...How Can Canada Improve EMR Adoption? Abstract EMR is a client’s medical record in electronic form in a physician’s office. The following paper focuses on barriers of EMR implementation in Canada and what should Canada learn from New Zealand, UK and Denmark. Cost, provincial requirement for vendors, lack og belief in EMR are identified barriers. Even though encouragement from government, adoption rate is less in Canada. How Can Canada Improve EMR Adoption? According to Wikipedia, Electronic Medical Record (EMR) is computerized medical record created in an organization that delivers care, such as a hospital or physician's office. Although Canada is considered urbanized nation, it is far behind in implementation of EMR when compared to UK, New Zealand and Denmark. This paper will discuss how these countries have successfully established EMR systems, what are the barriers in Canada and recommendations for EMR implementation in Canada. Although EMR and EHR (Electronic Health Record) are often used interchangeably, there is a significant difference. EMR is a client’s medical record in a particular physician’s office while EHR is information accessible by many health professionals over a wide geographic area. EMR system established at large number of offices across the provinces will aid in building nationwide central EHR system. Such universally accessible system is highly desirable to reduce cost of care delivery, reduce duplicated test, reduce time taken between laboratory...
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...Scenario: In 2013, Jeff Magone, the new senior health care executive of Yorkshire Clinic, set the goal for the HCO to implement an electronic health record (EHR) system. Currently, the clinic still conducts patient care using paper health records. Mr. Magone and the physicians have discussed the option, and they realize that EHR usage is proven to improve the quality and safety of patient care. In fact, they all believe in implementation of the EHR so much that Mr. Magone has incorporated EHR implementation into Yorkshire Clinic's strategic plan. Recently, the company determined that your organization qualifies for government incentives—under the Health Information Technology for Economic and Clinical (HITECH) Act of 2009—with successful EHR implementation. Mr. Magone and the physicians realize that EHR implementation will be costly and will take time, but they are willing to make the investment. There is widespread support for the endeavor, and everyone has agreed to be part of the steering committee to guide project development. The various stakeholders include physicians, nurses, administrators, and patients. There have been several meetings in which the end-users have been afforded the opportunity to ask questions and provide their feedback about the initiative. There is growing enthusiasm among physicians and clinicians about the possibilities that EHR implementation will bring. Mr. Magone has made it clear that patient needs are driving the project. He wants to ensure that...
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...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 in ambulatory care, community-based settings will...
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...Business Research Report Benefits of an Electronic Health Record Assessment Code: RWT1 Student Name: Student ID: Date: Mentor Name: Table of Contents Executive Summary 3 Introduction 5 Research Findings 5 Opportunity for 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...
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...Resistance of Nurses in Use of Electronic Documentation The field of health information technology for nursing is rapidly growing. Advancements in electronic documentation for health care, such as the electronic medical record (EMR), can be an overwhelming addition to the workload of nurses. There is resistance by nurses in use of electronic documentation (Sharifian, Askarian, Nematolahi, & Farhadi, 2014). It is this writer’s opinion that nurses are under informed regarding the rationale for changes taking place in documentation and the implications. The purpose of this paper is to provide nurses with the basics of the Federal regulations outlined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) that require electronic documentation to be compliant and receive reimbursement. It also reviews how data are collected to determine the reimbursement for care (meaningful-use) and its role in evidence-based practice (Wright, Feblowitz, Samal, McCoy, & Sittig, 2014). Included is a review of the negative impact resistance generates on health organization reimbursement and the relevance it has on nurse staffing, jobs, wages, and satisfaction, along with, evidence reinforcing the training and support of nurses as a means to promote proper use of electronic documentation and increase user satisfaction. Federal Laws and Requirements for Compliance Health care...
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...responsibility. This efficiency comes with adequate knowledge of the nuances of the IT industry and the main drawbacks or problems regarding the system. In this case study, Sunnylake’s hospital has been attacked by intruders and Sunnylake’s electronic medical records (EMR), which used to help a lot to Sunnylake to improve its performance in dealing with patients’ information, have got hackers’ attack. The CEO of Sunnylake hospital Paul received the blackmail continuously and is facing a mind-boggling and annoying situation. With respect to this issue in the case, this report will discuss the suggestions to deal with the attack and offer some recommendations to Sunnylake in addition to the three pieces of advice given by the experts in the case. The Case Sunnylake Hospital started as a community center with a vision to help people to cure their disease. Paul Layman, the CEO of the Sunnylake Hospital had joined the organization five years back with a vistion of implementing cutting edge technology to the community center to build it into a hospital which is sought after by the people. Paul implemented electronic medical records (EMR) which replaced the traditional way of prescribing and checking patient’s records through papers by converting them into digital data. One day an email stating the fault of the security systems of the organization was found in the inbox of Paul Layman mail by some anonymous person. However, Paul having full faith in his IT department...
