...Implementation of an Electronic Medical Records (EMR) System. Course Project Eniola A. Joseph ejoseph@csu.edu Michael Gershman MIS 535-64227 Table of Contents 1. Abstract 2. Brief Company background 3. Discussion of business problem(s) 4. High level solutions 5. Benefits of solving the problem 6. Business/technical approach 7. Business process changes 8. Technology or business practices used to augment the solution 9. Conclusions and overall recommendations 10. High-level implementation plan 11. Summary of project 12. References Abstract Purpose: New Mexico Heart Institute ( NMHI) has implemented a new electronic medical record system (EMR) to achieve meaningful use. Prior to this implementation, NMHI’s problems were numerous. It had a demanding ambulatory computing setting that caused clinical workflow inefficiencies, eroding physician satisfaction and straining IT resources. Printing was particularly difficult as the laptops could not differentiate when a clinician had moved from one clinic to another intelligently. In addition, slow keyboard-based authentication and login processes were creating more workflow blockages, frustrating caregivers, and increasing patient wait times. Methods: Aventura is context and location aware, a leading provider of awareness computing for the healthcare industry. New Mexico Heart Institute’s partnership with Aventura coincided...
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...Advanced Information Management and Application of Technology Maydene A Huie Western Governors 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...
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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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...electronic health record (EHR) and electronic medical record (EMR) in the home health setting in the United States. “EHR” and “EMR” are often used interchangeably. However, this paper will discuss the differences between an EHR and an EMR. It will cover the benefits and disadvantages of the EMR in the home health setting. This paper will also cover the potential costs associated with the use of the EMR in the home health setting. Finally, the paper will discuss the Technology Acceptance Model (TAM) of an EMR in home health. Outline I. Introduction a. Purpose b. Explanation of terms II. Background a. Home Health Care i. What is it ii. History iii. How it is changing b. Health Informatics in Home Healthcare i. History of informatics in HHC ii. Current use of informatics in HHC iii. Benefits of informatics in HHC III. Comparison of EMR/EHR a. Definitions b. Settings used c. Differences d. Similarities IV. Implementation of the EMR in Home Health a. Feasibility b. Cost c. Equipment d. Staff Acceptance V. Conclusion a. Summary of benefits/disadvantages b. Cost c. Implementation d. Recommendation for implementation for EHR/EMR in Home Health Electronic Health and Medical Records...
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...having an EMRS (electronic medical records software) in your medical facility is that it is right at your fingertips and much less paper work to complete, everything is done on the computer and all important demographic patient information ,including patient care ,physician and prescription is kept in a computerized data base file system. The other benefits for the patients is improved treatment and diagnose, significant fewer errors found in patients’ health records and quicker decision making and faster care for all your medical staff. The other benefits for your medical office and their medical team of professionals is that they have the ability to quickly transfer patients data from one department to the next department, this program saves time and a great deal of space, more time and ability to increase the number of patients that are seen by a facility in return this increases workflow and productivity. It also helps improve the reductions of errors within the medical facility, helps to reduce the costs of overtime labor expense and transcripts services. The EMR software program can customize your electronic records to grow with your medical facility, clinical documentation capabilities and ability to process patient’s records in a much more organized accurate and efficient time for billing purposes. The importance of practice management is to eliminate error and save time and cost, while giving all your patients the best care possible. With EMRS this software...
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...TEAM PROJECT BRIEF (BA410) An Electronic Medical Records (EMR) a form of an Information System is an electronic digital repository of patient clinical data that is can be availed for use by stakeholders, such as Clinicians, Insurance companies, Employers, The Government, and Hospital management. A typical EMR system incorporates features such as a clinical data repository (Database), computerized patient records, decision support applications, integration with other systems, and transaction processing capabilities. Though the usage of these Information Systems continues to be low in country, the industry is beginning to realize their importance. Use of computers in management of patient records is slowly finding its way into Kenyan Hospitals. One of these health institutions (Feel free to choose an outpatient clinic of choice) has approached your group (Team) in need of a proposal for the implementation of an EMR for their institution. You are expected to provide a final detailed Information System proposal for the above mentioned institution (Client) accompanied by a PowerPoint Presentation which you are expected to present to a panel comprising of selected member of the Hospital Management and other key people. The proposal should be feasible and practical. SAMPLE STRUCTURE OF THE DOCUMENT CHAPTER 1: INTRODUCTION Executive summary * The Brief – Is a short description of what this project is about * The Client – Talk about the client and their business...
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...Jacqueline Carothers HSM 330/Health Services Info Systems Professor Natasha Celestin Table of Contents………………………………………………… I. Introduction of NueMD EMR……………………………………………… A. Practice Management………………………………………………... 1. Patient Registration…………………………………………….... 2. Reimbursement Management II. Uses of NueMD EMR Software…………………………………………….. A. Advantages of using NuMD EMR…………………………………… B. Disadvantages of the product…………………………………………. III. Governance, Privacy, and Legal Issues…………………………………….. A. Privacy compliance – HIPAA………………………………………… 1. Liability…………………………………………………………….. 2. Legal Interoperability ……………………………………………... 3. HIPAA Audits……………………………………………………… IV. Benefits of using NueMd EMR software versus the previous software …... A. Inpatients EMR………………………………………………………… B. Patient Accounting and Patient Management…………………………... 1. NueMd Case Studies……………………………………………….. 2. Partnerships and Affiliations……………………………………….. V. Summary VI. References NueSoft technologies, Inc. is a provider of web based medical and practice management software. Nue soft also known as NueMD medical software. Nuesoft technology headquarter and was established in 1993 in Marietta Georgia by Massoudd Alibaksh. The company develops and sells practice management software for physicians, practices, medical billing companies, Nusoft also known as NueMD that is a flagship product which...
