Case Study Medefile

The purpose of the discussion is to reflect on Dr. Simpson’s video concerning who owns the patient data assimilates the personal health records (PHR) and the (EHRs) platforms. Some visions and fears relate to the integrated records. It is necessary to discover one benefit or challenge when using the integrated records. Determine the PHRs considered benefit or challenge for the healthcare professionals and patients.

Datamonitor (2011) indicates Kaiser Permanente has some very recognized strengths. This organization caters to various needs of different populations by offering adverse range of products. The organization's diverse service portfolio provides a position in a Health Maintenance Organization (HMO) market. It is the largest civilian electronic medical records (EMR) project in the world which enables the organization to improve the customer connectivity across its large membership. The EMR is used by care providers across all the organization's outpatient settings and available to all the members online.

Part 2 - A Personal Health Record, or PHR, is a health record in which the data and information are maintained not by the clinic or provider, but by the patient. PHRs are different than EMR because they are not only a personal record kept by the patient, but health data collected on the patient remotely through a SmartPhone or other device. PHRs are available online, usually secure and encrypted. The advent of the Internet, more power for personal computing, and more sophisticated devices have also increased the popularity of this kind of data vault. A good way to understand this concept is that a PHR is a folder held within a Portal (strongbox) that has important information that needs to be accessible at certain times. This allows the patient to take more

It is important to understand that, meaningful use regulation established objectives that healthcare organizations such as hospitals and other healthcare facilities have to meet in order to be qualified for the center for Medicare and Medicaid services. Many healthcare organizations are making progress when it comes to meaningful regulations. There was a recent survey that shows that a lot of healthcare organization began using some type of electronic health record so as to be able to input patients, data, information, allows healthcare providers to establish clinical notes and to be able to write prescription and transfer patients’ information from one provider to another (Lopez, 2014).

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.

Along with the new technologies applying in healthcare, the documentation processes and storages also change from paper charts to computer-based electronic health records (EHR). Many healthcare organizations currently maintain patients’ health records in both formats of paper and electronic. The combination is known as hybrid health record system, which is used to assist in different methods that patients’ information is collected. Hybrid health records (HHR) contain specific patients’ health information. HHRs are stored manually and electronically in multiple places. Current patients’ health records usually contain both digital documents and handwritten notes. Patients’ data are electronically stored, such as laboratory, radiology tests,

health record not only allows for recording and storage of patient information but enables the

Many health care facilities are already starting to use an electronic health record in some of their departments. An electronic health record is a system that allows health care employees to input patient information into a computer system and saves that information into a database for the facility. The information that is being stored directly into the computer system is patients’ personal information (name, date of birth, address, emergency contact information, insurance information, and primary care physician and/or admitting physician), medical history, allergies, current medications, nurses and doctors’ notes, and other information that may pertain to the reason for the visit. Radiology and lab results are also saved into the electronic health record. Even though some health care facilities use a computer system to save some information, there may also be paper work that is also being used. This paper work is scanned into the facilities database so that it can also be saved and viewed if necessary.

The health IT system is essential to transform the delivery of health care. Innovation within the IT system includes efficient data use through warehouses as they expand health information, which allows for big improvements in the technological use. These improvements would ensure that data user safety will allow the smooth exchange of information transfer electronically between different health care providers. In this case, most hospital employees and health care organizations understand how the health information technology (IT) is important for the HCO’s functions. The passing of “the Health Information Technology for Economic and Clinical Health (HITECH) Act as part of the American Recovery and Reinvestment Act (ARRA) legislation in 2009, with its specific attention to advancing EHRs, federal dollars are dedicated to expanding EHR use in physician offices and more” (Abdelhak pg. 180). This shows that a federal government has an ability to change in the healthcare industry, so the government should incorporate science and technology development. The private sector and government funding resources will also have a significant impact to play a great role in the exploration of new software operations in terms of advancing the technological environment. Advancing this area of the organization encourages health Information

