...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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...Running Head: Corporate Application Establishing a HIPPA Compliant Procedure at Healthcare Department of Gary Job Corps Center Definition: Healthcare industry is being faced by a major threat that is misuse of patient health information. To protect the patient and their families during their job transition or the unemployment period and to protect the patient health information from being misused the U.S Congress ratified HIPAA i.e. Health Insurance Portability and Accountability Act. HIPAA protects patients and their families in times of their unemployment by providing them with Health Insurance at that particular time. (Wikipedia, 2011) The area of study this research addresses is the health care industry and the processes within. Healthcare industry is one industry that is always successfully operational because human being is exposed to the threat of illness every second. Since health care industry is always operational, the competition within the industry is extremely high. The competition is not only about who provides the best services, but it is also about who provides the best protection to the patients in terms of managing their information as well as protecting them in times of need. The subject under consideration is to study the health department of Gary Job Corps Center and develop a procedure that is compliant with HIPAA. The procedure in focus will be the management of patient health information...
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...The Use of EMR in the Healthcare Industry Marque Alford May 30, 2011 HCA/320 Nancy Sauver With the vast growth in technology, the high volume of healthcare organizations case load and the objective to provide effective, efficient communication all healthcare organization should definitely look into implementing Electronic Medical Records (EMR) to their organization. EMR is a legal document of patient information stored and is accumulated over time from services render at a healthcare organization (HIMSS Analytics, 2006). The use of EMR in the healthcare industry can help reduce or even get rid of the medical mishaps that a rise. Furthermore, it helps the organization in delivering a better quality of care to the patient (HIMSS Analytics, 2006). Unfortunately, there are advantages and disadvantages to the use of Electronic Medical Records. The advantages of EMR are the ability for all in a health care team to work together to deliver a great quality of care to individuals. This helps eliminate multiple testing, prescribing or distribute of medication that can be deadly if combined, and the success of anyone in the healthcare organization or medical group to utilize and understand the necessary method taken to a certain condition (openclinical, 2005). Patients with multiple, difficult medical conditions may need to have more than one specialists, this can definitely be stressful and confusing. If professionals use the same system for electronic medical records...
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...What have we learned from the recent EMR implementation experience? What works, what doesn’t work, and why? Implementing an EMR system in a clinical practice has been a formidable task in the healthcare industry. Although, details of the experience may differ from one healthcare setting to another. Many research studies have pointed out the following as the common issues to EMR implementation, these includes leadership, workflow, provider, training, data interface and end users. These issues speak a volume about the success or the failure of the implementation. Leadership plays a huge role in EMR Implementation. When I talk of leadership, I refer to a variety of personnel ranging from CEO to clinic staff who are able and willing to provide organizational support, remove barriers, provide framework for communication plans for all staff with adequate timeline to lead on the EMR project. I do agree with Stephen Badger who stated that, ‘if a senior team is united in its commitment to a project’s success, the project will almost certainly succeed’. A report from the American College of Medical Informatics stressed the need for unwavering commitment of the the top-level leadership as a factor to success in the EMR project. In most institution hospitals and other bigger clinics where EMR implementation was reported as a huge success, a dynamic leader was always noted as the driving force behind their HIT projects as in the case of Beth-Israel Deaconess Hospital where Dr. John...
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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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...Today’s healthcare institutions and providers strive to be safe places for patients to receive care, but past data indicates it has not always been so. The Institute of Medicine determined in the late 1990’s that 44,000 to 98,000 patients die from medical mistakes each year (Wachter, 2008). This tremendous number of deaths places medical care mishaps between the fifth and eighth leading causes of deaths in the United States (Kizer, 2001). In 2002, The Joint Commission established National Patient Safety Goals (NPSG) to help accredited organizations with patient safety in specific areas. An advisory group comprised of nurses, physicians, pharmacists, risk managers, clinical engineers, and others with appropriate experience advises The Joint Commission on how to address emerging patient safety issues. This group also periodically develops and updates the goals. The goals are grouped into broad categories and for 2011-2012, cover such categories as patient identification, health care-associated infections, improving communication, medication safety, reducing falls, and risk assessment. A discussion of selected elements underlying the current NPSG such as hand washing techniques, training, and lack of communication between healthcare personnel that can lead to medication errors, to falls, and even death, plus other related factors such as staffing shortages, problems with using outdated equipment, considerations in using the electronic medical records, and compliance with statutes...