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...Technology and Decision-Making Paper Allie Timbo Health Care Informatics HCS482 November 8, 2010 Richard Ong, MBA, FACHE Technology and Decision-Making Paper More than ever before, information technology is helping clinicians and health care systems improve the collection and management of data along with the ability to aid in decision–making for clinical and business issues. Information technology has led to significant improvements in quality of care, patient safety, and communication between clinicians. The key to information technology and decision-making is to develop relationships between information technology and the users to make effective decisions. Systems that support decision-making assist the user’s ability to make short and long-term decisions by providing information to make decisions concerning particular situations. Health care informatics “incorporates theories from information, science, computer science, and cognitive sciences” (Englebardt & Nelson, 2002, p. 5). Health care informatics specialists use theories, and the Data, Information, and Knowledge (DIK) Model to guide their practice, which in turn supports clinical practice and optimizes health care delivery. Systems and Informatics Theories Theories are useful in several ways. Theories form a reference point for information technology and users. Without theories users would spend time condensing information and data from empirical sources. According to John Holmes, chairperson of the American...
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...Why Are There So Many Deaths Caused By Medical Errors and What Solutions Can Decrease Them? Health Service Systems – HSM541 June 20 2015 Background Medical errors kill at least 44,000 people and perhaps as many as 98,000 people per year. Or do they kill over 180,000 per year? Maybe even 440,000 people killed by medical errors? Allen (2013) In 1999 the Institute of Medicine (IOM) published a report titled “To Err Is Human: Building A Safer Health System” that leveled the healthcare community. They reported that according to two studies “perhaps as many as 98,000 people die in hospitals each year as a result of medical errors that could have been prevented”. IOM (1999) Then the Office of Inspector General for Health and Human Services followed up with a report in 2010 that stated “bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year”. Allen (2013) And finally in 2013, the numbers were once again raised. Per a report from the Journal of Patient Safety that approximately “440,000 PAEs (preventable/potential adverse events) that contribute to the death of patients each year from care in hospitals. This is roughly one-sixth of all deaths that occur in the United States each year”. They are now the U.S.’s third leading cause of death, behind only heart disease and cancer. All of the numbers mentioned in the first paragraph are medical errors that were “preventable”. Mistakes by the people you put your trust in killed you...
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...CIS500 Information Systems for Decision-Making Term Paper - Information Technology Strategic Plan April 12, 2015 1. Write an introductory statement of the company including but not limited to the type of the company, the location, the industry in which it competes, and the 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 | |...
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...Running Header: Task I 1 Task I Abigail M. Garcia Western Governor’s University: Accreditation Audit Running Header: Task I 2 Executive Summary Nightingale Community Hospital is committed to providing quality care and aims to be the first choice hospital for patients in the community. Four core values represent the passion Nightingale has for excellence: Safety, Community, Teamwork and Accountability. The goals of the hospital are to uphold an atmosphere of healing, promote the benefits of health, and to provide a compassionate experience for all. Overview In order to reach the aforementioned goals, values and commitments, Nightingale Community Hospital must be in compliance of regulatory agencies which outline specific, goaloriented sets of standards. The Joint Commission is one such agency that provides assistance and support to health care facilities to ensure that certain standards are met, education for implementing new standards and feedback of current healthcare practices as part of the accreditation process. According to Facts about Hospital Accreditation (2014), the “Joint Commission standards address the hospital’s performance in specific areas, and specify requirements to ensure that patient care is provided in a safe manner and in a secure environment (p. 1).” This agency uses a Priority Focus Process methodology to identify areas within healthcare organizations which have a significant impact on patient safety and quality of care. One of these...
