Sheriff’s Department Medical Services Bureau (MSB) will be slowly transitioning to the Department of Health Services (DHS) with changes in e-health technology on May, 2016. MSB is comprised of physicians, nurses, and other clinical/non-clinical staff who provides or support provision of medical care to inmates. This includes assortment groups of on-site primary and specialty care services such as dental and oral surgery, eye care, pharmacy, radiology, laboratory, orthopedics, obstetrics and gynecology, general surgery, urology, HIV, and neurology. While medical staff work hard and are deeply committed to providing appropriate care, the current system that provides health care for inmate-patients faces a variety of challenges related to the organizational structure in which jail health services are provided, the concern models currently in use, care coordination and integration of e-health technologies (County of Los Angeles, 2015). E-Health, which is inclusive of Telemedicine and the use of Electric Medical Records (EMR), is a potential solution to the problems of accessibility, quality and costs of delivering public healthcare services to patients. Although e-health has become quite common in recent years, it remains unclear the degree to which clinicians are able to accept and use these new and rapidly developing technologies. The use of information and communication technologies in healthcare is seen as essential for high quality and cost-effective healthcare. However, implementation of e-health initiatives has often been problematic, with many failing to demonstrate the predicted benefits (Zhang, 2015). The purpose of the Doctor of Nursing Practice (DNP) project is to assess the factors influencing clinician acceptance an... ... middle of paper ... ...nd, the most significant barrier reported was the lack of time to search for, understand, and interpret research findings. Other barriers to adopting evidence based practice (EBP) include inadequate access to information technology (IT), limited IT skills, and lack of information searching skills. Due to its wider adoption of technology in today 's medical fields, the barriers to EBP have received more and more attention in recent studies (Majid et al., 2011). It is critical to understand perceptions of the clinician population in order to maximize the effectiveness of future training strategies. Findings will be used to help guide approaches in providing training on e-health technologies. It is hoped that exposure to demonstration on the one technology identified with the strongest resistance or difficulties will allay anxieties or resistance to use.
Evidence Based Practice (EBP) is useful to practice because it aids practitioners development and widens their knowledge and insight, therefore enhancing the experience of the practitioner. This ensures that the best quality of care is given to the patient (Duncan, 2006).
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.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
One of the five key principles of care practice is to ‘Support people in having a voice and being heard,’ (K101, Unit 4, p.183). The key principles are linked to the National Occupational Standards for ‘Health and Social Care’. They are a means of establishing and maintaining good care practice. Relationships based on trust and respect should be developed between care receivers and care givers, thus promoting confidence whilst discussing personal matters without fear of reprisal and discrimination.
While, equality of healthcare provision in America continues to be a leading topic of debate. Healthcare rights for incarcerated persons are largely absent from this national conversation. Healthcare affordability and accessibility to quality treatment, medicine and doctors remains a priority across all ages, races, genders and political parties. Because “the state” is given the power of autonomy from the provision of law under the federal government, it should be the responsibility of “the state” to provide adequate healthcare services and treatment to persons who are incarcerated.
This statement has not only ran true for just the State of Nevada, but for cities throughout the United States and overseas, but what can technology do to provide a more efficient way to not just for overall better healthcare, and also protect the medical records of millions of trusting patients? With the implementation of Electronic Medical Records (EMRs), there is less room for errors and more opportunities to gain the trust of the patients through medical experience, but how does the electronic medical records affect health care delivery? One way that healthcare delivery is affect is the quality of care. A patient is more like to see a doctor who is already acquainted with their medical history even if this is the patient’s first time visiting with a doctor that is filling in for their re...
To Health Service In Correctional Evironments: Inmates Health Care Measurement, Satisfaction and Access In Prisons.” Howard Journal of Criminal Justice 50.3. (2011): 262-274. Academic Search Complete. Web. 5 May 2014.
Main, R., Dunn, N., & Kendall, K., (2007). ‘Crossing professional boundaries’: barriers to the integration of nurse practitioners in primary care. Education for Primary Care, 18, 480 – 487. Mundinger, M., (1994).
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.
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).
Encinosa, W. E., & Jaeyong, B. (2013). Will Meaningful Use Electronic Medical Records Reduce Hospital Costs?. American Journal Of Managed Care, 19eSP19-eSP25.
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
Evidence Based Practice emerged in the late 20th century, becoming widespread in the 21st century. According to Research and Practice: The Role of Evidence-Based Program Practices in the Youth Mentoring Field ( 2009) “The concept of Evidence Based Practice (EBP) actually has its roots in the medical field, where the work of Archie Cochrane (1972) and others examined the key role that the substantial body of medical research and literature could play in how doctors make decisions in patient care” (para 6); Thus, a doctor’s decision would be an “educated” decision, based on evidence gathered (patient symptoms), history of cases they have overseen, or research of previous case diagnosed by another doctor, with a related case. Evidence Based Practices are defined as “ integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve” (“Evidence Based Practice (EBP),” 1997-2014); often described as the “Best Practices”. The evidence itself is not the basis of decisions made, but it does help support the process of care given to our clients.
The acceptance of the DNP has not come without some hesitation. There were many leaders in nursing who had some beliefs that the practice doctorate would somehow take away the spotlight from the research being done in the field of nursing (Zaccagnini & White, 2017). Many physicians also view the DNP as trying
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,