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...1037/a0016853 Electronic Medical Records: Confidentiality Issues in the Time of HIPAA Margaret M. Richards Cleveland Clinic Children’s Hospital With the application of the Health Insurance Portability and Accountability Act (HIPAA) in the medical community, new issues arise for psychologists in keeping documented records of patient visits. Confidentiality limits have broadened, making use of the electronic medical record more complicated for the psychologist practitioner, particularly when serving as part of a multidisciplinary team. As the electronic medical record (EMR) has become more prevalent in multiple settings, various researchers have examined the effectiveness of this record keeping system, with a focus on improving patient outcomes. The risks and benefits of implementing an EMR will be discussed, focusing on specific considerations for psychologists in regard to confidentiality and interdisciplinary collaboration. Keywords: Health Insurance Portability and Accountability Act (HIPAA), electronic medical record (EMR), confidentiality How much information is appropriate to place in an electronic medical record (EMR), especially when that record is accessible to professionals throughout an organization (i.e., a hospital setting)? This question has become an important topic of discussion and research as EMRs become more prevalent in larger institutions, such as academic medical centers and community mental health centers. With the implementation of the Health...
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... Executive Summary The concept of using computer technology to improve the management of patient information is not new. Research into the implementation of health care information systems spans more than thirty years at a cost of millions of dollars (Zheng, McGrath, Hamilton, Tanner, White, Pohl, 2009). In 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...
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...established at the healthcare organization is key to providing and guiding healthcare leaders in creating a system that will be utilized efficiently and effectively. As technology progresses toward interoperability (better interfaces and access to information on one system); Providers will have more time for quality patient care experiences and ability to communicate with other providers effectively; Patients and Providers will have access to diagnostic tests results, medication, and a summary of the provider visit, including the history of the patient’s healthcare status; Patients and Providers will use technology for face-to-face visits and counseling, as well as the ability to monitor vital signs and respond to critical changes. Ultimately, all resulting in the improvement of the quality of care received. Since the beginning of this course we have focused on the health information technology and it’s applications and impact care delivery. As we have studied throughout this course, the EMR, ARRA, HITECH Act, and healthcare law have helped shape the future of where technology is moving towards and these systems, regulations and laws are the...
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...Implementation and Integration of Real Time Location Systems at County Memorial Hospital sylvrfaeree Managerial Applications of Information Systems—MIS535 DeVry University 2015 Table of Contents Abstract 3 Company Background 3 Business Problems 3 High Level Solution 4 Benefits 4 Approach 5 Overview of Real Time Location Services 5 Technology to Augment the Solution 6 Versus Advantages 6 Cisco IoE Location Aware Solutions for Healthcare 7 Hill-Rom Clinical Workflow Solutions 7 Centrak Clinical Grade Visibility Solutions 7 High Level Implementation 7 Hardware and Software 7 Personnel Training and Understanding 8 Overall Recommendations 8 Conclusion and Summary of Project 10 References 11 Implementation and Integration of Real Time Location Systems at County Memorial Hospital Abstract The issue to be addressed is the lack of tracking processes for staff movement, patient flow through the facility, and the resulting inefficiency and lower quality of patient care. Company Background Rural County Memorial Hospital was founded in central Rural County in 1951. Since its founding RCMH has grown into an award winning acute care facility dedicated to quality patient care. The facility’s...
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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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...Analysis of the Clinical Informatics Job Description Ann Miller American Sentinel University Analysis of the Clinical Informatics Job Description What is an Informatics Nurse, an Nurse Informaticist? When people ask me what job that I do and I reply “Informatics”, they get an interesting look on their face. The look is of concern and of that is not what a nurse does. The public is not educated in what this position’s importance really is and that is too bad. What is a typical day like for an informatics nurse like myself? That question is easy. There are no typical days! I can honestly say that this is what I like about my job position. Some days I am going to staff meetings where I am educating on a new process to a page from the floor that a provider needs my help. I have many computer classes to teach for staff, nursing students, providers, and soon 80 or so high school students who will be joining us for the next seven months to learn patient basic care and documentation. In my spare time- I do get some from time to time, I have many projects that I am working on to optimize the electronic medical record. The projects can be getting rid of any paper processes that remain and doing whatever it takes to get them all electronic from the development of provider order sets (Powerplans), to nursing processes, and education. You cannot forget about the education. Education has to come in many formats, including group settings (staff meetings), one-on-one, on-line...
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...disclosing who has access to private health information. Additionally HIPAA reduces fraud by outlining punishment for privacy violators and preventing unlawful sharing of patient information. HIPAA prohibits health care organizations and clinicians from sharing or using patient’s personal health information (PHI) without permission except when related to treatment among clinicians, payment or reimbursement, public health services, law enforcement, and certain research applications. Electronic medical record A complete, computerized copy of a patient’s physical chart and includes the patient’s history at one specific practice or organization. The hard copy pages of the paper chart are scanned into a computer chart. EMR is primarily limited to use within one specific practice or health care organization. EMR helps medical practices operate more efficiently by easily tracking patients for follow up, assisting in diagnosing, flagging problems or medication issues, reducing billing time, and improving administrative applications....
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...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 that has not yet launched adoption. The six steps...
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