...Running head: Evolution of Health Care Information Systems Evolution of Health Care Information Systems HCS 533 Health Information Systems Tana M. Daniel Steven Fowler January 31, 2011 Evolution of Health Care Information Systems Bridging the gap in health care information technology will promote safe, proficient, patient-focused, and effective patient care in a timely manner. In this paper the subject is to examine two contemporary health care organizations and compare and contrast several features that will include the type of information systems currently in use, analyze the transmission of data 20 years ago and how the exchange of data today. In addition, this paper will cover two major events and technology advances that have influenced current HCIS practices. Five information systems seen in health care organizations are (Wagner, 2009) 1) computerized provider order entry 2) medication administration 3) telemedicine 4) telehealth, and 5) personal health records (p. 121). Each system can provide quality improvement, improve patient safety, and be cost effective. Skilled Nursing Facilities have made significant changes over the last 20 years, in comparison to now. Looking at a skilled nursing facility present time versus a skilled nursing facility operation of Dunseith Community Nursing Home in North Dakota 20 years ago. With the implementation of new rules and regulations, this requires skilled nursing facilities to focus...
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...Evolution of Health Care Information Systems Looking back twenty 1990’s and now in 2010 health care has changed extremely. Health Insurance Portability and Accountability Act (HIPAA) did not exist until 1996. HIPAA made it possible for everyone to qualify for health insurance and setting privacy and they established health information standards and regulation. Veterans Health Administration’s (VHA) had a reputation of poor quality of care and the 90’s were the beginning of a major transformation of VHA that was aimed at improving the efficiency and quality of care that was being provided to their patients. Capability to do data analysis in 1990 was impossible most of the data was collected and stored in a room untouched. Advanced in technology made it possible to do research and do data analysis. The advantages in technology are beneficent to health care information in providing electronic medical records, medical billing, telemedicine and teleradiology. Evolution of Health Care Information Systems Compare/contrast of either health care facility or physician’s office operation with the same 20 years prior To look back twenty years ago in the 1990’s and now in 2010 health care has changed tremendously. In the 1990’s Health Insurance Portability and Accountability Act (HIPAA) did not exist. Prior to HIPAA, which was passed in 1996, there were no regulations or standards for health care delivery in making it more efficient for patients. There...
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...EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS PAPER EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS PAPER 2 THE PATIENT RELATIONSHIPS WITH HEALTH CARE TECHNOLOGY My grandfather would often share stories of the neighborhood Doctor coming to visit the family home and providing medical care or just stopping in to say hello. They were extremely thorough, knew the entire family's history and actually became a part of the family. Over the years, the Doctor's relationship has evolved from the family member/neighborhood doctor to the world of physicians make diagnosis based on the available CPT code and patient visits are conducted via tele-medical devices. Medical relationships first transitioned from the family physician to neighborhood Doctor offices, then to company doctors and now Insurance Companies who act as puppet masters for physicians. I spoke with a friend whom is a physician over the weekend and she said, Medical care is very different than what she pictured it to be. As a doctor, she is as concerned about the times outlined by insurance companies and CPT codes as she about the patient’s health. I am sure my grandfather could have never imagined this type of relationship with his family doctor. To bridge the gap between the physician patient relationship of yesterday and today, technology savvy healthcare providers are using personal digital assistants (PDA) to act as the provider memory bank. The advancement of PDAs is just one of the many revolutionary advances that...
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...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. The healthcare reforms highlighted in the ARRA include an investment of $50 billion in health information technology...
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...Discussion Health IT Adoption Introducing change in health care is never easy, i.e, the Obama Healthcare, (universal healthcare system) budget and implementation. By year 2014, the government will oversee that all Americans should receive healthcare regardless of pre-existing conditions, but that also means longer lines and longer services. Even with the change of technologies, I am sure there is significant doubt and opposition. So it comes as no surprise that in the face of changes of the adoption of health IT adoption – even though it carries the promise of improving the nation’s health care – some hospitals and providers will want to push back. Why should we care? The American people should care because they deserve better health care than they are currently receiving, and they need it delivered more efficiently. Health IT Adoption Plan is part of our economic recovery plan. Every provider, every patient throughout our nation will benefit from the goals envisioned by Health IT Adoption. Yes, this will be a challenge. While large hospital networks and smaller providers may be stretched to meet national health IT goals, it is not beyond their capacity for growth. There are incentive programs that will encourage and provide reimbursement to providers who have achieved meaningful use. This will also providing patients with improved quality and safety, more efficient care and save more lives and reduce redundant procedures which will save revenue...
