few reasons why
McAfee's antivirus software created so many problems for their users. First, when test simulations
were done, management did not run ... Show more content on Helpwriting.net ...
321). Lastly, cloud system users also have to deal with the fact there could be an interruption of the
systems they use. It is expected by businesses and users for the systems to be available all the time,
but in reality power outages and server problems could make data retrieval and usage of the system
not possible (Laudon & Laudon, 2012, p. 321). The factors that contribute to the problem of the
distribution of data are the number of users of the programs. Having multiple distribution centers is
the way that cloud is able to have so many users and to store mass amounts of data. This also
contributes to the problem of tracking activities. The reason why some cloud providers do not (and
do not intend to) meet security requirements is the cost of audits. If a cloud provider does not have
proof of security requirements, they often have to have outside companies audit their data. Many
providers do not want outside companies viewing their data and it can be costly to hire someone to
do this (Laudon & Laudon, 2012, p. 321). Cloud computing is only as secure as the company
using it is. Even though cloud applications are secure and encrypted, it is the responsibility of the
business using the cloud systems to use encryption and other security measures. It is important that
security measures be used on the company's side, not just the provider's side (Laudon &
Laudon, 2012, p. 321). If
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Electronic Medical Records: A Case Study
Step 1: Your tentative topic Electronic Medical Records (EMR's) Step 2: Make a basic statement
Electronic Medical Records, are being used throughout the country in medical offices, chiropractic
offices, dental offices, nursing homes, & hospitals, and many more. Step 3: Make a stronger more
specific statement Electronic Medical Records are great for the physician, nurse or other medical
staff, but there is some issues with the EMR's as well. By putting your company at risk of identity
theft from hackers. Step 4: Compose a specific problem statement that can be argued and supported
A problem with the EMR's is privacy is major concern, as I've personally seen multiple times when
going to a medical office (dentist, family physician) the nurse will log on to input information into
the system and leave the room without logging out. So with that being said, I could see the patients
... Show more content on Helpwriting.net ...
The goal is not perfection this week but a progression to ensure "on track" to be ready for unit 3
when the problem statement is researched and finalized. The Unit 2 discussion with peer and
instructor dialogue will further help you achieve the top ten criteria. Top Ten Criteria for a Strong
Problem Statement 10. Defines the problem clearly without use of pronouns or acronyms. YES 9.
States the problem without posing a question. YES 8. Provides more than a sentence or two that
only describes a topic. YES 7. Consists of one to three bold sentences that present a specific focus, a
point of view, an opinion, or an idea that is arguable. YES 6. Goes beyond making an observation,
makes a case for or against something (avoid contractions, eliminate the word "not" and the word
"but").YES 5. Contains one main subject that is IT discipline related. YES 4. Offers the subject's
importance. YES 3. Appeals to an audience of IT professionals. YES 2. Has no spelling, grammar,
usage, or mechanic errors.
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Electronic Medical Records
Computer Based Medical Records Abstract In the medical field there have been a lot of
technological advances and making health records electronic is one of them. The days of having a
paper health record are almost obsolete. An electronic health record keeps a patient's medical
information and history on a computer which is accessible to more people in less time. I will explain
how the continuity, communication, coordination and accountability of the electronic health record
can help the medical office. I will explain what can be included in the electronic health record. As an
advocate of the electronic health record I will also explain some disadvantages to the electronic
system. Computer Based Medical Records Electronic ... Show more content on Helpwriting.net ...
All the patients' files should be backed up at least on a weekly basis to ensure that none of the
information is lost. (HIPAA, 2011) Another way for accountability of the electronic health record is
to have each person in the office has a key card or password to access the system. This will allow for
the physician to check back and see if anyone is releasing information or making changes that are
not authorized. This also allows for physicians to find out who made changes to a patients record if
information is inaccurate. (HIPAA, 2011) Electronic Health Records will include the same
information as the paper record. This includes basic patient information such as demographics,
medical history, medications, allergies, laboratory results, radiology images, and billing information.
(2006) Each individual doctor can specialize their system and what they want it to include. They can
add different components to the electronic health record that are important to them and needed in
their practice. (2006) Even though I am an advocate for the electronic health record there are
drawbacks to the system. Each individual physician will have to determine if the drawbacks are
worth the advantages of the system. One of the drawbacks to the system is privacy. Privacy will
always be a big factor. Some patients may not like the idea of having their medical information
easily accessible by almost anybody. (The HWN Team, 2009) Electronic health records
... Get more on HelpWriting.net ...
Improving Communication, Access And Accuracy Of Medical...
In the United States, the healthcare system is advancing to an electronic health record (EHR).
Documentation of health information on paper is becoming a thing of the past, as the move for
electronic charting is encouraged. This transition from paper charting has been recognized as a
necessary transition to improve communication, access and accuracy of medical records (Hebda &
Czar, 2013). Development and implementation of the EHR continues to cultivate within the USA
and is moving toward a more widespread adaption of the concept. In order for EHR to progress
there is still much to do to make it more functional. Security and privacy remain a large issue that
still needs tweaking amongst several other concerns. While myself and other healthcare workers
continue to integrate aspects of EHR into care, we are learning new challenges that it brings and
benefits as well.
Current State of Electronic Health Record
The National Alliance of Health Information Technology defines the EHR as "an electronic health
record of health–related information on an individual that conforms to nationally recognized
interoperability standards and that can be created, managed an consulted by authorized clinicians
and staff across more than one health care organization" (Hebda & Czar, 2013). The goal is to create
a health record that is capable of following an individual throughout their life. The availability of the
record would aide to continuity of patient information along the health
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Documentation And Communication : Home Health And Hospice...
BACKGROUND OF PROBLEM Documentation and communication are constant challenges that
healthcare providers face when seeking continuity of care for their patients. Every time a patient
moves from a hospital to a nursing home, or from a skilled nursing facility to home health or
hospice, the staff that cares for the patient is at risk for a gap in patient care and communication.
Home health and hospice agencies rely heavily on Medicaid and other insurance for reimbursements
in order to continue to provide care for their patients and keep the doors to their agencies open.
Thorough and timely documentation is the key to ensuring proper reimbursement for nursing
services and other therapies provided from insurance agencies. This same ... Show more content on
Helpwriting.net ...
According to the Centers for Medicaid and Medicaid Services, "EHR can improve patient care by:
Reducing the incidence of medical error by improving the accuracy and clarity of medical records.
Making the health information available, reducing duplication of tests, reducing delays in treatment,
and patients well informed to take better decisions. Reducing medical error by improving the
accuracy and clarity of medical records" (CMS, 2012). EHRs can also improve quality of nursing
care by providing nurses with education on the latest in evidence based practices relating to their
patients' conditions. "In order to bridge the gap between research and practice and to improve the
quality of care, evidence–based Clinical Practice Guidelines (CPGs) can be incorporated into
homecare agencies' EHRs" (Topaz, Radhakrishnan, Masterson, & Bowles, 2012, p. 25). By
incorporating this technology, EHRs go further to empower nurses to make prudent care decisions
based on the latest research on best practices. TECHNOLOGY There are two terms that are used in
this discussion interchangeably and they are Electronic Medical Record (EMR) and Electronic
Health Record (EHR). In general, electronic medical records are "are a digital version of the paper
charts in the clinician's office. An
... Get more on HelpWriting.net ...
Information Technology And The Early Adopters : Providers...
Information technology was incorporated into healthcare to increase quality, increase efficiency, and
reduce costs. By increasing efficiency and reducing cost the electronic medical record would
increase quality care for every. Just because something may be cheaper in the long run and faster, it
does not always mean it improves quality and positive outcomes. I have seen increased
communication and ability to locate information improved, yet I have also witnessed decrease
patient time due to the many hoops and additional documentation that is being required by
management, insurance companies and federal regulations.
Makam, A., Lanham, H., Batchelor, K., Moran, B., Howell–Stampley, T., Kirk, L., & Halm, E.
(2014). The good, the bad and the early adopters: providers ' attitudes about a common, commercial
EHR. Journal of Evaluation in Clinical Practice, 20(1), 36–42. doi:10.1111/jep.12076 When
reviewing the electric medical record many people have different thoughts and feelings regarding
the overall process and outcomes that it has. In this article it compared the early electronic medical
records user and the experience electronic medical record users and their feeling towards improved
quality. The survey in the article indicated improvements across the board to varying extents. This
article is about perception, not facts. It shows no clinically based evidence to support the finding of
improved quality. In addition, I think the article would have been
... Get more on HelpWriting.net ...
Electronic Medical Record ( Emr )
Health Information Technology (HIT) is continuously evolving and holds high promising standards
when it comes to improving the health care quality in the U.S. and other countries. Health
Information Technology (HIT) can improve in several areas such as: efficiency, cost reduction,
quality and safety care delivery, immediately accessibility of data to clinicians by making
computerized patient records available throughout a health care network (ahrq.gov 2006). To the
point that congress in 2009 put aside billions of dollars from the stimulus package, to create
incentives for meaningful use of Health Information Technology (HIT) to physicians or health
organizations. Nonetheless, despite the bright future and potential benefits of HIT some conflicts
still rise about its complete adaptation and success in the future. Mainly to those particular HITs,
Electronic Medical Records (EMR), Personal Health Records (PHR) and Electronic Health Records
(EHR).
