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Introduction to electronic health records
The importance of the electronic medical record
Application of electronic medical records
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Introduction
The transition from the industrial age to the information age has transformed nearly all sectors globally. Information and communication technology is one of the fast-changing departments in any industry or organization. In the health sector, for example, the implementation of Electronic Health Records has been a major issue of concern to most institutions of the world. There are multiple benefits as well as barriers to successful implementation of these programs, especially in line with communication. Just as in the research conducted by Bishop et al (2013) states, it can be noted that the organizations that were sampled for the study have taken the initiative positively as a result of the multiple benefits. This, however, comes
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The patients are attended to much faster and conveniently as compared to the case of traditional paper or face-to-face communication with the attendants. The patents no longer have to wait in long queues to acquire medical services. The electronic medical records enable quick data transfer and processing alongside provision of the most appropriate diagnosis for the conditions of the patients attended to.
The new communication systems also give patients additional satisfaction as compared to the traditional techniques. Patients are delighted at the quality of communication services that come along with the program. As pointed out by one of the physicians at Colorado Permanente, the system is patient-centred and a real satisfier to them (Bishop et al., 2013). The positive feedback that is received from the patients is a clear indicator that the move towards adoption of the electronic communication services in the health sector is aimed at value creation for the
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Resistance to change is often a challenge that any new system faces. There are attendants that have been using the old communication systems to the extent that acceptance of the electronic services becomes a challenge. The same resistance is also witnessed from patients that prefer using methods that they are conversant with. This makes it difficult to put in place new programs that are aimed at improving the quality of communication.
Other than resistance, there are also cost implications on the medical facilities. The initial set-up costs are substantial (DePhillips, 2011). Expensive equipment such as workstations, routers, servers, data cables, printers and software have to be acquired. Most of these costs are not charged on the patients. There are also cumulative maintenance costs that have to be realized with continuous use of the electronic communication
Montague and Asan (2013) did a field study where 100 patients’ ages 18 through 65 were observed and video recorded during their visit in a primary health clinic. The researchers wanted to see how much communication and eye contact the physicians would do with their patients when using paper charting compared to using computer charting in the EHR. The results of the study showed that physicians paid more attention to the EHR on the computer then they did their actual patients 46.5% of the time and 79% when they used paper charting (Montague & Asan, 2013). The studies showed that EHRs could hinder communication between patients and their
The preliminary effects of the Meaningful Use Program have began to have an impact on improving the quality of care and its’ safety and efficiency. I gained a greater understanding of information technology and it’s role and importance to my current and future practice. I learned the goal of the Meaningful Use Program isn’t just to install technology in facilities across the nation its so much more. The goals are to empower patients and their families, reduce health disparities and support research and health data. The EHR can prevent medication errors, reduce long term medical costs, improve population health and through the Meaningful use program the vision of this program is becoming reality.
The author’s sources support the conclusion that innovations in health technology will help improve patient care. Using not only Dr. Martin but others who are being trained in the field such as Sean Hayes, a Baylor MB/Healthcare/MSIS candidate, who in the article spoke of how a physician can be patched in by video and do a distance consult, which he saw as cost sharing in rural areas at may not be able to afford
In healthcare one of the major obstacles employees attempt to overcome is the communication gap. The outpatient clinics in particular find it challenging to keep in contact with the hospital. In the healthcare market to have success you must have communication. Romano observed that hospitals are branching out; outpatient setting offer lucrative services that are rendered in a well-situated environment (2006). The outpatient sector is where the profit is made; this is clearly the way of the future. If prospective clinics are to fulfill patient and employees needs, a communication policy must be put into practice. By employing a communication strategy employees will be more productive, more informed, and administration could expect to see enhanced customer service.
Healthcare professionals associated with medical billing and coding know the progress the technology has made so far. In the last few decades, medical billing and coding has switched from being a paper-based system to a computerized format. Under HIPAA laws, medical practitioners had to develop new software in order to send out electronic bills. With the advent of electronic medical records (EMR), with one touch of a button, doctors, Nurse Practitioners and PAs can gain access to all the care a patient has ever received from every healthcare facility the patients visited previously and can figure out possible illnesses. This enables statistical documentation of the population as a whole as well. EMR can also make the healthcare system more transparent and allow integration with reimbursement data. As the healthcare system changes, this will prevent unnecessary costs and make it easier to get the reimbursements needed to treat a patient.
“Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status” (American Telemedicine Association, 2013). Telemedicine is the use of technology such as email, mobile devices, and computers to communicate health information (Mayoclinic.com, 2014). Telemedicine has enabled the use of communication technologies by healthcare professionals for the evaluation, diagnose, and the treatment of patients in rural areas (GlobalMed.com, 2014). Telemedicine is used in a variety of health care services like primary care, patients monitoring, health information sharing, health education (America Telemedicine Association, 2013). These services are delivered using various mechanisms such as video conferencing, personal health apps, e-visits (Mayoclinic.com, 2014). These technologies have been proven to increase access, to be cost efficient, to improve quality, and intensify patients’ satisfaction according to the America Telemedicine Association.
In 2009 President Obama, through the American Reinvestment and Recovery Act, pledged to provide incentives to the nation’s physicians and hospitals to convert to an electronic healthcare system in attempt to improve the quality of care and reduce cost (Freudenheim, 2010). By converting to an electronic system, we have the opportunity for improved communication between all healthcare providers and decreased cost to our healthcare system. The goal is to improve communication across all aspects of the service chain (Horan, Botts & Burkhard, 2010). Almost two years later, the conversion progress continues to be slow. Only one in four physician’s offices, mostly large groups, have implemented the electronic record system (Freudenheim, 2010).
In the past several years the healthcare system has experienced new changes in its structure and technology. The macro trends in healthcare are healthcare reform and the regulations of technology in healthcare that the government has put in place. Healthcare systems in the past have had some real complications both in the provided care and computer technology
Electronic medical records not only effect health care professionals, but the patients of those health care providers as well. However, nurses spend the most time directly using electronic medical records to access patient date and chart. Nurses now learn to chart, record data, and interact with other health care providers electronically. Many assume that electronic means efficient, and the stories of many nurses both agree, and disagree. Myra Davis-Alston, a nurse from Las Vegas, NV, says that she “[likes] the immediate access to patient progress notes from all care providers, and the ability to review cumulative lab values and radiology reports” (Eisenberg, 2010, p. 9). This form of record keeping provides health care professionals with convenient access to patient notes, vital signs, and test results from multiple providers comprised into one central location. They also have the ability to make patients more involved in their own care (Ross, 2009). With the advancement in efficiency, also comes the reduction of costs by not printing countless paper records, and in turn, lowers health care
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.
Digital communication has evolved in such a rapid time. Some say that it is bad, others say it is good, and other say it can be good and bad. In Gerald Graff’s and Cathy Birkenstein’s book, They Say/I say, they have a chapter that talks about digital communication. They talk about the pros and cons on it as well. Digital communication is destroying young user’s ability to communicate but it also is helping spread viral memes quickly, and bringing people together.
Although the technology is kept on advancing from day to day, there are some clinics that are still using old method in handling their records. Piles of files in registry counter sometimes make the place looks messy and it takes a large space to store all the records of their patients. Sometimes, they cannot find a record due to misplace and the records might be lost. Each time they want to retrieve the records, they have to find based on the series number which sometimes the file is placed not according to the series number. This process will take more time than it should be. There are some clinics that are already implementing an electronic medical record and it gives positive impacts to their record management. Other than reduce time in retrieval the records of patients, the system also help to manage all the records efficiently. Besides that, by using this kind of system, the use of large space can be reduced. Same goes to the cost, the organization (clinic) can save more in terms of stationary and they do not have to hire many workers to manage their records.
Mandl, Kenneth, MD., Kohane, Isaac, MD., Brandt, Allan, MD. (1998). “Electronic Patient – Physician Communication: Problems and Promise”. Annals of Internal Medicine, 129, 495 – 500.
From state and federal levels, the healthcare industry has come a very long way, experiencing changes along the way. The development of advanced technology that has enhanced the quality of healthcare delivery systems will help all patients to be able to benefit. Doctors are able to access patient records at a faster rate and respond to their patients in a much more timely fashion. E-mail, electronic transfer of records and telemedicine will give all patients and physicians the tools needed to be more efficient, deliver quality care and deliver quality telecommunication at a faster pace than before.
Information and Communication Technology (ICT) has been shown to be increasingly important in the education or training and professional practice of healthcare. This paper discusses the impacts of using ICT in Healthcare and its administration. Health Information technology has availed better access to information, improved communication amongst physicians, clinicians, pharmacists and other healthcare workers facilitating continuing professional development for healthcare professionals, patients and the community as a whole. This paper takes a look at the roles, benefits of Information and Communication Technology (ICT) in healthcare services and goes on to outline the ICT proceeds/equipment used in the health sector such as the