...Presentation Outline Introduction Research Methodology Results Conclusions Introduction Electronic health record (EHR) has been shown to play major roles in the home healthcare system. The main drivers for the increasing roles and applications of EHR in the home healthcare include the need to improve efficiency in home care service delivery and patient safety. Introduction Cont. The Institute of Medicine (IOM) has identified the following as EHR functionalities for healthcare settings. 1 Health information and data Results management Patient support Decision support management Electronic communication...
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...steps of the nursing process are evident in the electronic health record (EHR), they however are not necessarily next to each other in the order of the nursing process as explained in a nursing textbook. It depends on the format of the EHR that is chosen by your place of employment. “Regardless of the type of documentation that is used, you will use or refer to the nursing process as a guideline when you are charting” (Treas & Wilkinson, 2014, p. 390). There are narrative formats to use when charting in source-orientated...
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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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...Advantages and Disadvantages of the EHR Over the historical decade, every major business invested heavily in computerization. Comparative to a decade ago, today more Americans buy airplane tickets and check in to air flights online, buy things off the internet, and some people earn degrees online. In spite of these developments in our civilization, many patients are given handwritten prescriptions, and not many patients are able to email their doctor or even schedule an appointment to see a physician without speaking to a live receptionist. Electronic health record (EHR) systems has changed the healthcare system from a mostly paper-based industry to a computerized system to assist providers in providing higher quality of care to their patients. The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, which is part of the American Recovery and Reinvestment Act (ARRA) (aka “stimulus package”), was signed into law with an unambiguous purpose of incentivizing providers to adopt EHR systems. The HITECH Act requires that providers adopt EHRs and use them in an eloquent way, meaning using certain EHR functionalities associated with error reduction and cost containment. Some advantages of technology in our society today regards clinical, organizational, and societal outcomes. Clinical outcomes consist of enhancements in the value of care, a decrease in medical mistakes, and other advances in the number of patients that describe the relevance of...
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...Electronic health record (EHR) software powers computer systems that collect, collate, store and disseminate vital patient data. An EHR system includes hardware that allows physicians and other medical organizations to gather and store information, and the software defines how data is entered, manipulated, accessed and shared. Addressing Patient Privacy Concerns Associated With Web-Based EHR Software Both patients and private-practice providers are concerned about protecting privileged information. Those concerns are legitimate when you consider that illegally acquired medical data often garners more money on the black market than credit card files. Quoting a Security Week statistic, Wonder Doc reported there were more than 121 million data breaches – both medical and non-medical – between January and August...
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...Business Research Report Benefits of an Electronic Health Record Assessment Code: RWT1 Student Name: Student ID: Date: Mentor Name: Table of Contents Executive Summary 3 Introduction 5 Research Findings 5 Opportunity for Financial Incentives 5 Improved Quality of Patient Care 6 Increased Productivity and Efficiency 7 Recommendations 8 Conclusion 9 References 11 Executive Summary The benefits of successfully implementing an electronic health record are both vital to the future of our business as well as rewarding. The purpose of this report is to clearly demonstrate the need for implementation of an electronic health record and provide explanation of the benefits available to us with successful implementation. . The three main benefits I will be presenting research on are the financial benefits of an electronic health record, the ability to provide better quality patient care and the opportunity to increase productivity and efficiency through implementing an electronic health record. There are significant financial incentives for implementing an electronic health record and meeting Medicare and Medicaid’s requirements for meaningful use. Eligible providers can earn up to $44,000 through the Medicare EHR Incentive Program and up to $63,750 through the Medicaid EHR Incentive Program. There are three stages involved in meeting meaningful use the first stage consists of data capture and sharing, the second involves advanced clinical...
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...Medical record keeping has change in the last couple of decades. In the past patients records were kept in a file on paper taking up excessive room. In the past, paper charts were the only means of keeping a patient’s medical diagnoses documented. Some of these charts are still used today in healthcare facilities, lately; there have been great advancements in the medical field involving the creation and maintenance of patient records. There are electronic medical record computer systems and internet-enabled doctor correspondence methods. All of this is to make the experience better for the patient and easier for the medical provider. In 2009, the 111th Congress allocated $19 billion of the American Recovery and Reinvestment Act, toward the creation of an electronic health record (EHR) for each person in the United States by 2014. The recent debate over EHRs has focused largely on the economic, logistical, and political consequences of implementing such a system; however, the country should also contemplate the ethical ramifications of EHRs. Addressing these concerns requires the application of ethical principles such as autonomy, justice, beneficence/non-maleficence, and privacy and confidentiality. The use of electronic technology for the management of health information presents expanded security risks due to increased capacity and mass storage. A single breach in security could lead to the unauthorized disclosure of private health information. Both health care organizations...
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...Electronic Health Records and the Benefits of Going Paper-less U.S. health care industry is the world’s largest but also one of the most inefficient informational enterprises. It has been estimated that approximately $1.7 trillion are spent every year in healthcare within the U.S. Thus, many organizations still use the old procedure of storing medical records on paper. Hillestad et al. (2013) declare that storing records on paper can be inefficient when it comes “to coordinate care, measure quality, or reduce medical records” (p. 1). Also, with the use of the old method, healthcare professional may lack the necessary information about costs or quality, which often impedes them from making the best decisions regarding patient care. As the implementation of electronic health records (“EHR”) continues to be weak within organizations, it is important to address some of the most common barriers health providers face when it comes to acquiring such system. The main focus of this paper is to discuss the advantages that this information system provides to its users. Some potential advantages of HER include improvement of efficiency and effectiveness of: health care providers, decision making ability, availability of records, coordination of care, and cost savings just to mention a few. . Electronic records are known as another form of patients’ paper charts. It is believed that with the adoption of electronic health medical record systems those who adopt them will be greatly benefited...
