Ehr System Research Paper

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

To better understand where my facilities progress is concerning EHR’s, I will first explain the six step process in implementing an EHR. In the first step, an organization must assess their preparedness to initiate an EHR. This includes their

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,

EHRs adoption is an essential part of improving patient safety and the quality of health care by reducing errors, allowing access to complete and accurate medical information to produce better patient outcomes. Although, it seems like a win/win situation there are still some challenges that appear when implementing an EHR. Some challenges would be Time, Cost, Work- Flow Distribution, Security/Privacy, and Interoperability just to name few. Interoperability is defined as the ability of a computer system or software to exchange or make use of information, which can create a major issue for any organization if these systems are not communicating properly. Security and Privacy are always a concern because implementing HIPAA measures is not an easy task. Not only do you have to comply with the federal level organization still need to recognize state laws which can often be more stringent. Especially, when you need to cover areas such as mental health, drug and alcohol services, genetic testing, HIV, and family planning issues. Change management would be enacted to overcome any issues involving process change resistance. It is a methodical approach and application of knowledge that use tools and resources to deal with this type of change. Methodologies would

In efforts to reform the United States healthcare system and create a nationally unified data exchange system the federal government has established an incentive program to eligible professionals and hospitals. The federal government has turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116).

This can lead to more successful patient health outcomes. "The promise of fully realized EHRs is having a single record that includes all of a patient's health information: a record that is up to date, complete, and accurate" (Office of the National Coordinator for Health Information, n.d.)

A wave of medical errors and patient deaths caused by healthcare providers renewed the search for a viable EHR system in 2000. Electronic health records would allow "providers to make better decisions and provide better

The cons of an EHR are part of the driving force behind the model restricted from the need to integrate EHRs throughout the health system and share information with network of referring hospitals. However, this sharing of information is often not possible (EHR,2013). Finding a hospital partner that is willing to open the lines of communication is critical to the success. The cost associated with EHRs is often a deterrent. Not only must the provider pay for the physical hardware and/or software, the organization must also put forth a considerable dollar amount for setup, maintenance, training, IT support and system updates (EHR,2013). With EHRs, much more documentation is required of physicians before, during and after a patient visit. This has its pros and cons. For example, a benefit of more strong documentation is that it provides additional information for the coders that may justify a higher level of service being billed(EHR,2013).

The use EHR systems has both positive and negative impact on individual health information because of the risk exposures such as hacking, privacy violations, etc. associated with EHR systems. On a positive note, the use of EHR has increase coordination of care, patient-provider relationships through patient portals. creating and monitoring quality

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

Considering the great advances in technology, EHRs prior to January 2009 were underperforming. Often the EHR simply resembled the provider’s unique approach to healthcare. The technology existed, however the healthcare industry was not ready embracing the capabilities of the EHR. EHRs require standardization and each hospital had its own version of practicing medicine. It became apparent healthcare providers were going to continue business as usual; therefore the benefits linked to the capabilities of the EHR went unrealized. Indeed it is interesting the amount of time and legal maneuvers it took to spark the use of EHRs in hospitals. It was apparent government intervention to jump-start the EHR was inevitable. On January 9, 2009 passage of the Health Information Technology for Economic and Clinical Health legislation (HITECH) opened the gateway to technology and implementation of the EHR.

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

As stated in the reading on page 15, the use of EHRs for research would allow for measuring the health of certain patient populations and even provide evidence for improving efficiency and effectiveness for healthcare processes and outcomes. Data from EHRs could be collected to improve quality of care to patients by checking for accuracy in the records and also looking through medication and allergy logs to assure that all correct medication was given. EHRs could also be collected to review patient’s demographic information if physicians were noticing a familiarity in the patient’s symptoms, which could allow for quicker control of an outbreak or a contagious

The goals of the mandate involve four methods (Willis, C. J., 2015). The first method is Privacy and Security. This method maintains the privacy and security of the patients’ health information during access to their records. The second method is Interoperability. This method incorporates health IT systems to be able to exchange information between various organizations by sharing data. The third method is Adoption. This method assures that the EHRs are secure and interoperable by achieving meaningful use. Financial incentives for using the EHR systems are offered with a goal to improve patient care and safety. The fourth method is Collaborative Governance. This method establishes standards and policies to collaborate health IT between public and private institutions.

Clinicians often resist adopting new EHR systems because additional demands are added to their workload during the training and implementation process. Importantly, when clinicians are overworked, more errors occur (Science Daily, 2014, para. 1). In turn, devising a strong change management plan will be crucial for decreasing resistance. Perhaps most importantly, leaders must convince clinicians that EHR adoption is worth the initial time demands. Further, they must effectively address user concerns, engage users in the planning process, and ensure effective communication (Ajami & Bagheri-Tad, 2013, p. 130). Lastly, providing regular written staff updates will also help decrease EHR adoption resistance (Hewlett Packard, n.d., p.