...Generate Clinical Quality Measures Introduction The American Hospital Association (AHA) commissioned iParsimony, LLC, to conduct a study to investigate hospital experiences with implementation of Meaningful Use Stage 1 electronic clinical quality measures (eCQMs). The study describes the experience with and impact of eCQM implementation in four hospitals – large and small, urban and non-metropolitan – each of which had significant experience with electronic health records (EHRs) prior to Meaningful Use and uses a different EHR from a different vendor company. The findings described in the case study are derived from interviews conducted with key leaders and operational staff directly involved in the oversight and management of eCQMs. Based on the experiences of the hospitals in this case study, the current approach to automated quality reporting does not yet deliver on the promise of feasibility, validity and reliability of measures or the reduction in reporting burden placed on hospitals. Specific policy changes are needed, starting with Stage 2 Meaningful Use, to redirect the electronic clinical quality reporting requirements to focus on a small set of well-tested measures supported by a mature policy infrastructure that can guide valid and feasible measure development, testing and implementation. Background In the past 10 years, there has been an unprecedented expansion in the number and type of quality measures hospitals are required to report for federal programs. The...
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... Minerva Ndikum Medical Informatics 6208 DE PhD Philip Aspden This paper compares and contrasts eight different views of two winners of Davies enterprise award. The HIMSS Nicholas E. Davies award recognizes excellence in the implementation and use of health information technology, specifically electronic health records (EHRs), for healthcare organizations, private practices, public health systems, and community health organizations. The Award honors Dr. Nicholas E. Davies, an Atlanta-based practicing physician, president-elect of the American College of Physicians, and a member of the Institute of Medicine Committee on Improving the Patient Record, who died in 1991 in a plane crash. This paper will compare and contrast the eight difference, the process by which each organization decided to implement an EHR, the goals of each implementation, the governance process for planning and implementation and how stakeholders were involved in each case, the functionality that was implemented in each case, including clinical decision support tools and data sharing with external organizations, how security and data integrity issues were addressed in each case, how user satisfaction with the implementation in each case was addressed and give the results, and how each implementation’s success in meeting the original goals of Sentara healthcare system who won the award in 2010 and Eastern Maine Medical Center won the award in 2008.Sentara Healthcare in Norfolk, Virginia...
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...acquisition and implementation of a CPOE system. During a subsequent committee meeting, it was discovered that the WMS physicians were eager to acquire an electronic health record (EHR) system. In a competitive effort, WMS obtained approval to acquire an EHR system after a rival physician group purchased their own system. However, LWMC slowed its efforts when the rival group was forced to uninstall their system after encountering problems during implementation. This resulted in LWMS slowing down their efforts. Presently, WMS has decided to continue their plans to implement an EHR system, but the physicians have ignored the CIO'S technical and integration advice and requirements during the EHR search. The CEO of LWMS is concerned about the EHR process and its disconnect from the organization's IT plan (Wager, Lee & Glaser 2013). In this paper I will review "Case 5: Planning an EHR Implementation" in which I will provide a brief summary, analysis, and review of the importance of IT strategy and...
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...WELCOME EHR The implementation of the new EMR system to the hospital will provide ease of information access, protected PHI, and help eliminate errors in our everyday use. IMPORTANCE OF INFORMATION ACCESS Benefits Increase quality of care Bedside charting access Ability to access your patients records at one time All information in one place IMPORTANCE OF INFORMATION ACCESS • The implementation of the EHR will open up the employee to gain access to all the patient records available within one system. This includes x-rays, labs, notes, care plans, etc. • With secured passwords available to each employee, the employ is able to review current and past reports to increase the quality of care for that patient. • Accessing the chart at bedside will help prevent wrong patient errors. PERSONAL HEALTH INFORMATION Vulnerability The wondering eye Hackers Curious employees PERSONAL HEALTH INFORMATION • The patient health information(PHI) will be more vulnerable with the fact that the computer screens either on handhelds or desktops are more easily accessible to everyone's eyes who pass by them. • The risk of hackers getting into the system is also a risk for PHI to be breeched. • Curiosity of employees shows to be a risk involved with EHR. Employees have the risk of entering PHI when they want some information on the patient, even when it is not their patient or relevant to that patients care. PERSONAL HEALTH INFORMATION SECURITY Firewalls Encryption...
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...Information Technology was created in 2004. The ONC is currently collaborating with RHIOs in an effort to implement and use the most advanced health information technology and the exchange of health information. (4) Since there are multiple exchanges, varying standards and architecture, the ability to establish uniform data and transmission standards has been difficult. Thus the ONC is still in the process of collaborating working on developing standards and compliance monitoring programs. The U.S. Department of Health and Human Services (HHS) has supported state and regional coordination of health care IT systems for years. In 2007 the Texas State legislature the Texas Health Services Authority (THSA) in promoting and coordinating the implementation and exchange of HIE in Texas. (5) In 2014, the traditional funding received from the State HIE Cooperative Agreement program had expired. The THSA has developed a strategic plan on continuing to guide the HIEs in meeting the increased demand...
