...turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116). The responsibility of employing the new EHR Medicare and Medicaid incentive programs has been given to the Centers for Medicare and Medicaid Services (CMS) under the American Recovery and Reinvestment Act of 2009. CMS established and launched standards and managed the implementation specifications. CMS also oversaw the certification criteria, including the certification process for the EHR technology. The Centers for Medicare and Medicaid Services also insured the safety of the patients by establishing privacy and security protections under the Health Information Technology for Economic and Clinical Health (HITECH) Act (Burchill, 2010, p. 232). The Centers for Medicare and Medicaid Services provided incentive payments to eligible professionals and hospitals that are determined to be meaningful users of a certified EHR program. According to an article by Jones, Heaton, Friedberg, and Schneider (2011) incentives totals may add up to $27 billion dollars between the years 2011-2016. Implementing electronic health record systems (EHR) is simply...
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...In health information technology context, an organization or individual should have properly demonstrated meaningful use and should have successfully fulfilled the requirement for electronic health records and related technology. According to the institute of Medicine (2003) the adoption and meaningful use of health information technology (HIT) would play a “critical role” in our 21st- century health care system. One of the major components of using HIT was the development and adoption of Electronic Health Records system (EHR). EHR is a digitalized system, which is used by care providers to treat and diagnose the patient. Adoption and use of EHR has been growing in rapid pace in recent years. According to the Institute of Medicine, widespread use of effective EHRs would be key to improving health care delivery...
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...Intro to task two: The Indian Health Service (IHS): The IHS is a health care system for nearly 2 million American Indians and Alaska Natives who belong to the 566 different, federally recognized, tribes in 35 states. 1 IHS is an agency within HHS, which is the Department of Health and Human Services. 2 The Indian Health Service was established in 1955 taking over from the Bureau of Indian Affairs. It is based on Article I, Section 8 of the Constitution and the relationship developed from numerous treaties, Executive Orders, and Supreme Court decisions 3. The IHS is the primary health care provider for the American Indian people 4, and it’s dedicated to raise their health and well-being to the highest level. Health Information Exchange(s): A Health Information Exchange is the virtualization of healthcare information electronically, and access to said information exchanged between HIE members. This data spans across organizations within a community, or hospital system, or even whole regions. HIEs facilitate transmitting protected health information to other organizations and government agencies according to national standards. HIEs often include collaboration among physicians, home health, nursing homes, hospitals, and mental health facilities. 5 Federal Employees Health Benefits Program: The FEHB Program is for Federal employees present and retired as well as their survivors. Members have the widest selection of health plans in the country. With the ability to choose...
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... NURSE – 8210- TRANSFORMING NURSING PAPER: MEANINGFUL USE PREPARED BY: ZAIDA RUIZ PROFESSOR: MURIELLE BEENE November 11, 2015 The health care system needed some structure. Needed to speak the same language and have a common goal, “the Patient.” The American Recovery and Reinvestment Act of 2009 (ARRA) invested a large amount of money for promotion and use of the informatics technology. Today Medicare and Medicaid are following the same footsteps. They are awarding incentives for the use of Electronic Health Records. However, what is the urgency? Why are they even willing to penalize the non-participant? Patient safety is the answer. The meaningful use was created seeking the quality of care safety and reduction of disparity. The meaningful use wants patient information to be electronically documented in a database system that interconnects to any other health database regardless geographical location. Meaningful use recognizes that making such a drastic change from paper to electronic documentation is very costly. There are many Issues still present that prevent some institutions from implementing EHR. One of these issues is the financial part that entails. It cost too much to implement EHR’s this is the voice of hundreds of owners of health institutions. Removing the old system from every floor, every station and every office is very costly. On top of that having the employers and employees train on how to use the EHR system is also very absorbent. Acquiring...
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...Coordinator for Health Information Technology (ONC) Federal Health Information Technology Strategic Plan 2011 – 2015 Table of Contents Introduction Federal Health IT Vision and Mission Federal Health IT Principles Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal III: Inspire Confidence and Trust in Health IT Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System Appendix A: Performance Measures Appendix B: Programs, Initiatives, and Federal Engagement Appendix C: HIT Standards and HIT Policy Committees Information Flow Appendix E: Statutes and Regulations Appendix F: Goals, Objectives, and Strategies Appendix G: Acronyms ONC Acknowledgements Notes 3 6 7 8 21 28 36 49 51 65 67 70 74 77 77 78 Goal V: Achieve Rapid Learning and Technological Advancement 43 Federal Health IT Strategic Plan 3 Introduction he technologies collectively known as health information technology (health IT) share a common attribute: they enable the secure collection and exchange of vast amounts of health data about individuals. The collection and movement of this data will power the health care of the future. Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve improvements in care, efficiency...
