Application Of An Electronic Health Record

In a healthcare world that operates on stringent budgets and margins, we begin to see the need for a higher capacity healthcare delivery system. This in turn puts pressure on the healthcare organizations to ensure higher standards of patient care, and compliance with the reform provisions. However, these are the harsh realities of today’s healthcare environment, a setting in which value does not always equal quality. The use of technology can help to amend some of this by providing higher capacity care without compromising quality; this can be done with the use of such technology as electronic health records (EHRs). This paper will aim to address how EHRs influence healthcare today by expanding upon topics such as funding sources, reimbursement methods, economic factors, socioeconomic factors, business influences, and cost containment.

In the recent years, EHR implementation has been one of the biggest change that occurred in the health care delivery system. The adoption of EHR system which aims to improve the quality of healthcare, however, has met a lot of issues and barriers that are detrimental to its success. Thus, for any healthcare organization to achieve a favorable outcome after the EHR implementation, numerous factors have to be examined. Merrill (2010) has listed down the top ten factors for a successful EHR adoption. It includes right leadership, shared vision, right culture, governance, physicians, nurses and key stakeholders are engaged early and accountable to lead the clinical transformation, resources, clinical content standardization, realistic timelines and expectations, effective training and communication plan, and right vendor partnership relationship.

Technology has enabled us to make advances in patient care, and thus increase healthy patient outcomes. Nurses are constantly adapting to new technology, and need to learn to work with their IT department to successfully maneuver their electronic system. This paper will provide details of EHR implementation, and the goals of health implementation technology.

The Role of Electronic Health Records and Health Information Exchange in the Delivery of Quality Healthcare

The use of technology can be seen everywhere in the world today. One area which has seen a big push to add technology is the healthcare industry. Healthcare has now progressed to the age of electronic health records (EHR). The purpose of this paper is to discuss the evolution of the EHR, including the EHR mandate and the role of the Affordable Care Act in this mandate. It will discuss the EHR plan at Hackettstown Medical Center (HMC) to include the progress HMC has made with the mandate. This paper will discuss meaningful use and HMCs status with meaningful use. Lastly, the paper will define the Health Information Portability and Accountability Act (HIPAA) and what HMC is doing to prevent HIPAA violations.

The Inner City Clinic is experiencing problems with medication prescribing errors and seeks a resolution to this problem through use of electronic medical records and registration medication reconciliation. The Institute of Medicine reports in the work entitled "Preventing Medication Errors" that the "average hospitalized patient is subject to at least one medication per day. This is reported to confirm previous research findings that medication errors represent the "most common patient safety error." (Barnsteiner, nd, p.1) Medication reconciliation is described as follows:

The purpose of this paper is to discuss the Electronic Health Record (HER) mandate, including its goals and objectives. It will further address how the Affordable Care Act and the Obama Administration connect with the mandate. The plan my facility used to meet the goals of the mandate, as well as what meaningful use is and our status of attaining it will be discussed. In addition, HIPAA laws, the dangers to patient confidentiality, and what my facility has done to prevent these will be presented.

The electronic health record has affected nursing in multiple ways. The EHR helps nurses provide fast and effective care by saving them time, and time

With the increasing advances with technology in this day in age, there is no surprise that electronic health records will soon be a major component in all hospitals of the Canadian health care system. Assessment of Electronic Health Record Usability with Undergraduate Nursing Students is an informative article, written by Jones & Donelle, about the increased use of electronic health records within our system and discusses its benefits, as well as difficulties nursing students experience with this new type of technology. It is a new method of technology that will soon replace paper charting and will allow access to patients to communicate with their health care providers, manage their health information, schedule appointments, and have access

I understand your concerns regarding the legality of the electronic signature. Electronic health record system have many policies and rules that must be followed in both state government and federal. In 2000 the U.S. Government passed a law that gave electronic signature the same legality as written signature. It doesn’t mean that its signed electronically that anyone can access it and sign it for you. Your signature authentication requires a password, biometric, and unique code this identifies that its you who is the signer in the system. If someone tries to access any documents to sigh them they will not be allowed because the system will not recognize it if it wasn’t you. To be save there are passwords that go along.

As an Electronic Health Record worker it can be difficult with patients medical history, diagnoses, medication, treatment plans, immunization records, and radiology; a lot of this can be overwhelming because you have to make sure when your doing these things it takes times rushing into it may cause errors and huge mistakes when dealing with a patients health and there life itself. Things that you do can reflect on improving their quality of a patients care. For one not having enough training can be an issue maybe to much information to capture at one time.Lack of interoperability between information technologies, cost of set-up and maintenance, HIPAA violations, empty data fields, coping and pasting and end closing. It would definitely be best

The goals put into place have to be practical, which would prove to the public that it is possible for their safety to become a priority. Moreover, the cons about Electronic Health Records can be reduced with further research. Patient safety and medical errors are factors that concern the public; therefore, researching to collect more information to better the two factors would assure patients to feel much safer (Brown, Shaw, Grimm, Muttitt, and Gebran, 2008). In order to face the factors affecting the uptake of EHRs performance, a research study with quantitative and qualitative methods should be conducted (Brown, Shaw, Grimm, Muttitt, and Gebran, 2008). Researching EHRs can help discover things that the government or other health care organizations were not aware of prior to introducing the equipment. Therefore, with the aid of further research, current and future findings can be

Imagine having an ability to soar in the future. What would the healthcare system look like? What ideas would we bring back from the future and place into practice? According to Murphy (2011) leaders will begin to “lead from the future” (p. 26). In 2009, President Barack Obama signed the HITECH Act legislation. The legislation supports the adoption of meaningful use of information technology (U. S. Department of Health & Human Service, 2013). It is imperative leaders understand the future of the healthcare system. Meaningful use of information technology included the following objectives: (1) improving quality, safety, efficiency, and reduce health disparities, (2) engaging patients and families, (3) improving care coordination, (4) improving population and public health, and (5) ensuring adequate privacy and security protections for personal health information (Federal Register, 2010). These objectives will be required to become incorporated within an electronic health record. Meaningful use is intended to result in patient-centered, evidence-based, prevention oriented, efficient, and equitable healthcare. As healthcare leaders in the twenty-first century how can we make that happen? This paper will utilize Roger’s (2003) theory related to elements of diffusion as a foundation to influence change at a small New York Hospital.

An Electronic Health Record is an electronic version of a patient medical history, that is maintained by the provider over time, and may include key administrative, clinical data relevant to that persons care under a health care provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports (“Electronic Health Records,” cms.gov, March 26, 2012). In 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act, to encourage and promote meaningful adoption and use of health information technology by hospitals and health care professionals. Then in 2011 the Center for Medicare and Medicaid Services established the

Crescent Healthcare, has a system in place that is called Carves this is just a variation from a program for logistics. The original program in called runzheimer and is promoted as a range of employee mobility services relating to business vehicles, relocation, route planning, healthcare scheduling & travel management. This system relies on’ the nurse on each visit completing handwritten documentation and ticking boxes, each time they see the client. This documentation is then sent to the office by mail and then scanned into the data base. There is a lot of problems with documentation being lost, illegible handwriting, missed visits. By no means is this a nurse informatics system, and they don’t have EHR. I will be focusing on some of the