Electronic Health Records (EHRs) is another version of a patient’s medical history, that is maintained by the healthcare facilities or provider over time, and may include all of the key administrative clinical data relevant to that persons care under particular healthcare facilities, including demographics, progress notes, medication, x-rays, surgical history, and etc.(CMS,2012). While the adoption of the electronic health record system seems promising for the healthcare community and having a positive impact on the HIM field with better care and decreased in healthcare cost, and other promising aspects. However, poor EHR system design and improper use can cause EHR-related errors put at risk to honesty of the information in the EHR; causing or leading healthcare facilities and hospital to break that confidential bond they have with the patient. This will cause EHRS to have errors that endanger patient safety or decrease the quality of care that the patients expect from the hospital or healthcare facility (Bowman, 2013). In the paper I will discussed the topics along the lines like managing the Transition from Paper to EHRs, EHRs to redefine the role of doctors, and other ways how EHRs impact will have on the HIM community.

Electronic health records will be electronically accessible to vendors and clients. To protect confidential information a security code must be used to access information. The Institute of Medicine identified six goals for health care; medical care should do no harm, be valuable, patient-focused, relevant, fruitful, and unbiased. (National Academies, 2013). EHR can help increase patient-focused care; the patient will be able to view their records online and assist in guiding their care. When records are accessible online patients can see them and manage diseases, collaborate care with providers, and improve patient to provider communication (Ricciardi, Mostashari, Murphy, Daniel, & Siminerio, 2013). Patients that are well-informed about their care have better health outcomes compared to uninformed patients. Patients who are involved in their care are less likely to experience adverse effects, to be admitted to the hospital, and have a medication error from lack of collaboration with their provider (Ricciardi et al. 2013). For providers to receive funds under the meaningful use incentive to purchase electronic equipment, they must show medical decisions are patient driven. (Ricciardi et al. 2013).

Over the years, with the technological development and digitalization of almost all the processes, there have been calls for the healthcare technology to be adopted in a wider sense of it. This has been mainly on the development of the appropriate chip and other electronic storage systems that can hold the information about each American's medical information and any other relevant data like the physical address and the migration trend if the person moves from one town to another or even across the borders. This has been argued to be aimed at ensuring that the information about the individual is readily available to help in medically assisting the individual incase anything happens.

An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The

After decades of paper based medical records, a new type of record keeping has surfaced - the Electronic Health Record (EHR). EHR is an electronic or digital format concept of an individual’s past and present medical history. It is the principle storage place for data and information about the health care services provided to an individual patient. It is maintained by a provider over time and capable of being shared across different healthcare settings by network-connected information systems. Such records may include key administrative and clinical data relevant to that persons care under a particular provider. Examples of such records may include: demographics, physician notes, problems or injuries, medications and allergies, vital

This has been accepted as a method to improve the quality and delivery of care, according to AHIMA’s Information Governance Principles for Healthcare. Data integrity is critical to meeting these expectations which includes privacy prevention through the use of standards and procedures. However, the smallest error transmitting patient’s data will have a domino effect in an electronic environment that may present a risk that can be magnified as the data transmits further downstream to data sets, interfaced systems and or decision support systems. We live in a world that consistently progresses into new technology, but New Technology Creates New Privacy, Security Challenges (Gordon, 2015). Unfortunately, this will also include threats and issues with maintaining privacy issues with patient’s data. Some of the threating issues that are posing to be problematic is poor documentation, inaccurate data, insufficient communication, and of course the copy and paste functionality. FIFTH SLIDE These unsafe methods can result in errors and possibly fatal incidents for the patient. In addition, risky measures can have an unfavorable effect on securing the privacy of the patient’s record. Anything less that may have an impact on the patient’s quality of care, their rights, the healthcare professionals and current work practices. There are also legal responsibilities, because the security of a patient’s records is vital?