...(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 patients which most certainly...
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...evident than in healthcare settings. Technology is changing healthcare for the good in all fields of the healthcare environment. There are several different aspects to look at and examine when researching this topic. One of the most efficient technology improvements is the use of the computer by physicians and their compliance with Computerized Physician/Provider Order Entry (CPOE). Medical errors have been decreased since the implementation of this practice. Electronic Medical Records (EMR) are...
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...strategies to encourage adoption of EMR ? Pay for performance in healthcare provides financial incentives for healthcare workers like clinician for better healthcare outcomes. These outcomes are longer for survival, are very difficult to quantified and measure, so pay for performance systems usually are method used to measure the outcomes process, for example measuring blood pressure or counselling for patient to quits smoking. According to Mr. Aaron E. Carroll, a pediatric professor who write for the New York Tines, tell after reviewing the medical literature in year 2014 that pay for the performance in US and UK has created a disappointing mixed results. Sometimes even though large incentives it will not change the way doctor practice medicine. Critics say that pay for performance is a method borrowed from the corporate management which the main results or outcomes is for profit. In the practice of healthcare and medicine, many important outcomes and aspects such as spending time with the patient, can’t be quantified measured. Pay for performance is also known P4P’s or value based purchasing this payment method rewards the doctors, nurses, and other healthcare staffs for meeting a certain criterion for quality and efficiency. It penalized staffs or caregivers for poor outcomes, medical errors, and increases cost. Electronic Medical Record (EMR) and pay performance are one of the methods for health reformers to use for improving patient care. It is a fundamental shift in...
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...Running head: Electronic Medical Records (EMR) Electronic Medical Records (EMR) Student Names Florida Atlantic University College of Business Health Administration Program Dr. Attila J. Hertelendy Introduction to Health Care Systems HSA 6103 Electronic Medical Records (EMR) November 15, 2011 Table of Contents 2 Abstract ............................................................................................................................................3 Introduction ......................................................................................................................................4 Types of EMRs ................................................................................................................................4 EMR Technology ....................................................................................................................4 Practice Management ..............................................................................................................7 Vendors and Cost of EMR ......................................................................................................7 EMR Stimulus.........................................................................................................................8 Different Uses of EMR ....................................................................................................................9 Uses of EMR in Health Management .............................
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...EMR and Health Care Fraud The realization of the Electronic Medical Record (EMR) is one of the greatest technological health care achievements. However, this realization has brought about many additional concerns. Regarding EMR, some of these concerns include: billing for services not provided, misrepresenting dates/locations/providers of services, incorrect reporting of diagnoses or procedures, double billing, and upcoding. (Piper, 2013) Many of these issues did not just appear with the introduction of EMR, but there was a surge of billing fraud complaints--from patients and Medicare recipients. EMR implementation has changed the modern health world, but it does not come without its setbacks. “The $1,000 Pap Smear” EMR has been called out for its easy set-up for...
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...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 towards...
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...success. As May (2014) states Institutions must “start with a purpose, not infrastructure”. One of the most important parts of using information technology is to know what is your purposes with regard to your desired outcome in order that the data which is so readily available can be used in an appropriate fashion to achieve the desired end result. Merely having myriads of data available is not enough, systems must be in place to capture and analyze data and then...
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...correlation with the uses of technology for patient and client management, and the paper is concluded with an analysis of the effect of technology on health care and health status. Medical technology has major effects on health care decision making at the patient-physician interaction, community-health care institution, and the society-national government levels. Informatics and the development of what are known as tele-health/telemedicine have a variety of innovative uses to facilitate the decisions of health care professionals across the world. Some of these innovative uses are the ability to provide remote consultations among professionals outside of their facility, the ability to diagnosis and assess various disease states, the ability to access patients, and their medical histories, and the ability to prescribe medications and therapies. Many health care organizations are working to implement or upgrade their information systems. Hospitals are hiring information technology specialists to set up Intranets designed for the sharing of information among health care professionals, and is using public networks in the distribution of health-related information for teaching purposes. The innovation of telemedicine in health care has transformed the practice of medical decision making by increasing the possibility of alternatives, relinquishing of part of the role of decision maker to others in the health care system, and including the patients and the community to assist in the...
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...easier. One communication technology that is being utilized in the health care field today is Electronic Medical Record (EMR). EMR is an acronym for Electronic Medical Records. This refers to a paperless, digital and computerized system of maintaining patient data, designed to increase the efficiency and reduce documentation errors by streamlining the process. (Santiago, 2011) In this paper I will describe how EMR technology allows for efficient and effective communication, I will describe the advantages and disadvantages of using EMR technology, discuss financial impacts on using EMR, and discuss improvements for use of EMR. Many believe the U.S. health care industry is the world’s largest, most inefficient information enterprise. The OECD (Organization for Economic Cooperation and Development) estimates that over $1.7 trillion per year is spent on health care. (Hillestad, Bigelow, Bower, Girosi, Meili, Scoville, & Taylor, 2005) Also, most medical records are still stored on paper, which means records cannot be used to coordinate care, routine measure quality, or reduce medical errors. Therefore, it is widely believed that broad adoption of electronic medical record (EMR) systems will lead to major health care savings, reduce medical errors, and improve health. (Hillestad, Bigelow, Bower, Girosi, Meili, Scoville, & Taylor, 2005) The use of EMR allows healthcare facilities to store all...