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...cross platform communication and share data with the VA about those Veterans transitioning out of service. The current backlog is somewhere upward of 600,000 unfulfilled claims, most of which have been waiting in excess of 365 days and counting. By implementing a standard continuity of care for service members transitioning from active or reserve duty status to Veteran status, we can possible save and better protect one of the Nation’s most valuable assets, our former heroes, the American Veteran. The stories of veterans seeking assistance that has been rightfully promised to them are sometimes uplifting and others just heart wrenching and sorrow filled. After doing the legwork and conducting a few interviews, doing some independent research and reading up on proposed solutions I have come across a magnitude of stories filled with so much emotion. These emotions range from despair and hopelessness to joy, appreciation and gratitude to not be forgotten about by the Nation that they so willingly served. “A congressional study estimated that 204,000 U.S. soldiers had been “wounded not mortally, ” while an uncounted number suffered from tuberculosis and neuropsychiatric conditions. A PHS report estimated that perhaps 300,000 or more veterans would need further hospital care. (Mettler & Ortiz, 2012) After reading a very detailed article about...
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...the value of electronic health care information exchange and interoperability (HIEI) between providers (hospitals and medical groups) and independent providers (laboratories, radiology centers, payers, pharmacies, public health departments, etc). The use of information technology by health care providers is intensifying rapidly with President Bush’s support of nation adoption of electronic medical records within the next decade. In addition to the digitizing of patient’s data, information sharing between providers is being explored by policymakers. The concept of interoperability, or the flow of administrative and clinical data between users, software and hardware, encourages information technology investment and health care reform. Research hypothesis The researchers’ hypothesis was “the clinical benefits of electronic data exchange would be substantial and that financial benefits would outweigh costs”. Methodology The methods were covered a broad range of methods to gather data. The methods included literature reviews, expert interviews, and financial estimates prepared by experts. The researchers attempted to focus on published data but used experts to fill critical gaps. The researchers created a...
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...Executive Summary HealthWyse is an electronic software company that offers three lines of service to homecare organizations including home health, hospice and private duty. The platform provides secure mobile access to scheduling, documentation and billing functions. The program focuses on increasing agency’s revenue, reducing adverse events and promises to streamline homecare services. The array of features HealthWyse offers is ideal for homecare because it offers relevant tools for homecare providers while staying compliant with HIPPA. Hospice providers benefit from using the Chronic Care Management component because they are able to measure and report treatment outcomes, analyze cost and follow best practice guidelines. HealthWyse’s EMR has helped agencies increase revenues by 10%, efficiently manage workflows and shorten revenue...
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...Information System Briefing Boston’s Mobile Mammography Van has been helping women receive a free mammography for the past five years. This mobile service travels around Massachusetts with licensed technologists and radiologists on board. Since the beginning of the Mobile Mammography Van all paperwork and documentation has been done manually. “The current lack of a software system introduces risks due to potential regulatory issues, patient safety issues due to potential missed follow-up, as well as program risks due to potential loss of funding” (Wager, Lee, & Glaser, 2009, para. 9). Implementing a new software system will benefit the Mobile Mammography Van greatly. This paper is intended to identify the process for selecting and acquiring an information system, explain how the organizations goals drive the selection process, and identify the roles each organization’s stakeholders play in the selection process. Selecting and Acquiring an Information System When an organization is selecting and acquiring a new information system there is a great deal of planning and steps they must take to implement the system properly. The first step is to establish a project steering committee. “This committee’s primary function is to plan, organize, coordinate, and manage all aspects of the acquisition process” (Wager, et. al., 2009, pg. 150). After the committee has been formed the project goals should be outlines along with the scope of the project and committee. Many questions...
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...David Knott Steve Van Kuiken Contents The ‘big data’revolution in healthcare: Accelerating value and innovation 1 Introduction1 Reaching the tipping point: A new view of big data in the healthcare industry 2 Impact of big data on the healthcare system 6 Big data as a source of innovation in healthcare 10 How to sustain the momentum 13 Getting started: Thoughts for senior leaders 17 1 The ‘big data’ revolution in healthcare: Accelerating value and innovation Introduction An era of open information in healthcare is now under way. We have already experienced a decade of progress in digitizing medical records, as pharmaceutical companies and other organizations aggregate years of research and development data in electronic databases. The federal government and other public stakeholders have also accelerated the move toward transparency by making decades of stored data usable, searchable, and actionable by the healthcare sector as a whole. Together, these increases in data liquidity have brought the industry to the tipping point. Healthcare stakeholders now have access to promising new threads of knowledge. This information is a form of “big data,” so called not only for its sheer volume but for its complexity, diversity, and timeliness.1 Pharmaceutical-industry experts, payors, and providers are now beginning to analyze big data to obtain insights. Although these efforts are still in their early stages, they could...
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