...Strategies for Evaluating Electronic Medical Records System Keisha Williams-Young HCS/587 May 02, 2011 In the past few years, many organizations have been making technological advances when it comes to medical records. By implementing Electronic Medical Records system to the Long-Term Care Home Facility, managers will be taking a huge leap into the future. Of course, when organizations decide to make an over-haul change of this magnitude, managers need to make sure they have planned strategies for measuring the various outcomes. Now that the implementation of Electronic Medical Records system has been implemented at the Long-Term Care Facility, management needs to focus on the strategies for determining just how effective was the change to the EMR system. The managers must also be able to analyze possible future outcomes of the implementation as well as looked at how they plan to measure the quality and satisfaction outcomes of the implemented change plan. Change Effectiveness Now that Electronic Medical Records system has been implemented at the Long-Term Care Facility, managers will now have to determine how effective the change to the EMR system was. According to Spector (2010), effectiveness is determined by the degree to which employee behavior is adaptive; moving people in a direction that is in the long-term best interests of employees and the organization. By watching, talking, and gathering surveys from employees...
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...CONCEPT PAPER TOPIC: AN INVESTIGATION INTO THE CHALLENGES INFLUENCING THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS SYSTEMS FOR HIVCARE PATIENT MONITORING AND CLINICAL MANAGEMENT. (A case study of Mbagathi District Hospital and Makadara Health Centre in Nairobi County) INTRODUCTION – BACKGROUND OF THE STUDY. The implementation of electronic medical records (EMR) systems is a complex process that is receiving more focus in developing countries to support understaffed and overcrowded health facilities deal with the HIV/AIDS epidemic. Timely access to accurate and relevant health and medical information is crucial to the development and administration of healthcare services, research and teaching. The advent of Information and Communication Technologies (ICTs) has brought many opportunities and challenges in the provision of information services in the health sector worldwide. The current health situation of many developing countries is a dire one, with many facing double and triple burden of disease (ie infectious and chronic) one contributor to this condition is the HIV/AIDS epidemic. HIV/AIDS has the highest prevalence in developing countries, about 68% (22.5 million) of the approximately 33 million people living with HIV/AIDS (PLWHA) reside in sub-Saharan Africa where as HIV/AIDS is the leading cause of death(UNAIDS & WHO,2007). In Kenya the number living with HIV/AIDS as per the NASCOP National HIV indicators report 2011 there were 1.6million, only reported that...
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...signed it into law. HIPAA was introduced as an act to amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes. (Wikipedia) Health Information Managers play critical roles in their day to day work load to ensure compliance with regulations that pertain to the privacy and security of patients’ medical records and information. After the HIPAA was passed in 1996, these HIM professionals were introduced to a new and changing forefront of legislative and regulatory requirements when it comes to dealing with the wealth of personal and confidential information contained within a health care organization’s medical records. The purpose of HIPAA is to protect patients from the reality of their whole medical history and personal information getting out and being sold to the highest bidder. This could be very detrimental to someone who has a medical condition or disease that is frowned upon by society and could...
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...Security Maintenance Plan: 1. Introduction: Dr. Joe Bob’s Family Practice is in need of an offsite security maintenance plan to maintain the highest level of security for patient medical files in case of an emergency, disaster, or critical intrusion on the network system. Techs Rx, Inc. has agreed with Dr. Joe Bob’s Family Practice, to put in place a security maintenance plan for Dr. Joe Bob’s Family Practice. This plan will involve an offsite data storage company by the name of First Choice Data Management, Inc. The security maintenance plan will provide offsite storage of electronic medical records of all patients and include an onsite inspection by a representative of First Choice Data Management. The representative will inspect the health and condition of all critical files of the network, and perform the necessary operations to correct all deficiencies of the file system. Tech Rx, Inc will be responsible for contacting First Choice Data Management, Inc. and setting up Dr. Joe Bob’s Family Practice with the first initial request to the offsite storage facility. This will be done only one time, and only for the first initial set up. After the first initial setup, a manager from Dr. Joe Bob’s Family Practice will be responsible for any transactions thereafter. 2. Budget/Cost: Techs Rx, Inc. recommends that Dr. Joe Bob’s Family Practice contracts the services of a certified and technically competent IT consulting firm to maintain all critical...
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...Automated Discovery of Patient-Specific Clinician Information Needs Using Clinical Information System Log Files Elizabeth S. Chen, MPhil and James J. Cimino, MD Author information ► Copyright and License information ► This article has been cited by other articles in PMC. Go to: Abstract Knowledge about users and their information needs can contribute to better user interface design and organization of information in clinical information systems. This can lead to quicker access to desired information, which may facilitate the decision-making process. Qualitative methods such as interviews, observations and surveys have been commonly used to gain an understanding of clinician information needs. We introduce clinical information system (CIS) log analysis as a method for identifying patient-specific information needs and CIS log mining as an automated technique for discovering such needs in CIS log files. We have applied this method to WebCIS (Web-based Clinical Information System) log files to discover patterns of usage. The results can be used to guide design and development of relevant clinical information systems. This paper discusses the motivation behind the development of this method, describes CIS log analysis and mining, presents preliminary results and summarizes how the results can be applied. Go to: INTRODUCTION The availability of clinical information to the clinician at the point of care is essential to the health care process. Inability to locate needed information...
