...The most important fact surrounding the case is the sharing of medical data across different systems. Doctors and hospitals converting over from paper- based medical records which are fairly problematic to electronic systems are compelling. The electronic medical system is distinctly used to contain a person’s personal information, full medical history, test results, diagnoses, treatments, prescription medications and etc. Despite that EMR system fulfils the standard requirements for recording needed medical information. Inefficiencies in medical record keeping is one of the reasons why health care cost in the Unites States is the highest in the world (Business Information Systems in Your Career). Noted in 2012 health care cost had risen to 2.8 trillion dollars. Electronic medical record system is not only supposed to contain a person’s medical history, reduce medical errors and improve medical care, but finally lead to an considerable amount of savings, as good as 80 billion dollars per year. It has been proven that electronic medical systems have offered compelling advantages to hospitals, doctor’s office and most importantly patients. This criteria allows doctors to avoid trouble and...
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...EMR and Health Care Fraud The realization of the Electronic Medical Record (EMR) is one of the greatest technological health care achievements. However, this realization has brought about many additional concerns. Regarding EMR, some of these concerns include: billing for services not provided, misrepresenting dates/locations/providers of services, incorrect reporting of diagnoses or procedures, double billing, and upcoding. (Piper, 2013) Many of these issues did not just appear with the introduction of EMR, but there was a surge of billing fraud complaints--from patients and Medicare recipients. EMR implementation has changed the modern health world, but it does not come without its setbacks. “The $1,000 Pap Smear” EMR has been called out for its easy set-up for...
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...• What is Electronic Medical Records (EMR)? (10 Points) According to “Err is human” (Kohn, Corrigan, & Donaldson,2000) and because of concluding of I.O.M “Between 44.000 and 98.000 people die every year from medication error that is under responsibility of human mistakes. The need for using automation were become important to overcome these problems and to increase patient safety. (EMR) Electronic Medical Record is a specialized system in healthcare provider dealing with numbers to minimize the chance of mistakes, implementation of quality in healthcare and improving all services that related to the stockholders that are giving to the patient either direct setting or indirect setting. This system can serve the patient from the time...
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...Running head: Electronic Medical Records (EMR) Electronic Medical Records (EMR) Student Names Florida Atlantic University College of Business Health Administration Program Dr. Attila J. Hertelendy Introduction to Health Care Systems HSA 6103 Electronic Medical Records (EMR) November 15, 2011 Table of Contents 2 Abstract ............................................................................................................................................3 Introduction ......................................................................................................................................4 Types of EMRs ................................................................................................................................4 EMR Technology ....................................................................................................................4 Practice Management ..............................................................................................................7 Vendors and Cost of EMR ......................................................................................................7 EMR Stimulus.........................................................................................................................8 Different Uses of EMR ....................................................................................................................9 Uses of EMR in Health Management .............................
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...records (EMRs) and insure a continued business through a disaster recovery plan that will be initiated with group 5 members. The plan has considered the Sunnylake hackers who have caused an access denied on EMRs so the DRP that is going to be implemented and will include management procedures and technology procedures to insure an on-time recovery. So the crisis being faced is hacked EMRs so doctors and nurses are at risk of medication errors and drug interactions, what was the most efficient method has becomes less reliable. Moverover if the recovery time takes longer there is little hope of reverting to EMRs. Some patients are receiving the wrong prescription due to a poor adjustment to the tedious and robust situation. Infrastructure (replace): Attempts for system restore, contemplating to pay ransom demanded by extortionist. Use of paper records as means of keeping patient and medication records and patients’ confidential information and doing filing as alternative means of record keeping. Whilst the hospital workstations being the major points of data entry. People (retain): The proactive participants and their role at Sunnylake; George Knudsen - (Chief of staff), Lisa Mankins - (Sunnylakes head legal counsel), Jacob - (IT personnel), Paul-(IT Director); Doctors, Nurses; Hackers; Patients, Chief executives and boards. Richard L. Nolan a coauthor of Adventures of an IT Leader and holds the M.Condit Chair at the University of Washington-( Commenter of case study). Peter...
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...spite of those costly efforts, patient records continue to be primarily paper-based. The Institute of Medicine (IOM) (1991) of the National Academy of Sciences recognized the magnitude of the problems associated with paper medical records systems and called for the adoption of computer-based patient records (CPR) or electronic medical records (EMR) as the standard for all patient records by the year 2001. EMR systems have been shown to have value in patient care; they are not widely used by clinicians in community-based practice. Although there are barriers to the productive use of EMR systems in primary care and there are situations in which such systems have failed, there are early adopters of this technology who have successfully implemented the systems and made them an integral part of their organizations. Gaining better understanding of the usefulness of EMR systems and how they might be broadly utilized and successfully implemented in the community-based practice environment requires further investigation. Identifying, analyzing, and understanding certain organizational factors that contribute to the use and acceptance of EMR among health care providers in ambulatory care, community-based settings will add to a presently insufficient body of knowledge, provide insight that will contribute to...