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...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 agencies in...
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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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...Advanced Information Management and the Application of Technology C156/WTT Task 1 Teresa Miller Student id: 000273119 Proposal Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system. Identification and Roles of Team Members/Expertise The first person on this team is the acute care nurse manager. The acute care nurse manager is a bachelor prepared nurse and is beneficial to this team because of her close relationship with staff nurses. She will have input from floor nurses and be able to contribute important information about charting from the nursing standpoint. The nurse manager will be able to assist with questions that staff nurses may have during implementation and training. This member is able to discuss what the nursing staff needs for adequate charting. She will be able to look at each computerized system and contribute a nurses point of view. The second team member will be the chief medical officer. The physician has the input from other doctors and will be able to answer questions for other...
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...Electronic Health Record Functionality Standards or Certification HSM 330 DeVry University October 1, 2015 In describing how I would incorporate my findings into the HER selection and decision making process, I would analysis the criteria that must be met to qualify for functionality or certification. The basic functionality supports the belief that if a provider were armed with information about the functional capabilities of software, they would be better equipped to compare systems, resulting in making decisions about acquiring systems appropriate for their practice needs. The CCHIT, which is the Certification Commission for Healthcare Information Technology, expects that the process of achieving goals of quality, safety, and cost effectiveness will accelerate initiatives toward the electronic health record. Electronic Health Record Functionality standards are or Certification is a ranking system for electronic health records systems. To qualify for HER certification, vendors had to meet more than 300 criteria devised by the Commission’s physicians, medical societies, vendors, and payer. Most of the requirements concerned HER functionality, security, and reliability. CCHIT, Certification Commission for Healthcare Information Technology, will ass new requirements for certification each year. Healthcare level H7, which is the application protocol for Electronic Data Exchange in healthcare environments, it is considered a gold standard benefit in the healthcare...
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...Meaningful Use Information Technology in Healthcare Mohammad Ali Torabi Meaningful Use In 2009 president Obama signed the Affordable Care Act, which is also known as ObamaCare, into law. ObamaCare is a national health care plan, which its main goal is to reform the American health care system so that every citizen would be insured by the year 2014. Healthcare providers are overwhelmed by the amount of patients they visit everyday due to the shortage of doctors we are having. One article from New York Times estimated that by the year 2025, America would be in shortage of 100,000 primary care physicians, based on the amount of doctors graduating and an increase demand of healthcare. Having said this, the atmospheric state in the healthcare environment can be described as barred linear unit in which everything within is in an incessant movement, whether it’s the personal, semantic role, and/or the application. In this crucial environment, access to patients’ medical record in a timely manner is essential in providing efficient and quality patient care. In a town meeting held in Northern Virginia Community College in Annandale, Va., President Obama called for fixing the inoperative healthcare system by investing in electronic medical records. President stated, “ I know that people say the costs of fixing our problems are great – and in some cases, they are”. He also stated that, “The costs of inaction, of not doing anything, are even greater. They’re unacceptable.” In an...
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...been transforming health care industry. This dissertation investigates the use of health information technology by health care providers and patients as well as its outcomes. This dissertation consists of three essays studying workflow optimization in hospital emergency departments, people's search for online health information, and the relationships between EMR (Electronic Medical Records) usage and health care outcomes, respectively. Hospital emergency departments' capacities to deal with a patient surge play an important role in preparedness for natural or man-made disasters. The first essay examines how emergency departments could optimize workflows during extreme events when there is a patient surge. This essay proposes a framework to reconfigure workflows while maintaining treatment quality. Our results show that reorganizing lower-priority processes and relocating the resources associated with those processes can shorten total waiting time in emergency departments, allowing better management of patient flows. People are increasingly using the Internet to access health information and the information obtained has an impact on their health care outcomes. The second essay examines the impacts of IT enablers and health motivators on people's online health information search behaviors. We characterize users' online health information search behaviors along three dimensions: the frequency of online health information search, the diversity of online health information usage...