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...In the ever-changing world of the “world-wide web,” healthcare is in the forefront of innovative computerized management systems and the provision of excellence in quality care is dually the journey and goal to enhance patient safety. Before venturing out this journey, it is of importance to understand the ‘why’ and the “how” and “what” will come naturally in succession. The patient is the “why” clinical information transformation is the push for all care providers within the four walls of a hospital, and private and satellite physician offices. Patient safety is the shared vision why pioneers of Health Information Technology (HIT) created computerized systems such as Electronic Health Record to meet the demands of healthcare today and tomorrow. As an example, Cerner Corporation and Dell Corporation- two big giants in the IT industry- are in a continuum to enhance their products and services. In addition, these products, services, and “solutions” are the “platform” that shell the delivery of safe patient outcomes and equip multi-disciplinary clinicians to guide and drive this patient-centered care; best practice and evidenced-care medicine is now the expected and standard of care for what is right for the patient. Furthermore, the present millennial generation drives or is driven by the “cloud’ world and the product is fast and smart, safe and secure, information gathering and sharing that is access anytime and anywhere. For example, a mobile device- IPhone- allows...
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...ENSEMBLE Case Study: Partners HealthCare System Partners HealthCare uses InterSystems Ensemble to integrate internal and external EMRs Partners HealthCare System Inc., based in Boston, Massachusetts, is an innovative integrated healthcare network that includes multiple major hospitals with more than 7,000 physicians attending to four million outpatient visits and 160,000 admissions per year. Partners’ institutions, including Massachusetts General Hospital and Brigham and Women’s Hospital, consistently rank among the best hospitals in the United States, according to U.S. News and World Report. To maintain its leadership status, Partners establishes enterprise-wide, CEO-supported corporate initiatives under the banner of “HighPerformance Medicine.” “Ensemble has given us tremendous flexibility with data transformations, and made us much more agile in delivering on this type of integration.” Steve Flammini, CTO One of these initiatives includes electronic medical record (EMR) adoption by all community physician practices in the Partners system. To achieve this goal, Partners offers these physicians full, Webbased access to its internal EMR. But first, Partners must rapidly create interfaces (programs that handle data translation and transmission between systems) to the community physicians’ practice management and scheduling systems, and integrate that data into its EMR. The initiative also gives participating physicians access to more than three...
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...Electronic Medical Records (EMRs) The use of Electronic Medical Records (EMRs) in the U.S. started in the 1960s in a few health care providing institutions. In the 1970s and 1980s, a number of hospitals and clinics across the U.S. adopted the use of limited EMR technology (Carter, 2001) In the early 1990s, heeding recommendations from the Institute of Medicine (IOM) landmark study, the U.S. government set an ambitious goal for all physicians to computerize patient records by the year 2000 (Dick, R.S., Steen, E.B., & Detmer, D.E. 1997) Due to patients’ privacy issues, less streamlined and often conflicting software technologies, and multiple other barriers in EMR technology adoption, this goal could not be achieved. The adoption of EMR technology started to gather some momentum since 2004 when President George Bush outlined detailed plan to ensure access of electronic health records by all Americans by 2014 (Bush, Executive Order 13335) To achieve this goal, President George Bush created a new, sub-cabinet level National Health Information Technology Coordinator position at the Department of Health and Human Services to implement health IT infrastructure nationwide. The biggest push targeted towards promoting the adoption of EMR technology came with the passage of the American Recovery and Reinvestment Act (ARRA) 2009 by the U.S. Congress which appropriated $19 billion dollars government assistance to jump start the adoption of EMR technology by physicians, clinics, and hospitals...
