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brief summary of implementation of electronic health records
brief summary of implementation of electronic health records
brief summary of implementation of electronic health records
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Technology is emerging as a growing need within the healthcare organization. From documentation to medication administration and management of inventory, technology is utilized to help manage various areas of the hospital. The most important role of healthcare technology is the capability to assist in the patient care. Cerner Corporation has taken on the challenge of developing a system that can appropriately handle computerized physician order entry (CPOE), barcode administration, and documentation of patient care. This paper will analysis how Cerner technology is used within a healthcare facility, including strengths and weakness, implementation and training, and quality and safety.
Cerner in the Workplace
Deciding on a technology application
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“The primary use of an HER system is to facilitate clinical care while improving the quality of healthcare delivery and enhancing the safety of patients with emphasis placed on workflows that support the provision of care”(Laird-Maddox, Mitchell, & Hoffman, 2014, p. 1). However, no system is perfect and when compared with other technology application systems, Cerner presents with benefits, strengths and weaknesses. Cerner is considered the largest independent health IT company worldwide with continue satisfaction among user surveys. The benefits of Cerner are its longevity and functionality in the hospital setting. It offers increased efficiency by providing instantaneous, updated information needed to make effective decisions. Strengths incorporated in this system is the ability to integrate medical devices such cardiac monitors transmitting vital signs to the Cerner system and the capacity to access information on portable devices such as smartphones and tablets through various applications. Nonetheless, Cerner does carry a number of weaknesses. Although it functions great within the hospital, physicians have complained that the system can run slowly and entering orders can be time consuming as search functions require exact language and requires numerous clicks. Another issue for this technology application is the lack of ability to integrate with other systems. “Part of the driving force behind the model (using technology to track and follow patient flow), stemmed from the need to integrate EHRs throughout the health system and share information with network of referring hospitals”(Palma, 2013, p. 1). When compared with other health technology systems, Cerner fairs well, but not the
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.
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
When it comes to EHR’s a patients medical record follows them wherever they go electronically, whether it be home based care, physicians office or a hospital. Access to medical records are easily accessed through smartphones, and computers depending on the EHR system that particular person or company is using. There are many EHR systems that different health facilities use but one in particular has stuck out to me because I constantly see or hear it being used in health facilities Ive personally been too. The particular EHR system I am talking about is Meditech, and it is one of the largest electronic health record softwares that many hospitals as well as small clinics and health facilities are using in order to transfer patient information, and provide detailed information about a person’s medical history such as their medical records electronically. But lately has Meditech been facing substantial issues with their software and why is Meditech the number one ranked EHR system that is being used still despite these complications? By the end of this paper I hope to have all your answers to these questions addressed and answered.
“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.
EHR was designed to help physicians and not waste their resources. These systems should make data entry efficient and retrieval of data even more so. The sad reality is that it is failing in those areas. But since healthcare organizations, like most organizations often take wrong tech decisions. This results in serious workflow issues because of the clumsy tech.
An electronic health record (EHR), or electronic medical record (EMR), refers to the systematized collection of patient and population electronically-stored health information in a digital format. It details medical problems, medications, vital signs, patient history, immunizations, laboratory data and radiology reports, progress notes .These records can be shared across different health care settings. It resides on an enterprise information systems and is exchanged via electronic networks.EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.why is it needed? It seeks to be a complete record of a patient that can follow him/her from setting to setting increasing knowledge and consistency. It allows providers to obtain a complete picture of a patient and allows firms to automate and streamline workflows. It could improve patient and financial outcomes via evidence-based decisions, quality management, data mining, tracking, and reporting.
Tan & Payton (2010) describe the electronic health record (EHR), which dates back to the 1950s. These computer-based patient records have evolved into complex systems with many capabilities. They were designed to provide healthcare professionals with a comprehensive picture of a patient’s health status at any time and are meant to automate and streamline the workflow of the healthcare professional (Tan & Payton,
Physicians use these systems to collect detailed, specific information about each patient, providing complete documentation of their personal health records. The history documented includes injuries, diagnoses, treatments, prescriptions, visits and much more. This comprehensive database helps physicians see the big medical picture, which in turn makes future diagnosis easier. Health care businesses have capitalized on this information by providing practices with patient portals. Integrating an ambulatory EHR solution with a patient portal gives patients access to their up-to-date medical records. In recent years, this has become more of a necessary EHR feature than a “nice-to-have”
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.
The IPS system Cerner use is called The CareAwaremyStation. This system empowers the patient with real time information on their condition, scheduled appointments and active orders. First, the system is an Interactive Patient System that transforms the television at the patient’s bedside into a comprehensive entertainment, education,
An Electronic Health Record (EHR) is an electronic version of a patients paper written chart. EHR’s are real time records that contain information for each individual patient and are made available instantly and securely to authorized personnel. There are many benefits of EHR implementation in the healthcare setting. From less paperwork to saving time and costs, increased quality of care, progressing patient care to improved efficiency and productivity. However, throughout this paper we will be discussing some of the success factors and/or pitfalls that an ambulatory setting has experienced that has helped shape their success.
Cerner, one of the top two EHR systems in the country, was chosen by UAB when leaders in the health system decided to switch to a fully integrated health information system. The decision to utilize the Cerner EHR, PowerChart, as part of an integrated system, fulfilled a core value of the organization and follows the trend of many institutions throughout the country (Ford, 2013). PowerChart provides users with an integrated, clinical database that allows them to view real-time clinical data, enter orders via a CPOE module, and document in patient's chart from multiple locations throughout the health system (Alsip, 2017).
Information technology is a more and more used term today in healthcare. Technology in general is advancing rather quickly and it is important for the field of health to also keep up with the changes. Electronic Health Records was the first big step in introducing information technology. Throughout this paper you will learn about the importance, the uses, the quality, and the future of Electronic Health Records or EHR.
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
Information and Communication Technology (ICT) has been shown to be increasingly important in the education or training and professional practice of healthcare. This paper discusses the impacts of using ICT in Healthcare and its administration. Health Information technology has availed better access to information, improved communication amongst physicians, clinicians, pharmacists and other healthcare workers facilitating continuing professional development for healthcare professionals, patients and the community as a whole. This paper takes a look at the roles, benefits of Information and Communication Technology (ICT) in healthcare services and goes on to outline the ICT proceeds/equipment used in the health sector such as the