Benchmark Case Study: Mckesson

The U.S. Department of Health and Human Services (HHS) states that in order to realize meaningful use of the EHR technology, healthcare providers are obliged to apply the technology in a approach that enriches quality, safety, and efficiency of healthcare delivery; ebbs healthcare inconsistencies; involves patients and families; enriches care coordination; expands population and public health; and guarantees sufficient privacy and security guards for personal health information. (U.S Department of Health and

The electronic health record (EHR) is a digital record of a patient’s health history that may be made up of records from many locations and/or sources, such as hospitals, providers, clinics, and public health agencies. The EHR is available 24 hours a day, 7 days a week and has built-in safeguards to assure patient health information confidentiality and security. (Huston, 2013)

AHIMA. "Assessing and Improving EHR Data Quality (Updated)." Journal of AHIMA 86, no.5 (May 2015): 58-64.

Practices using EHR systems accredited by the Office of the National Coordinator for Health IT (ONC) and

A wave of medical errors and patient deaths caused by healthcare providers renewed the search for a viable EHR system in 2000. Electronic health records would allow "providers to make better decisions and provide better

Electronic retrieval of patient demographics, allergies, current medications, complete medical history, diagnostic and radiologic results, etc. occurs by clicking a few buttons. Electronic patient charts provide quick and easy access to physicians, hospitals, independent labs, and pharmacies. EHRs allow simultaneous access by independent providers and allow a collaborative effort for health care management of the patient. “EHRs are the next step in the continued progress of healthcare that can strengthen the relationship between patients and clinicians”. (Electronic Health Records Overview, 2011)

The EHR article explains the progress and the adaption of rates of EHR systems over the years. The article states there has been a slow participation in the EHR incentive program, but there has been a shown continue increase in implementation in provider settings of EHR in 2014. As for Physician and Hospital, there has not been a fast implementation. Many of these facilities are at only stage one of the meaningful use in 2014 about one out of five hospitals and only 38% of hospitals is at the second stage of meaningful use. There have been gains in the implementation of new EHR systems in 2014 there was a 75% adoption rate in 2014 compared to 61% in 2013 for hospitals and for physicians 62% plan to participate in the EHR

The rapid development of technology is directly impacting the design and direction of the EHR. As medical devices are smaller and more user friendly, patients are being involved in reporting and this will be incorporated into the EHR. In addition to technological changes, EHRs have evolved in relation to consumer needs. Originally the EHRs were focused

With the respect of healthcare providers, so it has been seen that the providers are not willing to accept new technology as it requires their time for new trainings. There is a hesitance that has been observed from health care providers to adopt HIT system because of the

The Electronic Health Record (EHR) and associated technologies have had a dramatic impact on the UC Davis Health System (UCDHS). UCDHS has realized significant returns on the clinical technology investment in the form of enhanced revenues and reduced costs. The new perspective and approaches enabled by UCDHS‟ EHR are driving improvements in clinical quality and cost reduction. There is no question that these new tools will enable dramatic improvements in care delivery and care quality that were simply not possible in the legacy fragmented paper-based care processes. UCDHS had a clear goal to deploy the EHR across all venues of care (inpatient, emergency department, ambulatory clinics, home health, and Telehealth encounters). Other key goals included secondary use of clinical content, leveraging EHR data to support transitions of care, and to provide better access to clinical data for

Combined with data analytics, aggregate-level EHR enable examination and development of effective medicines and therapies for chronic diseases (Kohli & Tan, 2016). There are several forces that are driving many of the changes to the EHR including health and safety concerns with the number of preventable deaths from medical errors , a changing society, the internet, with an increasing amount of mobile patients, as well as government response (Gartee, 2011) The response to the IOM report was swift and positive, within both the government and private sectors (Gartee, 2011). The government responded with establishing a position of the National Coordinator for Health Information Technology, under the U.S. Department of Health and Human Services (HHS) to “develop, maintain, and direct the implementation of a strategic plan to guide the nationwide implementation of interoperable health information technology in both the public and private health care sectors that will reduce medical errors, improve quality, and produce greater value for health care expenditures (Gartee,

EHRs has been known to be a problem for some physicians or healthcare providers despite of the advantages. Because of this system physicians are forced to perform some time-consuming tasks that could be assigned to someone with lesser qualification, which creates more work for the physicians. Physicians described poor Electronic Health Record (EHR) usability that did not match clinical workflows, time-consuming data entry, interference with face-to-face patient care, and overwhelming numbers of electronic messages and alerts (Friedberg, Crosson, & Tutty). Another issue that was reported is that there are a lot of electronic alerts and people also could potentially misuse the template-based notes which is pre-formatted and computer generated.

Providers will have an explanation and a glimpse into outlook of future performance. As EHR is befitting to every provider’s practice, providers should have an understanding that EHR implementation will objectively promote their practice through considerable, and reasonable designs. In consideration of the status, providers quality of care, systems employed would be scrutinized, and evaluation of desirability to stay in touch with patients or potentially change in system processes. In addition, appraisal of current systems such as quality of documentation, work flow, and staff’s ability to fully utilize the systems would happen. Given the opportunity to swiftly access patient information from a central place, patient history, instant check of drug interactions and allergies and e-prescription would occur. Provider’s determination towards favorable choices and patient safety will continue because, instant communication of patient information, and alerts will occur. Furthermore, promotion of diagnostic and beneficial choices for patients will exist. Ideally, providers should have a grasp of how EHR will promote practice, resources available to manipulate through the entire

In order to ensure a successful EHR implementation, a health care organization must undergo all the phases of an information system development lifecycle: analysis and planning, design, implementation, and finally, support and evaluation. Without careful planning and project management by dedicated staff who are champions of the system, it is sure to be less than expected. For the purpose of this assignment, it is assumed that the organization is in the final stages of the design phase and is presented with choosing a vendor system from a selection of the five EHR systems listed in the table above. Although the information in the table was not acquired form requests for proposals as it would be if this were a formal system acquisition, but

Many of the EHR error studies discussed were mixed method studies. The focus of these studies varied from identifying patient safety risks to measuring the advantages and disadvantages of the EHR. A level of interest is increased over time as the use of electronic health records continue to develop. EHRs are allowing for patients to become actively engaged in their healthcare as a new way of learning is presented to patients through personalized medicine.