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...health information. To protect the patient and their families during their job transition or the unemployment period and to protect the patient health information from being misused the U.S Congress ratified HIPAA i.e. Health Insurance Portability and Accountability Act. HIPAA protects patients and their families in times of their unemployment by providing them with Health Insurance at that particular time. (Wikipedia, 2011) The area of study this research addresses is the health care industry and the processes within. Healthcare industry is one industry that is always successfully operational because human being is exposed to the threat of illness every second. Since health care industry is always operational, the competition within the industry is extremely high. The competition is not only about who provides the best services, but it is also about who provides the best protection to the patients in terms of managing their information as well as protecting them in times of need. The subject under consideration is to study the health department of Gary Job Corps Center and develop a procedure that is compliant with HIPAA. The procedure in focus will be the management of patient health information and its security maintenance in compliance with HIPAA. The proposed solution will be given in consideration of the basic statutes and laws stated in Health Insurance Portability and Accountability Act. While keeping in mind the issues that are arising for various...
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...What have we learned from the recent EMR implementation experience? What works, what doesn’t work, and why? Implementing an EMR system in a clinical practice has been a formidable task in the healthcare industry. Although, details of the experience may differ from one healthcare setting to another. Many research studies have pointed out the following as the common issues to EMR implementation, these includes leadership, workflow, provider, training, data interface and end users. These issues speak a volume about the success or the failure of the implementation. Leadership plays a huge role in EMR Implementation. When I talk of leadership, I refer to a variety of personnel ranging from CEO to clinic staff who are able and willing to provide organizational support, remove barriers, provide framework for communication plans for all staff with adequate timeline to lead on the EMR project. I do agree with Stephen Badger who stated that, ‘if a senior team is united in its commitment to a project’s success, the project will almost certainly succeed’. A report from the American College of Medical Informatics stressed the need for unwavering commitment of the the top-level leadership as a factor to success in the EMR project. In most institution hospitals and other bigger clinics where EMR implementation was reported as a huge success, a dynamic leader was always noted as the driving force behind their HIT projects as in the case of Beth-Israel Deaconess Hospital where Dr. John...
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...EMR 6400 Fundamentals of EMR Guidelines for Literature/Review Proposal DUE APRIL 9, 2008 Introduction The introduction to the literature review/proposal orients the reader to the problem under study and has three parts. First, you need to provide a statement of the problem. This statement sets out the general reasons that the research area is important. You might indicate the prevalence of the problem, its relevance or cost, its importance to theory, the relative absence of knowledge, some contradictory research, etc. Prevalence statistics, knowledge gaps, contradictory research, the need for theory testing, presence of puzzling anomalies, etc. help to make your case here. Secondary sources (books, chapters, review articles) or tertiary sources (newspapers, magazine articles) can be helpful in making a general case for research in his area. However, do not rely on tertiary sources to make your case. I expect you will use a majority of primary sources with a limited (small) number of secondary/tertiary sources. The second section of the Introduction sets out the purpose of the proposed study. This can be brief and simply clarifies how your proposed study will address the problem you have identified. The third part of the Introduction is a statement of the research question (or hypotheses). Write your research question according to the guidelines for good research questions discussed in class. Parts one and two set the stage for the research question. Recommended length:...
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...EMR implementation to improve patient outcomes Florida International University The problem Quality of care has been low for Mesey hospital over the past few years. Medical errors, near misses and poor patient safety are at an increased rate. Communication has been lack luster, and patient satisfaction surveys have yielded unsatisfactory results. Mesey has invested in quality training, has had continuous education sessions and in-services in an attempt to improve care but has seen no improvements despite the efforts. The CEO, not realizing that it’s the system not the people, is looking into new and different strategies for improvement, including hiring new employees as the current staff is set in their ways and cannot seem to turn quality around. Mesey is currently using the traditional paper charting system and has not yet converted to electronic medical records (EMR). The CEO has done some research and has learned that the competitor Wellness hospital has been using EMR for over two years and has had great success - high quality rating and excellent patient satisfaction scores. The CEO of Mesey has been contemplating if implementing EMR within the facility will improve patient outcomes and satisfaction through improved safety and quality of care? Traditionally, paper based medical records have been used due to its simplicity and ease of use, low cost implementation, and widespread acceptance. This system does however come with a vast number of disadvantages including...
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...Case Study Carrol Godwin Southern New Hampshire University HCM 500 1. What if the study had shown the emergency department (ED) was implementing a lab information system rather than an EMR, How would that impact patient flow? Explain. 2. What would have changed if the implementation was planned for the early summer or late spring? 3. What elements are needed in order to ensure patient safety? 4. Depending on your discipline, address one of the following questions (you may respond to both, if desired): As a nurse manager, what would you like to have seen done differently with the implementation? As the office manager, you oversee the staffs who admit patients to both the ED and overflow clinic. What could you have done differently to make the implementation go more smoothly? 5. The next phase of the EMR implementation plan involves the ICU and NICU. What recommendations would you make to modify the implementation plan based on the ED experience? Explain. 6. After reading this case, how will you use the lessons learned to implement your group project? In my case study I will discuss the impact on the workflow in the Emergency Room (ER) when lab information system is implemented. I will discuss any impact on the patient flow thru the ER and the turnaround time (TAT) for lab results and any effects on the patient’s length of stay (LOS). I will discuss patient safety issues and what is needed to insure the institutions goals are met. I will look at the implementation...