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...Evolution of Health Care Information Systems Wendy F Superable HCS/533 January 26,2015 Evolution of Health Care Information Systems The world has changed a lot in the past 20 years. The advancement of new technology and the Internet has transformed the way we work and even where we do our work from. The evolution of technology affected a lot of things and some of those are information exchange and health care. Health information technology has enormous potential in reducing health care cost and improving outcomes by changing how healthcare is delivered. According to World Health Organization (2008), “The health information system collects data from the health sector and other relevant sectors, analyses the data and ensures their overall quality, relevance”. In 2010, when the Patient Protection and Affordable Care Act and HITECH Act was signed into law by President Obama, health care IT became the central component for a safe, high quality health care system. The goal is to have a nationwide healthcare system transformation. Hospitals, health care providers and other health care institutions are mandated to adopt electronic health records (EHR) system to improve safety and quality and contain cost and inefficiencies. The government even has incentive programs for those institutions and providers that have become “meaningful users” of the EHR system. Soon the government will also penalize those who will not adopt the system (Glaser, J.P., Lee, F.W., & Wager, K.A...
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...* * Evolution of Health Care Information Systems HCS/531 Organizations are always looking to become more successful and use resources more efficiently to meet the organizational goals. Information technology has helped develop many different industries by providing them with increased and new capabilities; the health care industry is the same. Health care has made vast improvements in the use of technology in the clinics to provide better more efficient patient care. The improvements have been seen both on the clinical medical systems and the administration of health care delivery. Wilford Hall Ambulatory Surgical Center has seen many changes of the past 20 years and has integrated technology to all areas of the information technology. Two major technological events in this facility over the past 20 years that have led to advancements of the organization were the implementation of the Composite Health Care System (CHCS) and the implementation of the EHR with the evolution of AHLTA. History of Health Care Information Systems Wilford Hall in the late 1980’s and the early 1990’s was the largest hospital in the United States Air Force and the one of only two trauma centers in the San Antonio regional area. With 9 floors of clinical space and providing all medical services from family practice to specialized services along with long term care, the mission was very fast paced. At this point technology had entered the organization but was in the very early stages...
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...Management Information Systems 13e KENNETH C. LAUDON AND JANE P. LAUDON CHAPTER 9 ACHIEVING OPERATIONAL EXCELLENCE AND CUSTOMER INTIMACY: ENTERPRISE SYSTEMS Evolution Homecare Manages Patients with Microsoft Dynamics CRM CASE 2 VIDEO CASE Systems SUMMARY: Evolution Homecare used Microsoft Dynamics CRM to improve delivery of its home health services. Benefits have included productivity improvements, enhanced inventory management, better resource planning, and more effective reporting. L= 5:14 URL http://www.youtube.com/watch?v=JgCz9tfcXV0 CASE For people with serious illnesses, many procedures must be performed in medical facilities like hospitals and skilled nursing homes. But it is also possible to deliver medical-related services in a home setting using a home health-care service. In most cases, it is much more economical to be treated at home, and recent studies show that patients receiving healthcare services who are surrounded by their family and friends make faster progress. Home health care may include skilled nursing in addition to speech, occupational and physical therapy. It also includes monitoring the patient’s prescriptions and sometimes assistance with household chores. In the United Kingdom, Evolution Homecare is a leading provider of home health-care services, with special expertise in the supply and administration of critical medicines to patients in their homes. Evolution Homecare is part of the Celesio Group, which is one of the leading...
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...Sciences HCS/531 Version 3 Health Care Organizations and Delivery Systems Copyright © 2012, 2011, 2007 by University of Phoenix. All rights reserved. Course Description This course is a comprehensive approach to health care delivery systems that provides the student with an in-depth understanding of health systems and organizations. Students will examine historical evolutions of the health care industry and recent impacts that influence the delivery of health care. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Shi, L., & Singh, D. A. (2012). Delivering health care in America: A systems approach (5th ed.). Boston, MA: Jones and Bartlett. All electronic materials are available on the student website. Assignment Breakdown Week One Individual Assignment: Significant Health Care Event Paper 10 Week Two Learning Team Assignment: The Evolution of Health Care Paper and Timeline 10 ...
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...Evolution of Health Care Information Systems There has been a very fast growth in the U.S. health care system since the early 1980s with regard to the information technology related to health care. This can be viewed as an attempt towards the standardization of the fragmented health care system. Information technology like in every other field of life has become a necessity even in the health care system and is covered by the federal regulations. The implementation of the Electronic Health Records (EHR) by 2014 has become mandated as ordered by President George.W.Bush in 2004 which was seconded by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA). These organizations asked the health care providers to comply with the new legislation and those community-based physician practices who were earlier reluctant to accept and implement it have now realized that the health care in sequence systems in the form of CPOE (computerized physician order entry), EMR (electronic medical records), the tele-medicine, complex disease management, and automated billing systems are very beneficial to them The paper intends to showcase the comparison and contrast between a contemporary health care facility and a traditional health care facility which prevailed before twenty years. At least two major events and technological advantages influencing the practice of the current health care information system...
