If health information technology has been adopted widely, there would be more than $81 billion annually save in the United States only (Gee & Newman, 2013). Despite the vast improvement of health information technology in the current century when compared to the past, there still some challenges in adopting the technology. For example, patients and healthcare providers’ frustration with the current system, and a high cost of the information technology can be mentioned. However, healthcare organizations are thoroughly delivering care, access the patients’ health data, run their analysis for better health outcomes, and gain opportunities to better quality improvement through many electronic health delivery systems (Health information technology, n.d.; Wager, Lee, & Glaser,
According to the Centers for Medicare & Medicaid Services, new electronic health records (EHR) incentive programs will provide payments to eligible healthcare professionals and hospitals if they “implement or demonstrate meaningful use of certified EHR technology” (Centers for Medicare & Medicaid Services, 2014). A major challenge today facing leaders in healthcare is overcoming the resistance from healthcare professionals with becoming accustomed to technological advancements, specifically EHR.
There are obvious benefits to the technology such as quick access to patient information, efficient and faster billing, and lower storage costs. In addition, there are huge advantages to linking laboratory, radiology, and pharmacy information to the larger EHR. According to Murphy (2011), linking this data is very patient-centric as it lessens the likelihood of repeating tests, thus better care decisions happen when current data is available. However, there are cons to the technology that are hampering its full acceptance. In the digital age, the public is becoming aware of how pervasive computers are to our everyday lives. Computers run our cars; manage our financial matters, and numerous other daily functions. In addition, computers and electronic information allow medical devices to function and more often than not, track our medical footprints. When the shift to EHR was nearly mandated, the one consideration not taken into account is the public’s mistrust of how the healthcare industry uses this information. Certainly, those in the healthcare industry want to keep their patients healthy, heal them when illness develops, and develop better ways of treating disease; however, the medical industry, like all businesses, are motivated by profit. According to Blankenhorn (2010), medical records, from pharmacy records
The transition to electronic health records to comply with meaningful use is not cheap. The total cost for an in-office system or a cloud-based system is very high.
The health industry has existed ever since doctors bartered for chickens to pay for their services. Computers on the other hand, in their modern form have only existed since the 1940s. So when did technology become a part of health care? The first electronic health record(EHR) programs were created in the 1960s around the same time the Kennedy administration started exploring the validity of such products (Neal, 2013). Between the 1960s and the current administration, there were little to no advancements in the area of EHR despite monumental advancements in software and hardware that are available. While some technology more directly related to care, such as digital radiology, have made strides medical record programs and practice management programs have gained little traction. Physicians have not had a reason or need for complicated, expensive health record suites. This all changed with the introduction of the Meaningful Use program introduced in 2011. Meaningful use is designed to encourage and eventually force the usage of EHR programs. In addition, it mandates basic requirements for EHR software manufactures that which have become fragmented in function and form. The result was in 2001 18 percent of offices used EHR as of 2013 78 percent are using EHR (Chun-Ju Hsiao, 2014). Now that you are caught up on some of the technology in health care let us discuss some major topics that have come up due to recent changes. First, what antiquated technologies is health care are still using, what new tech are they exploring, and then what security problems are we opening up and what is this all costing.
Electronic Health Record (EHR) is a digital collection of patient health information instead of paper chart that captures data at the point of collection, supports clinical decision-making and integrates data from multiple sources in any care delivery settings. The health record includes patient’s demographics, progress notes, past medical history, vital signs, medications, immunizations, laboratory data and radiology reports. National Alliance for the Health Information Technology defines EHR as, “ an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more
The health care system faces monumental tasks in the next several years due to the overhaul of the health care system and implementation of the new diagnosis code standard, to name a few. Additionally, conversion from paper medical records to an electronic health record system requires in-depth analysis and complete understanding of the advantages and disadvantages. Only then, each health care professional can make the right decision for their medical practice. Each of these impending changes has advantages, disadvantages, HIPAA protocol standards and technical issues making full implementation and compliance a challenge for medical staff. This paper focuses on the co...
In the 2004 State of the Union Address, President George W. Bush stated “within the next 10 years, Electronic Health Records (EHRs) will ensure that complete health care information is available for most Americans at the time and place of care (U.S. Government)”. In order to encourage the widespread implementation of EHRs and to overcome the financial barrier to doing so, the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 set aside $27 billion in incentives to be distributed over a ten-year period for hospitals and healthcare providers to adopt the meaningful use of EHRs (Encinosa, 2013). In 2011, the Centers for Medicaid and Medicare Services (CMS) implemented the Meaningful Use (MU) Incentive Program. In order to qualify for incentive payments under MU, providers must attest to meeting specific quality measures thresholds each year consisting of three stages with increasing requirement at each stage.
Jerant, A. F., & Hill, D. B. (2000). Does the use of electronic medical records improve
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. The EHR, then, serves as a resource that will aid Jones Hospital clinicians in decision-making by providing comprehensive patient information.
It enables healthcare organizations to monitor patient safely and care. According to IOM essential elements for an EHR are: the collection of longitudinal data on a person’s health, immediate electronic access to this information, establishment of a system that provides decision support to ensure the quality, safety, and efficiency of patient care. The Health Information Technology for Economic and Clinical Health (HITECH) Act, until 2015, offers incentives for physicians and other healthcare professions to adopt health IT. After that, the apt spells out penalties for noncompliance of health IT. The Office of Nation Coordinator (ONC) for Health Information Technology (HIT) is responsible for implementing the incentives and penalties program. The ONC has been working to create ‘meaningful use’ guidelines for physicians and others that will help them receive incentive payments and avoid penalties in the future” (Niles, 2015, page 261).
The Health Information Technology for Economic and Clinical Health (HITECH Act), which was passed as part of the American Recovery and Reinvestment Act of 2009, has fostered significant progress in the adoption of Electronic Health Records (EHRs) in various clinical settings, particularly through the Medicare and Medicaid EHR Incentive Programs and its focus on EHR adoption in Stage 1 Meaningful Use (CITATION gov). For instance, as a result of the Medicare and Medicaid EHR Incentive Programs, the percentage of office based physicians who have adopted an EHR system dramatically rose from 18.2% in 2001 to a staggering 78.4% in 2013 (CITATION phys data). Additionally, as of July 2013, 67% of hospitals achieved Stage 1 Meaningful Use and an additional 16% were paid for adopting EHRs (CITATION hosp data).
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.