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...organization for more than a year. For the purpose of this paper the capitol purchase discussed is one of the electronic medical record. The federal government wants all medical providers to have an Electronic medical record by the year 2014. To keep up with the growing changes in technology allotting for this purchase will greatly affect the hospital system in many ways and prove its return on investment (ROI). According to Health Revenue.com, “ The goals of the EMR are: * EMR will help to streamline the medical records process by bringing structure to how it is done * EMR will help to ensure medical records are more complete and correct * EMR will help to providers follow drug authorization more thoroughly to protect against errors and abuse * EMR will reduce transcription costs * Fewer charts will have to be pulled because physicians will have easier access to information, no matter where they are * EMR will improve clinical messaging and thus improve the work flow and care of patients * EMR will help make charge capture more accurate (2011)”. This paper will explore the management and organization goals, the impact on the economic environment, and justifiable expenses and relate them to the mission of the organization in regards to the purchase. This purchase is beneficial in many ways to the health care organization and will overtime pay for itself many times over. Electronic medical records are a move all health care agencies are moving towards...
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...Are Electronic Medical Records a Cure for Helath Care? Case Study Identify and describe the problem in this case. In the United States most medical records are kept paper-based. That process is creating ineffiency, inaccuracy and also costing more amount of money compare keeping records electronically countrywide. The US government has set deadline for medical providors to acquire and set basic funtional operation of electronic medical record (EMR) by end of 2015. To get new EMR will cost around $30,000 to $50,000 per doctor. After getting EMR, each record has to be transferred to EMR from paper-based data with code assigned for various treatment options and data structures to fit the record’s format and that also includes cost and time in addition to the cost of system. Therefore individual physicians, clinics those have less than 4 doctors or hospitals those have less than 50 beds would turn out as a huge burden. The doctors have to change the way they work as EMR will be set up nationally. They have to change the way answer the phone call, the way they examine the patient and also the way they write prisciptions in order to keep all doctors visits same. In order to get used to new procedure doctors can take training which can take upto 20 hours from doctors very busy schedule. As EMR is not widely used, therefore we can say that it has not been tested properly yet due to lack of users. There would be many issues with the sharing data between different systems. As...
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...The topic of this week’s discussion is related to the integration of electronic medical record (EMR) systems at RURAL family practice settings. Such settings increase the challenges of implementation mostly due to resource limitations. Typically, smaller practices suffer from lack of in-house information technology support and limited IT budgets. In this scenario we will discuss how small organizations can successfully implement EMRs, enhance their core mission of delivering quality care, and minimize security and patient health risks. The family practice we are investigating has been established in the New Tampa area in 1990*. Currently it employs 3 physicians, one nurse practitioner, one nurse and two staff assistants. It provides services to more than 1500 patients and last year had 4000 patient visits. When the practice first opened, each patient’s chart included a double-sided standard sheet of paper created for each visit, test results, images, progress notes, prescribed medication and demographics information. The size of these charts has been increased exponentially since then and in 2009 the practice has decided to move forward with an EMR implementation. The practice has been using an electronic billing and scheduling system for years, however the personnel was skeptical for the EMR implementation since an unsuitable system could destroy the continuity of the patient’s medical record, incur additional costs and disrupt patient care and staff function. A committee...
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...The Use of EMR in the Healthcare Industry Marque Alford May 30, 2011 HCA/320 Nancy Sauver With the vast growth in technology, the high volume of healthcare organizations case load and the objective to provide effective, efficient communication all healthcare organization should definitely look into implementing Electronic Medical Records (EMR) to their organization. EMR is a legal document of patient information stored and is accumulated over time from services render at a healthcare organization (HIMSS Analytics, 2006). The use of EMR in the healthcare industry can help reduce or even get rid of the medical mishaps that a rise. Furthermore, it helps the organization in delivering a better quality of care to the patient (HIMSS Analytics, 2006). Unfortunately, there are advantages and disadvantages to the use of Electronic Medical Records. The advantages of EMR are the ability for all in a health care team to work together to deliver a great quality of care to individuals. This helps eliminate multiple testing, prescribing or distribute of medication that can be deadly if combined, and the success of anyone in the healthcare organization or medical group to utilize and understand the necessary method taken to a certain condition (openclinical, 2005). Patients with multiple, difficult medical conditions may need to have more than one specialists, this can definitely be stressful and confusing. If professionals use the same system for electronic medical records...
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