EHR Proposal

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,

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

Getting successful universal EHR is not just technology selection, implementation question it needs to address many other aspects such as physician’s acceptance, policy/laws, incentives, security, and privacy and training issues before we can concentrate or focus on technology selection and implementations. The ecosystem should be ready with all these critical elements addressed only then successful EHR implementation can sustain in US. First and foremost there is a need to have consistency around the state/federal and HIPPA regulations which defines security and privacy issues in US. Due to conflicting requirements in these regulations mass acceptance of any medical system/technology cannot be effectively done. Second biggest issue for universal EHR adoption is the acceptance of EHR by physician’s communities. The benefits of EHR has been identified and acknowledged by medical communities at large however the rate of adoption and use after implementation is sluggish. The biggest common contributor for implementation, design and use of EHR systems is physician. Physicians should be properly trained and emphasis on continual education should also be placed through continuing education credits. Unless small physician office (stand-alone offices) buy-in the adoption of EHR no matter what technology and processes we have in place, EHR won’t be universally accepted and the entire benefit and value associated with EHR can be realized with universal acceptance of EHR. Thus need for

There are certainly diverse reviews from staff and practitioners alike on the advantages and challenges of electronic health records (EHR). The transition from paper to EHR is involved and perplexing. There are many incentives, both from a financial and production perspective, but the route to implementation of an EHR system can be daunting to a hospital or practice group. Both staff and patients can be effected, both positively and negatively. As you stated in your post, physicians will not be obligated to wait for patient charts or outside records and reports. A physician can simply log in and all the information is readily available to him. But many physicians, staff and patients have become cumbersome. The transition to EHR has required

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 challenges of integrating diverse healthcare standards, intranet and Internet communications, patient and consultant accessibility to EHRs and internal business systems require an exceptionally mobile, intuitive and secure platform. EMR and EHR software are designed to integrate electronic health records into healthcare businesses to provide HIPAA compliance. However, to meet or exceed these requirements and offer patients, medical staff, insurance providers and outside consultants access to EMRs and EHRs, healthcare businesses need a robust communications platform to connect these stakeholders. The benefits of offering Web access to health records include better patient care, cost savings and efficiencies, better coordination between medical service providers and greater patient participation in his or her own care.

EHR is an acronym for electronic health records. The focus of an electronic health record is on the total health of patients, not just the care at one clinic. Technology has made it possible for the EHR to replace many functions of the traditional paper chart, and promises significant advances in patient care (The Use of electronic Medical Records, 2015). The information that is contained in an EHR moves with the patient wherever they may be (nursing home, PCP, etc.). An EHR is designed to be accessed by everyone involved with the patients care, including the patient. Electronic Health Records allow for more coordinated and patient centered care. They also make it possible to collect and analyze data through each patient and their lines of

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

Health care professional and hospital can qualify for Medicare And Medicaid incentive payments when they implement EHR’s, and used them to achieve their objectives. The goal of this meaningful use is to promote the spread of EHRs; to improve health care in the United States. There has been an increase in the adoption of health and meaningful use of EHRs. In 2015, 84% of hospitals adopted at least a basic EHR system; this represents a 9-fold increase since 2008 (Henry, 2016). Basic EHRs includes functionalities, such as viewing imaging results, which are not included in certified EHRs. A certified EHR is EHR technology that meets the technology capability, functionality, and security requirements adopted by the Department of Health and Human Services (Henry, 2016). The passage of the Patient Protection and Affordable Healthcare Act has mandated that electronic health records be adopted in healthcare organization around the United States. Not long ago, doctors and nurses would write notes in a patient’s chart during an office or hospital visit. Today, more and more patient can expect to see computers instead of clipboards, since the adoption of health

This includes assessment of organizational motivation, awareness, and support, a needs assessment (how EHR technology can meet clinic needs by improving efficiency and improving patient care), and an assessment of existing barriers to change and technology adoption. The organizational environment is crucial to adoption and implementation of meaningful use. We must understand and help support staff understand how implementation of meaningful use fits with clinic goals and patient care goals. (Ford, 2010). This includes selecting an EHR that is usable and meets the needs of the clinic. Usability is one of the major factors hindering widespread adoption of EMRs. Usability has a strong, often direct relationship with clinical productivity, error rate, user fatigue, and user satisfaction–critical factors for EMR adoption. Clinicians lose productivity during the training days and for months afterward as they adapt to new tools and workflow.

In addition, the electronic healthcare record is “designed to facilitate the sharing of data across the continuum of care, across healthcare delivery organizations, across time and across geographical areas. The EHR typically contains information such as existing health conditions, physician visits, hospitalizations, test results, and prescribed drugs." (BMC Medicine) This means that not only has it made it easier for healthcare providers to access and document patient 's data, it has actually become a tool which is universally used.

According to the U.S Department of Health and Human Services, the use of EHR/EMR is implemented in the hope to “Improve the quality, safety, and efficiency of care while reducing disparities, engage patients and families in their care, promote public and population health, improve care coordination, promote the privacy and security of patient information.”

When a patient is under the care of multiple doctors, tracking his or her history, including allergies, blood type, current medications, past procedures and other relevant information, can be problematic when relying on paper charts. The use of electronic health records allows multiple care providers, regardless of location, to simultaneously access a patient’s record from any computer. The electronic record can provide up-to-the-minute information on the patient’s full history, including current test results and the recommendations of other physicians, allowing more efficient collaboration on multiple facets of a patient’s care.

EHR uses standardized templates that capture data by typing, scanning, and utilizing drop-down menus among other features. A physician can enter complex prescriptions and record patient visit notes directly into EHR without handwritten notes. In an EHR system, all the records of a patient are saved in one system and diminish the chance of misplacing the records. In an EHR system, health records are accessible. With a mouse click, the database can search and track the entire medical history of the patient. Moreover, through the system, the records can be accessed remotely. It does not make a difference of where the patient is receiving care, his or her medical records can be accessed from anywhere and aid in the care. Therefore, electronic records have reduced these errors.

The electronic health record, also known as EHR, is a digital version of a patient’s paper chart. This kind of record makes information available instantly and securely to all authorized users. While an EHR contains medical and treatment history of patients, Electronic health record system is built to go beyond the standard clinical data that is collected in a provider’s office. Electronic health records contain medial history, diagnoses, immunization dates, medications, allergy, treatment plans and test results. One of the key features of electronic health records is that all health information can be created and managed by all authorized providers, in a digital format that is capable of being shared with other providers across more than one health care organization. EHRs are designed and built to share information with all other health care providers and organizations such as laboratories, medical imaging facilities, pharmacies, specialists, hospitals and schools. So they contain information from all the clinics that are involved in a person’s care. A prescription can even be sent through the use of EHR called E-prescribing, which allows a physician to write a prescription that is then sent electronically to a pharmacy 's computer data system. This means that the pharmacy does not have to reenter any of the data at the pharmacy. This saves time and leaves less room for any human errors. There is even a fax-prescribing which is widely used today. While each state may have