Literature Review RAND Potential Efficiency Saving Model We analyze the RAND methodologies, how Health Information Technology (HIT) project team improved EMR system and provided potential and cost saving benefits in United State. We study the RAND publication in which their project team provides the technical details and results components of EMR system collected from different literature and government published reports that analyze interventions in the healthcare system which are used in EMR-S to effect patient trajectories (events in patient healthcare). Here we identify RAND four classes in patient healthcare, on the basis of these classes we are be able to analyze the health care management in Solihull NHS Trust, these class are our basic steps to produce potential benefits and cost saving estimates in patient health care settings. v Implement Patient Administrator Services (PAS) system is our first class through which we help to reduce the effects of adverse drugs, errors and improves the management system. v Second class is disease prevention services, which include digital image capturing, lab test, internal body screening, X-rays and other diagnostic results. v Third class is people enrolment in different types of disease such as asthma, health failure, diabetes and pulmonary diseases etc. v Final class is information system between Health care department and local community to adopt better lifestyles such as stopping smoking, losing weight, routine walking, blood pressure control and healthy food and using necessary medications. In the United States, the RAND Health Information Technology (HIT) is a research organization providing problem solutions in public and private sectors throughout the world since 1... ... middle of paper ... ...es and liver disorder are come to medium categories and psychiatric diagnoses and eye-related diagnoses were in lowest rate. Mostly ADEs event occurs in high rating, which results in patient admission in hospital for long time. By implementation of CPOE in hospital, reduce the ADEs, save patient days in hospital not admission and save money. Birkmeyer et al., 2000 assumes that there are 7.6% patient medication errors per thousand patient-days and that CPOE could reduce the incidence of such errors by 55 percent. To prevent the ADE affection save the number of patient days in hospital and save diagnostic cost up to $4685 (Bates et al., 1997). From NHE record file in 2002, shows that the money spends on healthcare were $486 billion and saving from CPOE are $1 billion. Figure 1.3 Process for Estimating Effects of Using CPOE to Reduce ADEs
The pros of the CPOE system included that the prescribing of wrong medications was reduced, there were fewer errors with the patient’s basic information, orders for lab work, blood work, and medications were standardized; and mistakes in the ordering...
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 Health Information Technology for Economic and Clinical Health Act (HITECH) was put into place as part of the American Recovery and Reinvestment Act of 2009, and was signed and made a part of law in February 2009. It sponsors the adoption and meaningful use of health information technology. (www.healthcareitnews.com). There was $22 billion and of this $19.2 billion was supposed to be used as a method to increase the use or the Electronic Health Records by the doctors and healthcare facilities. (www.hitechanswers.net).
It was just yesterday when Electronic health records was just introduced in healthcare industry. People were not ready to accept it due to higher cost and consumption of time associated in training people and adopting new technology. Despite of all this criticism, use of Internet and Electronic Health records are now gaining its popularity among health care professionals, as it is the most effective way to communicate with patient and colleagues. More and more hospitals and clinics are getting rid of paper base filling system and investing in cloud base storage.
When a new system is implemented, an initial setback is always a major hurdle to overcome. In case of E-health the hurdle is the initial training provided to the staff as this can significantly decrease the productivity of the staff. A study conducted by the University of California-Davis found a 25-33 percent drop in physician productivity in the initial implementation phases of the EMR. While ultimately the goal is to increase productivity in the office or hospital, expect to see a significant drop in productivity, and ultimately revenue, in the first several weeks, and perhaps longer. (Palma,
As the field of healthcare has changed, new diseases and disorders have developed. It is impossible for one doctor to know how to recognize and treat every disease in the world. With evidence-based guidelines, they can come close. These guidelines may not have a perfect success rate, but they can make diagnosing illness easier.
Department of Health and Human Services (2008, June 3). The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 SYNOPSIS. Retrieved from https://blackboard.ohio.edu/bbcswebdav/pid-3906938-dt-content-rid-20290665_1/courses/NRSE_4510_1021_SEM_SPRG_2013-14/EHR_2%281%29.pdf
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.
Paper based health record was considered as gold standard during the early period because it was the main source of patient’s health information, was easy to use and it requires just minimal skill. The patient health records were kept by their providers attached to the bed for the easy access of the documents for patient care. The paper records can be lost during storage affecting patient care, duplication of tests making it more expensive care, doubtful as any person can make an entry without signing the paper and most often it is hard to read. So with the growth of advancement in medicine and technology, paper based health record cannot handle which led to the implementation of electronic health record (EHR), which is in digital format, accessible at any time, convenient, accurate and complete information, reliable, improves productivity as well as reduce health care cost of the patient. It also provides better clinical decision making thus providing better outcomes in patient health, which is the goal of the
Mostashari, F. (2013). Health IT policy committee: A public advisory body on health information technology to the national coordination for health IT. Retrieved February 18, 2014, from http://www.healthit.gov/sites/default/files/hitpc_transmittal_050313_pstt_recommendations.pdf
Healthcare Information and Management Systems. (2012). Electronic Health Record . Retrieved March 19, 2012, from HIMSS : http://www.himss.org/ASP/topics_ehr.asp
The purpose of this article is to review, summarize, and outline the key aspects to the Health Information Technology for Economic and Clinical Health Act of 2009. The outcomes discussed in this article are based on clinical, organizational, and societal outcomes based on EHR’s. Included in these outcomes is improvement in the quality of care, increase in financial and operational performance, patient and clinician satisfaction and conduction of research. The author also implicates disadvantages to EHR’s such as financial issues, changes in workflow, loss in productivity due to the learning curve caused by EHR’s and this is just to name a few. This article will use the benefits and drawbacks to further expand on the topic of electronic medical and health
The use of computer technology plays a vital role in society. The use of it alone has made different task easier, by reducing time management, effort, and overall cost in completing a particular task. With the widely vast growth of computer technology in every field of life; the health care services are experiencing an immerse digital progression by the adoption of electronic health record systems through the Health Information Technology for Economic and Clinical Health Act (Hitech Act).
That is why complete, clear, concise notes are crucial, because they determine the type of code or level of complexity the services rendered are deemed justifiable. The diagnoses codes explain “why” the healthcare practitioner treated the patient during the encounter, procedural codes explain “what” the healthcare practitioner did exactly for the patient during their visit and E/M codes are used to determine the amount of compensation due to the provider for meeting with the patient face-to-face and his/her family members. For example; the diagnosis code for Deloris would be: Z00.00xx, CPT code(s) 2010F and 99385 and E/M code would be : 99201. These codes were based on the patient’s medical record for the services rendered during the office
One of many nationwide initiatives to help reduce the occurrence of unnecessary medical errors and adverse events is the use of the integrated Clinical Decision Support System (CDSS). A CDSS is a system that provides the right information to the right person in a right format through a right channel at the right time of workflow to facilitate better decision-making by clinicians, reduce errors, and also to prevent adverse events (AHRQ, 2008). This proposal is a case based CDSS system that provides point of care clinical decision support, ensures five rights of medication administration (right person, right drug, right dose, right time and right route), and is designed to prevent or reduce the occurrence errors and adverse events at Perpetual Order of Saints Hospital (POSH).