...University for an electronic medical record. By implementing this system, the East Carolina University Physicians group expects to: • Initiate and maintain an updated problem, medicine and allergy list for each patient. • Increase availability of the medical record to multiple users. • Enhance provider documentation. • Establish a database for improved case management and research. • Reduce cost of providing care. The electronic medical record provides a continuous record for outpatient care services provided by all disciplines. This patient care record is utilized by all disciplines for the review and input of ongoing patient data and information. The paper record continues to be used in tandem with the electronic record until such time when all documents are available electronically. The paper chart is maintained with any forms requiring patient signature and any documents from other providers. All clinical sites in the SOM can access patient data recorded in the electronic record as a supplement to the paper chart until all sites come live on Centricity. Medical Records continues to handle chart requests and requests for the release of any records. IDX serves as the practice management and billing system for the practice. All appointments are made and registration/demographic information is entered into IDX and imported into Centricity. Missed and canceled appointments are imported from IDX into Centricity. The identification of charts with patient data in Centricity...
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...Strengthening Patient Registration and Fraud Prevention using Cloud Computing Technology at George Hopesman-Wubarte Hospital By XXX Managerial Applications of Information Technology – MIS535 Professor XXX DeVry University, Keller Graduate School of Management August 17, 2013 Table of Contents 1.0 ABSTRACT3 2.0 BRIEF COMPANY BACKGROUND4 3.0 BUSINESS PROBLEM4 4.0 HIGH LEVEL SOLUTION5 5.0 GENERAL BENEFITS6 6.0 BUSINESS/TECHNICAL APPROACH AND IMPLEMENTATION PLAN 8 7.0 BUSINESS PROCESS CHANGES13 8.0 HISTORICAL RESEARCH15 9.0 TECHNOLOGY/BUSINESS PRACTICE19 10.0 CONCLUSION AND OVERALL RECOMMENDATIONS25 11.0 REFERENCE27 1.0 ABSTRACT George Hopesman-Wubarte Hospital (GHW) has been a nationally recognized leader in the healthcare industry for several years. However, in order to remain the innovative leader of its kind, the Greinly and Associates Consulting Group (GACG) has been asked to give some recommendations on how Information Technology can bring some improvements. The results of a conducted study of the patient information and medical records system indicted that a biometric known as Electronic Health Records (EHR) would drastically improve the timeliness and security of this process. A complete comprehensive study of the current antiquated system has been done. This study has allowed for the recommendations of how to implement the business and technical changes of the old system into the new EHR system to be brought forth. A theoretical analysis, backed...
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...Laura Goldston NLU HCL 425 "EMR as HUB” What an exciting time to become part of the health care industry! Medical research makes new discoveries to improve the quality of patient care and save lives on a daily basis. Health care reform is gaining momentum, revolutionizing the industry and requiring many administrative changes, such as the creation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Rules and standards evolved from this act provide a way to ensure your protected health information remains confidential. In this digital age, it is particularly relevant. The digital evolution impacts many areas. Digital TVs, computers, smart phones and iPods have totally changed the way we do business and enjoy entertainment. In the medical industry, the digital evolution provided advanced imaging technology, and a variety of other significant improvements for treating patients. On the administrative side, the development of practice management programs and electronic health records streamline office workflow and helps provide patients a more efficient and cost effective experience. EMR is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. CPOE Computerized Physician Order Entry or CPOE is the process of capturing a physician's instructions for a patient's care electronically to improve the efficiency of care delivery. Use CPOE...
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...Maass Medical Center in Belleville; Community Medical Center in Toms River; Kimball Medical Center in Lakewood; Monmouth Medical Center in Long Branch; Newark Beth Israel Medical Center in Newark; Barnabas Health Behavioral Health Center in Toms River; and Saint Barnabas Medical Center in Livingston. The System also includes the Barnabas Health Outpatient Centers with the Barnabas Health Ambulatory Care Center in Livingston and the Saint Barnabas Family Imaging and Breast Center in Bedminster; ambulatory care facilities, a state-wide behavioral health network and comprehensive home care and hospice programs. Barnabas Health provides treatment and services for more than two million patients each year: 198,000 inpatients and Same Day Surgery patients; 452,000 Emergency Department patients; and 1.5 million outpatients; and delivers more than 18,300 babies annually. Their 18,200 employees, 4,600 physicians and 445 residents and interns are united in their mission to deliver the highest quality of care in the best possible environment. Among its nationally renowned services are: New Jersey’s only certified burn treatment facility, world-class cardiac surgery services for adults; the oldest, most experienced heart transplant program in New Jersey ranked by volume in the top 10 in the nation; the only lung transplant program in New Jersey; one of the country’s most comprehensive robotic surgery services, six nationally certified chest pain centers; accredited certified comprehensive...
