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Privacy security and electronic health records
Privacy security and electronic health records
Privacy security and electronic health records
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Weighted Objectives Our facility has given weight to the top four considerations for a CPOE system. Equally important to us is a system geared both towards the safety of our residents and user friendly for adoption so a weighted value of 30% has been given to each requirement. Security and HIPPA compliance, although a must, is somewhat assumed to be the industry standard of information systems and applications, and we have given its value as 25%. Finally, the ability to interface with other systems and applications, although a ways down the road is a requirement that we must take into consideration and this was given a value of 15%. CPOE Solutions To reiterate, we are a LTC facility and to date we do not have an EHR of any type. The first option in looking for a CPOE was to find a stand-alone solution. According to the CPOE/E-prescribing Solutions Guide by Health Management Technology (2013), the PatientKeeper CPOE (PKCPOE) is easy for physicians to use and learn, allowing them to enter orders on their smartphone or tablet in addition to laptop or desktop computers. KLAS®Research recognized the PKCPOE solution as the most user-friendly CPOE stand alone solution on the market with an Ease of Use Rating of 8.3 (out of 9) with an overall performance score of 86.4 (PatientKeeper, 2013). We need a solution that our medical director and visiting physicians will want to use and since all of our physicians use smartphones and tablets, integrating a CPOE with mobile workflow is a great way to achieve physician buy-in. PatientKeeper Mobile CPOE works with the iPhone, iPad, Blackberry, and Android-or Windows based systems. Physicians can add their favorite orders to a personalized favorites list ... ... middle of paper ... ...sprescribers.aspx PatientKeeper Benefits Summary. (2013). Retrieved from http://www.patientkeeper.com/learn_more/patientkeeper_benefits_summary_may2013.pdf PatientKeeper, Inc. (2013). PatientKeeper CPOE: Computerized Physician Order Entry Designed for Meaningful Physician Use. Retrieved from http://www.patientkeeper.com/clinical-solutions/cpoe.html SigmaCare. (2008). Case Study-The Sands Point Center: Mitigating Risk in Long-Term Care Workflow Automation Through Operational Transformation. Retrieved from http://www.ehealthsolutions.com/pdf/SigmaCare_Sands_Point_Case_Study.pdf Subramanian, S., Hoover, S., Gilman, B., Field, T., Mutter, R., & Gurwitz, J. (2007). Computerized Physician Order Entry with Clinical Decision Support in Long-Term Care Facilities: Costs and Benefits to Stakeholders. Journal of American Geriatrics Society, doi: 10.1111/j.1532-5415.2007.01304.x
Recommend which system is the best choice to meet meaningful use requirements in this particular setting. Both Cerner and CPSI have helped hospitals meet CMS Stage 1 and Stage 2 requirements. However, Cerner provides a modular concept that larger hospitals are using more than complete inpatient systems to achieve MU (Zieger, 2013). In 2014, EHR vendors said eight hospitals had attested to MU Stage 2, and Cerner was used twice as much as CPSI (Gregg, 2014). Concerning Computerized Physician Order Entry (CPOE), CPSI System had the broadest reach in community hospitals; nevertheless, the software was missing functionality and usability (KLSA Enterprises, 2010, p. 6). Therefore, CPSI’s CPOE was significantly below the market-average due to low physician satisfaction (KLAS Enterprises, 2010, p. 6). KLAS Enterprises (2010, p. 2) reported Cerner clients were happier the more they adopted CPOE.
The users that are already competent with the CPOE system (nurses, pharmacists, doctors) should be more vocal about the benefits of the system, and how because of it they now having more time to manage their patients well being. They must also speak up about what is not working in the system as so improvements can continue to be made.
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
ProEMR has training classes that will train staff how to implement and use the program. When staff is trained on this program it will include training on keeping information in this system secure and prevent breaches. This is rated “high” because it has to do with protecting patient
To provide appropriate care, long-term care admissions must be well thought-out and explicit tasks fulfilled prior to the patient’s arrival. There should be a smooth transition between facilities to promote continuity of care (LaMantia, Scheunemann, Viera, Busby-Whitehead & Hanson, 2010). If discharge planning is inadequate, patient safety and health can be compromised. For example, scheduled drug regimens, such as antibiotics and controlled medications, must be available within a timely manner. Most long-term care facilities do not support an in-house pharmacy. In addition, many pharmacies require original hard scripts before filling controlled medications. If admitting orders are inadequate or cannot be carried out within the appropriate time span, the admitting facility may be unable to meet critical needs. I have experienced this first hand on more than one occasion. The most recent o...
In an effort to improve clinician workflow and enhance patient safety, a healthcare facility has purchased and will soon be introducing a computerized provider order entry (CPOE) system for use within the electronic health record. A pre-deployment evaluation plan will permit the informatics team to appraise the usability of the CPOE and provide administrators with valuable data regarding its successful implementation. This paper describes the formation of this evaluation plan including the goals, methodology, and tools to be used. The final sections cover the ethical implications and dissemination of findings, along with the limitations and opportunities that the study provides.
Currently, we use the electronic health record system called Computer Programs and Systems, Inc. (CPSI). CPSI is “a l...
Administrative Mandates, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, ICD-10 and HIPAA 5010, are all part of administrative simplification and the need for systems optimiza...
As a current student at Akron General Medical Center we are allowed access to their EHR, McKesson. However, before logging into their system or even stepping foot on the floor the importance of patient information and keeping it c...
Online patient portals are being utilized at health care offices and hospitals across the country. A patient portal is a secured website in which patients can email their providers, view and pay bills, request appointments, research health topics, review personal information, complete medical forms, and update their profiles and contact information (Ellis). In addition, some patient portals offer health monitoring tools, such as food diaries, body mass index calculators, depression screenings, and personalized plans to help patients quit smoking or lose weight (“The Doctor Will E-Mail You Now”). These portals provide a new method for patients to stay connected to their health care professionals ...
Wangler, B., Ahlfeldt, R.-M., & Perjons, E. (2003). Process oriented information systems architectues in healthcare. Health Informatics Journal , 9 (4), pp. 253-265.
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).
Computerized Physician Order Entry (CPOE), is also known as Computerized Provider Order Management (CPOM). CPOE is a process of automated or electronic entry record of health care physician on different types of instructions on how to treat patients, especially patients that are hospitalized under a physician’s care. CPOE is one of the most remarkable system that is being used in the healthcare system to effectively reduce the amount of medication errors. The University of Health Care System might be in the process of rolling out the CPOE portion out of the EMR project, however, they did not do a thorough investigation on what CPOE is and whether or not it would have a positive impact on the EMR project. They should have not taken the step to start the project without already knowing the basics of CPOE. They might have had thought that since it is a computerized system everything would turn out okay and there would not be any problems. However, they fall short to recognize that the user’s knowledge and experience with using the CPOE system would have a significant influence on the effectiveness and productivity of the actual system.
The process of implementing an EHR occurs over a number of years. An electronic record of health-related information on individuals conforming to interoperability standards can be created, managed and consulted with the authorized health professionals (Wager et al., 2009). This information technology system electronically gathers and stores patient data, and supplies that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system functions as a decision support tool to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lower the medical costs. Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely to provide better preventive care than were healthcare professionals who did not.