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In his instructive article, Dr. Philip Caillouet focuses on the application of communication and information technologies in the health care industry. Referred to as Health Info Exchange (HIE), Cailloeut outlines the difficulties policymakers have faced in creating a platform of circulation for information on patient’s important medical information and history, virtually. HIE would not only make medical information easily accessible to physicians, but it would improve the overall quality and cost of patient care. As Cailloeut puts it, we live in a time of “There’s an app for that!”— a time where the Internet and informatics are the expected norm. He outlines the brief history of HIE, the vision for the future, and strategies to ensuring the …show more content…
In 1992, the company Hewlett-Packard (H-P) composed a video highlighting the future role of computers and communications in healthcare. The video—titled Imagine—was more so used to aid healthcare organizations in achieving an efficient platform, and to capitalize on their vision for communication technologies to be implemented in the day-to-day process, as Cailloeut explains. The vision of Electronic Health Records is the following: “…a future in which information technology is employed to enable healthcare providers, patients, payers, regulators, and Public Health agencies to be in full and instantaneous communication with full access to all current and historical information, to suit the various purposes of each party in the provision of effective care efficiently, in the management of public policies regarding need and care patterns, and in the expeditious compensation of costs where risk sharing agreement exists.”
Cailloeut outlines the numerous attempts to implement HIE, with all attempts being driven by different factors. As broadly stated, Cailloeut lists the objectives of HIE, and they go as
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To be considered for incentive compensation, Eligible Professionals (EP) or Eligible Hospitals (EH) must earn a state “Measure threshold” in each of the fifteen Core Set Objectives and in at least five of the ten Menu Set Objectives, which essentially means that they must show that they are “meaningfully using” their certified Electronic health record (HER) technology. Cailloeut lists the Core Set Objectives and in his article, labeled as Table 3. The Medicare and Medicaid EHR Incentive Programs include three stages, beginning with providers meeting Stage 1 requirements—a 90-day period in their first year of meaningful use. Stage 2 requirements require two years of meaningful use. Stage 3, which was recently proposed, focuses on an advanced use of EHR technology. This technology will be used to promote health information exchange and an improved quality of care for
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.
Meaningful Use and the EHR Many new technologies are being used in health organizations across the nation, which are being utilized to help improve the quality of health care. Electronic Health Records (EHRs) play a critical role in improving access, quality and efficiency of healthcare ("Electronic health records," 2014). In order to assist in expanding the use of EHR’s, in 2011 the Centers for Medicaid and Medicare Services (CMS), instituted an EHR incentive program called the Meaningful Use Program. This program was instituted to encourage and expand the use of the HER, by providing health professionals and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and Medicaid," 2014).
Did you ever think about how much time is spent on computers and the internet? It is estimated that the average adult will spend over five hours per day online or with digital media according to Emarketer.com. This is a significant amount; taking into consideration the internet has not always been this easily accessible. The world that we live in is slowly or quickly however you look at it: becoming technology based and it is shifting the way we live. With each day more and more people use social media, shop online, run businesses, take online classes, play games, the list is endless. The internet serves billions of people daily and it doesn’t stop there. Without technology and the internet, there would be no electronic health record. Therefore, is it important for hospitals and other institutions to adopt the electronic health record (EHR) system? Whichever happens, there are many debates about EHR’s and their purpose, and this paper is going to explain both the benefits and disadvantages of the EHR. Global users of the internet can then decide whether the EHR is beneficial or detrimental to our ever changing healthcare system and technology based living.
Health Information Technology for Economic and Clinical Health Act consists of several subtitles. The subtitle D of the Health Information Technology for Economic and Clinical Health Act deals with the privacy and security issues that are associated with the electronic transmission of health information. The Health Information Technology for Economic and Clinical Health Act requires that as of 2011 all healthcare providers are going to be presented with the opportunity of financial incentives for showing meaningful use of electronic health records (EHRs). The proposed incentives will be offered up until 2015 and after that, penalties may occur for the failure of representing the use of EHR. The Health Information Technology for Economic and Clinical Health Act even started grants for the training centers for all staff members that are required to support a health information technology infrastructure. (www.healthcareitnews.com).
“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.