Electronic medical record (EMR) is the renovation of a patient clinical data from paper based into a
computer based. EMRs consist of mainly data gathered by a Primary Physician or one hospital. The
compile information can be as follows: notes, health maintenance information, problem list,
medication list, allergy list, results of laboratory, radiology, and other testing (David W. Bates, Mark
Ebell, Edward Gotlieb, John Zapp, H.C. Mullins. 2003). Electronic medical record (EMR) enhances
the efficacy of health exchanges and
... Get more on HelpWriting.net ...
The Impact Of Technology On The Healthcare Field
Abstract
While advancements in technology have positively impacted the nursing field, it has also created
huge concerns with patient privacy and sharing of protected health information leading to
detrimental effects to patients and their families. Indeed, technology is changing the face of
healthcare with positive innovations to reduce medication errors and documentation errors.
However, technology at our fingertips has created immense concerns with sharing of protected
health information of patients via social media, email and other means of communication via
technology. This paper addresses why I feel the advancement of technology has numerous deficits
that need more research and implementation of new laws and policies to safeguard the ... Show
more content on Helpwriting.net ...
The electronic health record (EHR) is a digital record of a patient's health history that may be made
up of records from many locations and/or sources, such as hospitals, providers, clinics, and public
health agencies. The EHR is available 24 hours a day, 7 days a week and has built–in safeguards to
assure patient health information confidentiality and security. (Huston, 2013)
Equally impressive is the implementation of Computerized Physician/provider Order Entry or
CPOE. CPOE is known as one of three key patient safety initiatives by Leapfrog Group, a
conglomeration of non–health care Fortune 500 company leaders committed to modernizing the
current healthcare system (Huston, 2014; The Leapfrog Group, 2013). CPOE is a type of software
designed to reduce errors in transcription due to illegible physician handwritings or wrongly placed
decimals in dosage and strengths of medications. CPOE also gives the clinician access to Clinical
Decision Support, or CDS, which is a database to assist clinicians and providers to health related
information for certain patient diagnosis with care planning assistance and direction. (Huston, 2014;
The Leapfrog Group, 2013). CPOE and CDS will likely be streamlined and commonly used in
healthcare in the next decade which appears will likely improve patient safety as well as vastly
reduce medication and
... Get more on HelpWriting.net ...
Essay about Emr
Social Change of EMR
Introduction/Thesis A chartless/paperless doctor's office was once something only dreamt of in a
Star Trek episode. Soon humans will utilize laser beams as a major mode of transportation; well
possibly in the distant future we will transport ourselves via laser beam. The advancements in health
care technology have made it possible to obtain a chartless (paperless) environment. Whether you
are in private practice or part of a major health care organization, the latest technological push is
towards EMR (electronic medical record) systems. The impact of EMR systems can be compared to
a small earthquake; it has the potential to send shock waves through a health care environment long
after the initial quake has ... Show more content on Helpwriting.net ...
5. Clinically–Driven Product Design – Does the product meet the best practice standards? Does it
contain the clinical design need for capturing, retrieving and reporting data?
6. Return On Investment – What will your return or cost savings is for implementing an EMR
product?
7. Product Integration – Can the product easily be interfaced with other products?
8. Vendor Stability – Will the vendor still be in business in ten years from now or will you be
searching for a new product?
9. Commitment to Product Development – The insurance companies and government are constantly
adding new guidelines and laws for health care, can and will this sustain upgrades and
enhancements?
Now that a product has been chosen, design, testing, training and implementation are the next steps.
In conjunction with the first three steps, advertising the product is key, especially in a large health
care setting. It is critical to the project to get the word out regarding the products efficiency. Make
people excited about the endless possibilities and functionality of the product. Post signs on the
employee bulletin board, hand out lapel or badge pins, and promote a campaign slogan and logo for
the new product. An example of a slogan/logo would be "don't get stuck on paper", the logo is a
picture of a provider with post–it notes stuck to him/her. Lastly, appoint a Physician Champion to
each clinical area. The champion will play a notable
... Get more on HelpWriting.net ...
Electronic Medical Records Research
Even before electronic medical records became available, there was interest in encouraging patients
to review their medical records. In doing so, researchers sought to educate, engage, and empower
patients. At the same time, researchers recognized that the medical record contains technical
language and raw data that was never intended for the layman, so the medical record might also
worry or confuse patients. Clinical trials that gave medical patients access to their written records
showed modest benefits (such as improved doctor–patient communication) with minimal risk of
harm. (Ross, Moore, Earnest, Wittevrongel, & Lin 2004, page1). Indeed, the electronically stored
medical records and use of the Internet provide patients access to their records online. An Internet–
accessible medical record is helpful for patients and helps Patients to review medical records online
repeatedly and at their convenience. Besides, in the context of other resources that aid them in
comprehending it. Studies have shown that patients could have access to online medical records
without compromising privacy and security. Furthermore, patients appreciated to have access to
their records and they cause small disruption to clinical operations. A study was done with ... Show
more content on Helpwriting.net ...
EHRs will improve caregivers' decisions and patients' outcomes. Once patients experience the
benefits of this technology, they will demand nothing less from their providers. Hundreds of
thousands of physicians have already seen these benefits in their clinical practice. But inevitability
does not mean easy transition. We have years of the professional agreement and bipartisan
consensus regarding the potential value of EHRs. Yet we have not moved significantly to extend the
availability of EHRs from a few large institutions to the smaller clinics and practices where most
Americans receive their health
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Why Code Is Outdated Or Outdated? Essay
research to see if the code is obsolete or outdated or should there be any modifiers added. The
medical office is small enough, where at any given time the doctor, along with the office manager,
instructs what each employee is working on. At times a medical staff is working on insurance
claims, another is researching the usage of a particular code. How to use and under what conditions
a particular code needed.
D. Does the facility contract for coding services? No, the doctor does all his coding. When the
doctor cannot figure what codes to use, he enlists his fellow optometrists, or the AOA to find the
proper codes. Also, there are more medical information, along with websites and news articles
available. There are other websites the doctor may look up information:
 The American Health Information Management Association or (AHIMA), if something isn 't clear
or more information. Also this website has new codes and their usage. AHIMA publishes a current
listed of codes that is no longer in usage or supported.
 The American Optometric Association (AOA), provides doctor–reviewed, doctor–approved
information about the greatest common eye conditions.
III. FILING & NUMBERING SYSTEMS
A. What type of record filing system is used? Alphabetic Filing System, where patient files are
stored by patient last name, first name, and middle initial. The files are in a closed file cabinet. Tab
on
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The Conversion Of An Electronic Health Records System For...
Introduction
This document outlines the conversion to an electronic health records system for Children's Hospital
of Wisconsin. It is important to note that the conversion process is only the beginning. The process
must be clear and understandable to all members of the organization. Members must be trained
extensively and retrained on an ongoing basis. Changes must be made in a well thought out manner
and this must be communicated effectively to the members that are affected. The effectiveness of the
system should be monitored and evaluated regularly and those that do not comply must be
disciplined properly.
Historical and Current Perspective
Children's Hospital of Wisconsin is a medical provider with close to one hundred clinic and hospital
locations located across the state of Wisconsin with satellite locations in northern Illinois as well.
The locations amount to two hospital facilities located in Wisconsin (Milwaukee and Neenah) one of
which is labeled a level one trauma center and was labeled the number four children's hospital in the
nation by Parents Magazine in 2013 (www.chw.org).
In early 2011 Children's Hospital of Wisconsin (CHW) informed it patients and the general public
that it would be fully immersed in another version of the electronic health record system, EPIC, by
the completion of the 2012–2013 fiscal year. With so many hospital, clinic, and community
locations, the hospital needed to implement the system in phases and fully engage thousands of
... Get more on HelpWriting.net ...
Utilization Of EMR In Healthcare
http://www.bbllaw.com/articles/electronic_medical_records.htm The rapid adoption of the electronic
medical record (EMR) is transforming how the healthcare industry functions in its entirety. EMR is
being used to improve care coordination and communication among disparate healthcare providers,
improve the efficiency and efficacy of the healthcare delivery system, and it is used to successfully
reduce health cost. However, despite the great benefits afforded by the utilization of the EMR
system; the adaptation of this modern technology comes with some unintended consequences. The
data contained in the EMR system are searchable by content, whether for use in patient care area,
research purposes, or for legal purposes (Bigelow et al, nd). One
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Why We Need Electronic Health Records
Abstract
The United States health care system uses electronic health records (EHRs) to replace paper charts.
They contain valuable patient medical information. EHRs improve the quality of care without
expensive, time–consuming processes. Although there are many reasons to use electronic health
records, there are also many disadvantages. More importantly, there is a real need for electronic
health records (EHRs) in this day–in–age. The Importance of Electronic Health Records
"Electronic health record systems enable hospitals to store and retrieve detailed patient information
to be used by health care providers, and sometimes patients, during a patient's hospitalization, over
time, and across care settings." (Silow–Carroll, Edwards, and Rodin, 2012, n.p.). All of these
possibilities that EHRs bring and more are partly why electronic health records are so important.
This paper will discuss why we need electronic health records, the advantages and disadvantages,
the importance of electronic health records, and how they are more useful in today's society. To
learn more about EHRs and the role they play in our health care system, we must first understand
what they are.
What is an EHR?
EHR stands for electronic health record, which store health data electronically. These health records
are a digital version of a patient's traditional paper chart. Using a highly secure network, health care
professionals such as, physicians or nurses, enter patient medical information directly
... Get more on HelpWriting.net ...