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...Health Information Management APPROVED BY: Virginia Welch, RHIA HIM Director MEDICAL STAFF COMMITTEE James Harkness, MD CHIEF FINANCIAL OFFICER Richard Louis, MBA CHIEF EXECUTIVE OFFICER Hudson Taveggia, MBA POLICY NO. HIM 19.44 EFFECTIVE DATE: 04/2011 REVIEWED/REVISED: 4/01; 4/05; 4/08; 4/09; 4/10 PURPOSE To establish guidelines for the retention, storage, and destruction of health information that meet the requirements of federal and state laws and regulations. POLICY Health information will be retained, stored, and destroyed in paper copy or electronic media format according to state and federal guidelines and Willow Bend Hospital retention guidelines. PROCEDURE: I. Maintenance of Health Information a) Health information (for definition, refer to Policy 19.50: Legal Medical Record) within the medical record is considered a hybrid record, consisting of both paper and electronic documentation. All paper medical records are converted to an electronic format within 24 hours of patient discharge. b) Electronic portions of the medical record are fed via computer output to laser disc into the electronic health information repository system, Apex Patient Folder (APF), without manual intervention. All electronic documents from all sources should be integrated into the permanent repository system, Apex Patient Folder. II. Retention Guidelines a) All paper records converted to electronic format will be maintained in a safe and secure area in the...
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...0 3 0 Electronic Health Records in the Physician Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the...
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...patients. Confidential information is private or privileged information, and should be that luxury. In health care, the confidential information that is stored into an information system, such as a patient health record, will need the ethical awareness, knowledge, and decision making skills of managing confidential information is the administrator’s responsibility. Managing confidential records will require the education of all staff within the facility. This would be the education on the Health Insurance Portability and Accountability Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act. HIPAA and HITECH laws will be mentioned in this report as well as, an article from a local news station on a breach of patient confidential records, the issue and the impact is had on the population, the facts that are used to support the article and its solution, the ethical and legal issues for the administrative issue, the managerial responsibilities that are related to the administrative ethical issues, and the proposed solutions. Loma Linda University Medical Center Breach A local news station had reported a breach of patient records on December 29, 2011. The worker at the Loma Linda University Medical Center had 1,336 patient medical records that he took home, which included names, birth dates, home or work addresses,...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines. |Term |Definition |How It Is Used in Health Care | |Health Insurance Portability and |The Health Insurance Portability and |Health Insurance Portability and | |Accountability Act |Accountability Act (HIPAA) was put into |Accountability Act (HIPAA) is used to | | |place in 1996 to protect patient's medical |protect patient's medical records orally | | |information whether in oral form or written|and verbally as well as protects their | | |form. HIPAA does not only protect patients'|information from being used without their | | |medical information but it also ensures |consent. HIPAA also protects individuals in| | |that...
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...Electronic Medical Records HCS/320 August 5, 2011 Electronic Medical Records Health care organizations have changed drastically over the years. Technology has made it more advanced than ever before. New technology has affected the way of health care communication. This paper has been written to show how efficient and effective communication is with electronic medical records, its advantages and disadvantages, its influence on consumers, and the electronic medical records short- and long-term financial impact on organizations. An electronic medical record (EMR) is a computerized medical record created in an organization that delivers care, such as a hospital or physician's office. Electronic medical records tend to be a part of a local stand-alone health information system that allows storage, retrieval, and modification of records (Wikipedia, 2011). Efficient and Effective Electronic Medical Records (EMRs) are increasingly used in health care organizations in general and ambulatory settings in particular. Electronic medical records include comprehensive documentation of a patient’s medical history, easy access to medical data from remote sites, improved communication among the various providers involved in health care, easy access to medical information and state of the art resources over the Internet (medical journals, guidelines, evidence-based medicine databases, medication databases,) and clinical decision support. A recent systematic literature review suggests...
