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Electronic health record introduction
Electronic health record introduction
Introduction to electronic health records
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Implementation The decision has been made; our proposal for an electronic personal health record (EPHR) application (ap) has been accepted by the organization. Careful selection, contracting, planning, and training, are essential to successful implementation. (Esper, Procan, Henderson, Becker, Avitzur & Hier, 2010) Now the implementation phase will begin. Any change involving a quality improvement program is a major undertaking. The organizations’ culture will determine how decisions will get made and work will get done. Success is usually greatest when there is a willingness to learn and a willingness to adapt to a new process. One promising approach to change is the behavior change theory. (Schulte, 2007) Our project team can use a behavior change model to help pave the road to successful implementation of the EPHR. As illustrated in the Appendix Table 1, these eight steps to organization behavior change will be used for our implementation plan of the EPHR. .Implementation Phase One: Cost Analysis The first phase of our implementation plan will look at cost analysis. The organizations complete budget needs to be reviewed.. First step is to evaluate the total cost of the EPHR and distribute that cost to the required activities for implementation while not forgetting to include such hidden costs as the cost of hired trainers, publishing of training materials, licensing fees, and salaries of staff members training instead of working. (Federcowicz, Grossman, Hayes, & Riggs, 2010) The Appendix Table 2 illustrates the organizational activities that need to be considered in the cost analysis phase. Each organizational activity must be represented in order to facilitate the complete accept... ... middle of paper ... ... (2009). Personal and electronic health records: sharing nutrition information across the health care community. Journal of the American Dietetic Association, 109(12), 1988-1991. Schulte, S. K. (2007). Avoiding cultural shock: using behavior change theory to implement quality improvement programs. Journal of AHIMA, 78(4), 52-56. U.S. Department of Health, & Human Services. (2010). Conversational information technology (IT) for better, safer pediatric primary care. In IT standards committee (Ed.), Project activities (Grant number R18HS017248). Washington, DC: U.S. Government Printing Office. White House Executive order. (2004). Incentives for the use of health information technology and establishing the position of the National Health Information Technology Coordinator (Office of the Cheif Information officer). Washington, DC: U.S. Government Printing Office.
Montague and Asan (2013) did a field study where 100 patients’ ages 18 through 65 were observed and video recorded during their visit in a primary health clinic. The researchers wanted to see how much communication and eye contact the physicians would do with their patients when using paper charting compared to using computer charting in the EHR. The results of the study showed that physicians paid more attention to the EHR on the computer then they did their actual patients 46.5% of the time and 79% when they used paper charting (Montague & Asan, 2013). The studies showed that EHRs could hinder communication between patients and their
Spector, B. (2013). Implementing organizational change: theory into practice. (3rd ed.). Upper Saddle River, NJ
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.
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
What I learned from the behavior change project is that it can be extremely hard to implement a behavioral change. Even if there is a real desire to make the change there are extenuating circumstances in everyone’s life that will test their resolve to change. That makes a high prioritization of the change a must. This also means that an physician must be understanding of a patient who is having a hard time changing. Being supportive instead of judgmental is paramount. The project also taught me how to develop and implement a change plan. The change plan is the ground floor to the entire change and failing to commit the time and energy to developing a realistic and goal oriented plan is a mistake. Finally having a good experience advising a peer will help future patients giving me experience and confidence to draw on.
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.
When beginning my process for change in the ASF, I used Lippitt’s Change Theory as guide. Lippitt’s theory is comprised of four elements; assessment, planning, implementation, and evaluation. These are the essential elements of a planned change. Planned change is focused, deliberate, and collaborative in bringing about needed modifications. Lippitt’s theory focused on the role of the change agent. In this theory information is constantly exchanged through...
On February 17, 2009, President Barack Obama signs into law the American Recovery and Reinvestment Act of 2009 (ARRA). The law promotes electronic medical records (EMR) and infrastructure development, such as reimbursement-based pay, to cut health care costs (Frequently Asked Questions, 2009). Likewise, the ARRA is restructuring Medicare disbursements to reimburse for quality not quantity. While the law does not mandate EMR use, the federal government has set aside twenty billion dollars to help in the development of a strong health information technology infrastructure. Title IV states, “NO INCENTIVE PAYMENT IF FIRST ADOPTING AFTER 2014” (American Recovery and Reinvestment Act of 2009, 2009). In times of economic turmoil, hospitals and physicians, who are not hospital-based, can receive incentive payments (Frequently Asked Questions, 2009). So, most institutions will comply with the restructuring and use EMR’s, even though there are pros and cons.
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).
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.
During this semester, I have listen to many speeches, and I do like the speech about making changes. I am totally agree with the speaker that human is hard to make changes because of their internal “laziness”. First, his speech notes the “observing-interpreting-applying” theory, which is quite effective to make changes. In order to make changes, the first step is to observe and find out behaviors needed to change. The second step is to interpret these behaviors and find out tactics to make changes. The third step is to apply these tactics to exactly change behaviors as expected. This theory is not only beneficial to change my behaviors, but also beneficial to change my members’ behaviors.
Health information opponents has question the delivery and handling of patients electronic health records by health care organization and workers. The laws and regulations that set the framework protecting a user’s health information has become a major factor in how information is used and disclosed. The ability to share a patient document using Electronic Health Records (EHRs) is a critical component in the United States effort to show transparency and quality of healthcare records while protecting patient privacy. In 1996, under President Clinton administration, the US “Department of Health and Human Services (DHHS)” established national standards for the safeguard of certain health information. As a result, the Health Insurance Portability and Accountability Act of 1996 or (HIPAA) was established. HIPAA security standards required healthcare providers to ensure confidentiality and integrity of individual health information. This also included insurance administration and insurance portability. According to Health Information Portability and Accountability Act (HIPAA), an organization must guarantee the integrity, confidentiality, and security of sensitive patient data (Heckle & Lutters, 2011).
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).
Organizational change is difficult and challenging. However, once the change has been made and it is successful, there is one last step that is needed, which is institutionalizing the change. According to Fernandez and Rainey (2006), this is where employees learn and establish new behaviors and leaders institutionalize them so that new patterns of behavior become the norm. This has also been referred to by Cummings and Worley (2009) as refreezing from Lewin’s three stage change model where refreezing is to make the new practice routine. Therefore, institutionalization is an important part of any change program to maintain longer term success. An example of an organization that has institutionalized structural change within their organization is Hewlett-Packard.
Information and Communications Technology (ICT) is reshaping the health care system in the United States at an accelerating rate. In earlier times US Healthcare system was more focused on intervention of diseases, but now it is moving more towards preventive approach and I see Health IT as the most important tool that can lead this change. I strongly believe that my professional goals, range and depth of my experience and knowledge is an asset and my enthusiasm for the field makes me an ideal candidate for the Master of Professional Studies in Technology Management (Health Information Technology) program at Georgetown University.