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...------------------------------------------------- Week Two: Individual Reflection Paper Allscripts EHRs in Cuba Around the world, electronic health records (EHRs) are being implemented to improve patient care, reduce health care expenses, and fundamentally change the way in which healthcare providers practice medicine. Now that Washington has begun to dismantle its trade embargo with Cuba, new opportunities arise for Allscripts Healthcare Solutions (Allscripts) to sell their products and solutions. Allscripts is health information technology (HIT) company providing physician practices, hospitals, and other healthcare providers with electronic health record and practice management technology, including electronic prescribing, care management and revenue cycle management software. An electronic health record is a digital version of a patient’s paper chart. It contains a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results, and more. One of the key features of an EHR is the ability to share health information across multiple health care organizations. Another key feature of an EHR is the ability to improve patient care, care coordination, practice efficiencies, and patient outcomes—most important, costs savings. So, what makes Cuba an ideal overseas market for EHR companies? Cuba is Interested In EHRs Cuba started building a national strategy for a universal health system using information...
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...Presented Problem After examining the incident, there are some key things that stick out as major risks, these include: • Accounts existed before EHR system was deployed. • Accounts were undocumented. • Non Authorized remote users had access to the EHR application. • Undocumented account was created/added to a new system. • Method or Vulnerability to gain privilege escalation outside of change control policy. This led me to propose three policies, each address some of these key issues from separate fronts. The three policies include a Remote Access Policy, Application Deployment, and a Routine Maintenance policy. The Remote Access policy aims to correct the issue that non-authorized users were able to access the EHR system. HIPAA has included provision in the Security Rule that allows for remote access, but with certain limitations. I have included provision that restricts remote access based on Job Role and Job Necessity(ISO 27002:2005, 7.1.1), and restricted to assets that are owned by the hospital which have enhanced security (ISO 27002:2005, 7.1.1) (NIST, 164.312(a)(1))(ISO 27002:2005, 11.4.2). The Application Deployment policy aims to close security loop holes that appear to have been open for months before the EHR system was even deployed. There were no check on accounts when importing, and no alerts when permissions were escalated. Some of the key standards that I see as aiding in creating this policy is better change management (ISO 27002:2005, 10...
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...In contemporary healthcare, what is the role of information systems on productivity? Table of Contents Introduction 1 Literature review 2 Problem analysis and discussion 3 Electronic Health Records (EHR): 4 Computerized physician order entry (CPOE): 8 Conclusion 9 Recommendation 10 References 11 Introduction The healthcare industry is undergoing a drastic change in the modern world where the imprints of information technology (IT) are expanding and the combination of these two industries is leading to a new era of computerized hospital information systems. Baker (2008). The importance of information technology cannot be over emphasized for two major reasons, first, where a high level of accuracy is required (which can be fulfilled by digital mediums) and second, where a large size of transactional data exists and the requirement of analyzing this data supersedes (which can be fulfilled by having large databases and analyzing them using IT tools). There are numerous IT based applications in the environment and it has really become a challenge for the CTO of a healthcare facility to decide over the progressive plan for adoption of IT based systems in the purview of health information technology (HIT), computerized physicians order entry (CPOE), electronic health record (EHR) and many other similar programs found across the world. The primary question raised against any kind of IT investment is “how the proposed IT system will improve productivity...
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...informatics is used to gather, analyze, and interpret data and information about patients and treatments. This information, along with business and management information, is used to interpret how things are and to develop a better, more efficient and more cost effective method of operation. The big question is, how does healthcare informatics and technology effect or impact the development and implementation of healthcare law? One of the most effective technologies that has been widely adopted already is electronic health records. EHR are systems that track and record patient information. It also makes them more accessible and easier to share and communicate between doctors, patients and insurance companies. Electronic health records help control costs effectiveness of an organization by communicating information in a timely manner and helps secure payments more effectively than paper billing. With all of the changes and easier access to a patient’s confidential records, obviously healthcare laws and regulations would change in order to protect patient safety. With the positive effects of EHR, it also...
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...become more prevalent in the current health care system than it was 10 years ago. Electronic health records were not used to the extent it is today for patient documentation. Without the advancement in electronic medical records, most of the information that is transferred so easily to other providers would not be able to happen. Electronic Health Records (EHR) is the quintessence of a trend changing the health care system. Because more medical facilities are adopting the use of electronic health records, members are receiving faster more efficient care whereas the medical facility is saving money. EHRs are “digital repositories of patient data accessible to multiple stakeholders” that include “patient’s health history, medical conditions, test and treatments, medication, demographics” and other pertinent information about the patient (Otto & Nevo, 2013. p. 165). Electronic health records eliminate misplacement of documents, destruction of the documents via handling, and to retrieve documents for continuity of care providers needed to seek information from multiple places. EHRs streamline processes; place the information in one place, and the “USA could save $162 billion annually. Potential cost savings include, increased efficiencies, improved health quality via disease prevention and disease management, and reduced prescription errors” (Otto & Nevo, 2013. p. 166). Improved patient care is pertinent not only to prolonging the...
