Executive Summary There is opportunity to improve the quality of health care in Jones Hospital. Information technology (IT) offers the potential to address the organization’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.
In the healthcare environment, clinical documentation is the collection of information that refers to patient’s electronic health or medical record. There are many advantages of using informational health records, “health care environment is experiencing an explosion of knowledge that requires standardization to collect, store, achieve, retrieve, process, analyze, and exchange vast amounts of health data [1], (pg. 252).” In addition, the clinical documentation is important to collect medication orders, care plans, consults, laboratory data, and client outcomes. These records are used to facilitate structured communication between nurses and other health professionals to improve the delivery of quality care. Thus, clear communications throughout the healthcare organization is very important to the well-being of the customers and professionals that provide
Amongst all developments and inventions, electronic health record can be considered as an important tool in managing the records of patients. An electronic health record can be described as the collection of electronic health information about patients. These kinds of records are formatted electronically and can be shared across different healthcare institutions. The health record of patients can remain secured under the electronic health records. Electronic health records may include a series of data that consist of medical history, allergies, radiology images, test results of laboratory, medication and personal statistics such as weight, age and other information related to billing (Busch, 2008).
In order to maintain efficiency and variety in the healthcare system, EHR systems need to be diverse. The full potential is reached when information can be shared through integration. This is known as Interoperability within the healthcare IT system. Because records and patient information can be so easily lost in transit or translation through either fax, mail, etc., Interoperability is one of the primary motivations for healthcare information technology or EHR
Introduction The change in demography, multiple chronic conditions, increasing infectious disease threats, and small healthcare budgets put healthcare systems under serious challenge. In addition, there is an increasing need to generate more knowledge to improve patient treatments. Reuse of patient health data is promoted as a means to generate evidence on the effectiveness, benefits, and harms of different treatments. Patient data are also reused for quality assurance, public health and commercial applications. The wide deployment of electronic health records has created a potential for timely access to enormous amount of data to answer a given research question.
Furthermore, it should account for, in detail, a patient’s medical history, and improve overall patient well-being. 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.
The benefits of an effective electronic medical record make it necessary for organizations to overcome these barriers to implement effective electronic medical records that do encourage meaningful use of these systems. One of the reasons for the inconsistent acceptanc... ... middle of paper ... ...onic medical record provided to nurses. Some of those benefits include improved collection of medical information, improved collaboration between all members of the clinical care team and improved patient care through more accurate medication management and more accurate diagnostics. Groves, N. (2010). EMR debate presents benefits.
****find reference….. A model of care depends on a descriptive image of practice which characterizes the real objective of care. Therefore, it can be different according to the target group or health system in use. For better understanding, examples of some of the health care models (strength and weaknesses) studied during the course are listed below; 1. Guided care model; one of the most efficient model for chronic patients, it affords high-quality chronic care for these patients, as more health care providers (interdisciplinary) are available for them, ensuring patient satisfaction(2). 2.
The electronic medical record (EMR) is also an upcoming technology that allows physicians to) practice more powerful quality improve programs with paper-based records (Miller, & Sim, 2009). Adopting EMR’s is not a low cost venture, or an easy task. According to Miller, and Sim, (2009), “Quality improvement depends heavily on a phys... ... middle of paper ... ...f utmost concern for practicing physicians in utilizing a P4P system as well. Overall P4P could bring great benefits in the next 5-10 years of utilization but initial implementation could be risky. References Christianson, B., & Knutson, D. (2010).
EMR is used to organize and manage relevant patient, pharmacy financial, radiological and laboratory information (Burke & Weill, 2009). The CIS is a system based on technology that is applied at the point of care and developed to preserve the acquisition and processing of information (McGonigle & Mastrian, 2012). Advantages of CIS includes efficient access of patient data at the point of care, information that is easy to access due to being legible and structured, better patient safety, through the identification of adverse drug reactions and high risk patients (McGonigle & Mastrian, 2012). Disadvantages include the implementation of CIS is both costly in money and employee productivity, while implementation and development is in progress (McGonigle & Mastrian, 2012). Additional disadvantages may be privacy and security and resistance from staff to learning something new (McGonigle & Mastrian, 2012).