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...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 processes and the third focuses on improved outcomes. Incentives are paid out annually over four years. There are many ways implementing an electronic health record can improve the quality of patient care. Some of these reasons include: decreased...
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...2012 In person: X Via phone: 1. How would you describe your role in your current position and your educational preparation for this role? I am responsible for the initial creation, continuous education, and competency for whole house. I have my MSN in Nursing Education. This has prepared me and shown me the need for education services and the need to maintain competency for the staff. Provides the necessary tools to deliver current and competent care to our patients. My education has shown not only the need for education, but has provided insight into how to provide the educational programs/training to the staff. 2. How would you explain the unique contributions you as a nurse bring to an interdisciplinary team? Nurses are educated to look at the patient as a whole. I believe this perspective teaches nurses to look at each problem from every angle, recognize the outcomes and select the best on suited for the patient. 3. How would you describe the unique role of your specialty in promoting quality...
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...organizational vision and mission that encompasses the nature of the company. Being the largest not-for-profit Catholic healthcare system serving the Delaware Valley, Mercy Health System is part of Trinity Health and sponsored by Catholic Health Ministries. Their mission is to serve in the spirit of the Gospel, which means serving the entire community with compassion and healing presence while addressing the diverse factors that impact the health needs of the whole person. Even though they treat people from all walks of life, they have a special concern for the poor and disadvantaged. The goal of Mercy Health System is to be recognized as the leader in improving the health of the community and everyone they serve. Currently, they employ approximately 6,500 caring, highly skilled personnel who are focused on creating positive patient-care. Mercy Health System is a diverse, integrated system that embodies: Four Hospitals acute care hospitals: | Mercy Fitzgerald Hospital | A 213-bed teaching hospital in Delaware County and Southwest Philadelphia | | Mercy Philadelphia Hospital | A 268-bed community teaching hospital serving the needs of West and Southwest Philadelphia communities | | Mercy Suburban Hospital | A 130-bed hospital serving the Delaware County | | Nazareth Hospital | A 205-bed hospital serving Northeast Philadelphia and surrounding area | A Program for All-Inclusive Care of the Elderly (PACE) | Mercy LIFE | Offers older adults long-term care by providing...
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...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 his staff will be responsible for setting up passwords and access for all users. The Medical Director is chosen for his knowledge of the physician work flow and his experience with using EMRs as this will not only be helpful in selecting the system but will help to facilitate the...
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...funds that is anticipated to grant benefits during a practically extended, usually a minimum two years, sometimes longer (Cleverley & Cameron, 2007). Client Health and Rehabilitation Center a skilled nursing facility in Anywhere, NY has determined that a capital expenditure of an installation of electronic medical records (EMR) will help their facility compete with surrounding facilities. The cost will be roughly $50,000, and will consist of the hardware, labor, software, service, and education for facility staff. This paper will confer that attainment of electronic medical record hardware and software will facilitate organizational and management with facility goals based on the necessity of the facility to compete with other facilities in the area that are technically advanced. In the long run the facility will reap the rewards of the installation of this new technology. Management Goals Productivity The chief goals of the administration group at Client Health and Rehabilitation Center is that of productivity. With the organization becoming further advanced technologically owing to the use of the EMR system, responsibilities that consist of procuring doctors orders for updating, filing, and charting additional redundancies, and use many paper charts will not be necessary, thereby doing away this outdated responsibility. Acquiring information for chart audits to determine code status, new doctor orders, and accurateness...
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...Systems Kathryn Rawson Western Governors University Abstract This paper will demonstrate: A. How using computerized management systems could increase quality of care B. Why active nursing involvement in the planning, choice and implementation of the systems is important C. How handheld devices used by the nursing staff could be integrated into the management system for better quality care D. Security standards of data and patient confidentiality, including the need for data storage integrity and data backup and recovery and the Health Insurance Portability and Accountability Act (HIPPA) requirements impact the use of the systems E. How the new system can affect healthcare cost F. The benefits these new systems can offer to patient care and nursing care delivery with a recommendation and justification of the system the hospital should put in place In today’s modern healthcare environment it is important to provide a variety of technology based resources to nurses and other providers to ensure productivity and efficiency are maximized. This requires an effective understanding of available computerized management systems and what resources are available to ensure continued effective, efficient, quality care to patients. Keeping that perspective in mind while creating a technologically advanced environment in which to deliver that care is critical and of vital importance to maximize resources while providing a solid technology platform. The utilization...
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