...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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...The federal government has mandated that all medical records need to be converted to electronic form by 2014. Providers also have to prove their meaningful use of electronic medical records. Starting in 2015, Medicare and Medicaid payments will be reduced, starting at 1% for not complying with this mandate. Federal grants and funding were made available by the American Recovery and Reinvestment Act to assist health care providers to adopt electronic medical record format. As a result of the mandate there have been numerous articles that have been published by medical and trade journals. The articles cover a wide range of topics as they relate to electronic medical records covering topics such as cost, benefits, cons, patient safety, human error, and federal requirements. This is brief summary of some of the available articles as they relate to health care delivery and electronic medical records. Annotated Bibliography Amatayakul, Margret. (2010, December) Healthcare financial management : journal of the Healthcare Financial Management Association, ISSN 0735-0732, 12/2010, Volume 64, Issue 12, p. 104, 106. Retrieved from http://search.proquest.com.ezproxy. apollolibrary.com/docview/1019985327 This article provides six steps of implementation for electronic health record. The model mirrors the steps of implementation developed by James Prochaska; however, the model was specifically tailored for electronic health record implementation. The process could be used by any facility...
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...Review Jennifer Burkey Eastern Michigan University The adoption of electronic medical records systems is one of very current relevance in nursing practice. In our local region there are many hospital systems that are in the process, or have just completed the process, of implementing an integrated electronic medical record system. This drew me to perform a literature search on the subject of electronic medical records use in nursing practice. I performed this search using the search terms electronic medical records in the CINAHL database and limited my search to English language research articles. I arranged the resulting articles with the newest listed first and scanned through the article titles for those relating to nursing practice. The purpose of this paper is to critically review one of the articles I found during my literature search. I chose the article “Factors influencing nurses’ intentions toward the use of mobile electronic medical records” written by Hsu, Liu, Weng & Chen. Article Summary According to Hsu, et al. (2013), “The purpose of this study was to investigate the factors influencing nurses’ intentions toward the use of mobile electronic medical records, based on the Theory of Diffusion Innovations.” (p. 124) Hsu et al. first went through a literature search of their own to provide definitions of some key terms needed for the study. Mobile electronic medicals records (MEMR) was defined as “an EMR that can be accessed and managed through the...
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...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. They serve to improve the...
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...Are Electronic Medical Records a Cure for Health Care? Abstract In the United States, healthcare remains a top priority and is consistently part of the national public policy agenda. Political leaders and healthcare providers attempt to address issues of quality, access, efficiency and affordability. Solutions to these challenges are being pursued through a great variety of strategies and methodologies ranging from adoption of best practices of patient care to negotiated contracts between payers and Care Delivery Organizations (CDO.) (Gonzalez, 2014) This writing assignment will take a look at the adoption of Electronic Medical records and show the strengths and weaknesses of overhauling medical records from paper to digital. Context The purpose of writing this paper is to give me a better understanding on how information systems can help the medical field. However, it is important to understand that you cannot just overhaul the current system in place. There needs to be a process involved to get everyone at stake the proper training and information needed to undergo such a large transition. Introduction Electronic Medical Records are basically electronic versions of paper-based medical records. An Electronic Medical Record (EMR) is essentially an electronic record of health related information on an individual that can be created, gathered, managed and consulted by authorized clinicians and staff in one healthcare organization. Electronic medical record systems...
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...Application of cost-benefits analysis (CBA) in Hospital Setting Introduction “Cost-benefits analysis measures the benefits and costs of projects in money terms: this often requires that we place dollar values on years of life or improvements in health and well-being” (Folland, Goodman, & Stano, 2010 Pp 67). Studies related to the post-acute rehabilitation of the traumatically brain injured (TBI) have centered on quality-of-life issues. There has been little attention paid to cost/benefit relationships. The study showed a statistically important benefit and cost savings, over time, for those patients receiving post-acute rehabilitation. These benefits are in addition to improved quality-of-life benefits. Another cost-benefits analysis in the hospital setting is the implementation of electronic medical record (EHR). Electronic medical record systems improve the quality of patient care and decrease medical errors, but their financial effects have not been as well documented. Electronic medical record systems have the potential to provide substantial benefits to physicians, clinic practices, and health care organizations. These systems can facilitate workflow and improve the quality of patient care and patient safety. Cost and benefit of post-acute rehabilitation in hospital “Post-acute rehabilitation services may be provided to some patients at the same or lesser cost when compared to the cost of the living status category prior to admission” (Ashley & Kirch, 1990). It...
