In modern fast pace healthcare delivery environment, a provider 's ability to diagnose and suggest treatment swiftly can make the difference in whether a patient would have optimistic or pessimistic ending. The consequences of a health provider 's decision and action can be traced to inaccurate or partial information from the patient or relatives. According to Grinten (2006), medical errors are often the consequence of healthcare providers not having full medical record for the patients they treat, especially in an emergency situation. For this reason and other health related challenges, many healthcare organizations considered it imperative to form regional health information organizations (RHIOs) to enable them exchange and use health information …show more content…
RHIOs which consist of hospitals, physicians, health plans, laboratories, consumers, and other relevant stakeholders seem to provide governance body and policies for facilitating health information exchange among participants and the technical infrastructure for automated exchange. The surge toward technological advancement and internet usage has made the establishment of national health information network (NHIN) an important source for sharing health information across the nation, which RHIOs are considered as integral part for its success. This paper will focus on pros and cons of RHIOs to achieving NHIN 's goals as well as major challenges confronting RHIOs ' long-term achievements in viability, broad participation, and financial …show more content…
Additionally, the use of RHIOs can make it very difficult for national health information network to identify errors in the health information and the processes used by the healthcare organizations in different areas, if RHIOs are employed to achieve conformity ambitions. Another con is that, as a strategy to address patients privacy and security concerns, health information organizations were established to allow secure and integrated sharing of health information among various stakeholders, not excluding clinical partners and public health (Shapiro, Mostashari, Hripcsak, Soulakis, & Kuperman, 2011). However, RHIOs are still struggling with security, data storage, technical support, and master patient index issues and these conditions can limit the effectiveness of the exchange in future, if they are used for achieving NHIN 's
As the evolution of healthcare from paper documentation to electronic documentation and ordering, the security of patient information is becoming more difficult to maintain. Electronic healthcare records (EHR), telenursing, Computer Physician Order Entry (CPOE) are a major part of the future of medicine. Social media also plays a role in the security of patient formation. Compromising data in the information age is as easy as pressing a send button. New technology presents new challenges to maintaining patient privacy. The topic for this annotated bibliography is the Health Insurance Portability and Accountability Act (HIPAA). Nursing informatics role is imperative to assist in the creation and maintenance of the ease of the programs and maintain regulations compliant to HIPAA. As a nurse, most documentation and order entry is done electronically and is important to understand the core concepts of HIPAA regarding electronic healthcare records. Using keywords HIPAA and informatics, the author chose these resources from scholarly journals, peer reviewed articles, and print based articles and text books. These sources provide how and when to share patient information, guidelines and regulation d of HIPAA, and the implementation in relation to electronic future of nursing.
The health information networks factor into the enhancement of the patient-centered management system, in that they help with the implementation of the Electronic health record. The HITECH Act for example allocated “18 billion through the Medicare and Medicaid reimbursement systems as incentives for hospitals and physicians who are meaningful users of EHR systems”(About the HITECH, n.d.). This is a beneficial way to promote the use of electronic health records and have them become universally utilized across the nation. NHIN is also an excellent network that is more widespread and contains policies as well as standards that help with the safe trade of data. NHIN is the biggest network that all other health information networks hope to achieve. The NHIN is a contributor to the expansion of the EHR and it also further improves the patient-centered management system by having the policies they have. These policies assist with keeping the information in the system safe and also helping many different entities to become a part of its use. Some of the entities involved are the Center for Disease Control and prevention, Social Security Administration, Department of Defense and Kaiser Permanente among others. Both CHIN and RHINO implement the use of electronic health record, which makes it more widespread,
Health Information Exchange (HIE) was introduced by President Bush in 2004 (Kruse, Regier & Rheinboldt, 2014) so it is not a new concept. HIE is instrumental in gaining overall population health as it can lead to a reduction in healthcare costs, increase patient safety, and increase health outcomes. Regional Health Information Organizations (RHIOs) are a conglomerate of healthcare providers and patients in a region that exchange healthcare information with the goal of delivering quality care to the individuals they serve. This paper will discuss the pros and cons of RHIOs, key challenges in gaining long term viability, and provide ways in which capital is raised to support HIE.