Advantages And Disadvantages Of Electronic Medical Records
Electronic medical record (EMR) can be defined as an electronic record of health–related
information on an individual that can be created, gathered, managed, and consulted by authorized
clinicians and staff within one health care organization. There are two advantages and two issues of
EMR in Malaysian Government Hospital that I will discuss in this paper. The using of EMR in
Malaysian Government Hospital was enabling quick access to patient records for more coordinated
and efficient care. The medical record officer can access the patient information within a short time,
and it more save time if compared with searching the file record of staff at the shelf. Enabling quick
access also referred to the benefit of EMR system that sharing a database system, whereas the
medical record officer or doctor can use the system ... Show more content on Helpwriting.net ...
The characteristics of electronic record that easy to modified and changed might cast doubt on the
court this is because if some data has been changed even for correction there are no trace that
showing the error was corrected, it different with a paper records, a simple line crossing out the
incorrect information will notify the reader that a change has been made. Moreover, usually using
EMR especially for conversion process, the original documents are scanned into a system and then
will shred or destroyed, these process might give a problem because some paper documentation is
illegible, but once the originals are destroyed there is no way to recover the data. So, to overcome
this issue, medical record officer must not too hasty in the destruction of the original documents,
they also should not destroy specific stored information that it is required to preserve. Not only that,
they also should always keep the original document as a backup, and use EMR only for a quick
access purpose rather that concern it as a system that can save a
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The Problem Faced By The Student Run Clinic
The problem faced by the student run clinic called Bhagat Puran Singh Health Initiative (BPSHI),
which is a non–profit organization is to have an affordable yet reliable system that can further
expand on the free health awareness provided. One such way that can further expand on the health
assistance is the transition of older traditional paper medical record to an electronic record system
(EMR). However, there are a number of sub–problems that needs to be addressed when
implementing the transition, which are: a proper EMR application, work force, and analysis skills
not limited to time and cost. In simpler words, the problem faced is mainly the lack of a proper way
to implement EMR. There is privacy right over one's health information; despite what form is used
paper or electronic. Therefore, a crucial factor to consider while analyzing the problem is the
requirement of keeping the medical information both private and protected. In order to follow
HIPAA guidelines, proper training needs to be implemented before data entering the patient's
medical into the system (Rodriguuez, 2011). Additionally, another factor that could potentially cause
hindrance in the transition process for medical records is: further sub–diving the workload needed to
manually transfer the paper records into EMR such as data entering, compliance monitoring, and
administrating. Lastly, implement the best application for EMR that is not only cost efficient but
also user friendly as well. In order to
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The Electronic Health Records ( Ehr )
Abstract
The times of entering and storing health care records in file cabinets is quickly changing due to the
electronic age. Electronic Health Records (EHR) are becoming increasingly popular especially since
there have been many legislative attempts to encourage the use of health information technology
systems. With the potential benefits that come with EHR's, potential risks are also associated with
this technology. The main concern is that of maintaining data security and if current law establishes
enough security guidelines. Though security is a major risk of EHR's many ideas have been
proposed in order to help alleviate the potential threats. This topic is beneficial to the profession of
nursing because as nurses it is also our responsibility to ensure that these systems are secure in order
to maintain the integrity of our patient's health information.
Introduction
The Electronic Health Record may be a positive step towards the future of health care and the way it
is implemented daily. It has strongly become widely accepted in most institutions and slowly
traditional paper charts will be no more and become obsolete. As this shift continues to happen
attention to security must not be left behind. Security will play a major role in the advancement of
EHR's. As stated by McCormick and Saba (2011) following the International Council Code of
Ethics for Nurses that states nurses "hold in confidence personal information" and "ensures that the
use of technology
... Get more on HelpWriting.net ...

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EMR Implementation In Small Independent Practices Essay

  • 1. EMR Implementation in Small Independent Practices Essay Achievements in public health and technology have created growth in the health care industry. Significant advances in prevention as well as declines in death rates have created a need for a more sophisticated system of record keeping. While monitoring the health of the nation, planning and developing better health services, and delivering effective and efficient care is now more important than ever. The need to manage patient data has increased as well. Moving from a world where paper records are kept in file cabinets, to implementing a system where documents are stored and maintained on computers and accessed through EMR systems is a complicated procedure for a large system, let alone the smaller independent practices that still ... Show more content on Helpwriting.net ... EMRs will contain the same, but with an easily searchable index for faster and more efficient administration of care that can be cross–referenced for evidence–based care (Hillestad, et al, 2014). One of the greatest benefits is that of interoperability (Ouellette, 2012). Not only will entire systems be able to access patient records, but eventually with a national database, a patient can be anywhere in the country and their entire history can be pulled to provide care (Ouellette, 2012). This will ensure that that quality care is given quickly with fewer errors. There are concerns about the implementation and maintenance costs of EMRS. With the increase of costs for implementing EMR's most facilities will eventually have to make up the cost somewhere, and that usually is in the form of higher costs to the consumer (Freudenheim, 2012). However, there are government programs and low interest loans to offset the costs for those facilities that are strictly non–profit, as well donors might help offset the costs (Callahan,2014). Other concerns include security and privacy of health data, access control and ... Get more on HelpWriting.net ...
  • 2.
  • 3. Conversion to Electronic Health Records Essay What an exciting time to become part of the health care industry! Medical research makes new discoveries to improve the quality of patient care and save lives on a daily basis. Health care reform is gaining momentum, revolutionizing the industry and requiring many administrative changes, such as the creation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Rules and standards evolved from this act provide a way to ensure your protected health information remains confidential. In this digital age, it is particularly relevant. The digital evolution impacts many areas. Digital TVs, computers, smart phones and iPods have totally changed the way we do business and enjoy entertainment. In the medical industry, the ... Show more content on Helpwriting.net ... Electronic retrieval of patient demographics, allergies, current medications, complete medical history, diagnostic and radiologic results, etc. occurs by clicking a few buttons. Electronic patient charts provide quick and easy access to physicians, hospitals, independent labs, and pharmacies. EHRs allow simultaneous access by independent providers and allow a collaborative effort for health care management of the patient. "EHRs are the next step in the continued progress of healthcare that can strengthen the relationship between patients and clinicians". (Electronic Health Records Overview, 2011) A lengthy list of EHR benefits supports the evolution from paper to electronic medical record keeping. One such benefit, the significant reduction of needed storage space. Bulky paper charts require a lot of space and misplaced charts waste time and effort to locate. Since EHR data remains on the computer, medical practices no longer require secure on–site storage, and electronic files eliminate misplacing files. Another benefit to data remaining on the computer rather than a medical chart, electronic records allow immediate access from several locations. EHRs provide emergency room personnel access to allergies and other pertinent information of unconscious patients. The on–call physician accesses patient information from their home computer, rather than driving to the medical ... Get more on HelpWriting.net ...
  • 4.
  • 5. The Benefits Of Electronic Medical Records Introduction The benefits of Electronic Medical Records (EMR) significantly outweigh the disadvantages, when it comes to the nursing care of patients in multiple settings. There have been multiple studies proving the enhancement and efficiency of nursing care in various areas, when electronic documentation is properly taught and utilized. Likewise, there is evidence supporting the reliability of the documentation, after comparing nurses' verbal accounts of previously recorded information. When the programs used in electronic documentation are continually evaluated for completeness, accuracy, and quality, they become excellent tools for legislation. Electronic medical records present many advantages to the nursing care of a vast majority of patients, and also help uphold satisfactory legal and ethical implications of nursing documentation. Body (Review of Literature) Bruylands, Paans, Hediger, & Müller–Staub (2013) provide evidence of electronic health records improving the nursing process. The purpose of their study was to assess the effectiveness of electronic nursing documentation, when it was and was not coupled with an instructive program. The experiment sampled electronic nursing documentation over time, and ranked the groups in terms of accurateness of the nursing process. It was shown that groups who were provided with continual education had a substantially higher accuracy, when it came to using the nursing process. While all groups benefited immensely from the ... Get more on HelpWriting.net ...
  • 6.
  • 7. Electronic Medical Records And The New Age Of Electronic... Electronic Medical Records (EMRs) are now exercising a more significant impact on healthcare practices than ever before. The United States healthcare system stands on the brink of a new age of electronic health information technology. The potential for innovation within this new technology represents a great opportunity for the future of medicine. However, in seeking to implement EMRs caution must be exercised to ensure that implementation does not have adverse effects on the personal nature of the patient–physician relationship an important issue that must be addressed in order preserve the integrity of healthcare in the new electronic age. Electronic Medical Record system role in Healthcare Field Introduction:– Electronic medical records (EMR) software is a rapidly changing and often misunderstood technology with the potential to cause great change within the medical field. Unfortunately, many healthcare providers fail to understand the complex functions of EMRs, and they rather choose to use them as a mere alternative to paper records. EMRs, however, have many functionalities and uses that could help to improve the patient–physician relationship and the overall quality of patient care. In order for this potential to be realized, both the patient and the healthcare provider must have a deeper understanding of EMR purpose and function. In this paper will highlights the historical developments and its potential effects on the patient physician relationship in order to ... Get more on HelpWriting.net ...
  • 8.