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...Electronic health records (also known as ‘e-notes’, EMR or EHR) have commonly replaced the conventional paper records used in medical facilities. EHRs are a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports”. Some of the basic benefits associated with EHRs include being able to easily access computerized records and the elimination of poor penmanship, which has historically plagued the handwritten medical chart. This technology can offer a more consistent method for open communication among physicians, nurses, labs and other clinical staff without relying on handwritten notes stored in a single-location, electronic health records can help with the time it takes to treat someone. Electronic health records have provided a solution to a range of health care procedures, have offered cost savings and benefits, and still have greater potential for improvement through future efforts. It is evident that the EHRs have shortcomings that are commonly noted and targeted, but they have solved many more problems inherent in previous systems, they are the ideal path for development and improvement for patients and healthcare providers. Electronic health records have allowed healthcare organizations to provide quality care all of its...
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...hospitals will have better resources available to them compared to smaller hospitals. The resource input versus output per patient will determine how beneficial, if at all, an EHR system would be for that hospital (Ginn et al., 2011). An EHR system can be technically demanding and time consuming for the personnel managing it. Usability is a key component of EHR implementation, especially for nurses. Although doctors use an EHR system along with the other staff, nurses are the primary and most common users of it in the field. It is crucial to get feedback from the nurses’ opinions on the effectiveness of the EHR system that is in use in their hospital setting, which in turn provides a better assessment of the practicality of the system....
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...professionals as they move from paper charting to employing an electronic health record system. According to Zandieh et al., (2008, p. 758) research demonstrates that one of the biggest challenges for moving from paper-based systems to EHR is the perceived skills of staff and their comfort level with a new computer system. The utilization of the Informatics Nurse in the delivery of new EHR initiatives is a critical component in providing a successful outcome for quality nursing care. Nursing: Benefits and Challenges of Electronic Health Records Introduction According to Murphy (2010, p. 283) the Health Information Technology Act in 2009 has required Healthcare systems to implement the conversion of paper documentation to electronic health records. Throughout this process, the need for the role of the Informatics Nursing is growing. Many modalities including, but not limited to, standardizing records and computerizing patient data, all play key roles in the development of best practice. Although EHR, Electronic Health Record, will prove to be extremely beneficial, EHR presents new challenges to the nursing profession. One of these challenges is staff resistance and being able to provide sufficient technical training. This topic is of particular interest because of the EHR effects on the nursing practice. This challenge is relevant to Nursing Informatics because it impacts the efficacy of EHR for both Informatics Nursing...
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...Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted coding. List three decision-support tools the EHRs contain to provide patients with safe and effective health care. List four important safety checks that an EHR’s e-prescribing feature can perform when a physician selects a new medication for a patient. KEY TERMS chronic diseases disease management (DM) clinical...
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...For the most part, EHRs improve communication by doing away with handwriting errors, reduce time pulling charts, and enable multiple staff to simultaneously work on the same patient chart. [7] The EHR also has a remarkable potential to improve quality of care through CPOE and further, aids in the measuring quality and performance data.[6] Studies, however, have shown mixed results regarding medical errors and adverse events with the use of CPOE.[6] 3.2.1 RESEARCH Prior to EHRs, information about quality and performance was obtained by examining insurance claims. There are several limitations to obtaining information through insurance claims such as incomplete sampling methods and the complexity of assigning attribution of specific care to physicians.[21]...
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...healthcare industry. You will choose a healthcare profession (preferably, one that interests you because you will be spending a lot of time researching this profession). Then, you will apply concepts from this course as well as independent research to respond to a variety of questions about the profession. Finally, you will summarize your findings in either a PowerPoint presentation or a report. The Healthcare Professions Case Study assignment is broken up into four parts, summarized below: Assignment | Due Date | Part I: Identify a Healthcare Profession | Sunday of Week 1 | Part II: Certifications, Job Responsibilities and Career Possibilities | Sunday of Week 2 | Part III: Compliance, EHRs, and Interaction with Others | Sunday of Week 3 | Part IV: Research Summary | Sunday of Week 4 | ------------------------------------------------- ------------------------------------------------- Part I: Identify a Healthcare Profession (Complete and submit in Week 1) Choose a non-clinical healthcare profession, preferably, one that aligns with your career goals after graduation. Identify your chosen profession and why you chose it. Also, discuss what you may know about this specific profession within the healthcare industry, before you actually research it. Your response should be at least 150 words long. Click here to enter text. For your chosen healthcare profession, answer Questions 1-3 below. Your responses to these questions should be at least 200 words combined. Submit your...
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...Electronic Health Records (EHR) | | Technology & Society | | EHR Electronic Health Records (EHR) is an official health record for an individual that is shared among multiple agencies and facilities. Digitized health information systems are expected to improve efficiency and quality of care and, ultimately, reduce costs. EHR’s contains Contact information, Information about visits to health care professionals, Allergies, Insurance information, Family history, Immunization status, Information about any conditions or diseases, A list of medications, Records of hospitalization, and Information about any surgeries or procedures performed. (Rouse, 2011) (Holt, 2003) There are a wide variety of benefits that comes along with EHR’s such as there are essential to increasing the quality of health care and improving patient safety. The benefits range from information integration to increased efficiency of clinical processes. These benefits impact physicians, patients and the medical community as a whole. For patients EHR care providers the information they need to ensure that their patients receive the most appropriate, timely and efficient medical care possible, which will reduces medical errors and duplication of services. These tools include drug information, patient history, clinical guidelines and screening recommendations. EHRs increase screening and preventive care and reduce complications, including drug errors. (Rouse, 2011) (Holt, 2003) Physician and Medicare...
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