...Week 2 Assignment – EMR Speech Sherry Angeletti HCR 240 University of Phoenix 8/20/2012 Electronic Medical Records Hello everyone, I am here today to talk about Electronic Medical Records (EMR). You may be asking yourself, what is an EMR? It is a digital version of a paper medical record that a physician keeps on an individual. They can only be seen by the physician and the staff of a single facility (Rouse, 2011). Eventually every practice, hospital, healthcare facility in the United States will be using Electronic Medical Records to keep track of a patient’s information. These facilities will still need to keep a paper record of a patient’s information for those times when the power may go out, and the system is not available to input what the doctor has said about the patient. Electronic Medicals Records are the same as a paper file in the sense that we input information in different sections, like a patient’s personal information, medications, vital signs results, lab work, x-rays, physician notes, diagnosis, etc. Major Features and Benefits of EMR No more repetitive typing, once an individual’s information is entered into the system it will automatically be on any documents or forms. Any information the physician puts in a progress note – such as medications, vital signs results or lab results – will be updated automatically to an individual’s chart. Some of this information can be added to an individual’s chart while the physician...
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...Medical Records I Medical Records Formatting Advantages & Disadvantages Erica Mitchell HCR/210 Mrs. Vivian Rice September 07, 2012 Medical Records II Most facilities and Doctors’ offices keep patient records in a paper format known as manual record keeping. There are nay formats for this particular record keeping SOR source oriented record, POR problem oriented record, EHR electronic health record, CPR computer-based patient record, EMR electronic medical record and optical disk imaging. In Medical Records most records/charts are classified as P.O.M.R OR Problem Oriented Medical Records. The charts are kept together by PN Problem Numbers a number that is assigned to each problem. The records and notes are formatted in S.O.A.P Subjective Objective Assessment Treatment which includes the complaint and illness, physical exams and labs with diagnosis, prognosis of all treatments. An S.O.M.R, source oriented medical record are kept together by the subject of the matter with all labs and progress of notes. Progress notes are always written in paragraph form in SOMR. This record keeping is common for most physicians and hospitals to document these records. The advantages to this record are to make it comfortable for data when organized in sections so anyone can find the information when needed. When looking for past medical records with several visits making it easier to view. In all it makes it easier to view with this traditional formatting...
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...need in an increase in a certain area which an information system can help and the information system will be brought in to address that particular need” (Johnson, E. pg.1). This will ensure that they are making the right decision for the company. The main factor for choosing an information system is to make sure the system will meet and exceed the goal of the organization. Stakeholders are involved because they know what part of the needs are the most help. They have to make sure that the system is the best choice for everyone who would be affected by the change. Organizations’ goal for selecting an information system is to improve the quality of healthcare, patient safety, and cost effectiveness. It is also a way to cut down on medical errors and wrong medicine assigning. It will cut down on the paperwork that the organization has to store on offsite storage because the storage onsite is full. It is the way to keep up with all of the changes in the healthcare field. Another goal is to see how the system will benefit the organization. This is where the stakeholder has identified a problem and has reviewed how the system would...
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...September 25, 2011 It is difficult to adapt to change, especially once one has become accustomed to preparing medical records the written way. However new technology has arrived and is making medical records easy, with the innovations of today. Therefore the management must make changes to prepare and motivate their employees so they can be readily acceptable of the new technology. Healthcare facilities are beginning to use electronic medical records (EMR) for various services throughout the health care realm; although the change is not rather easy for the employees who are adapted to the traditional form of medical records. The new innovation is going to be reliable more so than paper work which can get lost or misplaced during transfers to certain places, and once a medical record is lost it is difficult to replace. The EMR change is used for prescription orders, orders for tests, viewing in the lab or imaging results, and clinical notes. However before this change can take place the employees must be placed into the equation, on the ins and outs of using a new but foreign piece of technology which could make the job much easier or much more difficult. Before the employees can begin to learn a new task they must first be ready to make organizational change, not everyone will agree. So there are steps that management must take to ensure the productivity of the medical records office. Search CIO (2007) purports “Organizational change management (OCM) is a framework for managing...
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...rather a four way intersection consisting of a sender, receiver, channel, and feedback. To successfully communicate, all four elements must be present to effectively relay the intended message. This practice cannot be over emphasized in health care, where every decision is based on sound communication between the doctor and patient. The component that can like the two together is electronic medical records (EMR), or personal health records (PHR). Despite the contrary, personal health records provide benefits and challenges to consumer and providers, but never the less provide a channel for both entities. One added benefit of communication through PHR, is the improvement of patient health. Through enhanced lines of communication, patients and doctors can better discuss health related issues in a constructive and productive way. For example, Kaiser’s HealthConnect, individuals can view their own personal health records and immediately respond to any concerns to their physicians electronically (Kaiser Permanente, 2012). This enables the two parties to express and relay messages in a private forum where medical issues, though limited, can be entertained. According to Kaiser (2012), “Because KP HealthConnect includes more comprehensive patient information, it helps...