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...presents an issue of product safety. The Consumer Product Safety Commission threatened to ask Congress to give it greater authority. Advertising is protected under the First Amendment, but there has to be limits. “While advertising does not directly contribute to all product related accidents, it does, inadvertently, have the power to promote unsafe behavior” (Chandran, 1979). Advertising indirectly contributes to the problem of consumer product safety. “Advertisers and advertising agencies should therefore do more to educate consumers in a safe and prudent use of products that are potentially hazardous for several reasons” (Chandran, 1979). There should be some guidelines for product safety in adverting policies. The National Advertising Review Board presented its findings, and gave some positive ideas that will influence the safety behavior of consumers. Manufacturers are liable when a product has a defective condition that makes it “unreasonably dangerous...
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...EMR Research & Opinion Paper Produced by: Jeremy Averella EMR Course Fall 2013 EMR Research & Opinion Paper Produced by: Jeremy Averella EMR Course Fall 2013 TABLE OF CONTENTS I. Advantages of EHRs 2 a. Cost Containment 2 b. Empowerment 3 c. Improved Communication 4 d. Less Waste 4 e. Compliance 5 II. Disadvantages of EHRs 6 a. Lack of Standardization 6 b. Security & Privacy Concerns 7 c. System Infrastructure Issues 8 d. Risk of Liability and Patient Uncertainty 8 III. EHR Technology 9 a. EHR Benefits 10 b. EHR Types 11 c. EHRs Future Evolution 13 d. EHR Technology versus Handheld SMART devices 14 IV. Trends and Consequences 15 a. Aggressive Implementation 16 b. High Costs 16 c. Labor Investment 17 d. Opportunity Cost 17 e. Impact on Researchers, Policymaker and Educators 18 V. Final Opinion 19 VI. Bibliography 22 VII. Appendix I 28 VIII. Appendix II 31 I. Advantages of EHRs In an effort to reign in rising health care costs and increased health care disparity and inequality in the U.S., former president George W. Bush doubled the funding for Health Care Information Technology to 100 million in 2005 (The White House). It was part of a larger plan to utilize latest information technology to standardize patient and health records, which despite spending 1.6 trillion dollars, attributed to 98,000 medically related errors in 2004. The plan was part of his campaign promise and was reiterated in his January 20...
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...accountability for the team members. Serves as the executive link providing resources and helping the team overcome barriers. He is also the team's clinical leader because he has the authority to implement the change and understands the implications of the proposed changes to the system. Pharmacist The pharmacist has technical expertise on drug therapy and can improve safety by identifying duplications in medication regime and possible medication interactions. Also serves to help review medications if a physician is not familiar with them. Registered Nurse Serves as a project driver by...
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...COURSE PROJECT Kourtney F. Scism DeVry University Health Services Info Systems Week 7 Course Project Table of Contents Preliminary Title Page ……………………………………………………………………………………………..……………..1 Table of Contents2 Executive Summary………………………………………………………………………................................3 Overview and Brief History 3 EHR Successful Statistics……………………………………………………………………………………………….…4 Benefits Outlined………………………………………………………………………………………………………….….5 Software Support Summary6 OfficeWyse……………………………………………………………………………………................................7 CallWyse……………………...………………………………………………………………………………….…..7 MobileWyse………………………………………………………………………………………………………...7 Finance Wyse………………………………………………………………………………………………………7 Personal Experience & Advantages/Disadvantages…..……………………………………….8-9 Cost Analysis ………………….…..……...............……………...…………………………………………….10 IT Requirement’s & Conclusion………………………….…………………………………....…….…...11 Works Cited………………….…..…………………………………………..........................................12 Executive Summary HealthWyse is an electronic software company that offers three lines of service to homecare organizations including home health, hospice and private duty. The platform provides secure mobile access to scheduling, documentation and billing functions. The program focuses on increasing agency’s revenue, reducing adverse events and promises to streamline homecare services. The array of features HealthWyse offers is ideal for homecare...
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...Selecting an EMR Selecting an EHR system is a critical decision and a significant planning task. There are different opinions regarding when the selection of an EHR system should be made in the planning phase. Some practices go through the planning process and develop the selection criteria they wish to use. Other practices begin by selecting an EHR system and then conduct planning to support the selected EHR system. * Understand if and how a vendor's product will accomplish the key goals of the practice. Essentially, a test drive of your specific needs with the vendor’s product. Provide the vendor with patient and office scenarios that they may use to customize their product demonstration = Test Drive * Clarify start-up pricing before selecting an EHR system (hardware, software, maintenance and upgrade costs, option of phased payments, interfaces for labs and pharmacies, cost to connect to health information exchange (HIE), customized quality reports) = Get Accurate Pricing * Define implementation support (amount, schedule, information on trainer(s) such as their communication efficiency and experience with product and company)= Define Your Support * Clarify roles, responsibilities, and costs for data migration strategy if desired. Sometimes, being selective with which data or how much data to migrate can influence the ease of transition = Clarify the data * Server options (e.g., client server, application service provider (ASP), software as a service (SAS))...
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