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...healthcare economics, and health care funding. The significance and how it affects the world today. I will address how the history and development of health care economics and the timeline of health care funding has changed over the past years in the United States. What is the Meaning of Evolution of Health Care Economics? Development of health care economics, it is a changing system within the United States. It has become multifaceted and in the past two decades, the upheaval in health care in is largely in lieu of rising health care cost. It is a discipline that deals with the conception, distribution, and all intakes of goods and services. Over the past years, it has dealt with pricing of products and the structure of the economy, as the price-cost relationship of a whole medical firm. It relates to an uncaring conversion, when a demand fails to increase or decrease in percentage to a decrease or increase in price. The adjustment involves the total health care market price of all the goods and services created within the form of a country during an identified time ("Gross domestic Product, " 2014). However, the evolution of health care economics deals with a broad and general aspect of an economy income and investments of the United States as a whole. The history and development of health care economics have been responsive to changing in many ways. It also plays an important role and impedes with the United States through the management care system. The Importance...
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...The Evolution of Medicaid Genesis65 HCS/310 April 19, 2010 Barbara Sinacori, RN, MSN, CNRN The Evolution of Medicaid Prior to 1965, the poor elderly in the United States were left with little options when it came to accessing and paying for preventative health related services. As a result, many of the poor in the U.S. went without routine health care or treatment for known illnesses. In response to this growing issue, the Federal government, under the direction of President Lyndon B. Johnson and in conjunction with state governments, established the Medicare program on July 30, 1965 through Title XIX of the Social Security Act (Centers for Medicare and Medicaid Services, 2010). Along with passage of the Medicare Bill in 1965, Congress also passed an insurance program known as Medicaid that would provide health care insurance for various groups of disenfranchised U.S. citizens. This paper will briefly discuss the evolution of the Medicaid program and examine how Medicaid has influenced the current health care system in the United States. The ever-rising cost of health insurance has prohibited many businesses from providing health insurance to their workers, effectively leaving millions of Americans uninsured or underinsured. According to the U.S. Census Bureau (2007), “The number of people without health insurance coverage [in the U.S.] rose from 44.8 million (15.3 percent) in 2005 to 47 million (15.8 percent) in 2006.” Medicaid...
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...Introduction Health care information systems (HCIS) have evolved so much in the last two decades. The evolution has helped transform the way administration and health service providers store and access data. The emergence of personal computers and the internet has helped change the physician workplace and the ease in which information is stored and utilized (Beaver, 2003). The last two decades have been periods of significant change as the health systems have increased in efficiency, decreased costs, increased the quality of care and improved channels of communication. Comparison between a current physician office and 20 years ago The Obama administration placed health reforms in place that have neccesitateed change of physician operations today. Health organizations can now purchase health insurance over the internet. Many health care providers are diverting their attention towards concierge and urgent care services in order to serve the rising demand for health services. Concierge care and critical care organizations have led to the integration of HCIS and improved quality, patient-centered care, assurance standards, easier reimbursement and easier control of costs (Koutsouris & Lazakidou, 2014). Urgent care is defined as offering ambulatory services outside the confines of a hospital. 80% of health organizations in the country today use technology for clinical systems while the other 20% have placed measures in place to do in the coming years (Koutsouris & Lazakidou, 2014)...
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...Decision-Making of Health Care Information Systems HCI/500 Concepts of Health Care Informatics December 5th 2011 Decision-Making of Health Care Information Systems Today’s health care delivery model is undergoing an unprecedented evolution driven by industry-wide initiatives to improve patient safety, quality of care, and efficiency of delivery. At the heart of this evolution is Health care Information Technology. This paper discuss about the two types of health care information system are that includes an electronic medical record, known as the Veterans Health Information Systems and Technology Architecture (VistA) and PACS (picture archiving and communication systems): filmless radiology “A patient record system is a type of clinical information system, which is dedicated to collecting, storing, manipulating, and making available clinical information important to the delivery of patient care. The central focus of such systems is clinical data and not financial or billing information. Such systems may be limited in their scope to a single area of clinical information (e.g., dedicated to laboratory data), or they may be comprehensive and cover virtually every facet of clinical information pertinent to patient care for example it is computer-based patient record systems” (Institute of Medicine, 1997). As medical care gets more and more complex and new information is already overwhelming physician‘s capacity to treat patients with the latest information, physicians need new...
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...Evolution of Health Care Information Systems San Juana (Janie) Barbosa University of Phoenix Health Information Systems HCS/533 Ahmed Jamal August 07, 2011 Evolution of Health Care Information Systems Health care technology continues to change every day. In the past 20 years, how an individual’s health care information is seen, used, or stored in ones primary care physician private office has a dramatic change. The expansions of the worldwide web, the evolution of electronic medical records and electronic health records have dramatically changed how physician-client information is exchanged. On any given day a patient would walk into the physicians’ office to see a massive bookcase holding the vast amount of patient health information records in different stages of disarray. The office clerk or receptionist would try to answer the phone, hand write and book appointments, pull medical records, and attempt to check the patient into see the physician. Fast forward to the same physicians’ office today, and the scene is very different. The receptionist is still answering the phone and signing in the patient to see the physician, but where is the vast array of patient health information records. The large bookcase in chaotic disarray is a thing of the past. Today the office has multiple high-tech computers, and the receptionist can log the individual into the computer system, rather than handwriting a note or placing a check mark. The patient and physician benefit...
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