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
What is HIE? What does HIE stand for? HIE stands for Health Information Exchange. Health information exchange is where healthcare information is moving across the different organization that is between a community or hospital system. HIE lets doctors, nurses, pharmacists, and other providers and patients access health information to share patient information. HIE also improve safety, and the terrible cost of patient care. Honestly, HIE along with HIT is basically still being defined in the United States, meaning they are still trying to find out what purposes is it serving in the United States. In some ways HIE is still struggling with many things that are included in federal and state grants. However, with all this HIE still provide a great
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
Health information exchanges (HIEs), formalized at the state-level by the Affordable Care Act (ACA), were developed under Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009. HIEs are the health information technologies (HITs) that mobilize the interoperability of personal health information (PHI) across providers, healthcare systems, and platforms (Magnuson, 2014). HIE allows healthcare providers and patients to access and securely share health information electronically. This exchange improves the efficiency, effectiveness of patient care, patient safety, and healthcare costs (US Department of Health and Human Services [US DHHS], 2014) by reducing duplication of services and medication errors and increasing
The health industry has existed ever since doctors bartered for chickens to pay for their services. Computers on the other hand, in their modern form have only existed since the 1940s. So when did technology become a part of health care? The first electronic health record(EHR) programs were created in the 1960s around the same time the Kennedy administration started exploring the validity of such products (Neal, 2013). Between the 1960s and the current administration, there were little to no advancements in the area of EHR despite monumental advancements in software and hardware that are available. While some technology more directly related to care, such as digital radiology, have made strides medical record programs and practice management programs have gained little traction. Physicians have not had a reason or need for complicated, expensive health record suites. This all changed with the introduction of the Meaningful Use program introduced in 2011. Meaningful use is designed to encourage and eventually force the usage of EHR programs. In addition, it mandates basic requirements for EHR software manufactures that which have become fragmented in function and form. The result was in 2001 18 percent of offices used EHR as of 2013 78 percent are using EHR (Chun-Ju Hsiao, 2014). Now that you are caught up on some of the technology in health care let us discuss some major topics that have come up due to recent changes. First, what antiquated technologies is health care are still using, what new tech are they exploring, and then what security problems are we opening up and what is this all costing.
Advances in technology have influences our society at home, work and in our health care. It all started with online banking, atm cards, and availability of children’s grades online, and buying tickets for social outings. There was nothing electronic about going the doctor’s office. Health care cost has been rising and medical errors resulting in loss of life cried for change. As technologies advanced, the process to reduce medical errors and protect important health care information was evolving. In January 2004, President Bush announced in the State of the Union address the plan to launch an electronic health record (EHR) within the next ten years (American Healthtech, 2012).
Healthcare Information and Management Systems Society (HIMSS) states their vision on their website as achieving “better health through information technology”. They define their mission statement as an attempt to lead global actions towards optimizing healthcare by using informational technology (IT). When I explored theis website, I came across an explanation of Electronic Health Records (EHR), which I found useful for understanding this topic. It was described as an “electronic record of patient health information generated by one or more encounters in any care delivery setting”. According to HIMSS, EHR allows for sharing of information, such as patients’ demographics, health status, immunization record and past medical history.
The purpose of the Electronic Health Record is to provide a comprehensive, standardized and universal digital version of a patient 's health records. The availability of a patient 's digital health record provides health information and data for critical thinking and evidence based decision-making, aggregates patient data for quality assurance and research. The Electronic Health Record has been, "identified as a strategy for effectively and efficiently coordinating and maintaining documentation of patients health histories and as a secure method of providing more informed clinical decision making" (MNA, 2006).
The Important of the Health Information Management The Form of the Medical Record Done By Health Information Management Health information management is the very important component in caring health system. If you pay attention in this information management, you will know the way in getting, organizing, and keeping the medical record. The form of the medical record that is made of health information management (HIM) can be in traditional or modern technology. The form of the traditional medical report is written on the paper.
There has been a dramatic change in the healthcare system and it is no longer a one-way relationship where a physician make decision for the patient. At present, the healthcare system is consumer driven as the information related to health are at the fingertips of many patients who have access to internet and electronic devices. Nelson and Staggers (2014, p. 213) stated that “Health care has discovered the internet and the internet has discovered health care!” The customer is not only the central focus of the healthcare delivery in the participatory patient-centered healthcare model, but also a full member of the healthcare team (Nelson & Stagger, 2014). Beside the new model of healthcare delivery system, the accessibility of health information