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
Did you ever think about how much time is spent on computers and the internet? It is estimated that the average adult will spend over five hours per day online or with digital media according to Emarketer.com. This is a significant amount; taking into consideration the internet has not always been this easily accessible. The world that we live in is slowly or quickly however you look at it: becoming technology based and it is shifting the way we live. With each day more and more people use social media, shop online, run businesses, take online classes, play games, the list is endless. The internet serves billions of people daily and it doesn’t stop there. Without technology and the internet, there would be no electronic health record. Therefore, is it important for hospitals and other institutions to adopt the electronic health record (EHR) system? Whichever happens, there are many debates about EHR’s and their purpose, and this paper is going to explain both the benefits and disadvantages of the EHR. Global users of the internet can then decide whether the EHR is beneficial or detrimental to our ever changing healthcare system and technology based living.
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.
“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.
Knowing that he was addressing innocent victims, grieving families, and a grieving and angry nation, President Bush used various rhetoric techniques ethos, logos, and pathos to provide a sense of security and how the nation would move forward. Throughout the speech, President Bush uses logos to prove that he was going to take control of the
According to the National Alliance for Health Information Technology (2008) and the American Health Information Management Association (AHIMA) (2012), the personal health record (PHR) is defined as the individual lifelong electronic health records. Its features are electronic, readily available, personal control, standardization, resource sharing, and portability. Although the PCEHR is currently being implemented in several countries of the world, it still has many controversial disadvantages. Hoy, Yoshihashi, & Bailey, 2012) mention that some of the ideal functions of PHR, include patient controlled, longitudinal record, interoperable and resource sharing, portability, automated input of clinical reports, as well as the integration of clinician workflow. "The PCEHR is aimed to be a secure electronic summary of people's medical history stored and shared in a network of connected systems from a central electronic hub (Australian Nursing Journal, Aug. 2012; Kerai, Wood, &Martin, March 2014)”. The Australian Government has clear legal provisions on PCEHR implementation, including the conditions of participation, target participants, methods and procedures of registration, informed consent, security requirements, penalties for violation of privacy and mitigation strategies (Australian Nursing Journal, Aug. 2012; Australia Government ComLaw, 2012; Williams, 2013; Wilson, 2012). However, The Australian (2013, September 17) notes that the Australia government has invested 1 billion on the project, but only 0.6% of people actually using this program registered at about 65 million electronic health record conditions.
Health Information Management (HIM) professional: Will expect that the healthcare providers are honest, accurate in their diagnoses, and the charges are legal, fair, and correspond to services rendered on the given day. All inaccuracies must be corrected as soon as discovered to inspire confidence in the HIM professional, the facility, and all the organization’s employees. All stakeholders depend upon the HIM professional to maintain the accuracy, privacy and security of the patient’s medical charts, and thereby secure the reputation of the facility and welfare of the patients.
The new healthcare technology that is spreading nationwide it the EHR programs that are being implemented and updated in healthcare organizations. Government policies are in place for societies protection and privacy, it also helps to create a place where healthcare information can be utilized to its fullest potential. ONC authors’ regulations that set the standards and certification criteria EHRs must meet to assure health care professionals and hospitals that the systems they adopt are capable of performing certain functions (HealtIt, 2015).
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.
“There are two concepts in electronic patient records that are used interchangeably but are different-the electronic medical record (EMR/EHR) and the electronic health record. The National Alliance for Health Information Technology (NAHIT) defines the EHR as the electronic record of health-related information on an individual that is accumulated from one health system and is utilized by the health organization that is providing patient care while the EMR accumulates more patient medical information from many health organizations that have been involved in the patient care. The Institute of Medicine (IOM) has been urging the healthcare industry to adopt the electronic patient record but initially
Due to our fragmented healthcare system patients are faced with visiting many different treatment entities. The inability to access information about a patient’s treatment plan makes care complicated to manage for both patients and providers alike. While some healthcare delivery systems have open information exchanges where information is readily available to any service provider within the network the information is not easily shared among those outside its network. Measuring and
A rising concern with informatics and public health is the barrier between data sharing. A major challenge for public health informatics is facilitating the improved exchange of information between public health and clinical care. Many of the data in public health information systems still come from forms filled out by hand, which are later computer-coded. Some reports are electronic but the initial data still have to be entered manually, this results in serious underreporting of data. Information silos typically do not share priorities, goals or even the same tools. Departments operate as individual units; silos occur due to an organization structure. Silos make it difficult to share information, agencies store same information in multiple places. Furthermore, silos increase health agency cost.