Over the last 5-10 years the healthcare system has begun reformation to increase safety, efficiency, cost reduction, increasing continuum of care, and increases in information technology (IT). There are many influences that are creating this need for change including laws, regulations, and the consumers of the healthcare system. The consumer is beginning to take charge of their health and become an advocate of their healthcare needs and plans of action. This transformation has created a greater need for the healthcare system to increase the use of health management information system (HMIS). HMIS is meant to help all departments within a healthcare organization, such as a hospital, to communicate easier creating a better care experience for both the care providers and consumers. These HMIS initiatives include systems such as computerized physician order entry (CPOE), electronic medical records (EMR), health information exchange (HIE), and other electronic systems. It is these initiatives that are reforming the healthcare system. However, there is not much information analyzing these new trending initiatives and how they will help or hurt the medical field. It is these systems that will be analyzed to determine the challenges they may have for the healthcare system, and the leadership of healthcare organizations. Five Major Healthcare Initiatives The healthcare system has been introduced to many new electronic systems that are meant to increase efficiency and safety of the system. These initiatives are EMR, CPOE, HIE, regional health information organizations (RHIO), and enterprise resource planning (ERP). Each of these initiatives plays a different role within the healthcare system; however, they all have the same goal of a b... ... middle of paper ... ...6(7), 465-467. Myers, J., Frieden, T., Bherwani, K., & Henning, K. (2008). Ethics in public health research. American Journal of Public Health, 98(5), 793-801. Stefanou, C., & Revanoglou, A. (2006). ERP integration in a healthcare environment: A case study. Journal of Enterprise Information Management, 19(1), 115-130. Swayne, L.E., Duncan W.J., & Ginter, P.M., (2009). Strategic management of health care organizations (6th ed.). San Francisco, CA: Jossey-Bass. Tan, J., & Payton, F. C. (2010). Adaptive health management information systems (3rd ed.). Sadbury, MA: Jones and Bartlett. Woodward, C. (2010). United States medical privacy rules deemed inadequate. Canadian Medical Association, 182(15), 1604-1605. Zuckerman, A.M. (2000). Creating a vision for the twenty-first century healthcare organization. Journal of Healthcare Management. 45(5), 294-305.
Sobel, R. (2007). The HIPAA Paradox. The Privacy Rule that’s Not. Hasting Center Report, 37(4), 40-50.
Electronic health information systems prevent errors by involving everyone in a primary health care setting which mainly includes specialists office, emergency department to access the same
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
There are a variety of health settings that provide patient health services. With the use of health services there has to be some type of health information exchange or system that will enable users to exchange data. Today there are networks that do this. Some of these networks are Community health information network (CHIN), Regional health information network (RHINO), National Health Information Network (NHIN) and Health Information technology for economic and clinical health act (HITECH Act). The purpose of this paper is to identify these networks, discuss the relationship among each other and lastly, explain their relationship to formation of a patient-centered management system and electronic health records (EHRs).
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an incentive, the government began issuing payments to those providers who “meaningfully use certified electronic health record (EHR) technology.” (hhs.gov) There are three stages that providers must progress through in order to receive theses financial incentives. Stage one is the initial stage and is met with the creation and implementation of the HER in the business. Stage two “increases health information exchange between providers.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) Stage three will be the continuation and expansion of the “meaningful use objectives.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) The hospital, where I work, initiated the HER mandate many years ago. In this paper, I will discuss the progression and the challenges that my hospital encountered while implementing the EHR mandate.
Administrative Mandates, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, ICD-10 and HIPAA 5010, are all part of administrative simplification and the need for systems optimiza...
The Standards for Privacy of Individually Identifiable Health Information, better known as the Privacy Rule, that took effect in April 2003 for large entities and a year later for small ones, was established as the first set of national standards for the protection of health information. This rule was issued by the U.S. Department of Health and Human Services to meet the requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Privacy Rule was born out of a need for health information to be appropriately protected yet still allowing the health information to be shared to ensure quality health care and to protect the public’s health and well being. It allows for the protection of the privacy of the patient and yet it also permits vital uses of information.
Guidance for Ethics Review of Health-Related Research with Human Participants. Availiable at: http://whqlibdoc.who.int/publications/2011/9789241502948_eng.pdf (Accessed: 28 January).
The guidance explains and clarifies key provisions of the medical privacy regulation, which was published last December (HIPAA, 1996). Guaranteeing the accuracy, security, and protection of the privacy of all medical information is crucial and an ongoing challenge for many organizations. References American Medical Association (2005). Retrieved December 7, 2008, from http://www.ad http://www.ama-assn.org/.
The selection process may start with the planning of how the EHR system will be supported (Elizabeth, 2009). At times, the implementing team can identify the various goals and then select an EHR system that supports the goals. In the selection process, the leadership team also makes a consideration of how the EHR will affect the workflows in the organization. This is a good proof that the EHR is not just a simple project. It is a big program that is implemented with a purpose of changing the organization. Its environment is complex and dynamic, and it must be managed in the context of changing the organization operations (How to Implement EHRs).
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
“The primary use of an HER system is to facilitate clinical care while improving the quality of healthcare delivery and enhancing the safety of patients with emphasis placed on workflows that support the provision of care”(Laird-Maddox, Mitchell, & Hoffman, 2014, p. 1). However, no system is perfect and when compared with other technology application systems, Cerner presents with benefits, strengths and weaknesses. Cerner is considered the largest independent health IT company worldwide with continue satisfaction among user surveys. The benefits of Cerner are its longevity and functionality in the hospital setting. It offers increased efficiency by providing instantaneous, updated information needed to make effective decisions. Strengths incorporated in this system is the ability to integrate medical devices such cardiac monitors transmitting vital signs to the Cerner system and the capacity to access information on portable devices such as smartphones and tablets through various applications. Nonetheless, Cerner does carry a number of weaknesses. Although it functions great within the hospital, physicians have complained that the system can run slowly and entering orders can be time consuming as search functions require exact language and requires numerous clicks. Another issue for this technology application is the lack of ability to integrate with other systems. “Part of the driving force behind the model (using technology to track and follow patient flow), stemmed from the need to integrate EHRs throughout the health system and share information with network of referring hospitals”(Palma, 2013, p. 1). When compared with other health technology systems, Cerner fairs well, but not the
Ethics refers to the values and customs of a community at a particular point in time. At present, the term ethics is guided by the moral principles that guide our everyday actions. These moral principles guide the researcher into deciding what is ‘right’ or ‘wrong’. The foundation of medical ethics is governed by two philosophical frameworks that are deontology, and utilitarianism. However ultimately the ethics committees need to balance the risks, and benefits for the participants and the community associated with the particular research proposal. This balance is quite important as the well being of participants is at risk.7
The present environments for healthcare organizations contain many forces demanding unprecedented levels of change. These forces include changing demographics, increased customer outlook, increased competition, and strengthen governmental pressure. Meeting these challenges will require healthcare organizations to go through fundamental changes and to continuously inquire about new behavior to produce future value. Healthcare is an information-intensive process. Pressures for management in information technology are increasing as healthcare organizations feature to lower costs, improve quality, and increase access to care. Healthcare organizations have developed better and more complex. Information technology must keep up with the dual effects of organizational complication and continuous progress in medical technology. The literature review will discuss how health care organizations can provide effective care by the intellectual use of information.