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...MANAGEMENT INFORMATION SYSTEM Group Members- Rohan Rodrigues-03 Deepa patel-32 INTRODUCTION Hospitals are the key institutions in providing relief against sickness and disease. They have become an integral part of the comprehensive health services in India, both curative and preventive. Significant progress has been made in improving their efficiency and operations.Effectiveness of a health institution - hospitals or nursing homes, depends on its goals and objectives, itsstrategic location, soundness of its operations, and efficiency of its management systems. The administrator's effectiveness depends upon the efficiency with which he is able to achieve the goals and objectives. Some of the major factors determining the effectiveness of a health institution includes patient care management and patient satisfaction. Hospitals are very expensive to build and to operate. Administrators and professionals have to be extremely cost conscious. Effective computerised systems and procedures need to be implemented to ensure proper utilization of limited resources toward quality health care. It becomes even more important when an in-house medical facility is provided by an industry for it’s employees, as is the case for Tata Steel. Patient care management in Tata hospital has fully utilised the power of computers in Medicare, whereby network of integrated systems maintaining patient database for the hospital services in the areas of Pathology, Radiology, Medical Research, In-patient...
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...Health records administrators (RHIA) and health records technicians (RHIT) both work in the organization and management of patient information. In comparison to administrators, technicians have less educational requirements, fewer managerial responsibilities and receive lower salaries. A Health records technician (RHIT) is involved in assembling medical data and charts, maintaining secure records, coding diagnoses and ensuring access to healthcare information. A Health records administrator (RHIA) is also responsible for the security and organization of patient data, but their responsibilities are greater, as they are involved in the planning and supervision of records systems. They run and supervise records departments, stay up-to-date with changing healthcare regulations and legislation and manage electronic databases. One of several differences between a RHIA and a RHIT is administrator (RHIA) manages or supervises all the medical staff at a medical facility. Secondly a technician (RHIT) can assist an administrator, while an administrator is responsible for reviewing a technician’s (RHIT) work. An administrator (RHIA) has to be knowledgeable in medical requirements, standards, procedures, regulations, and methods. A technician (RHIT) has to know a wide range of medical codes, medical terminology, and medical record content and organization. Also a technician has to be well-informed in psychology, diseases, anatomical systems, read and comprehend a medical chart, and be familiar...
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...original put in place in 2003 to help provide patients medical records to be protected, and to keep this information away from anyone except whom the patient want to have that information. Once HIPAA became the privacy law, the government had to produce a way for patient’s medical records to be safe and stay safe and confidential. This means electronically as well as the paper trail. Medical facilities had to devise a way to keep their medical records from computer hackers as well as make sure their system do not become infected with any viruses or malfunction. Even after HIPAA was put into effect, there were still the paper trail that medical offices had to make sure their files was kept locked and only certain people had access to it. The issues of today are maintaining patient’s privacy records and ethical considerations for the privacy sensitive health related materials. The main issue is the concern for keeping patients private information protected. The impact of this private information contains such information as social security numbers, birthdays, and drivers’ license as well as any other information that is involved in the patient’s medical records. The impact on the population is that basically anyone’s identity could be stolen, once this information has gotten out to the general public. While identity theft is a big issue, another big issue is that patient’s private medical information is at stake as well. People medical conditions could be revealed. Conditions such as...
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...Health Services Office MEDICAL EXAMINATION FORM DATE: _________________ SCHOOL YEAR: __________ ID NUMBER: _____________________ COLLEGE: _____________ LAST NAME: _____________________ FIRST NAME: ______________________ M.I._______ CONTACT#: ________________ CONTACT PERSON IN CASE OF EMERGENCY: ________________________ RELATIONSHIP: ______________ CONTACT#: _________________ AUTHORITY TO CONDUCT MEDICAL EXAMINATION I, __________________________, ____years old accept and understand that I am required to undergo a physical examination and chest x-ray to determine my fitness and well-being as a student. I fully understand that the results will be held as confidential medical records and will be used by the University for my care and treatment. My health information cannot be released to third persons except with my consent or unless the disclosure of the information is required by law. I also accept and understand that the procedures are requirements for the next academic year enrolment. I acknowledge that my medical records will be retained by the University for a period of 5 years from examination or health visit. ________________ Signature of Student PHEX Consultation Details Physical Exam (to be filled-out by a nurse/doctor) Medical History (updated) Blood Type_______________ 1.__________________ _ Blood Pressure____________ 2._______________________ Resp. Rate_______________ 3._______________________ Temperature______________ 4._______________________ Pulse Rate________________...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you have defined each term in your own words, describe in 40 to 60 words the health care setting in which each term would be applied. Utilize a minimum of two research sources to support your claims—one from the University Library and the other from the textbook. Be sure to cite your sources in the References section consistent with APA guidelines. |Term |Definition |How Used in Healthcare | |Health Insurance Portability and | | According to "U.s Department Of Health And| |Accountability Act (HIPAA) |According to "What Does Hippa Stand For" |Human Services" (n.d.), the Office for | | |(2012), HIPPA stands for the Health |Civil Rights enforces the HIPAA Privacy | | |Insurance Portability and Accountability |Rule, which protects the privacy of | | |Act, enacted by the US Congress in in 1996.|individually identifiable health | | | |information; the HIPAA Security Rule, which| | ...
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