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...master the study of Information System in Health care, a thorough under-standing of the following terms are very important. AMR. The Automated Medical Record. The Automated Medical Record is a clinical information system with powerful facilities for querying and decision support. Automated Medical Record is the beginning of using electronic medium for the purpose of communication between health care providers, and between patients and health care providers and vice versa. Automation of medical record was originally intended to promote timely billing and securing prompt payments, but it came to stay as the most beneficial development for the patient in the scheme of delivery of care. Lack of proper and complete medical record may be the most important reason for the medical error in the treatment process. CMR. Computerized Medical Records. Computerized Medical Records are the digital counterparts to patient medical records kept in paper files and folders in health care offices. They are, in essence, an electronic version of the same medical records. In many cases, when a health care practitioner wants to invest in computerized medical records, paper medical records are simply scanned and entered into a medical records system. Instead of documenting patient information on paper and creating a file for every patient, electronic medical record store the information in its server (Gonzales, S., & Bronwyn, H. October 2012). The benefits...
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...Services [DHHS], 2008). After Hurricane Katrina, our Nation discovered how easy it was to lose paper health care information. This catastrophic event showcased the value of a national electronic health care system that would keep medical records safe in the event of a natural disaster (Walker, 2005). I will examine the challenges my healthcare facility has faced in achieving the goals of this mandate, and what future plans are in place. In 2004 President George Bush created an executive order that would lay the foundation for a new health information technology infrastructure. This infrastructure would help improve health care quality, reduce medical errors, and increase effective exchange of health care information among health care providers. This system would also provide that Americans have access to electronic health records while keeping that information secure. The DHHS Synopsis informs us that (2008) “Underpinning that system is the ability for patients and providers to electronically share accurate health care information securely while protecting patient privacy” (p.1). This plan has two goals as described by the DHHS. The first is “Patient-focused Health Care: Enables the transformation to higher quality, more cost-efficient, patient-focused health care though electronic health information access and use by care provider and by patients and their designees” (DHHS, 2008). The second is “Population Health:...
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...athenaCollector: A Medical Practice’s Premier Billing and Workflow Application In 1997, Jonathan Bush and Todd Park purchased a birthing practice in San Diego, California. When they ran into insurance reimbursement issues they began to look for existing electronic medical records (EMR) and practice management solutions to help solve their problems. They were unable to find software that met their needs so they decided to create their own program and as result athenahealth, Inc. was born. Three years later, co-founders Jonathan Bush and Todd Park introduced a billing and practice management service called, athenaCollector. In 2006, athenahealth, Inc. launched athenaClinicals, advertised as the "first economically sustainable, service-based" electronic medical records (EMR) system (“athenahealth Introduces,” 2006). In August 2008, it announced the acquisition of MedicalMessaging.net (“athenahealth to Acquire,” 2008). Today athenahealth has four main services: • athenaCollector - A web-based physician billing and practice management solution that reduces administrative red tape that allows you to efficiently assess, plan, and improve practice performance while increasing revenue (“athenaCollector,” 2012). • athenaClinicals - An electronic health records (EHR) system, delivering increased revenue, decreased cost, and more clinical control to medical practices. With flexible, web-based Certification Commission for Healthcare Information Technology (CCHIT) certified software...
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...explaining different methods of using the electronic medical records. When using electronic medical records this helps keep track of all the patients health records, and this has become a huge part of communication with the patient and physician. Recording information on paper has been the method of life for years and it is slowly being replaced by using computer technology and for years it has been slowly moving ahead. The EMR system is at the heart of any automated health information systems by consumers. If they were not in existence then other up to date technologies such as decision support systems, cannot be effectively integrated into the custom clinical workflow. There are many advantages in EMR but the main advantage of Electronic Medical Record software completion is better efficiency, using an EMR system saves the effort and time so that patient’s health information is always readily available, and it helps with monitoring of the patients from a distance, and furthermore performance of electronic health records system saves office room that is naturally necessary to store the paper, none-electronic medical records. As the use of electronic medical records becomes widespread so does the need to search and provide effective information. There are a lot of benefits to gain by using the electronic medical records system, your information is secured from all the public and the rights of HIPPA secures the safety of any of your medical information being discussed. HIPPA has...
