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Electronic health record introduction
Electronic health record introduction
Current status of electronic health records
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When walking into a hospital, nursing home, or physician’s office, electronic devices are used everywhere. The doctors have pagers, drugs are released from an apparatus similar to vending machines, and the patients are connected to intravenous pumps and monitors, while they lay on beds that move with the touch of a button. Everything seems to be electronic, except for patient charts. A new system, called eHealth, was devised that would make these patient charts electronic. The goal for electronic health is to unite all healthcare by making patient records available to all providers in order to improve the quality of care patients receive. eHealth can be adopted into hospitals, physicians’ offices, and even ambulatory services. A 2006 study found, “Ambulatory EHRs improve the structure of care delivery, improve clinical processes, and enhance outcomes” (Shekelle 61). With professionals working together, procedures, scans, tests, and even visits to the hospital can be eliminated and in turn reduce the hospital’s expenses. However, this reduction may not add up to the investment the facilities will have to make. Adopting this system will cost more the some facilities are able to spend. However, investing in eHealth is a risk hospitals should take to improve patient care. eHealth has to become affordable to all providers for healthcare to reach its full potential.
With eHealth, a doctor can go up to a computer, pull up patient’s files and see everything the patient takes for medications, any tests given and their results. This would be very beneficial to doctors especially working in trauma, where patients may be unable to tell doctors which prescriptions they are on or any medical history they might have. This could eli...
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....” Review of Ophthalmology. March. 2009: 21. Web. 7 October 2011.
Hernandez, Lyla M. “Health Literacy, eHealth, and Communication: Putting the Consumer First: Workshop Summary.” Washington, D.C. : National Academies Press, 2009. ebrary. Web. 27 October 2011.
Lohr, Steve. “Most Doctors Aren’t Using Electronic Health Records.” New York Times. New York Times, 19 June 2008. Web. 13 Nov. 2011.
Senate Bill No.945. Passed 2 June 201.
Shekelle, Paul, and Sally Morton. “Costs and Benefits of Health Information Technology.” Evidence Report/Technology Assessment, Number 132. Southern California Evidence-based Practice Center, CA. April 2006. Web. 13 Nov. 2011.
Sldorov, Jaan. “Market Watch: It Ain’t Necessarily So: The Electronic Health Record and the Unlikely Prospect of Reducing Health Care Costs.” Health Affairs. Volume 25 Number 4 (2006): 1079.
in a number of ways. One good aspect of his character is the fact that
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
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
Many new technologies are being used in health organizations across the nations, 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 a EHR incentive program called the Meaningful use Program. This program was instituted to encourage and expand the use of the HER, by providing health professional and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and medicaid," 2014). The Meaningful use program will be explored including its’ implications for nurses, nursing, national policy, how the population health data relates to Meaningful use data collection in various stages and finally recommendations for beneficial improvement for patient outcomes and population health and more.
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.
“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.
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).
... goals for e-Health, EHR's and PCEHR’s. They give different visions for the consumer, the provider and health care managers. For the consumer they hope to give them the capability to better manage their own health through dependable and accredited sources of health information, technology enabled access to a broader range of health services from rural and remote communities and to be able to rely on the health system to effectively organize their care and treatment activities. For the provider, they will have a complete view of consumer health information at point of care, they will be able to share information electronically in a timely and secure way, be able to transfer information to different locations and to be able to effective monitor information about patients and having the ease of interacting with patients and other professionals, no matter where they are.
Currently, Kaiser Permanente, a nonprofit organization has already begun to implement the practice of electronic medical records. Kaiser Permanente patients have the privilege of sharing their medical history with each medical provider seen during their Kaiser membership. Depending on the level and type of information needed, every healthcare professional patients have encounters with within their geographical region will have access to notes, prescriptions, procedures, and diagnostic tests at the click of a mouse, to effectively and proficiently render care. All medical documentation provided to Kaiser Permanente from othe...
Testament Exodus 21:24 - "An eye for an eye and a tooth for a tooth".
Physicians and organizations are now evaluating patients with electronic data collection to improve a patient’s care.... ... middle of paper ... ... References Nembhard, I. M., Alexander, J. A., Hoff, T. J., & Ramanujam, R. (2009). Why Does the Quality of Health Care Continue to Lag?
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
There are many actions the health professional can take to help increase their patients’ health literacy. Some steps are simple, easy to complete. Other tasks take the cooperation of multiple departments and people, but are just as important to help improve health literacy. The first step to ...
Financial barriers present an important issue for implementation of Electronic Medical Record. New technology and equipment are expensive to implement, maintain and use. While Electronic Medical Record could effectively for doctors and other caregivers are more convenient in creating, and updating the medical records of patients, the cost is too much to buy the equipment in command to record and securely store patients’ data. Many health care providers do not have enough knowledge and/or experience from using those electronic devices in that capacity; they need to have specific training. Therefore, Kazley (2009) pointed out that the small hospital can be managing efficiency by the EMR. However, the medium and the larger hospitals cannot perform well because the new technologies are so expensive and difficult to manipulate (pp 4,10,34).