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...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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...Communication Paper Sara Cox HCS/490 November 4, 2013 Yvette Thompson Communication Paper The primary focus of any organization is communication. Each and every organization has struggles with areas of opportunity and with plans on how to improve communication. Communication is a cornerstone that when properly used drastically increases effectiveness. Electronic medical records (EMR) are still somewhat new to the medical field. But in time this will increase the effectiveness and speed in which healthcare providers communicate with each other. There are a variety of communication modalities available to health care consumers and health care providers. These modalities and venues of communication may entail benefits and challenges to both consumers and providers. The one communication modality that sticks out the most and that is used in health care is the Electronic Medical Records (EMR). According to "Benefits of EHRs" (2013), “an electronic medical record (EMR) is a digital version of a paper chart that contains all of a patient’s medical history from one practice. An EMR is mostly used by providers for diagnosis and treatment. An electronic medical record contains the standard medical and clinical data gathered in one provider’s office. Electronic health records (EHRs) go beyond the data collected in the provider’s office and include a more comprehensive patient history.” One benefit to patients is that they will not have to rely on their memory to remember every...
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...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 in ambulatory care, community-based settings will add to a presently insufficient body of knowledge, provide insight that will contribute to...
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...the Age of Affordable Healthcare The Affordable Healthcare Act has led to many more Americans having access to insurance and healthcare options. It has assisted with the high cost of healthcare by simply putting a cap on out of pocket expenses. It has allowed those small businesses to implement healthcare insurance for their employees and offers incentives through tax credit. Many hospitals are seeing growth from this legislation being passed. Hospital Corporation of America (HCA) is a system of hospitals based in Nashville, Tennessee. They have hospitals spread throughout the nation. They are seeing profits and room for growth because of the Affordable Healthcare Act. According to Stynes (2014) HCA reported a profit of $518 million with last year’s profits only reaching $365 million. They are seeing more insured younger Americans due to this act. This is not just causing profits to rise but it’s also causing a need for HCA to grow and reach this market. Since it’s a younger market they are mostly focused on acute care because this generation isn’t seeking long term care. In the past this group may not have gone to the doctor as often for preventative care, because lack of insurance and high out of pocket expenses. HCA’s employment handbook states their mission and values, “Above all else, we are committed to the care and improvement of human life. In recognition of this commitment, we will strive to deliver high quality, cost effective healthcare in the communities we...
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...Denise Santiago Professor Debbie Hatzipetro HSA330 Information Technology in Healthcare Administration 5 November 2014 EMR/EHR Systems Between smart phones, tablets and the web technology has radically transformed our world. All of these advances have made it so that the healthcare system needs to keep up at a very fast rate. This has pushed healthcare facilities, providers to go onto and create the electronic health record/electronic medical record (EHR/EMR). We all have asked ourselves, why the need of EHR/EMRs? There are many answers to this one question, but one answer that stands out is very simple, EHRs has made it very accessible to a patient’s medical records and avoid trying to read poor penmanship that can cause medical errors. The patient’s whole medical history is there with the click of a button, medication/allergies can be crossed referenced between providers. Researchers have found benefits to having EHRs and those are clinical, organizational and societal outcomes. (healthit.gov) 1. Clinical outcome a. Improves the quality of care b. Reduces errors c. Improvements and appropriateness in patient level 2. Organizational outcome d. Standardized billing e. Operational performance 3. Societal outcome f. Improvement to conduct research (heatlhit.gov) The clinical outcome of the EHR has been most of the focus of the EHR. When we say clinical outcome, we think quality of care and patient safety. In the EHR there are...
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...EMR implementation to improve patient outcomes Florida International University The problem Quality of care has been low for Mesey hospital over the past few years. Medical errors, near misses and poor patient safety are at an increased rate. Communication has been lack luster, and patient satisfaction surveys have yielded unsatisfactory results. Mesey has invested in quality training, has had continuous education sessions and in-services in an attempt to improve care but has seen no improvements despite the efforts. The CEO, not realizing that it’s the system not the people, is looking into new and different strategies for improvement, including hiring new employees as the current staff is set in their ways and cannot seem to turn quality around. Mesey is currently using the traditional paper charting system and has not yet converted to electronic medical records (EMR). The CEO has done some research and has learned that the competitor Wellness hospital has been using EMR for over two years and has had great success - high quality rating and excellent patient satisfaction scores. The CEO of Mesey has been contemplating if implementing EMR within the facility will improve patient outcomes and satisfaction through improved safety and quality of care? Traditionally, paper based medical records have been used due to its simplicity and ease of use, low cost implementation, and widespread acceptance. This system does however come with a vast number of disadvantages including...
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