Introduction
Advancements in technology are disrupting all aspects of modern life forcing integration of the advanced technical know-how in every discipline of life. Contemporary health care delivery system is transforming at a quick pace and the notable changes are expected to continue into the future. In this paper, we shall examine, analyze and assess the components of e-health delivery system focusing on administrative, clinical decision support systems, electronic health record and computer-based health record systems, nursing, ancillary service systems, and patient numbering systems at master and enterprise levels.
Administrative
Dallas/Fort Worth Health and Hospital System is among the top and best ranked hospitals by health U.S News.
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PAS design and architecture feature varied main levels including the central Management Level, Regional level and Patient level (Winter, et al., 2011). The administrative applications use client-server architectures for purposes of processing and networking. In today’s e-health landscape, enterprise PAS feature advanced Internet architectures that offer great interoperability and accessibility globally.
The Patient Administrative System is a region-wide application designed to improve and enhance access to various patient information via a central electronic information database. The core goal of the PAS system is to modernize patient information movement and availability for physicians. Under PAS, Electronic Health Record (EHR), Electronic Medical Records (EMR), and Provincial Laboratory Information Solution (PLIS) would be appropriate in capturing and presenting enough information regarding any patient.
Clinical decision support
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It ensures seamless connectivity across different systems in dissimilar locations. For the case of Dallas/Fort Worth Health and Hospital System, their computer-based health record systems feature various components such as patient management, clinical, laboratory, radiology information system, and billing system. The EHR system is developed to offer interoperability within a hospital setting, capturing patient information on admission all the way up to the billing point (Accidental Speculation, 2013).
Its design features an easy to use interface with functionality buttons well noted for smooth navigation. Computer-based health record systems must capture accurately patient information during patient admission and/or discharge. Clinicians, staff, patients, and informatics are the most common groups of people who regularly use the Electronic health record and computer-based health record systems. Most EHR systems are multi-use hence the insane capabilities for interoperability.
Nursing Application
• Provides a basic level of interoperability among electronic health records (EHRs) maintained by individual physicians and organizations
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.
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
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.
“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.
Electronic Health Record (EHR) is a digital collection of patient health information instead of paper chart that captures data at the point of collection, supports clinical decision-making and integrates data from multiple sources in any care delivery settings. The health record includes patient’s demographics, progress notes, past medical history, vital signs, medications, immunizations, laboratory data and radiology reports. National Alliance for the Health Information Technology defines EHR as, “ an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more
Electronic Health Record systems (EHR) are essential to amending health quality and managing health care distribution, whether in an extremely immense health system, hospital, or primary care clinic. The U.S. Department of Veterans Affairs (VA) has developed and perpetuates to maintain a strong EHR kenned as VistA - the Veterans Health Information Systems and Technology Architecture. This system was designed and developed to strengthen a high-quality medical care environment for the military veterans in the United States. The VistA system is in maintained today at hundreds of VA medical centers and outpatient clinics across the country. (http://worldvista.org/AboutVistA)
Shouldice Hospital is successful in its objective of providing high quality, low cost, and focussed health care. It is popular even without any major advertising efforts.
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.
The EHR is a computerized health record that will take place of the paper chart. The health care information will be available to all health care providers at anytime, anywhere. The record will contain medical history, diagnosis, medications, immunization, allergies, diagnostics and lab results; from past doctors, emergency department visits, school, pharmacies, and out patient laboratories and facilities (Department of health and human services, 2014). Health care providers will be able to access evidence-based tools to aid in decision-making. EHR will also streamline workflow, and support changes in payer requirements and consumer expectations. In 2004, “the HHS secretary, Tommy Thompson appointed David Brailer as the national health information coordinator to provide: leadership for the development and nationwide implementation of a interoperable HIT infrastructure, with the goal of establishing electronic health records...
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.
...nce an incident that may not be seen as such by staff working in the same environment but, if the staffs have frequently witness that the same incident occur; they may stop reporting the incident. However, database application system can save charting time which could be utilized to provide care to residents. Administration function like medical records, risk assessments, daily reports and coding requires documentations from the service users` electronic medical record database to enhance the EHR, which link the EHR data with databases containing standardized assessment information from external healthcare systems. If the database is not similar as to what other healthcare systems use, it is impossible to share information from EHR database with other clinical application systems.
The purpose of this document is to thoroughly detail on the terms, functionality, implementation and usage of the “Interactive Patient Information Management System” (I.P.I.M.S). This will overview the design and detail of each user, page, and item implemented within the web application. The rest of this document will provide sufficient detail for the reader to fully understand the IPIMS. The IPIMS is an interactive web-based system that will benefit healthcare providers with easy access to records, patients, appointments, lab records and hospital statistics. The system also allows patients of the healthcare provider to easily manage and access their healthcare needs such as appointments and prescriptions.
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
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.