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Essay on electronic health records solutions
Electronic health record research paper
Electronic health record research paper
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Electronic Health Record systems (EHR) are essential to amending health quality and managing health care distribution, whether in an extremely immense health system, hospital, or primary care clinic. The U.S. Department of Veterans Affairs (VA) has developed and perpetuates to maintain a strong EHR kenned as VistA - the Veterans Health Information Systems and Technology Architecture. This system was designed and developed to strengthen a high-quality medical care environment for the military veterans in the United States. The VistA system is in maintained today at hundreds of VA medical centers and outpatient clinics across the country. (http://worldvista.org/AboutVistA) VistA has a proven track record of revitalizing an immensely vast variety of clinical settings and medical care distribution systems. Facilities range from little clinics that provide solely outpatient care to generously large medical centers with paramount inpatient populations and their associated specialties, such as surgical care or dermatology. These systems consume on clinically relevant record keeping that is improving patient care by improving clinical and administrative decision-making. Versions of this system are in active use in the U.S. Department of Defense Military Health System, the U.S. Department of Health and Human Services Indian Health Service, and internationally as well, e.g., Mexico - Institute Mexican del Saguaro Gregarious, and National Cancer Institute of Cairo University in Egypt. (http://worldvista.org/AboutVistA) The costs associated with the acquisition and support of an EHR can be a barrier to enhancing the quality of health care provided by limiting the availability of timely and precise access to electronic patient information. A c... ... middle of paper ... ...nd Healthcare IT professionals and include Subject Matter experts for the concrete EHR systems being implemented. The Working Teams should include subject matter experts that represent the Medicos, Nursing and Administration as team members. (Pinnacle enterprise management specialists) An EHR Implementation Program Director is responsible for one of the most challenging projects in health care today. They require the fortification of the Leadership and Working Teams to implement, maintain and operate a prosperous EHR. (Pinnacle enterprise management specialists) My personal experience with this, being a disabled veteran and using the VA for medical care, has been nothing but great. But I do know that there are issues in the system and anything can happen. I like know that if I go to different VA clinics they can look up my information and be able to assist me.
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 you take the socialistic perspective towards implementing this system in Canada, you can see the advantages it brings to improving health care. If the government plays a larger role in funding the development of electronic health records for private and smaller organizations the benefits will immediately result in better quality of health care. As shown in a study done by the University of California in San Francisco that focused on expensive costs that make it difficult for smaller practices to incorporate electronic health records, “need policies designed to provide incentives and support services to help practices improve the quality of their care by using EHRs.” (Miller, West, Brown, Sim & Ganchoff, 2005) In this article they explain that electronic health records improve quality of health care, but the costs are too expensive for small practices to incorporate them.
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).
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 purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
The main purpose of EHRs is to mainly exchange health information electronically to help improve quality and safety for patients. Four pros of EHRs is to provide accurate and recent information of the patients, allow for quick access to the patient records, share the health information securely, and make patient records and notes legible. These four points are important and necessary because the goal overall is to improve public health. Patient information should always be updated and current. Health professionals need to easily have access to patient records to either update them or verify the information. Also, health professionals can now avoid any discrepancies with electronic records verses when records were completely on paper.
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.
When walking into a hospital, nursing home, or physician’s office, electronic devices are used everywhere. The doctors have pagers, drugs are released from an apparatus similar to vending machines, and the patients are connected to intravenous pumps and monitors, while they lay on beds that move with the touch of a button. Everything seems to be electronic, except for patient charts. A new system, called eHealth, was devised that would make these patient charts electronic. The goal for electronic health is to unite all healthcare by making patient records available to all providers in order to improve the quality of care patients receive. eHealth can be adopted into hospitals, physicians’ offices, and even ambulatory services. A 2006 study found, “Ambulatory EHRs improve the structure of care delivery, improve clinical processes, and enhance outcomes” (Shekelle 61). With professionals working together, procedures, scans, tests, and even visits to the hospital can be eliminated and in turn reduce the hospital’s expenses. However, this reduction may not add up to the investment the facilities will have to make. Adopting this system will cost more the some facilities are able to spend. However, investing in eHealth is a risk hospitals should take to improve patient care. eHealth has to become affordable to all providers for healthcare to reach its full potential.
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.
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...
EHR, Electronic Health Records are electronic version of a patient’s medical history (Zeng 2016). Electronic Medical Records includes vital clinical information of a patient’s care. This information is maintained by the health care provider and it includes the patient’s demographic information, problems, progress notes, medications, vital signs, past medical history, immunizations, laboratory test results and radiology reports. Electronic Health Records has been very beneficial to health care providers. It has improved the coordination of care and streamline the workflow of health care professionals. According to an article written in North Caroline Medical Journal, Electronic Health Records are more beneficial than paper records because
Everyone knows someone who has been touched by the recent Veterans Affairs Scandal. Someone in your family or a friend may have served our country only to come home and be delayed medical attention when they arrive at their local VA. This has personally touched my family; my spouse is a Marine Veteran. He needed to see a doctor and I asked him to make an appointment with the VA in Gainesville, since most of the cost would be covered; he laughed at me. He proceeded to tell me that the last time he went to the VA, he arrived prior to seven am and waited almost eight hours to see the doctor and the doctor walked in, told him he thinks he has this condition, wrote him a prescription and walked out within five minutes. My spouse looks at the VA not as a hospital but as a Band-Aid clinic. This experience is not uncommon at most VA’s given the recent accusations that the VA has a “secret wait list”.
These issues manifest themselves in two ways. First, the criteria set out for Stage 1 Meaningful Use overlooked EHR vendors' lack of incentives or requirements to design their EHR systems in such a way that makes them able to easily transfer patient data to other providers ...
The workflow, issues and certification criteria are different for both ambulatory care and inpatient care EHR’s. One can use either ambulatory EHR or inpatient EHR in case of chain of practices. Ambulatory EHR may be perfect in case of single practice. is significantly harder to utilize a web-based solution in an inpatient setting. As the stage of true interoperability (the promise of Health Information Exchange) matures, connectivity between local hospitals (and each of their internal departments) and ambulatory community EHRs may ultimately take
There are still significant issues when it comes the the VA health care system. I do know someone who has VA health care and they do face issues when it comes to it. My Great Uncle was recently diagnosed with brain cancer and after having surgery, his VA health insurance would only pay for a few days of therapy.