EMR Vendors Essay example

EMR stands for Electronic Medical Records. It is “a paperless, digital and computerized system of maintaining patient data, designed to increase the efficiency and reduce documentation errors by streamlining the process.” (Santiago, n.d., para. 1)

In evaluating the plans of the Leonard Williams Medical Center (LWMC) and its subsidiary business entity, the Williams Medical Services (WMS), the overall objective is to implement new technology in the form of an Electronic Medical Record (EMR) system in order to streamline workflow, provide safe and quality care for patients and remain competitive with other healthcare facilities in providing these components with the use of advanced technology. The implementation of an EMR is the desire of the physician group, WMS, who refuses to listen to

Competition between Cerner and Epic is well known in the health care industry. True interoperability will not be achieved until competitors put aside their differences and work together. Like I said in a previous post, the Sequoia Group has garnered a great deal of interest among EMR vendors who want to utilize the Carequality Interoperability Framework.

The EHR/EMR was mandated in 2009 it was a provision of the American Recovery and Reinvestment Act, they are encouraging the providers to start using the EHR. A of January 1, 2014 all public and private healthcare groups must have adopted and be demonstrating a meaningful use of the EHR so that they can collect the reimbursement from Medicaid and Medicare. The EHR/EMR have to be in facility in working order at the beginning of 2015. The definition of meaningful users to improve quality, safety, efficiency, and reduce health disparities. There is 3 stages of meaningful use, to meet the first deadline of stage one is October 2012. Stage two and three go over the health information that you exchange with the providers, in these stages you will

Holly, I agree both the best of breed and the monolithic EMR has its advantages and disadvantages according to the healthcare organizations need and the setting it is used for. However, my preference is the best of breed approach for the EMR, because you can separate the administrative and financial data from the clinical data. With clinical data, if the best of breed approach is used it would create medical errors and safety issues.

The initial proposals defining meaningful use and defining the standards for certification of the EHR were published in the Federal Register on January 13, 2010, by CMS and ONC (Office of the National Coordinator) respectively, while the final rules for the certification criteria and for the EHR incentive programs were published on July 28, 2011. Collectively, this legislation establishes criteria for EHR certification, the metrics for meaningful use of a certified EHR, and a timeline for incentive payments that began in 2011. Requirements for the meaningful use of the EHR began to be implemented in three stages. In stage one, which began in 2011, the eligible providers (EPs) and eligible hospitals (EHs) were required to be able to collect and share patient data. Beginning in 2013, stage two necessitated meaningful use requirements to include

An interoperability-based EPR is the goal the United States system, which is by far the largest market for health informatics systems. Interoperability is the ability of different information technology systems to communicate, exchange data, and use the information that has been exchanged. Sweden, the Netherlands, Germany, and France all have this same approach.

There are many ehr companies that offer EMR programs and their respective product capabilities. The AARP made it mandatory in 2009 for providers in the hospital to be eligible and make sure that hospital can demonstrate meaningful use of certified electronic health records and met the criteria by 2015 or they will be subject to payment penalties. (Oachs, 2016). In today’s business, information technology is becoming more potent than ever; it is now evolving rapidly in the medical field as well. As the health information systems is on the rise, with the growing outlay of healthcare organizations in technology it is mandated that professionals gained the skills in health information. Healthcare is a unique and complex domain, which led to so

Stage 3 is referred to as preparation which is characterized by some experience with change, planning to act within a month. Behaviors of this stage are increased awareness and recognizing a need for change (Sare & Ogilvie 2010). With continued awareness of the preventable deaths that EHR can decreased hospitals were opening the eyes to the need for this change. Additionally, to speed up the implementation of EHRs the government threated health systems that they would suffer monetary losses. The government linked EHRs to something called “Meaningful Use.” Meaningful Use (MU) is not directly a measure of EMR functionality, rather it’s a measure of outcomes that depend on EMR functionality. Therefore, it is essential to have an EMR that can capture,

Unfortunately, we are still recuperating from the large investment on the previous EMR. Therefore, our goal is to discover a replacement system that support the functions that we need but economically reasonable within our resources. Recently, health information technology has also turned to

Interoperability is a very important functionality that an EHR management system should offer to the healthcare providers and the citizen. Clarity, accuracy, comprehensiveness, hitherto, and efficiency are principles that pervade interoperability. Interoperability will thus guarantee instantaneous updating of the content of EHR when a change takes place. This will secure that medical professionals will have always readily available the latest data concerning the citizen under examination. The benefits of interoperability extend to all actors [7]: Healthcare professionals - improved quality and safety of care through strengthened coordination, up- to-date patient status information and evidence-based clinical guidelines to support decision-making

Standards define the minimum, baseline procedures, practices, and configurations for systems, applications, controls, networks, and related topics. They are designed to provide a single reference point for use during software development and adoption, installation of systems and tools, and during the contracts process with vendors and service providers.

It is very hard to standardize healthcare. Even though EMRs are great way of capturing, storing and modifying information about patient, it has to meet certain criteria such as interoperability in order for it to be effective and beneficial for patients. According to IEEE, interoperability is defined as “The ability of two or more systems to exchange information,” and “The ability of those systems to use the information that has been exchanged” (Fridsma, 2013). Without interoperability, it is impossible to have system of health information exchange which can communicate and work effectively towards quality of care. Gail Powell-Cope pointed four very important points of why technology, such as EMRs, has problems. His four points are, “(1) poor technology design that does not adhere to human factors and ergonomic principles, (2) poor technology interface with the patient or environment, (3) inadequate plan for implementing a new technology into practice, and (4) inadequate maintenance plan” (Powell-Cope, 2008). All these four reasons explain what is wrong with the EMRs today that need to be fixed before we could take next step in advancing in healthcare field.

Before the standard is imported into the system, the standard will have to first be formatted in a way that is recognized by the software. This is subjected to availability of such a standard. If such format of the standard is not available in the industry, the company might have to reproduce the standard in order to import the standard into the software. This would take an incredibly long time and it will not be worthwhile if the standard is only used once. This can happen in an overseas project where the client specifies a certain standard to be used which is uncommon.

In our quest to find an appropriate “EHR” to integrate the blood glucose monitoring device we have considered several platforms, but we came to realize that CERNER EMR will be the more suitabe for several reasons. Cerner is a collection of “EHR” that addresses the needs of electronic medical records in almost all the healthcare field. For a company to have on the market more than 15 “EHR” may sound bizzare, but also it points to the complex needs of the medical field going from stand alone medical office to large conglomera of hospital chain like New York Presbytherian, NYU and others, from small practice like urgent care to specialized large surgical suite. Its diversity points to its capability to adapt to different environments, thus making it suitable to integrate mobile technology such as the glucose monitoring lenses. Another element playing in favor of “Cerner” is its interoperability capacity. According to CERNER