  • 9. Ethical Implications Of Electronic Health Records Ethical Implications of Electronic Health Records Brian Davis Dr. Kemp defines an electronic medical record (EMR) as "the digital version of a paper chart that contains all of a patients ' medical history from one practice" (Kemp, 2014). He also differentiates between the use of the term electronic medical record (EMR) and electronic health record (EHR). An EHR is more "comprehensive" than an EMR. It allows for data sharing across multiple practices. The use of both EMRs and EHRs has gained in notoriety in the last decade. And it appears that the use of these two terms is interchangeable. The idea of data sharing and having one's health records at the click of a button is highly appealing. While there are several ethical implications to explore when dealing with computerized charting, the objective for this research review will focus primarily on three interesting concepts: autonomy, finance, and privacy, as it relates to information technology. Autonomy Autonomy explores the idea of every person having rights in regards to healthcare and decision making. "Autonomy is an agreement to respect another's right to self–determine a course of action and support independent decision making" (Beauchamp & Childress, 2009). In 1990, the ideas of autonomy lead to the Patient Self Determination Act which allows competent people to make their wishes known about end of life. The act includes living wills and health care power of attorneys, which deals with end of ... Get more on HelpWriting.net ...
  • 10.
  • 11. A Brief Note On The And Central Station Desktop Ehrs Slide 10: Within nursing practice, assessment, documentation, and communication are the most frequent activities, consuming 18.1%, 9.9%, and 11.8% of nurses ' time, but with EHR nurses have more time to analyze and deliver patient care. The selection of bedside or central station desktop EHRs will influence documentation time for the two main user groups, physicians and nurses (Vondrak, 2012). Slide 11: Human errors, such as medication errors or allergy errors, are minimized with alerts on the electronic health record. The electronic health record has shown to reduce the number of missing charts (82%), and improves data accessibility to patient records and documentation remotely (75%) (Narisi, 2013). By eliminating paper charting, the EHR makes all patient's data and information available at all times to all physicians. The EHR improves patient care delivery by reducing the error of hand–written orders and allows for other physicians to access the order. This is great for when the doctor orders a medication to start stat, and puts the order into the EHR, so the nurse can start the medication right away (Palma, 2013). Slide 12: EHR can help detect possible errors in the system. For example, EHR alerts providers of possible conflict in medications that were prescribed to patients. In a case of emergency when a patient is unconscious and not able to communicate, clinicians can pull the patient's medical history from the EHR in order to better treat the patient. With the EHR ... Get more on HelpWriting.net ...
  • 12.
  • 13. The Patient Physician Relationship For Effective Delivery... 1.0 Introduction and Background of the Study Privacy is an underlying governing principle of the patient–physician relationship for effective delivery of healthcare. Patients are required to share information with their physicians to facilitate correct diagnosis and determination of treatment, especially to avoid adverse drug interactions. However patients may refuse to disclose important information in cases of health problems such as psychiatric behavior and HIV as their disclosure may lead to social stigma and discrimination. Over time, a patient's medical record accumulates significant personal information including identification, history of medical diagnosis, digital renderings of medical images, treatment received medication ... Show more content on Helpwriting.net ... Extended Enterprise Figure 1.1: Typical Information flow in a Healthcare System On the other hand, one must also protect sensitive patient information from being distributed to unauthorized persons, that is, one should strive to maintain patient privacy. Patient information is thus a critical factor in healthcare and should follow the patient during the whole patient process even if the patient visits more than one healthcare provider, that is, in distributed healthcare. Protecting patient information has always been a high priority within the healthcare domain. When electronic healthcare records (EHR) are used, the availability of patient information increases. Think for instance of the medical information of patients: a typical hospital is visited by thousands of patients each year and for each patient, the hospital needs to store contact details, insurance information, appointments with medical specialists, and a medical data: medical reports, radiography pictures, laboratory results and more. Medical professionals need to access ... Get more on HelpWriting.net ...
  • 14.
  • 15. Ehr's Will Benefit the Medical Field [pic] How EHR's will Benefit The Medical Field [pic] Abstract EHR, known as electronic health record, refers to some systematic collection of an individual's or a population's electronic health information. The record is in a digital format which is theoretically sharable across various health care settings. Sometimes, this sharing can happen by way of network– connected, information systems or some other information networks. The electronic health record may include a wide range of data, like demographics, the patient's medical history, their medication and allergies their immunization status, lab test results, vital signs, statistics like weight and age, and billing information. These systems are designed to ... Show more content on Helpwriting.net ... Since the moment that technological advances changed data entry from the use of punch cards to keyboards, as well as data display from showing printed results to the use of video display terminals, innovative physicians around the country have continued seizing the opportunities to improve delivery of healthcare (Fridsma, 2009). Some well–known efforts made include: The Lockheed Corporation, in 1971, created a system that eventually came to be known as Eclipsys for the El Camino Hospital, that featured computerized physician order entry and allowed multiple, simultaneous users. In the early 70s, the University of Utah, Latter Day Saints Hospital, and 3M created the Health Evaluation system through a Logical Processing system. Though each of the designers of these systems had different ways of describing their motivations, their objective was to solve two problems: Eliminating paper records logistical problems by making the clinical data immediately available to the authorized users regardless of where they are, eliminating undecipherable or unavailable. Reducing clinical book keeping work required to manage the patients eliminating cases of misdiagnoses in the laboratories. The biggest challenge that presented itself to the design of EHR systems in the 90s was creating user heterogeneity with the advent of the personal computer. The differences in the nature of ... Get more on HelpWriting.net ...
  • 16.
  • 17. Advantages And Disadvantages Of Paper Medical Records Medical records play an essential role at any hospital, because it is considered as a depository of patient's health observations, analysis, and physical examinations. Since the 1920s, paper medical records have gradually grown all over the world. They are easy to use for senior doctors, nurse, physicians, and anyone with medical expertise, and all of them can use it without any additional skills. It revolutionized the field of medical services, which benefited both patients and medical service providers. The daily use of paper–based medical records sometimes become out of control, because these records have some problems according to their nature. First, the paper–based records need to record by hand and store in physical database that can ... Show more content on Helpwriting.net ... As the evolution of electronic medical records continued, there were also new amendments and laws made to regulate the privacy of the electronic medical records. Thus, the United States Congress declared a new law, which is the Health Insurance Portability and Accountability Act (HIPAA), and president Bill Clinton signed this law in 1996. This law was introduced to fulfill some of the privacy and security issues that faced healthcare in the United ... Get more on HelpWriting.net ...
  • 18.
  • 19. The Role Of Patient Care At Madigan Army Medical Center Essay Interview Paper On October 22, 2016 I interviewed Major Alicia Robinson, nursing informaticist at Madigan Army Medical Center (MAMC), a 220 bed military hospital located on Joint Base Lewis McChord, WA, approximately 45 minutes south of Seattle. Madigan Army Medical Center is considered the second largest military treatment facility. It is also one of the two designated level trauma II medical centers in the Army, as well as, only one of the four in the state of Washington (Major Robinson, personal communication, October 22, 2016). Major Robinson stated that she has been in this position for two years and has previously worked as a staff nurse on the Medical Surgical Floor. She is an active duty officer who has a BSN in nursing and is certified in informatics. Ultimately, after working bedside nursing she decided to focus on informatics because of an interest in advancing military medical systems (personal communication, October 22, 2016). The following questions were asked during the interview and her responses are immediately following. Describe the Use of Patient Care Technologies to Deliver and Enhance Care Major Robinson stated that the military systems are behind in terms of technologies compared to civilian counterparts. For example, big changes are expected because scanning will become a standard of care on the inpatient and outpatient areas of the hospital with implementation of a new computer system summer 2017; this has been a standard of care ... Get more on HelpWriting.net ...
  • 20.
  • 21. Healthcare Informatic Essay 7. Describe the main points of the Pod/Vodcast. Healthcare Informatics is defined by the U.S National Library of Medicine as the Interdisciplinary study of the design, development, adoption, and application of IT– based innovations in healthcare services delivery, management, and planning (Ong, 2014). Health informatics is being utilized to enhance process efficiency. The wave of health informatics began in the 1990's. It has changed the way we do things from shopping to work to the way we live our daily lives (Kudyba, 2010). Health Informatics has doubled productivity (Kudyba, 2010). Healthcare is slowly emerging into the world of informatics. Many healthcare facilities are now utilizing electronic medical records. Healthcare Informatics will help reduce cost. Utilizing technology increases the speed of routing ... Show more content on Helpwriting.net ... Would you recommend this Pod/Vodcast to others to listen to or view. Explain why or why not. The Pod/Vodcast "What is Healthcare Informatics" was very informative. The presentation was brief and held the attention of viewers. Mr. Kudypa was able to give a brief history of healthcare informatics and how informatics is changing daily the way we do everything. The topic of healthcare informatics can be very detailed. This presentation gives the audience a few samples of the importance of healthcare informatics and the future of healthcare informatics. I would definitely recommend this podcast to individuals who are beginners with the new wave of healthcare informatics. 9. If you created a Pod/Vodcast on this topic, what would you do to improve it? "What is Healthcare Informatics" was presented very well. Changes I would make to the podcast would be giving viewers some additional resources they can research to get more in depth regarding the topic. The imaging and setting were in date and holds the audience's attention. The length of the podcast was appropriate and the presentation could be understood by a wide range of ... Get more on HelpWriting.net ...
  • 22.