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...Public healthcare services are administered by different regulatory authorities in the United Arab Emirates. The Ministry of Health, Health Authority-Abu Dhabi (HAAD), the Dubai Health Authority (DHA) and the Emirates Health Authority (EHA) are the main authorities. Ministry of Health and Emirates Health Authority The Ministry administers a number of federal healthcare laws, including (i) Federal Law No. 5 of 1984 (regulating the licensing and registration of physicians, pharmacists and other healthcare specialists within both public and private healthcare establishments); (ii) Federal Law No. 7 of 1975 and Federal Law No. 2 of 1996 (defining the specific requirements for establishment and licensing of public and private medical laboratories, clinics and hospitals in the UAE); and (iii) Federal Law No. 4 of 1983 (governing pharmaceutical professions and establishments and the import, manufacture and distribution of pharmaceutical products). The Ministry oversees the Northern Emirates healthcare system (the Northern Emirates include Ras Al Khaimah, Ajman, Umm al Quwain, Sharjah and Fujairah). Some of the Northern Emirates recently started establishing new healthcare institutions or reforming existing ones. Sharjah, for example, established the Sharjah Health Authority by Sharjah Amiri Decree No. 12 of 2010. The Ministry, however, still invests substantial efforts to improve the level of healthcare services in the Northern Emirates. The projects announced...
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...your 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...
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...NUT1 Task 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...
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...CHAPTER ONE INTRODUCTION 1.1 GENERAL INTRODUCTION The ways computer application is embraced in every aspect of human life shows that every activity, organization cooperation, companies, hospitals; need to be computerized. Hospital activities are not left out. The information revolution that has moved from the individual age to the information age is a result of several developments in electronic and information. The high to revolution and computer in particular is availability of power at modest cost for the consumption of business organization makes the difference. Furthermore, it is very necessary to survey continually the use of the newly discovered or developers to make changes of existing technology. This fact points the need to document every aspect of computer system. Attention should be turned towards reduced need to understand the technicalities, which the system developers bothered with in order to design and implement a new system. The activities of hospital which includes personal record, drug inventory, disease inventory, death statistics and birth statistics keeps on growing from time to time due to apparent population explosion. These areas can benefit from the information technology tool called computer. The control and management of the data call for database management system (DBMS), which handle structure data that will store manual on card index or cabinet containing files, (Muzzi M, 2010). BACKGROUND OF THE STUDY Birth and death records are probably...
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...the doctors and nurses assumed that since the patient was being given high drug dosages to prevent seizures for several days, however, it only increased risk. Additionally, a nurse expressed confusion as to who exactly was in charge. This indicates that there was ineffective communication as the nurse did not know who was in charge. Furthermore, it was assumed that the neurosurgery constant who gave the telephone order medication order was in charge. However, she was not in charge and she assumed that someone at the bedside would take change. All of these indicate that this team was displaying extremely ineffective communication and not working together as a team. Based on TeamSTEPPS this situation could have been handled much more effectively. This is because the doctors and nurses treating the patient should have used the TeamSTEPPS framework which is mutual support, team effectiveness, communication, and patient safety (Persily 2013, p.198). If the doctors and nurses used this framework this would have allowed for much safer and better quality of care to be given to the patient. Question 1 Watch the following videos and list all the possible negative issues with using an electronic health system (EPIC is an American version of an electronic record system). View Video 1 View Video 2 View Video 3 View other videos online to help you identify further concerns with electronic health records. Negative issues with using an electronic health system includes, it is venerable for...