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...advances the way a discipline is practiced (Shea & Cavan, 2014). Before this course I had little exposure to nursing theory and its application in the clinical realm. I knew things were done a certain way but truly did not know the origin of the ideas that influenced current nursing care. During the completion of my BSN degree, I grasped a basic concept of nursing theory and studied the major theorist involved. It has been very enlightening to view nursing theory in another dimension and study the clinical implication of its integration in practice during this course. In the following analysis I will seek to establish the importance of nursing theory and its application. I will discuss Virginia Henderson’s theory of need nursing and the application of its key concepts into practice. I will also establish important aspects of her theory and how they apply to the nursing metaparadigm. The analysis will also address the relationship between Henderson’s views and nursing informatics. Overall the influence of theory and its application in nursing will be thoroughly discussed. The Value of Nursing Theory Throughout time, the nursing profession has been influenced by nursing theory. Nursing theory has contributed to the expansion of nursing care and its proper application in the clinical realm. Nursing practice is more clearly understood and developed through the use of nursing theory. Theory fosters critical thinking and provides nurses with an expanded insight (Aghebati, Mohammadi...
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...Marketing Plan For Health Care Monitoring Tool At Dell Services Amber Littleton MM522- Marketing Management 1. Executive Summary Dell Services offers a web tool for hospitals with Electronic Medical Records that enables them the client to view real time statistic of the interfaces flowing into the EMR and various reporting tools that allows access to the database in a GUI format. Although many Healthcare IT consulting companies have recently tried to implement a Host monitoring service, none have cornered the market with their technology the way Dell Services has with their unique application. Because the Monitoring tool is such a marketable product right now, the Dell Services team needs to find ways to boost performance and improve the users experience without increasing costs. The best opportunity for Dell Services to do these things and to maintain and grow the product marketability is to do a complete revamp of the web application framework and present the newly vamped application to existing and potential clients. According to Spetz 2009, having an Electronic medical record (EMR) systems offers substantial opportunities to organize and manage clinical data in ways that can potentially improve preventive health care, the management of chronic illness, and the financial health of the Hospital. The benefits are faster chart coding, which means faster payment for services to savings in personnel, transcription and paper costs; and efficiency...
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...care in my community. Lastly, I have suggested a key action that senior health care leadership can take in the community to push the boundaries of information technology management. Most New Significant Technology Requirements for Health Care I believe that the most new significant technology requirement for health care is the use of electronic medical records (EMR). This is a digital form of a paper chart which encompasses the medical and treatment history of the patients in one office. An EMR permits a physician to track data over time, easily pinpoint which patients are due for preventive screenings, and check on how patients are doing on particular parameters like blood pressure readings or vaccines (Electronic Medical Record, 2014). They also monitor and improve the general quality of care within the clinic or hospital. Providers should approach the implementation of the EMR with seriousness. I say this because As of January 2014 all public and private healthcare providers must have adopted and established meaningful use of electronic medical records in order to uphold their present Medicaid and Medicare reimbursement levels (Digital Record-Keeping Will Be Required of Public and Private Healthcare Providers, 2013). Therefore, consequences do exist for non-compliance, meaning the health care providers who haven’t executed EMR systems will have a decline in...
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...Manila Campus Inocencio, AyAy L. BSIT-3A TOPIC PRESENTATION Topic No. 1 I. General Subject Area: Information System II. Specific Topic: Electronic Medical Record System for Malabon Polymedic Multi-Specialty Clinic III. Definition of the Topic A. Importance and Significance (Rationale) The researcher came up with the study by conducting an observation with regards to the clinics operation and protocol. The Malabon Polymedic Clinic started using the recording of patient's information thru MS Excel and using manual file folder recording since January 2016. By that reason the researcher propose a more convenient way of organizing and managing the patient's record by means of developing a web-based system. B. Manageability (Scope and Limitation) This study focuses on constructing the patient’s record in order. Electronic Medical Record System is a Web-Based System that will focus on keeping all the patient records. The system will consist but not limited to the following modules: * Patients Record Keeping * Billings * Laboratory Results * Consultation Fee * Medicine Inventory * Doctor’s Prescriptions * Doctor’s in Charge * Appointment/Schedulling C. Availability of Resources (Sources of Information) The researcher will create a Electronic Medical Record System that will run web browsers using PHP as the front end of the system while MySQL for the back end of the system and also we conduct an interview...
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...Advantages and Disadvantages of the EMR Abstract The use of the Electronic Medical Record (EMR) system has gained popularity within the healthcare organization. It has advantages and disadvantages for both patients and providers. These are discussed as well as regulations of the EMR. Overview of the Electronic Medical Record System The way that records are being kept has changed dramatically within this century. The process of entering data into a simple database has also evolved. The Electronic Medical Record System that health care providers are now using has many advantages and even a few disadvantages compared to the previous ways the information was stored and how it was accessed. Throughout the health care industry there are several different types of software that may be utilized to record a patient’s information. There is a wide range of information stored such as problems, medications and vital signs, notes, procedures, medical history, immunizations, allergies and the list goes on. With all the different information that must be stored, a paper record can become quite thick and important information may not be found easily or even lost forever. Poor penmanship may make the file unreadable and if unclear, mistakes can be costly for the patient. The efficiency of the computer reduces many of the problems of the paper trail. The quality of care a patient receives must focus...