  • 23. Benefits Of Electronic Medical Records There are many reasons why some health care organizations have been reluctant to use electronic medical records. First let's talk about, what is an electronic medical record. An (EMR) Electronic Medical Record consist of standard medical and clinical data gathered in the provider's office which include a more in debt patient history. EHRs are created to hold and distribute information from all providers dealing with patient care. EHR data can be created, managed, and advised by authorized providers and staff from across more than one health care organization. EHRs is another name for digital paper chart that hold all of the patient's medical history from one practice. While expanding daily, electronic medical records are becoming extremely popular. Research shows that some healthcare organizations continue to be reluctant to purchase electronic record programs. The pressure on hospitals, clinics, systems, physicians and other providers to get with the program is outstanding. Cost is a major concern for single practitioners, which are least likely among physicians to adopt EHRs. EHR systems are not cheap by any means. Physicians have to weigh the cost of not only creating, but supporting their own IT structure and applications as well. The option to decide to use external vendors to provide the services is given also. Consideration of cost include purchase price, coordination cost, monitoring cost, and negotiating cost along with upgrade costs, and governance cost. ... Get more on HelpWriting.net ...
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  • 25. Electronic Medical Records And Electronic Health Records Technology has advanced throughout the years. The effects of these advancements have been both positive and negative. Not only have these advancements helped make our lives easier, it has also helped us lived longer. For example, the use of the computer has evolved in health care. Medical Professionals use the computer for their daily operations. As a result of the use of the computer, the Electronic Medical Records (EMR) and Electronic Health Records (EHR) were created. In 2009, President Obama signed the American Recovery and Reinvestment Act, which included the HITECH (Health Information Technology for Economic and Clinical Health) Act. HITECH instructed the Centers for Medicare & Medicaid Services to get eligible providers to start ... Show more content on Helpwriting.net ... EMR and EHR also helps keep information up–to–date. A study was done by to evaluate the staffed nurses attitude and perception of the EHR in Sri Ramakrishna Hospital. The study found that majority of the staffed nurses (95.5%) found the EHR as beneficial (Juliet & Sudha, 2013). About 68% of the nurses believed that EHR would be helpful and the about 73% of them believed EHR will reduce the workload (Juliet & Sudha, 2013). Cons Nurses have found the EMR and EHR beneficial. Many of them have positives views of them. However, not all nurses have reciprocal feelings towards having patients medical records electronically distributed. According to Nelson (2016), challenges to EHR usability include workflow issues, forced word choices, lack of or limited free text, and difficulty finding data or information, among others. Nurses have stated that inputting information to the EMR and EHR takes too much time and it is also time consuming. The most common problem with EMR and EHR are system failures. Computers crash every time and power outages are really common. If the system ends up failing, then there might be no back up charts. One major problem would be the change to EMR and EHR. New nurses might find the change is not difficult. However, for older nurses that are used to charting might find the change to electronic charting difficult. Another disadvantage of the EMR and EHR is the ... Get more on HelpWriting.net ...
  • 26.
  • 27. Electronic Health Record Analysis There are many similarities and differences between the electronic health record and the paper record. The paper record and the electronic health record are created to document and incorporate the patient's history and physical, demographics, recent and past diagnosis, medication list, nurses and physician progress notes, advance directive, and insurance information. Both have advantages and disadvantages in terms of use, cost, and the effect on an organization (Davis & LaCour, 2014). Paper and electronic records are similar in many ways. One way paper and electronic records are similar are that they both are record information on a form. Both electronic record and paper record can be put in order so the data is easy to locate and retrieve. Both are produced at the time a patient is admitted or seen at a health care facility. Paper records, as well as, electronic health records can be printed and faxed. The records have to be secured and protected due to HIPAA laws and ... Show more content on Helpwriting.net ... "The electronic health record is a secure, real–time, point–of–care, patient centric information resource for clinicians" (Davis & LaCour, 2014, p. 71). The electronic health record can be viewed by several different caregivers at a time in different locations. A paper record is only accessible where the patient is being treated. The electronic record has a secured password in order to gain access to the information on the computer. Caregivers are able to have immediate access to past medical history such as lab results, previous problem list, medications, and hospitalizations. Electronic records set reminders and alerts to inform caregivers about medications and allergies (Davis & LaCour, 2014). Electronic records are easier to read than paper records. Everyone, especially doctors' penmanship is not legible. It takes most nurses and other caregivers time to decipher a physician orders or progress note due to their ... Get more on HelpWriting.net ...
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  • 29. Ethical Healthcare Issues Essay Running Head: ETHICAL HEALTHCARE Ethical Healthcare Issues Paper Wanda Douglas Health Law and Ethics/HCS 545 October 17, 2011 Nancy Moody Ethical Healthcare Issues Paper In today's health care industry providing quality patient care and avoiding harm are the foundations of ethical practices. However, many health care professionals are not meeting the guidelines or expectations of the American College of Healthcare Executives (ACHE) or obeying the organizations code of ethics policies, especially with the use of electronic medical records (EMR). Many patients fear that their personal health information (PHI) will be disclosed by hackers or unauthorized users. According to Carel (2010) "ethical concerns shroud the ... Show more content on Helpwriting.net ... Autonomy has an effect with ethics concerning EMR systems because health care organizations should have an EMR system that should maintain respect for patient autonomy. Respect for patient autonomy should have health care organizations to make decisions concerning user access of the records. Access of Records Before a health care organization implements an EMR system, they should have a security system in place, which includes "access control" component. Access control within an EMR system is controlled by distinct user roles and access levels, the enforcement of strong login passwords, severe user verification/authorization and user inactivity locks. Health care of professionals regardless of their level, each have specific permissions for accessing data. Even though the organization have the right security system in place to prevent unauthorized users from access patient records, autonomous patients will expect to have access to his or her records with ease. Access their record will ensure that their information is correct and safe. Beneficence According to Kennedy (2004) "beneficence is acting to prevent evil or harm, to protect and defend the rights of others to do or promote good" (p. 501). ... Get more on HelpWriting.net ...
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  • 31. Electronic Medical Records: Improving Health Care Chapter 1: Introduction Background Electronic medical records (EMR) improve healthcare by handling personal information of the patient and reducing the frequent errors caused by storing personal information. There is no specific definition of EMR, it is only a collection of data in digital form to give the best care to the patient while accessing their personal health information. EMR caused great changes in the healthcare industry as electronic medical records are easily portable and accessible from anywhere at any time. The United States 'American Medical Association reveals information that 80,000 death occur every year because of poor medical record–keeping that was totally paper–based several years back. Technology has made a great ... Show more content on Helpwriting.net ... So proper portal sites with professional IT vendors will bring some changes to implement cost management by having different portal sites. Advancement in e–Prescribing: This method of prescription is very beneficial to providers, doctors, pharmacists, and patients as it is a time–saving method and it enables physicians "to prescribe in a single form electronically" and instantly allows pharmacies to receive and archive information electronically. EMR replaces all paper–based records in different hospitals which allows providers and patients to obtain certain benefits by reducing medical errors. There are numerous benefits of EMR including better health care by improving an aspect of patient care, improved diagnosis and treatment, and faster care and decision–making responses from assigned medical ... Get more on HelpWriting.net ...
  • 32.
  • 33. 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. ... Get more on HelpWriting.net ...
  • 34.
  • 35. Medical Records and the Implementation of Health Informatics Introduction Health Informatics or Medical Informatics is the intersection of information science, computer science, and health care. Health Informatics offers resources, devices, and methods required to optimize the acquisition, storage, retrieval, and use of information in health and biomedicine. The applicable areas would be nursing, clinical care, dentistry, pharmacy, public health, and bio medical research. Electronic health information systems are the science that addresses how to use information to improve health care. This paper will present the concept of electronic health records (EHRs) and the current developments and analysis of the transition and implementation of health informatics in health care organizations ... Show more content on Helpwriting.net ... Electronic health records only allow access to the required information from authorized personnel. Electronic Records and Physicians The evolution of health care informatics developed in four stages. The development of bioinformatics the first stage, in the 1950s, medical informatics was the second stage in the 1960s, public health informatics, the third stage in the 1990s also consumer health informatics, the fourth stage in the 1990s. In the first stage of health care informatics, Robert Ledley was the first to use a computer for health purposes at the National Bureau of Standards, to study dental projects. The field of Health Informatics collects data from a variety of patients, and uses that information to create successful patient care. Health Informatics is a combination of computer sciences, communication technologies, biological, and cognitive sciences to address today's health care problems utilizing data management, analysis, and transmission. Dental hygienists handle vast amounts of data in clinical practice. There are new techniques/products that they read about on the Internet, and they ask if this particular treatment would be of benefit. On the other side of the equation, we find that dental hygienists are using the Internet to search for the same types of information. However, being bombarded with a plethora of information from both sides of the spectrum, how ... Get more on HelpWriting.net ...
  • 36.
