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Strengths and weaknesses of electronic health records
Healthcare informatics history and evolution
Strengths and weaknesses of electronic health records
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Four Core IT Applications Paper
Technology is derived from the Greek word tekne, meaning an art or craft. Logia is an area of study; thus technology is the study or science of crafting. Clinical information technologies are changing the way healthcare is delivered. Networks of delivery systems and health plans are being created by research organizations to support innovation and the advancement of technologies in healthcare. This clinical information technology is leaning towards "prevention-oriented, consumer driven model of healthcare.
Many factors prompt the innovation of new technologies: Consumer demand, clinical accountability, medical advancements, research agendas, population health targets and the capacity and resources for technology development as an industry. Innovation promotes the industry to manufacture high volumes of medical devices and thus market them to the healthcare providers. This "technology push" is sometimes resistant with the "clinical pull" of technology because clinicians as well as physicians often resist the change of new technology due to its value or its impact on day-to-day workflow.
With the increasing access to computers, doctors are now able to look up information on their patients. Half of the physicians either don't have digital health records or the ability to write electronic prescriptions. According to Marie Reed, many physicians still lack access to clinical information technology in their practices despite the substantial growth rate. Barriers to physicians adopting clinical IT include: Start-up and maintenance costs and significant effort and costs of changing workflow to use IT effectively. According to the Center for Studying Health System Change, promoting digital...
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...or. The information will not be accessible to other super users, clinicians, nurses or physicians in the hospital. This software is an addition to the normal software given to the medical office, thus the doctor had to pay additional cost.
The software does not have automatic billing based on the type of visit given. When the physician indicates the type of visit to bill, he writes it in the patient chart and on the computer. The medical biller is able to access the computer to see the doctor's comments. Using a different software program, called Med Master, the medical biller puts the information of the billing. It would be nice to have both software programs work as one and thus eliminate the extra step. We would like to link both the billing system and clinical system together, but as of now, the physician considers cost and effort to learn new technology.
Jha, A. K., Burke, M. F., DesRoches, C., Joshi M. S., Kralovec P. D., Campbell E. G., & Buntin M. B. (2011). Progress Toward Meaningful Use: Hospitals’ Adoption of Electronic Health Records. The American Journal of Managed Care, 17, 117-123
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.
The Creative Destruction of Medicine is a book written by Eric Topol, who is a M.D. He is one of the most top citied researchers in medicine and was named Modern Healthcare’s #1 Most Influential Physician Executive in Healthcare in 2012 (Topol, 2012). This book explains how the future of medicine will change dramatically from what it what was then and how it is now. The book is split into three different parts. Part I is “Setting the Foundation” where it explains where the technology began and how it has changed in the modern day. Part II is “Capturing the Data” explains the different ways that modern day technology can show what is wrong with a patient easier and more convenient than ever before. Part III is “The Impact of Homo Digitus” here
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).
The company would need to purchase software, hardware, networks, upgrades, training, and computer personnel. “The average cost of installation for a practice is $50,000” (Niles, 2015, page 262). Going from a hard copy system to an electronic system requires several components, including a physician order communications/results retrieval, electronic document/control management, point of care charting, electronic physician order entry and prescribing, clinical decision support system, provider patient portals, personal health records, and population health (Niles, 2015, page 262). Converting to an electronic system affects the workflow because it changes the process for the professional. The training and learning of the system takes time to learn and to completely understand and is not as easy as just writing it down on paper. “Training is required for both healthcare professionals and staff to fully utilize the system” (Niles, 2015, page
Four technologies that I chose to discuss here include telehealth, tablet technology, social media, and patient portals. Telehealth is a rising area of care management. Telenursing is a component of telehealth. Nurses provide telecommunications and information technology when a large physical distance exists between a patient and a nurse. Telenursing has been defined as the delivery, management and coordination of care and services provided via information and telecommunication technologies (Kuriakose, 2011). I currently work as a
of medical devices are used by millions of health care providers around the world.” (Powell-
Over the last several years, electronic medical records are becoming more prominent in health care facilities, replacing traditional written records. As many electronics are becoming more prevalent with the invention of numerous smartphones and tablet devices, it seems that making medical records available electronically would be appropriate for the evolving times. Even though they have been in use to some extent for many years, the “Health Information Technology for Economic and Clinical Health section of the American Recovery and Reinvestment Act has brought paperless documentation into the spotlight” (Eisenberg, 2010, p. 8). The systems of electronic medical records mainly consist of clinical note taking, prescription and medication documentation,
reimbursement determinations. As a result, the camaraderie among physicians has developed into a more aggressive approach to impede competition (Shi & Singh, 2012). Little information is shared with patients in regards to procedures or disease control. The subjects are forced to rely on the internet for enlightenment on the scope of their illnesses (Shi & Singh, 2012). Furthermore, the U.S. health care system fails to provide adequate knowledge on billing strategies for operations and other medical practices. The cost in a free system is based on supply and demand and is known in advance of hospital admission (Shi & Singh, 2012). The need for new technology is another characteristic that is of interest when considering the health care system. Technology is often v...
Journal Title: Impact of Health Information Technology on the Quality of Patient Care. Introduction: Our clinical knowledge is expanding. The researchers have first proposed the concept of electronic health records (EHR) to gather and analyze every clinical outcome. By the late 1990s, computer-based patient records (CPR) were replaced with the term EHR (Wager et al., 2009).
Johnson, Michael. A. A. (1999) The 'Standard' of the 'Standard Is technology changing the doctor/patient relationship?”. Health Today, 11, 8 – 11. Mandl, Kenneth, MD., Kohane, Isaac, MD., Brandt, Allan, MD.
This article highlights the creative technology and its uses in medicine today. There are examples and comparisons on the useful and destructive ways technology has impacted society. The author speaks directly about the benefits of improved technology in healthcare as well as a wide range of other fields. This source will help support my claims of how medical technology has improved by providing descriptive facts.
Information and Communications Technology (ICT) is reshaping the health care system in the United States at an accelerating rate. In earlier times US Healthcare system was more focused on intervention of diseases, but now it is moving more towards preventive approach and I see Health IT as the most important tool that can lead this change. I strongly believe that my professional goals, range and depth of my experience and knowledge is an asset and my enthusiasm for the field makes me an ideal candidate for the Master of Professional Studies in Technology Management (Health Information Technology) program at Georgetown University.
...re by these advance and more advanced technology will allow patients to be more aware of the health care delivery and involved. In five years there will be more advancement in health care and as health care advances so will the technology used to delivery it.
According to the Merriam-Webster Dictionary online, technology means: the use of science in industry, engineering, etc., to invent useful things or to solve problems: a machine, piece of equipment, method, etc. that is created by technology.