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...A Cost-Benefit Analysis of Electronic Medical Records in Primary Care Cost & Economic Analysis Kaira Ellis Maribel M. Howell Electronic medical record (EMR) systems are used to improve quality of care while increasing efficiency. However, there is little classified evidence regarding the benefits and costs of EMRs’. It is believed that by implementing an EMR system, there will be a significant increase in the facilitation of work flow and quality of patient care and safety (Bardon et al., 2003). The Cost-Benefit Analysis of Electronic Medical Records is conducted to estimate the net financial benefits or cost of implementing an EMR system in primary care. The hypothesis is that implementation of an EMR system in primary care can provide financial benefits and improve return on investments. A cost-benefit analyses was performed to study the financial effects of electronic medical record systems in ambulatory primary care settings from the perspective of the health care organization. The data was collected from studies at Partners HealthCare System and from published literature. The reference strategy for comparisons was the traditional paper-based medical record. The primary outcome measure was the net financial benefit or cost per primary care physician over a five-year period. A hypothetical primary care provider patient panel was created using average statistics from the Partners HealthCare System. The panel included 2500 patients which three fourths of whom were...
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...Resistance of Nurses in Use of Electronic Documentation The field of health information technology for nursing is rapidly growing. Advancements in electronic documentation for health care, such as the electronic medical record (EMR), can be an overwhelming addition to the workload of nurses. There is resistance by nurses in use of electronic documentation (Sharifian, Askarian, Nematolahi, & Farhadi, 2014). It is this writer’s opinion that nurses are under informed regarding the rationale for changes taking place in documentation and the implications. The purpose of this paper is to provide nurses with the basics of the Federal regulations outlined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) that require electronic documentation to be compliant and receive reimbursement. It also reviews how data are collected to determine the reimbursement for care (meaningful-use) and its role in evidence-based practice (Wright, Feblowitz, Samal, McCoy, & Sittig, 2014). Included is a review of the negative impact resistance generates on health organization reimbursement and the relevance it has on nurse staffing, jobs, wages, and satisfaction, along with, evidence reinforcing the training and support of nurses as a means to promote proper use of electronic documentation and increase user satisfaction. Federal Laws and Requirements for Compliance Health care...
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...2 A. Increase in Quality of Care Electronic Medical Records (EMR) can increase quality of care in many ways. Unlike paper records, EMR is available to multiple members of the healthcare team in different locations, all at the same time. EMR makes it easy for caregivers to have all of a new patient’s previous visit information at their fingertips, which can help with obtaining a more accurate history upon admission. An accurate history will help caregivers make better decisions when planning a patient’s care. Because records are stored in a database instead of on paper, they are safe from natural disasters, forgery, loss, or damage. Many, many years of records can be stored in a relatively small space, which will negate the need for rows and rows of filing cabinets, and microfiche. This makes them easier to manage and retrieve. Less paper also means neater workspaces and better organization in the workplace, and because records are available on the database from multiple locations, the need for faxing or mailing records is decreased, increasing security. EMR can also be used to collect data for Quality Improvement processes, and an EMR system can have pop-up alerts built in to notify caregivers of best practices, allergies, and drug interactions. EMR’s that also have a medication bar code scanning system built in will help to reduce med errors by alerting nurses to wrong patient/wrong dose/ wrong time errors. Electronic Medical Records can reduce patient’s wait times, because...
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...RUNNING HEAD: IM/IT Analysis IM/IT Analysis Barbara C. Hagerman Dr. Chad Moretz Health Information Systems July 29, 2012 1. Discuss the five (5) major components of information management/information technology (IM/IT) governance with a focus on how they will collectively improve the quality of health care. IM/IT governance helps the organization make business decisions more accurately and in a timelier manner (Glandon, Smaltz, Slovensky, 2008). In order to complete this, five general guidelines were created. They are as follows: Develop a consistent IT strategy, Align IT Planning with Organizational Planning, Develop IT Infrastructure, Architecture and Policies, Set IT Project Priorities and Oversee Investments and Be able to assess IT’s contribution. In order to develop a consistent IT strategy, the plan created must apply across all operating units within the organization. Next, the plan must align with IT planning and organizational planning. Alignment would involve three essential elements for success. First, an alignment of purpose must be in place. IM/IT leadership and organizational leadership must agree that they are trying to achieve the same ends. Second, they must agree to work to develop goals and tactics jointly to meet those ends. Third, these two groups must share the responsibility and accountability to achieve the ends (Stacey, Skinner, 2005). Because plans may change over a period of time, the...
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