  • 37. Hcs 571 Essay Capital Project HCS/571 Capital assets are generally purchased to improve quality of care, or to provide needed equipment for a new service or expansion of an existing service. The key element in capital budgeting is that the building or piece of equipment being acquired has a lifetime that extends beyond the year of purchase and it is a capital asset or long–term investment for the hospital. Capital assets are good financial investments for the organization.(Finkler, Ward, & Baker, 2007). The Electronic health record software system is one of the important operational priorities in the US healthcare. The change from paper–based record system to electronic record system supported by technologies and help for reducing errors and ... Show more content on Helpwriting.net ... (McCarthy & Eastman, 2010). Cost containment The software related Electronic health record implementation need to be appropriate for the needs of the organization and budget.(Swab, & Ciotti, 2010) The EHR software system has many areas of market depending upon the size of the hospital bed size. The first criteria for the vendors according to the bed with 100 and small hospital The Electronic health record system cost about between $ 1 million and 2 for the electronic health record system The electronic health record software cost for the organization about medium hospital cost is much larger than the first one. It comes around three to ten million. The hospital and organization with more than average bed cost for the electronic health record system will be higher amount than the other one. The cost and amount of electronic health record system will depend upon the size of the hospital . The management has to decide about the budget for the organization. (Swab, & Ciotti, 2010). The organization must evaluate its mission and goals in light of its particular strengths and weakness and in light of the demand for services and competition in the external environment. Based on that evaluation it can make a plan that will take advantage of opportunities like Electronic health record implementation according to the goals of an organization.(Finkler, Ward, & Baker, 2007). The ... Get more on HelpWriting.net ...
  • 38.
  • 39. Health Information Exchange And The Health Care Field Health information exchange has become a very important part of today's health care field. It is used every day, in almost every part of the medical field. Electronic medical records, digital imaging, e– mails, and fax are all used daily. Health information exchange has moved forward the health care field and helped medical professionals give their patients faster, more efficient and safer care day to day. In this paper, you will read about the history of the health information exchange, the benefits, the privacy and security concerns, and the current challenges faced by the workers in the health information field. History of HIE According to HRSA (2015), "Health information exchange (HIE) is the electronic movement of health–related ... Show more content on Helpwriting.net ... While many people believe that health information exchange is a relatively new thing, it has been around for over four decades. However, in the beginning phases it was nowhere near as complex as it is now. Sometime in the middle of the 60's, an early form of a data processing system was formed and it focuses on clinical data management. This system began to catch on even though they were nowhere near as sophisticated and or functional as the health records in today's time. In 1972, at the Regenstrief Institute the first medical record system was created as "a modular system to provide service functions for clinics, laboratory, radiology, and pharmacy" ("Structure, Functions, and Activities of a Research Support Informatics Section," 2003). This was a pilot project in a diabetes clinic and not something they thought would change the face of health information forever. However, when it was first made it was not attractive to many doctors due to the high cost but was used mostly by government hospitals since they had the funds to use them. To this day, the most comprehensive medical records system could be found in the Regenstrief Medical Records System based in Indianapolis. This records system is mostly in thanks to Clement McDonald, who is the director of the Regenstrief Institute. In 1991, the Institute of Medicine stated that by the year 2000, it would be smart for ... Get more on HelpWriting.net ...
  • 40.
  • 41. Patient Record Management System CHAPTER I The Problem and Its Setting This chapter presents the background of the study, the statement of the problem, the assumptions made in accordance with the design of the project, the scope and delimitation, the significance of the study, the research design and methodology, and the definition of terms used in the study. Background of the Study There have been major progresses in the Information Technology for the past twenty (20) years especially in the field of Medicine. The vast development of technology is the evident in hospitals in other countries as they have developed and implemented different forms of Patient Record Management System making practitioners and health professionals' work easier than the manual way of ... Show more content on Helpwriting.net ... (March 2009), the United States has less than 2 percent of U.S. hospitals that have completely accepted a fully functional electronic medical records. With U.S. President Barrack Obama has made electronic medical records a central piece of his plan to cut costs out of U.S. healthcare system that consistently ranks lower in quality measures than other rich countries. The U.S. President also allotted $19 billion to push into the increase the use of information technology in healthcare. The numbers of without electronic medical records are relatively high compared to those organizations that have adopted Electronic Medical Records. Starfield, B. (1991) postulates that Primary Care in the United States is critical to the provision of giving excellent medical care. From the research in the year 1996, the Institute of Medicine report defined primary care as the provision of integrated, accessible health care services by clinicians accountable for addressing most personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. These makes more people to receive primary care than in other clinics. These clinics have adopted the innovations of information technology giving more value to the primary care in other clinics. These clinics have adopted the innovations on information technology giving more value to the primary care of their patients. Thus obviously electronic medical records in the clinic are to be ... Get more on HelpWriting.net ...
  • 42.
  • 43. An Electronic Health Record ( Ehr ) Introduction An Electronic Health Record (EHR) is an electronic version of a patient medical history that is maintained by the provider over time (CMS.gov, 2012). They are patient–centered records making the information available instantly and secured. It can include all of the key administrative clinical data relevant to the patients care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunization, laboratory data and radiology reports. EHRs are able to be shared and manage information across multiple providers, labs specialist, imaging facilities and organization through health information exchange. Electronic health records are to go beyond the clinical ... Show more content on Helpwriting.net ... The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 and the Affordable Care Act (AACA) established a number of programs in order to accelerate the transformation of the United States Health care delivery system (HealthIt.gov). Health care professional and hospital can qualify for Medicare And Medicaid incentive payments when they implement EHR's, and used them to achieve their objectives. The goal of this meaningful use is to promote the spread of EHRs; to improve health care in the United States. There has been an increase in the adoption of health and meaningful use of EHRs. In 2015, 84% of hospitals adopted at least a basic EHR system; this represents a 9–fold increase since 2008 (Henry, 2016). Basic EHRs includes functionalities, such as viewing imaging results, which are not included in certified EHRs. A certified EHR is EHR technology that meets the technology capability, functionality, and security requirements adopted by the Department of Health and Human Services (Henry, 2016). The passage of the Patient Protection and Affordable Healthcare Act has mandated that electronic health records be adopted in healthcare organization around the United States. Not long ago, doctors and nurses would write notes in a patient's chart during an office or hospital visit. Today, more and more patient can expect to see computers instead of clipboards, since the adoption of health ... Get more on HelpWriting.net ...
  • 44.
  • 45. Essay about Management Information Systems MGMT305 – Unit 5 Individual Project Week 5– Case Studies Chasity Fenn American Intercontinental University October , 2011 ABSTRACT This paper will discuss the questions asked about the four different case studies we are to read this week. The case studies are When antivirus software cripples your computers, How secure is the cloud, Are electronic medical records a cure for heath care, and JetBlue and WestJet: A tale of two IS projects (Laudon & Laudon, 2012, pgs 304, 321, 522 & 556). WEEK 5 CASE STUDIES WHEN ANTIVIRUS SOFTWARE CRIPPLES YOUR COMPUTERS There are a few reasons why McAfee's antivirus software created so many problems for their users. First, when test simulations were done, management did not run ... Show more content on Helpwriting.net ... 321). Lastly, cloud system users also have to deal with the fact there could be an interruption of the systems they use. It is expected by businesses and users for the systems to be available all the time, but in reality power outages and server problems could make data retrieval and usage of the system not possible (Laudon & Laudon, 2012, p. 321). The factors that contribute to the problem of the distribution of data are the number of users of the programs. Having multiple distribution centers is the way that cloud is able to have so many users and to store mass amounts of data. This also contributes to the problem of tracking activities. The reason why some cloud providers do not (and do not intend to) meet security requirements is the cost of audits. If a cloud provider does not have proof of security requirements, they often have to have outside companies audit their data. Many providers do not want outside companies viewing their data and it can be costly to hire someone to do this (Laudon & Laudon, 2012, p. 321). Cloud computing is only as secure as the company using it is. Even though cloud applications are secure and encrypted, it is the responsibility of the business using the cloud systems to use encryption and other security measures. It is important that security measures be used on the company's side, not just the provider's side (Laudon & Laudon, 2012, p. 321). If ... Get more on HelpWriting.net ...
  • 46.
  • 47. Electronic Medical Records: A Case Study Step 1: Your tentative topic Electronic Medical Records (EMR's) Step 2: Make a basic statement Electronic Medical Records, are being used throughout the country in medical offices, chiropractic offices, dental offices, nursing homes, & hospitals, and many more. Step 3: Make a stronger more specific statement Electronic Medical Records are great for the physician, nurse or other medical staff, but there is some issues with the EMR's as well. By putting your company at risk of identity theft from hackers. Step 4: Compose a specific problem statement that can be argued and supported A problem with the EMR's is privacy is major concern, as I've personally seen multiple times when going to a medical office (dentist, family physician) the nurse will log on to input information into the system and leave the room without logging out. So with that being said, I could see the patients ... Show more content on Helpwriting.net ... The goal is not perfection this week but a progression to ensure "on track" to be ready for unit 3 when the problem statement is researched and finalized. The Unit 2 discussion with peer and instructor dialogue will further help you achieve the top ten criteria. Top Ten Criteria for a Strong Problem Statement 10. Defines the problem clearly without use of pronouns or acronyms. YES 9. States the problem without posing a question. YES 8. Provides more than a sentence or two that only describes a topic. YES 7. Consists of one to three bold sentences that present a specific focus, a point of view, an opinion, or an idea that is arguable. YES 6. Goes beyond making an observation, makes a case for or against something (avoid contractions, eliminate the word "not" and the word "but").YES 5. Contains one main subject that is IT discipline related. YES 4. Offers the subject's importance. YES 3. Appeals to an audience of IT professionals. YES 2. Has no spelling, grammar, usage, or mechanic errors. ... Get more on HelpWriting.net ...
  • 48.