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...Assignment: Understanding the Patient Intake Process Name Axia College of University of Phoenix HCR 220 Date Tekne, a Greek word which means an art or craft is where the word technology is derived from. Technology is the study or science of crafting, which are logia. The way in which healthcare is delivered is changing due to clinical information technologies. In an effort to support advancement and innovation of technologies in healthcare, research organizations are creating networks of delivery systems and health plans. The focus of this clinical information technology is centered on a prevention-based, consumer driven model of healthcare. The innovation of new technologies is dependent on many factors: Clinical accountability, consumer demand, research programs, medical advancements, population health targets and the capacity and resources as an industry for technology development. Innovation stimulates the industry to produce large quantities of medical devices and therefore promote them to the healthcare providers. The “clinical pull” of technology, is sometimes impervious with the “technology push" because physicians often resist the change of new technology due to its significance or its impact on day-to-day workflow (Protti, D). With the accessibility of computers, physicians are now able to look up information on his or her patients. Some physicians do not have the capability to write electronic prescriptions or digital health records...
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...(Complete for all that are listed in Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered care that improves quality, safety, efficiency, timeliness and accessibility - Employer:...
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...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, it incorporate government mandates faster (“athenaClinicals,” 2012). • athenaCommunicator - A service that deals with daily phone traffic and administrative tasks. It includes an automated messaging platform, patient web portal, live operator...
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...University Proposal for a New Information Management System to Implement Meaningful Use Interdisciplinary Committee Team Members Implementing a new information management system for a 100 bed hospital to bring them into compliance with Meaningful Use Legislation, requires the expertise of different disciplines within the hospital. For this hospital the team will consist of myself, a Clinical Nurse Specialist with a Post-Masters Nursing Informatics Certificate, Health Information Management (HIM) Specialist, in charge of medical records, and ensuring regulatory compliance, Information Technology (IT) Specialist who is knowledgeable in computer software and hardware, Physician who is a the Medical director with extensive experience with electronic medical charting, Pharmacy Director who is a pharmacist with EMR and PYSIX experience and , Chief Financial Officer to manage the budget, and the Director of staff development who is a Mastered prepared RN with EMR experience and is in charge of staff education. The HIM Specialist is chosen because of his experience with health information management, regulatory compliance and HIPAA. This knowledge is vital for implementing this system to ensure that the EMR chosen will meet the criteria for the stages of Meaningful Use. The IT Specialist is chosen for his knowledge of computer hardware and software and will be instrumental in the purchasing and setting up of the required hardware and computer trouble shooting. The IT specialist and...
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...their daily endeavors of protecting a nation. The nature of the job on the contrary places soldiers at the risk of injuries some of which may materialize at the most unwarranted moments. The military therefore require a highly mechanized medical service, one that secures quality (Patrick,1998). Quality in the provision of medical services encompasses a number of factors key among which is accuracy in diagnosis, treatment and drug prescription. Additionally, data in the medical spheres require secure and integral storage. Most of the diagnoses especially those associated with terminal recurrent illnesses depend largely on the patient history. All the patient details therefore require a secure database and an appropriate filing mechanism. Initially, all these activities were performed manually or mechanically with the medical system relying on paper back files and manual diagnoses. These had a number of pitfalls given the dynamic nature of military operations. Soldiers keep moving from place to place depending on the security needs of the country and they will always need to have their medical services with them. Mechanical administration becomes cumbersome in such conditions with portage prove difficult. It also becomes difficult to keep a sequential filing system for references (Marion, Ball & Joan, 2004). Technological developments have revolutionized a number of sectors in the economy and the biggest beneficiaries include the information sector and the medical...
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...usually adequate to allow HIM professionals to work with vendors or information services staff. Database technology is moving from the task of supporting paper systems to actually becoming the central digitized health information system. The success of Google database technology depends on the skills of HIM professionals to entering the data to the database accordingly. Reports that more countries and states in the world such as the United States has are becoming nations of databases. Today, Google database technology is being used to track patient information. Many patients die in hospitals or at their homes due to errors that arise from medication errors and that’s why the healthcare institutions are adopting use of Google database technology to track everything from prescription medications and laboratory tests to patient outcomes. The reason for the shift to Google database technology is that most medical information is recorded on paper, a practice that has led to a great deal of record waste and data duplication which leads to inappropriate treatments. Hospitals are now creating a Google database structures that contains electronic medical records to track patient’s interaction with the medical staff from birth to death. To stay current in ever changing technology hospitals has adopted a strategic plan called electronic health information management, which ensures availability of health information to facilitate healthcare and critical related decision-making across all...
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