EHR Database & Data Management
Gay P. Montague
Grand Canyon University: DNP805
June 24, 2015
EHR Database & Data Management
Asthma is one of the most widespread childhood chronic illnesses in the United States leading to nearly 190,000 pediatric hospitalizations yearly (Banasiak, 2004). This chronic inflammatory condition impacting the respiratory system and characterized by an obstruction of airflow. For children from kindergarten through high school, asthma accounts for a loss of 10 million school days annually and costs caretakers $726.1 million per year because of work absence (Sharma, 2014). In response to the increasing number of children with asthma, the cost involved with care, the school days lost due to exacerbations and time lost from work for parents/caregivers, the need has arisen for primary care providers (PCP) to effectively identify this high-risk population and refer them to an asthma specialist who is able to effectively manage the condition, monitor the patient’s/caretaker’s compliance and educate the patient and family on precautions, medications, treatments and emergency protocols.
Using data – structured and unstructured – to manage the identified problem
To meet these identified care needs, a well-thought-out management program should be initiated that is supported by information accessible from the patient’s electronic health record (EHR) and is accessible by follow-up practitioners via an
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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
Since asthma exacerbations in adolescence can lead to emergency room visits, hospitalizations, missed school and diminished health status, there was an evident need for effective asthma management for this population (Quaranta et al., 2014). Unfortunately, these rural adolescents with asthma, and their families, had difficulty determining when their asthma was poorly controlled; and unless the asthma symptoms were disruptive to family life, there was often little motivation for these individuals to seek medical care, thus increasing the risk of poor outcomes (Quaranta et al., 2014, p. 99). According
The purpose of this discussion board is to describe the Electronic Health Record (EHR), the six steps of an EHR and how my facility implements them, describe “meaningful use” and how my facility status is in obtaining it, and to further discuss the EHR’s and patient confidentiality.
Patients are taking an aggressive role in their healthcare needs. Patients desire to in touch with their medical records. Medical professionals are utilizing the Electronic Health Records to implement current data into information necessary to provide quality care for the patient. Thereby, managing patients’ current, and past histories. To understand what is occurring today, one must recognize why patients are taking an active approach to their healthcare.
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
Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports (Ehlke & Morone, 2013). The incentives from both of this articles will result in the delivery of quality care to many individuals in
Asthma affects 1 in every 12 Americans. According to the American Academy of Allergy Asthma & Immunology, Asthma is affects “About 1 in 9 (11%) non-Hispanic blacks of all ages and about 1 in 6 (17%) of non-Hispanic black children had asthma in 2009, the highest rate among racial/ethnic groups.” As a mother of child with asthma, I know how scary it can be to deal with asthma attacks and learning how to treat the symptoms and minimize risk factors.
This phase has a primary focus on promoting adoption of EHRs. Finalized in 2012, Stage 2 increases thresholds of criteria compliance and introduces more clinical decision support, care coordination requirements and rudimentary patient engagement rules ( U.S Department of Health & Human Services, 2013). CMS’s construction of stage three that focuses on vigorous health information exchange as well as other more fully formed meaningful use guidelines introduced in earlier stages. To delve deeper into the differences of requirements assigned to this program by the CMS Final Rule, Henricks (2011), points out that eligible professionals (non-hospital based professionals) must meet 15 core objectives, reporting requirements for six Clinical Quality Measures (CQMs), and meet five out of ten
“… longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting”. Included in this information are patient demographics… reports. The EHR automates and streamlines the clinician 's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter, and related activities directly or indirectly via interface—including evidence-based decision support, quality management, and outcomes reporting.”(GAO, 2010)
Use of EHR (electronic health records) in United States has increased in past years and have gained widespread use in the country. The use of EHR-Electronic Health Records or EMR-Electronic Medical Records and the systems that support them have gained standardized collection of health information and data for patient and healthcare providers. Because of these technologies, healthcare providers now have information about their patients at their fingertips, which has led to better and more accurate care. There are debates on using EHR. According to Mushtaq (2015), one of the most common debate is the use of EHR compliance and the value of these technologies that surround them (Mushtaq, 2015). Providers wonder if EHR use is useful and what is to be gained for the HCP-Healthcare provider. In regards to such debates and ongoing conversations, it is important to understand the definition of meaningful use and whether these technologies have resulted in meaningful use. According to Burchell (2016), The government developed the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which incorporates the meaningful use program (Burchell, 2016). The program has goals that tell us how to use the meaningful use with EMR or EHR. It helps HCP and organizations alike attain, use and keep goals like patient and clinical outcomes, individual patient autonomy, and increased transparency for providers. When these goals are attained and kept it will greatly
The EHR technology consists of many strengths and weaknesses during the improvement of patient safety, efficient operations, reduction of medical errors, and ensuring that they provide timely access to all patient information. All will have to still comply with all legal guidelines as they control costs and protect patient privacy. The adoption of advanced information technology is a popular strategy being used in the healthcare industry because it allows their weaknesses to be progressively diminished as it gains and uses the opportunities necessary as an analytical tool. This would allow capabilities to be further developed with the new technologies and processes used as HCO’s unify the adoption of IT standards. In order to stay
Within the article, “Best Practices for Problem Lists in an EHR”, the authors discuss benefits, challenges, and an overview of good practices for EHRs. One thing that stood out to me while reading this article was how it described problem lists as a “table of contents.” The list is dated, ordered, has treatments, and can be edited. This helped the reader understand the proper uses of problem lists as well as gave them an idea of what the lists do for patients and providers. The problem lists usually include diagnoses, abnormal signs, social or mental problems, allergies, and other immediate issues of the patient. Some of the benefits of problem lists include having all of the patient’s data in one spot, easy access, and the fact that it can
Having a single view of the patient and their treatment and recovery plan is invaluable in ascertaining which are the most and least effective tactics in treatment. The 360-degree view of the patient and the many processes supporting them is crucial for increasing the accuracy, effectiveness and performance of treatment programs over time (Blakeman, 1985). Computerized management systems are critical for organizing, analyzing and translating the massive amount of data captured on patients, treatment and recovery processes, and the use of supporting IT systems to optimize patient health and organizational provider performance (Peshek, Cubera, Gleespen, 2010). The ability to aggregate and intelligently use all available data, information, patient-based and process-generated data to deliver higher levels of quality care is possible when computerized management systems are used throughout healthcare organizations.