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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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...This paper will identify Electronic Medical records, and how they benefit the patient, identify the values and importance of maintaining patient confidentiality, why the communication between consumers and providers should be effective, how electronic medical records differs from other communication, and how media and social networking change communication in health care. For many years, paper medical records were the only source of communication between health care providers. But, with the new wave of technology, the advancements of patient information from paper to electronic, providers have an easier and quicker way to retrieve the information for patients. Using the Electronic Medical records system, better known as EMR, versus paper charts is a positive and fulfilling change. An EMR is defined as “a type of clinical information system, which is dedicated to collecting, storing, manipulating, and making available clinical information that is important to the delivery of patient care. This can include computer based patient record systems, which may be comprehensive and cover virtually every avenue of clinical information pertinent to patient care, for example; laboratory data. The use of Electronic medical records is primarily used to document patients, medical information, check progress of care, test results, continued health maintenance, and the control of medication (Johnson 2010). EMR’s can improve the delivery of health care records, but also the technology has to...
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...Electronic Medical Records and the Future of Medical Charting JoEllen McMullan Dr. Maria Lauer May 19, 2012 ABSTRACT Electronic Medical Records (EMR) is the transformation of documentation for nurses, physicians, pharmacists and all healthcare professionals involved in a patient’s care. It incorporates all orders, notes, prescriptions, therapies and the like of a particular patient’s progress along their path of treatment and recovery. EMR will transform the medical field in ways healthcare providers could not have imagined a decade ago. While there are positive and negative aspects of EMR, the ultimate result is one of accurate, precise and up to date patient records and communication between all disciplines in real time. INTRODUCTION Electronic Medical Records (EMR) is by far one of the biggest advances in medical charting in recent history. For years, documentation, charting, orders, and virtually any communication between healthcare professionals has been done in the format of “paper charting”. In other words, each professional would document in a patient chart, their particular contribution to that patient’s care on any given day. Not only is paper charting inefficient with regards to time, it also leaves tremendous openings for inaccuracies and errors. ELECTRONIC MEDICAL RECORDS I chose to research Electronic Medical Records (EMR) for multiple reasons. I previously held a position in a cardiology office where we transposed...
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...primary care physicians, based on the amount of doctors graduating and an increase demand of healthcare. Having said this, the atmospheric state in the healthcare environment can be described as barred linear unit in which everything within is in an incessant movement, whether it’s the personal, semantic role, and/or the application. In this crucial environment, access to patients’ medical record in a timely manner is essential in providing efficient and quality patient care. In a town meeting held in Northern Virginia Community College in Annandale, Va., President Obama called for fixing the inoperative healthcare system by investing in electronic medical records. President stated, “ I know that people say the costs of fixing our problems are great – and in some cases, they are”. He also stated that, “The costs of inaction, of not doing anything, are even greater. They’re unacceptable.” In an effort to minimize the cost of our healthcare system, he emphasized that: "When everything is digitalized, all your records - your privacy is protected, but all your records on a digital form - that reduces medical errors. It means that nurses don't have to read the scrawl of doctors when they are trying to figure out what treatments to apply. That saves lives; that saves money; and it will...
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...Electronic Medical Records Jacynthia Mcgill-Rice HCS/440 July 13, 2013 University of Phoenix Pamela Cromity, Instructor Abstract Emergency systems improve the quality of care, save money, and improve efficiency using familiar research technology for the health care industry. Larry Weed an amazing visionary physician who in the 1960’s, stated that health care providers should be able to document findings, and research patients information quickly and easily in their electronic medical records. The concept of implementing electronic medical record is also to allow third parties to independently verify diagnosis accurately in a timely manner. The EMR system provides effective communications among health care professionals and providers, such as radiology, laboratory, and connection with patients who experience chronic pathologies under the care of multiple subspecialty care providers. In this paper will speak about advantages, disadvantages, and the challenges within the communication of electronic medical records. Electronic Medical Records Electronic medical records have been around since the 1960’s. As medical care becomes more complex new data is already overwhelming health care professional’s capacity to treat patients with the latest information...
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...Williams Communication Paper The new form of Medical records are the Electronic medical records or the EMR which are paperless forms of the patients’ (The Future of EMR's Forecasting HIPPA's Evolution and Implementation, 2012) medical records. This form of medical records are digital and computerized systems of keeping and maintaining the patient’s personal and medical information. The EMR system is designed to increase the efficiency and reduce any documentation errors. The Electronic Medical Records (EMR) is a very complex and ultimately expensive investment for the hospitals or clinics that are trying to implement this new program (The Future of EMR's Forecasting HIPPA's Evolution and Implementation, 2012). With these implementation of these new EMR’s it has created a high demand for healthcare professionals with a background in IT. The information technology has finally come to the healthcare system to make it more efficient and gives then physicians and the patient’s access to the medical records. The implementation of the EMR system reduces the administrative overhead that may affect the profits of the healthcare providers. Also this could affect the number of patients being seen by the medical professionals and be able to better utilize the resources (Benefits from EMR, 2010). The EMR that are being implemented for all hospitals and clinics in the country, the standards for developing these solutions for the electronic medical records systems lack the integration and...
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