Charm EHR Assignment

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

Today’s world in Health care Electronic health records are being utilized in every office. With that utilization of the electronic health records from your staff and physicians and patients, the reduction in mis-diagnoses is continuing to decrease as the years pass. Some would say that EHR is a continual migration path sometimes dictated by internal organizational issues. (Latour, 2009) A CIO would need to research and evaluate every option for her hospital staff. The hospital would do great to join the newly HIR organization to extend its ability to care for patients across the continuum of care (Latour, 2005) The whole purpose of the EHR system is to provide quality care by providing care to patients ensuring accuracy, comprehensiveness, data integrity, data security, and decreased medical errors within the patients chart and clinical side.

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)

The adoption of EHR has been slower than expected (Gans 1323). With numerous systems available, it is particularly difficult for a smaller practice to identify which system best meets its needs. Other notable challenges for some practices include assumption of the capital investment as well as managerial responsibilities associated with the IT infrastructure. A common implementation challenge encountered is the lack of a universal vision and definition of EHR. Since there are multiple interpretations of the definition of EHR and attendant requirements, identifying current and future needs is a complex process for potential users. Short term limited ability systems will eventually become obsolete as there is a move toward more global EHR systems. On June 18,

Electronic health records (EHR) are health records that are generated by health care professionals when a patient is seen at a medical facility such as a hospital, mental health clinic, or pharmacy. The EHR contains the same information as paper based medical records like demographics, medical complaints and prescriptions. There are so many more benefits to the EHR than paper based medical records. Accuracy of diagnosis, quality and convenience of patient care, and patient participation are a few examples of the

EHR was created to have a technical way to securely exchange private and personal medical health information in hopes to improve the quality of care, decrease medical errors, limiting paper use, reduction of health care cost, and increasing a person access to affordable health care. A mandate was created for EHR stating that health records can be accessible to all facilities with patients having the capability to access their own health records at any time. Ameliorating the quality and convenience of care given to a patient, allow for cost saving measures, engage the patient and family to participate in their care, improve accuracy of medical diagnosis, and enhance the efficiency of the overall outcome of the patients’ health.

The Medicaid EHR Incentive Program will provide incentive payments to eligible professionals and eligible hospitals as they adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology in their first year of participation and demonstrate meaningful use for up to five remaining participation years. The Medicaid EHR Incentive Program is voluntarily offered by individual states and territories and may begin as early as 2011, depending on the state. Eligible professionals can receive up to $63,750 over the six years that they choose to participate in the program. Eligible hospital incentive payments may begin as early as 2011,

Hence, EHR 's are inherently complex amalgamations of diverse subsystems targeted toward varied users. The stakeholders are the users and must have a role in implementing any IT or EHR system into its work flow. An EHR can be customized to accommodate any environment depending on the level of expertise of the vendor and how long they have been in the business of creating an optimum system that 's customized to fit the organizations needs. For the most part, EHR 's must be designed for efficient, error free use. Ideally, an EHR is a system that encompass all the subsystems that make a hospital meet "meaningful use" criteria to acquire incentives for adopting EHR into practice. In the next five years, EHR adoption will no longer be a luxury, it will be a "MUST". EHR 's and other health information technology will be a necessity to practice medicine (econsultant.com, 2010). Rather than purchase several standalone systems, it would behoove one , in my opinion , to purchase an EHR that would satisfy all the needs of the stakeholders, the physician , nurses and other hospital staff and all parties involved in the tertiary practice too. Although LWMS 's budget is not large enough to accommodate the full cost of implementing an EHR,

Anita Ground also stresses on the huge importance of this planning stage by using a concept of system life cycle. It consists of feasibility study, analysis, design, programming, implementation, and lastly maintenance (Ground, 2011, VA TMS training material). The analysis phase in particular would coincide with what the author Yoshihashi is presenting in figuring out office strategy and researching EHR options. Identification of stakeholders and system requirement would play a critical role in EHR adoption (Ground, 2011). Stakeholders would include patients, family, clinicians, billing, registration, and coding as well as the external users such as Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS). Bottom line is that the new system being purchased would need to provide meaningful use to the clinic based on the current certification standards.

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

Over the previous eight years, there has been a significant investment of private and public funds to upsurge the adoption of Electronic health records (EHRs) across the nation. The extensive adoption and “meaningful use” of electronic health records is a national priority. EHRs come in various forms and can be utilized in distinct organizations, as interoperating systems in allied health care units, on a regional level, or nationwide. The benefit of utilizing an EHR depends heavily on provider’s uptake on technology. Benefits related to electronic health records are numerous and may have clinical, organizational and societal outcomes. However, challenges in implementing electronic health records has attained some attention, the implementation

My facility has rolled out the implementation of Epic electronic health system. The implementation process started at the primary acute hospital setting, beginning on a test unit. It was then rolled out to the other hospital locations. All health care providers were mandated to

The system should be fully integrated including care coordination, sustainability and quality improvement efforts. The selected EHR must provide features and functions to facilitate the achievement of both CMS Meaningful Use (Stages 1-3). The features and function of the EHR should not require any additional hardware, software or program development.

SFBHC is requesting a three year investment for an EHR system to improve our workflow, expenditures, quality of care and clinical outcomes. Through implementation of a comprehensive electronic health records system (EHR), SFBNH intends to streamline and standardize workflow between sites and specialties; implement quality improvement and operational efficiency programs made possible through data gathered through the system; maximize the integration of primary and behavioral health care; maximize revenue cycle through a fully integrated system; and automated report generation.11

1) My hospital initiated this program back in 1999. We also participate in the Statement Immunization Information System (SISS) program. We use this system to check or update vaccination records for our patients. All of our charting is done electronically. This is beneficial because any member of the healthcare team can access a patient’s record from anywhere in the hospital. Any information updated on our end can then be accessed by another provider whom also uses an EHR system. This allows each member of the healthcare team to collaborate, reduce medical errors, minimize medication interactions, and decrease medical costs. All of our patients, are educated on the EHR system that we use from the moment they check in on admission. Throughout their stay, they are instructed on how to access it and how to use it. Upon discharge, they are given an EHR packet and are encouraged to capitalize on all that the program has to offer from the comfort of their own homes.