  • 49. Electronic Medical Records Computer Based Medical Records Abstract In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient's medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system. Computer Based Medical Records Electronic ... Show more content on Helpwriting.net ... All the patients' files should be backed up at least on a weekly basis to ensure that none of the information is lost. (HIPAA, 2011) Another way for accountability of the electronic health record is to have each person in the office has a key card or password to access the system. This will allow for the physician to check back and see if anyone is releasing information or making changes that are not authorized. This also allows for physicians to find out who made changes to a patients record if information is inaccurate. (HIPAA, 2011) Electronic Health Records will include the same information as the paper record. This includes basic patient information such as demographics, medical history, medications, allergies, laboratory results, radiology images, and billing information. (2006) Each individual doctor can specialize their system and what they want it to include. They can add different components to the electronic health record that are important to them and needed in their practice. (2006) Even though I am an advocate for the electronic health record there are drawbacks to the system. Each individual physician will have to determine if the drawbacks are worth the advantages of the system. One of the drawbacks to the system is privacy. Privacy will always be a big factor. Some patients may not like the idea of having their medical information easily accessible by almost anybody. (The HWN Team, 2009) Electronic health records ... Get more on HelpWriting.net ...
  • 50.
  • 51. Improving Communication, Access And Accuracy Of Medical... In the United States, the healthcare system is advancing to an electronic health record (EHR). Documentation of health information on paper is becoming a thing of the past, as the move for electronic charting is encouraged. This transition from paper charting has been recognized as a necessary transition to improve communication, access and accuracy of medical records (Hebda & Czar, 2013). Development and implementation of the EHR continues to cultivate within the USA and is moving toward a more widespread adaption of the concept. In order for EHR to progress there is still much to do to make it more functional. Security and privacy remain a large issue that still needs tweaking amongst several other concerns. While myself and other healthcare workers continue to integrate aspects of EHR into care, we are learning new challenges that it brings and benefits as well. Current State of Electronic Health Record The National Alliance of Health Information Technology defines the EHR as "an electronic health record of health–related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed an consulted by authorized clinicians and staff across more than one health care organization" (Hebda & Czar, 2013). The goal is to create a health record that is capable of following an individual throughout their life. The availability of the record would aide to continuity of patient information along the health ... Get more on HelpWriting.net ...
  • 52.
  • 53. Documentation And Communication : Home Health And Hospice... BACKGROUND OF PROBLEM Documentation and communication are constant challenges that healthcare providers face when seeking continuity of care for their patients. Every time a patient moves from a hospital to a nursing home, or from a skilled nursing facility to home health or hospice, the staff that cares for the patient is at risk for a gap in patient care and communication. Home health and hospice agencies rely heavily on Medicaid and other insurance for reimbursements in order to continue to provide care for their patients and keep the doors to their agencies open. Thorough and timely documentation is the key to ensuring proper reimbursement for nursing services and other therapies provided from insurance agencies. This same ... Show more content on Helpwriting.net ... According to the Centers for Medicaid and Medicaid Services, "EHR can improve patient care by: Reducing the incidence of medical error by improving the accuracy and clarity of medical records. Making the health information available, reducing duplication of tests, reducing delays in treatment, and patients well informed to take better decisions. Reducing medical error by improving the accuracy and clarity of medical records" (CMS, 2012). EHRs can also improve quality of nursing care by providing nurses with education on the latest in evidence based practices relating to their patients' conditions. "In order to bridge the gap between research and practice and to improve the quality of care, evidence–based Clinical Practice Guidelines (CPGs) can be incorporated into homecare agencies' EHRs" (Topaz, Radhakrishnan, Masterson, & Bowles, 2012, p. 25). By incorporating this technology, EHRs go further to empower nurses to make prudent care decisions based on the latest research on best practices. TECHNOLOGY There are two terms that are used in this discussion interchangeably and they are Electronic Medical Record (EMR) and Electronic Health Record (EHR). In general, electronic medical records are "are a digital version of the paper charts in the clinician's office. An ... Get more on HelpWriting.net ...
  • 54.
  • 55. Information Technology And The Early Adopters : Providers... Information technology was incorporated into healthcare to increase quality, increase efficiency, and reduce costs. By increasing efficiency and reducing cost the electronic medical record would increase quality care for every. Just because something may be cheaper in the long run and faster, it does not always mean it improves quality and positive outcomes. I have seen increased communication and ability to locate information improved, yet I have also witnessed decrease patient time due to the many hoops and additional documentation that is being required by management, insurance companies and federal regulations. Makam, A., Lanham, H., Batchelor, K., Moran, B., Howell–Stampley, T., Kirk, L., & Halm, E. (2014). The good, the bad and the early adopters: providers ' attitudes about a common, commercial EHR. Journal of Evaluation in Clinical Practice, 20(1), 36–42. doi:10.1111/jep.12076 When reviewing the electric medical record many people have different thoughts and feelings regarding the overall process and outcomes that it has. In this article it compared the early electronic medical records user and the experience electronic medical record users and their feeling towards improved quality. The survey in the article indicated improvements across the board to varying extents. This article is about perception, not facts. It shows no clinically based evidence to support the finding of improved quality. In addition, I think the article would have been ... Get more on HelpWriting.net ...
  • 56.
  • 57. Electronic Medical Record ( Emr ) Health Information Technology (HIT) is continuously evolving and holds high promising standards when it comes to improving the health care quality in the U.S. and other countries. Health Information Technology (HIT) can improve in several areas such as: efficiency, cost reduction, quality and safety care delivery, immediately accessibility of data to clinicians by making computerized patient records available throughout a health care network (ahrq.gov 2006). To the point that congress in 2009 put aside billions of dollars from the stimulus package, to create incentives for meaningful use of Health Information Technology (HIT) to physicians or health organizations. Nonetheless, despite the bright future and potential benefits of HIT some conflicts still rise about its complete adaptation and success in the future. Mainly to those particular HITs, Electronic Medical Records (EMR), Personal Health Records (PHR) and Electronic Health Records (EHR). Electronic medical record (EMR) is the renovation of a patient clinical data from paper based into a computer based. EMRs consist of mainly data gathered by a Primary Physician or one hospital. The compile information can be as follows: notes, health maintenance information, problem list, medication list, allergy list, results of laboratory, radiology, and other testing (David W. Bates, Mark Ebell, Edward Gotlieb, John Zapp, H.C. Mullins. 2003). Electronic medical record (EMR) enhances the efficacy of health exchanges and ... Get more on HelpWriting.net ...
  • 58.
  • 59. The Impact Of Technology On The Healthcare Field Abstract While advancements in technology have positively impacted the nursing field, it has also created huge concerns with patient privacy and sharing of protected health information leading to detrimental effects to patients and their families. Indeed, technology is changing the face of healthcare with positive innovations to reduce medication errors and documentation errors. However, technology at our fingertips has created immense concerns with sharing of protected health information of patients via social media, email and other means of communication via technology. This paper addresses why I feel the advancement of technology has numerous deficits that need more research and implementation of new laws and policies to safeguard the ... Show more content on Helpwriting.net ... The electronic health record (EHR) is a digital record of a patient's health history that may be made up of records from many locations and/or sources, such as hospitals, providers, clinics, and public health agencies. The EHR is available 24 hours a day, 7 days a week and has built–in safeguards to assure patient health information confidentiality and security. (Huston, 2013) Equally impressive is the implementation of Computerized Physician/provider Order Entry or CPOE. CPOE is known as one of three key patient safety initiatives by Leapfrog Group, a conglomeration of non–health care Fortune 500 company leaders committed to modernizing the current healthcare system (Huston, 2014; The Leapfrog Group, 2013). CPOE is a type of software designed to reduce errors in transcription due to illegible physician handwritings or wrongly placed decimals in dosage and strengths of medications. CPOE also gives the clinician access to Clinical Decision Support, or CDS, which is a database to assist clinicians and providers to health related information for certain patient diagnosis with care planning assistance and direction. (Huston, 2014; The Leapfrog Group, 2013). CPOE and CDS will likely be streamlined and commonly used in healthcare in the next decade which appears will likely improve patient safety as well as vastly reduce medication and ... Get more on HelpWriting.net ...
  • 60.
  • 61. Essay about Emr Social Change of EMR Introduction/Thesis A chartless/paperless doctor's office was once something only dreamt of in a Star Trek episode. Soon humans will utilize laser beams as a major mode of transportation; well possibly in the distant future we will transport ourselves via laser beam. The advancements in health care technology have made it possible to obtain a chartless (paperless) environment. Whether you are in private practice or part of a major health care organization, the latest technological push is towards EMR (electronic medical record) systems. The impact of EMR systems can be compared to a small earthquake; it has the potential to send shock waves through a health care environment long after the initial quake has ... Show more content on Helpwriting.net ... 5. Clinically–Driven Product Design – Does the product meet the best practice standards? Does it contain the clinical design need for capturing, retrieving and reporting data? 6. Return On Investment – What will your return or cost savings is for implementing an EMR product? 7. Product Integration – Can the product easily be interfaced with other products? 8. Vendor Stability – Will the vendor still be in business in ten years from now or will you be searching for a new product? 9. Commitment to Product Development – The insurance companies and government are constantly adding new guidelines and laws for health care, can and will this sustain upgrades and enhancements? Now that a product has been chosen, design, testing, training and implementation are the next steps. In conjunction with the first three steps, advertising the product is key, especially in a large health care setting. It is critical to the project to get the word out regarding the products efficiency. Make people excited about the endless possibilities and functionality of the product. Post signs on the employee bulletin board, hand out lapel or badge pins, and promote a campaign slogan and logo for the new product. An example of a slogan/logo would be "don't get stuck on paper", the logo is a picture of a provider with post–it notes stuck to him/her. Lastly, appoint a Physician Champion to each clinical area. The champion will play a notable ... Get more on HelpWriting.net ...
