Maura, it is interesting that you mentioned how EMR/EHRs have evolved over the past few years and how organizations are now seeing the shortcoming of the applications and the vendors who are not able to provide the new functionality needed in the healthcare industry. Some vendors have blamed Meaningful Use and its requirements for limiting their ability to expand their product capabilities to provide interoperability (Sullivan, 2016). By increasing the adoption of EHRs, which were not fully developed to provide the interoperability needed to achieve the goals of the HITECH Act, vendors had to commit resources to the sale and implementation of new client systems, rather than devoting those resources to product development. According to Schaeffer
If Canada wishes to improve upon the quality of health care and tackle down generic issues in health care, one should consider integrating services. Integrated health services are considered part of the solution for the recurrent problem, one example being the continuous problem of chronic disease in Canada’s health care system. Integrated services come in many formats; horizontal, vertical, clinical, and physician.
The U. S government passed the American Recovery Act in 2009 that established incentives and penalties to promote EHR use. From this legislation the Meaningful Use Program for EHR’s s was created. Through The Meaningful Use Program the U.S. government is able to support the adoption and use of EHR technology to enhance and revolutionize health care. The goal of the program is to increase EHR adoption, improve quality, safety, reduce disparities, and improve public health (hmsa , 2012).
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.
“Meaningful Use” implemented in July, 2010, set criteria’s for physicians and hospitals to adhere, in order to qualify for certain financial incentives and to be deemed meaningful users (MU) of the EMR. Meaningful use in healthcare is defined as using certified electronic health record to improve quality, safety, efficiency, and reduce mortality and morbidity. There are 3 stages of meaningful use implementation. The requirements for the 3 stages are spread out over a period of 5 years. MU mandates that physicians meet 15 core objectives and hospitals meet 14 core objectives (Hoffman & Pudgurski, 2011). The goal is to in-cooperate the patient and family in their health, empower autonomy to make decisions while improving care in all population.
The synergy model for patient care was created by a panel of nurses from the American Association of Critical-Care Nurses (AACN) during the early 1990s (Hardin, 2013). The synergy model for patient care is a nursing model that is widely used in evidence-based research and nursing practice. This model is predominantly used in the critical care setting and was created as a framework for certified nursing practice (McEwen, 2014).
The Meaningful Use includes the implementation of EHR in three Stages and is mainly focused on using EHR as a new healthcare technology that is used to promote health information exchange and resulting in improved outcomes in patient care. This benefited both the providers as well as the patients.
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
The result is that the volume of data and its management is a burden on the provider and his/her staff. Eventually, as EHR use becomes usual, patients will begin to recognize enhanced healthcare results.
The EHR is a computerized health record that will take place of the paper chart. The health care information will be available to all health care providers at anytime, anywhere. The record will contain medical history, diagnosis, medications, immunization, allergies, diagnostics and lab results; from past doctors, emergency department visits, school, pharmacies, and out patient laboratories and facilities (Department of health and human services, 2014). Health care providers will be able to access evidence-based tools to aid in decision-making. EHR will also streamline workflow, and support changes in payer requirements and consumer expectations. In 2004, “the HHS secretary, Tommy Thompson appointed David Brailer as the national health information coordinator to provide: leadership for the development and nationwide implementation of a interoperable HIT infrastructure, with the goal of establishing electronic health records...
I could see that the EHR adaption progress has increased over the years in Washington state. As 2012 through 2014 there was big adaption of Washington hospitals that adopted basic EHR .In 2012 in Washington state there was 52 percent basic EHR implemented in all hospitals and by 2014 it increases to 77 percent. And the percent of U.S. physicians that adopted any basic and certified EHR in 2014 there percent of any was 83 ad basic 51 and certified was 74 (healthit). The adoption of the EHR in the hospital systems diverse across America. In fourteen states the basic EHR system was significantly higher then the nation average and significantly below the national average in eleven states. To save more money in the Medicaid budget the Washington
Case 1 -- You work in a busy multi-specialty clinic with a high patient volume. The physicians enter the type of code that will yield the greatest reimbursement. You suspect the codes are not accurate.
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
The Integrated health care is an approach of interdisciplinary of collaboration and communication among health professionals. The characteristic is unique because of the sharing information which in the team members and related to patient care to establishment of treatment whether biological, psychological, and social needs. The interdisciplinary health care team includes a diverse and variety group of members (e.g., specialist, nurses, psychologists, social workers, and physical therapists), depending on the needs of the patient for the best treatment to the patient care.
Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely provide better preventive care than were healthcare professionals who did not. (page 116). From 2004, EHR has initiated, even the major priority of President Obama’s agenda is EHR (Madison & Stagger, 2011). Health care administration considers EHR as the introduction of advanced technology which can improve patient satisfaction are can increase the financial incentives of the healthcare organization. Studies have pointed out that the federal policy is proposed to transform all medical records into EHR (Hebda & Calderone, 2010).