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...for Meaningful Use. Health Management Technology, 36(7), 16-17. In this article Mushtaq is describing how Meaningful Use will improve the data quality of electronic health records. He points out what the requirements of Meaningful Use are and how it is meant to improve the EHR through The Medicare and Medicaid EHR Incentive Program. Mushtaq contends that while organizations originally put EHR systems in place to collect data, the market has shifted and health organizations as well as providers have moved more into a value based healthcare environment. He suggests that there are several steps in preparing to become complainant for the requirements for participation through the Centers for Medicare & Medicaid Services (CMS). He states that once you become complainant that EHR’s will provide relevant data, improve patient adherence, access to data that will drive improvements, and higher quality of usable data. He concludes effective compliance data will lead to higher quality of data which will allow physicians to provide better care to their patients. This article covers the importance of Meaningful Use and its relationship to obtaining quality data and is useful to bringing in or updating the EHR. The information in this article could be used to give the HIM professional ideals about how to make Meaningful Use of data they will be utilizing and maintaining in the EHR. While the article touched on many elements of the requirements, use and benefits of Meaningful Use...
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...weekly dropbox. 1. What is Meaningful Use and when was it introduced? (2 points) Meaningful Use is when you use certified electronic health record technology. It was introduced on February 17, 2009. 2. List the 5 pillars in which the concept of Meaningful Use is based on. (5 points). * Improving quality, safety, efficiency, and reducing health disparities * Engage patients and families in their health * Improve care coordination * Improve population and public health Ensure adequate privacy and security protection for personal health information 3. List the three stages of Meaningful Use and give a brief description of each stage. You may need to research this further. (10 points) * Stage 1: electronic data capture and data sharing using an EHR technology * Stage 2: introduces new objectives and measures, as well as higher thresholds, requiring providers to extend EHR capabilities to a larger portion of their patient populations. * Stage 3: aims to simplify the program, drive interoperability between electronic health records, and improve patient outcomes. 4. What must an organization do to receive grants or funding to ensure they are compliant in Meaningful Use? (3 points). Organization must demonstrate that they are attempting to adopt, implement or upgrade certified HER technology. 5. How many requirements must a provider meet during each visit to qualify for the meaningful use incentives? List each requirement...
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...Healthcare Provider Websites Mich Kings Reading Area Community College HCM 311-70 Kenneth Bowman March 22, 2012 The new era of modern technology travelling at lightning speed, in just twenty-five years we’ve evolved from the days when a computer system took up an entire floor of an office building, to the evolution of the “smart” series – the iPad, iPhone, storing information in a “cloud,” etc. These new devices have made accessing technology all the more real, and instantaneous. While this may be a challenge for some, it’s heaven sent blessings for others. We’ve evolved from the pony express delivery system, to the instant messaging system. We’ve gone from landline home phone service, to utilizing wireless phone service. Without a doubt those who are hesitant to get on board, will be left behind. Technology has finally wormed its way into our healthcare system. The age of paper documentation, is rapidly dwindling, this is quite evident in large healthcare systems. Because of the expedient nature of accessing information, many companies, are now utilizing the internet as a means to tout their companies’ product and what they have to offer. Without a doubt healthcare is steadily becoming a full fledge business. As such, healthcare providers are now surging to the forefront, in an attempt to enable consumers become better advocates for themselves. Provider websites are now more user friendly. It’s to a company’s advantage to have a website that its consumer can navigate...
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...Electronic Health Record: Evaluation of a System Electronic Health Record: Evaluation of a System There are many different systems, within an organization, that have an impact on how an organization operates. Some systems within an organization play a passive role while others have a significant impact on the way an organization operates. These systems transform the operations within that organization. One system that has greatly transformed the way that hospitals operate is the Electronic Health Record (EHR). The EHR was introduced into the health care sector around 2004 when President Bush included this topic in his state of the union address. That same year, David Brailer was appointed as the national health information technology coordinator. In this new role David was to provide “leadership for the development and nationwide implementation of an interoperable HIT infrastructure, with the goal of establishing electronic health records for all Americans within 10 years” (A Brief History of Electronic Health Records, 2012). In 2006, the Center for Medicare and Medicaid Services (CMS) defined their role in the initiative, and in 2009 continued to move forward with new -found support from President Obama. (A Brief History of Electronic Health Records, 2012) Within the healthcare are arena there was a business requirement for an EHR due to continual redundancies and mistakes on paper records. Mistakes within healthcare can have an obvious impact on patient care as we all...
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