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  • 63. Electronic Medical Records Research Even before electronic medical records became available, there was interest in encouraging patients to review their medical records. In doing so, researchers sought to educate, engage, and empower patients. At the same time, researchers recognized that the medical record contains technical language and raw data that was never intended for the layman, so the medical record might also worry or confuse patients. Clinical trials that gave medical patients access to their written records showed modest benefits (such as improved doctor–patient communication) with minimal risk of harm. (Ross, Moore, Earnest, Wittevrongel, & Lin 2004, page1). Indeed, the electronically stored medical records and use of the Internet provide patients access to their records online. An Internet– accessible medical record is helpful for patients and helps Patients to review medical records online repeatedly and at their convenience. Besides, in the context of other resources that aid them in comprehending it. Studies have shown that patients could have access to online medical records without compromising privacy and security. Furthermore, patients appreciated to have access to their records and they cause small disruption to clinical operations. A study was done with ... Show more content on Helpwriting.net ... EHRs will improve caregivers' decisions and patients' outcomes. Once patients experience the benefits of this technology, they will demand nothing less from their providers. Hundreds of thousands of physicians have already seen these benefits in their clinical practice. But inevitability does not mean easy transition. We have years of the professional agreement and bipartisan consensus regarding the potential value of EHRs. Yet we have not moved significantly to extend the availability of EHRs from a few large institutions to the smaller clinics and practices where most Americans receive their health ... Get more on HelpWriting.net ...
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  • 65. Why Code Is Outdated Or Outdated? Essay research to see if the code is obsolete or outdated or should there be any modifiers added. The medical office is small enough, where at any given time the doctor, along with the office manager, instructs what each employee is working on. At times a medical staff is working on insurance claims, another is researching the usage of a particular code. How to use and under what conditions a particular code needed. D. Does the facility contract for coding services? No, the doctor does all his coding. When the doctor cannot figure what codes to use, he enlists his fellow optometrists, or the AOA to find the proper codes. Also, there are more medical information, along with websites and news articles available. There are other websites the doctor may look up information:  The American Health Information Management Association or (AHIMA), if something isn 't clear or more information. Also this website has new codes and their usage. AHIMA publishes a current listed of codes that is no longer in usage or supported.  The American Optometric Association (AOA), provides doctor–reviewed, doctor–approved information about the greatest common eye conditions. III. FILING & NUMBERING SYSTEMS A. What type of record filing system is used? Alphabetic Filing System, where patient files are stored by patient last name, first name, and middle initial. The files are in a closed file cabinet. Tab on ... Get more on HelpWriting.net ...
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  • 67. The Conversion Of An Electronic Health Records System For... Introduction This document outlines the conversion to an electronic health records system for Children's Hospital of Wisconsin. It is important to note that the conversion process is only the beginning. The process must be clear and understandable to all members of the organization. Members must be trained extensively and retrained on an ongoing basis. Changes must be made in a well thought out manner and this must be communicated effectively to the members that are affected. The effectiveness of the system should be monitored and evaluated regularly and those that do not comply must be disciplined properly. Historical and Current Perspective Children's Hospital of Wisconsin is a medical provider with close to one hundred clinic and hospital locations located across the state of Wisconsin with satellite locations in northern Illinois as well. The locations amount to two hospital facilities located in Wisconsin (Milwaukee and Neenah) one of which is labeled a level one trauma center and was labeled the number four children's hospital in the nation by Parents Magazine in 2013 (www.chw.org). In early 2011 Children's Hospital of Wisconsin (CHW) informed it patients and the general public that it would be fully immersed in another version of the electronic health record system, EPIC, by the completion of the 2012–2013 fiscal year. With so many hospital, clinic, and community locations, the hospital needed to implement the system in phases and fully engage thousands of ... Get more on HelpWriting.net ...
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  • 69. Utilization Of EMR In Healthcare http://www.bbllaw.com/articles/electronic_medical_records.htm The rapid adoption of the electronic medical record (EMR) is transforming how the healthcare industry functions in its entirety. EMR is being used to improve care coordination and communication among disparate healthcare providers, improve the efficiency and efficacy of the healthcare delivery system, and it is used to successfully reduce health cost. However, despite the great benefits afforded by the utilization of the EMR system; the adaptation of this modern technology comes with some unintended consequences. The data contained in the EMR system are searchable by content, whether for use in patient care area, research purposes, or for legal purposes (Bigelow et al, nd). One ... Get more on HelpWriting.net ...
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  • 71. Why We Need Electronic Health Records Abstract The United States health care system uses electronic health records (EHRs) to replace paper charts. They contain valuable patient medical information. EHRs improve the quality of care without expensive, time–consuming processes. Although there are many reasons to use electronic health records, there are also many disadvantages. More importantly, there is a real need for electronic health records (EHRs) in this day–in–age. The Importance of Electronic Health Records "Electronic health record systems enable hospitals to store and retrieve detailed patient information to be used by health care providers, and sometimes patients, during a patient's hospitalization, over time, and across care settings." (Silow–Carroll, Edwards, and Rodin, 2012, n.p.). All of these possibilities that EHRs bring and more are partly why electronic health records are so important. This paper will discuss why we need electronic health records, the advantages and disadvantages, the importance of electronic health records, and how they are more useful in today's society. To learn more about EHRs and the role they play in our health care system, we must first understand what they are. What is an EHR? EHR stands for electronic health record, which store health data electronically. These health records are a digital version of a patient's traditional paper chart. Using a highly secure network, health care professionals such as, physicians or nurses, enter patient medical information directly ... Get more on HelpWriting.net ...
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  • 73. Advantages And Disadvantages Of Electronic Medical Records Electronic medical record (EMR) can be defined as an electronic record of health–related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization. There are two advantages and two issues of EMR in Malaysian Government Hospital that I will discuss in this paper. The using of EMR in Malaysian Government Hospital was enabling quick access to patient records for more coordinated and efficient care. The medical record officer can access the patient information within a short time, and it more save time if compared with searching the file record of staff at the shelf. Enabling quick access also referred to the benefit of EMR system that sharing a database system, whereas the medical record officer or doctor can use the system ... Show more content on Helpwriting.net ... The characteristics of electronic record that easy to modified and changed might cast doubt on the court this is because if some data has been changed even for correction there are no trace that showing the error was corrected, it different with a paper records, a simple line crossing out the incorrect information will notify the reader that a change has been made. Moreover, usually using EMR especially for conversion process, the original documents are scanned into a system and then will shred or destroyed, these process might give a problem because some paper documentation is illegible, but once the originals are destroyed there is no way to recover the data. So, to overcome this issue, medical record officer must not too hasty in the destruction of the original documents, they also should not destroy specific stored information that it is required to preserve. Not only that, they also should always keep the original document as a backup, and use EMR only for a quick access purpose rather that concern it as a system that can save a ... Get more on HelpWriting.net ...
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  • 75. The Problem Faced By The Student Run Clinic The problem faced by the student run clinic called Bhagat Puran Singh Health Initiative (BPSHI), which is a non–profit organization is to have an affordable yet reliable system that can further expand on the free health awareness provided. One such way that can further expand on the health assistance is the transition of older traditional paper medical record to an electronic record system (EMR). However, there are a number of sub–problems that needs to be addressed when implementing the transition, which are: a proper EMR application, work force, and analysis skills not limited to time and cost. In simpler words, the problem faced is mainly the lack of a proper way to implement EMR. There is privacy right over one's health information; despite what form is used paper or electronic. Therefore, a crucial factor to consider while analyzing the problem is the requirement of keeping the medical information both private and protected. In order to follow HIPAA guidelines, proper training needs to be implemented before data entering the patient's medical into the system (Rodriguuez, 2011). Additionally, another factor that could potentially cause hindrance in the transition process for medical records is: further sub–diving the workload needed to manually transfer the paper records into EMR such as data entering, compliance monitoring, and administrating. Lastly, implement the best application for EMR that is not only cost efficient but also user friendly as well. In order to ... Get more on HelpWriting.net ...
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  • 77. The Electronic Health Records ( Ehr ) Abstract The times of entering and storing health care records in file cabinets is quickly changing due to the electronic age. Electronic Health Records (EHR) are becoming increasingly popular especially since there have been many legislative attempts to encourage the use of health information technology systems. With the potential benefits that come with EHR's, potential risks are also associated with this technology. The main concern is that of maintaining data security and if current law establishes enough security guidelines. Though security is a major risk of EHR's many ideas have been proposed in order to help alleviate the potential threats. This topic is beneficial to the profession of nursing because as nurses it is also our responsibility to ensure that these systems are secure in order to maintain the integrity of our patient's health information. Introduction The Electronic Health Record may be a positive step towards the future of health care and the way it is implemented daily. It has strongly become widely accepted in most institutions and slowly traditional paper charts will be no more and become obsolete. As this shift continues to happen attention to security must not be left behind. Security will play a major role in the advancement of EHR's. As stated by McCormick and Saba (2011) following the International Council Code of Ethics for Nurses that states nurses "hold in confidence personal information" and "ensures that the use of technology ... Get more on HelpWriting.net ...