The government aims to support health IT where providers and patients can be confident that the electronic health IT products and systems are secure, can maintain data confidentially, interoperable, and can perform a set of well-defined functions. (http://healthit.hhs.gov/portal/server.pt)
The extent to which the proposed "meaningful use" of Electronic Health Record and/or Personal Health Record functional model (HL7) promote patient safety are as follows:
Patient safety is one of the key properties of EHR. Attention is given to Health IT usability. For example: to reduce user errors so that potential health-IT related errors that may happen can be avoided. User errors can worsen patient care and outcomes and will indirectly affect patient
Currently, the Office of the National Coordinator for Health Information Technology (ONC) announced their vision for attaining national interoperability in the Health IT infrastructure. Claiming that “achieving this goal will only be possible with a strong, flexible health IT ecosystem that can appropriately support transparency and decision-making, reduce redundancy, inform payment reform, and help to transform care into a model that enhances access and truly addresses health beyond the confines of the health care system.” (“A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure,” n.d.)
Electronic Health Record (EHR) standards refer to the agreed format that is applied to support the definition, use and exchange of data that is related to all the aspects of Health care Information and Technology (HIT). The standards should ensure that there is accurate, comprehensive and secure health information of an individual patient in digital format. Being HIT building blocks, they should provide a common framework of promoting uniformity in defining and identifying the components of a health system. The standards should provide consistent collection and exchange of patient’s information, enhance data quality and ensure reduction of medical errors. Some of the standards include: HL7 EHR Functional Model, CCHIT certification criteria and incentive programs (Amatayakul & American Health
Use of an EHR presents major opportunities for the compromise of patient’s personal health information (PHI). The facility must ensure proper safe guards are implemented and functioning properly at all times. Employees need to be educated on the safety measures to prevent breach of patient confidential health records. Privacy breaches can result from misuse or improper storage of PHI by the healthcare professional, by third party payers, or by lack of proper encryption in the EHR system itself (Burkhardt & Nathaniel, 2014). The Health Insurance Portability and Accountability Act (HIPAA) is a law that holds healthcare facilities and professionals accountable for keeping PHI confidential, patients to control
EHRs have potential in recuperating patient safety. EHRs are efficient as they do not require doctors to use paper records, which in turn result in healthier individuals (Staggers, Weir and Phansalkar, 2008). Furthermore, Canada and many other countries around the globe have invested in EHRs due to the advantages for patient safety. Moreover, EHRs have its advantages, but there are also evident disadvantages, such as financial costs, patient safety, and medical errors (Sparnon and Marella,
Hoffman & Podgurski (2011) reported EHR systems will not be beneficial if clinicians do not utilize the system's full potential. Processes within the system need to be evaluated and assessed constantly for potential safety issues. HIT has the capability to do this through thorough testing and re-testing prior to implementation. HIT contributions to a culture of safety can help improve patient care through education, communication and appropriate use of guidelines that endorses approved
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.
In 2004 president George Busch announced the goal to mandate electronic health records for every American by 2014. This would require every paper chart to be converted to electronic chart so that health care providers and the patient themselves can access their information through the internet (Simborg, 2011). The purpose of developing the EHR is to provide appropriate patient information from any location. Also to improve health care quality and the coordination of care among hospital staff. To reduce medical error, cost and advance medical care. Last to ensure patient health information is secure (DeSalvo, 2014) The Department of Health and Human Services appointed the Office of the National Coordinator for Health
The EHR and/or PHR and HL7 are needed tools that help to improve patient care and safety. EHRs and PHRs help healthcare providers in the exchanging and collecting of patient data. Both record types also exchange health data between various healthcare settings (ambulatory, long term, etc.), providers, patients, and other organizations. When records work in conjunction with HL7 standards the exchange of information is consistent and widespread. In the final rule of “meaningful use” stage 2 the use of HL7 in records helped to improve patient summaries, clinical messaging, electronic prescribing, and transportation details. HL7 allows all EHRs and PHRs the ability to communicate not on just a locally but on a global scale which will in turn provide
For over 10 years, all areas of industry have been investing in informational technology (IT). IT offers faster and more proficient care especially for the healthcare industry. Health information technology (HIT) is making significant changes in how care is being delivered and addressed for patients and healthcare workers. HIT includes electronic health records (EHR), personal health records (PHI), electronic prescribing and more. The potential list is endless. HIT provides for more accurate and efficient documentation, prescriptions, and education. The Obama administration came up with an answer to help in HIT by instituting the meaningful use. This paper will discuss the overview of meaningful use, its’ core criteria, and recommendations for additional criteria.
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
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
An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The
But with the benefits there are also the risk factors. Some disadvantages of the EHR system would include; initial cost of planning and implementing an EHR system, lack of standardization across the healthcare setting, unauthorized access to patient information (security and privacy), inaccurate patient information if not updated properly, technical downtimes, potential negligence for data loss and possible patient access to conditions that they don’t comprehend which may panic them.
In today’s medical field technology plays a big role when it comes to patient care. Technology is huge when it comes to giving the patient the best type of quality care when they are in the hospital. In the old days people would just write it down on a sheet of paper and record it by hand, which caused mistakes. Now with the Electronic Health Record those mistakes are drastically declining. Statistics have shown that using the Electronic Health Record has lowered Nursing mistakes as well as improved patient care. Our society has progressed through the years and has been introduced with the Electronic Health Record which has drastically improved our health care system. The Electronic Health Record provides great communication between
Health information is a fundamental piece of data which represents a person, business, organization, or a community. This data is vital in monitoring and coordination of care for individuals and communities. It not only monitors and coordinates patient care, but reduces costly mistakes and prevent duplication of treatments as well as taking a pivotal role in preserving, securing, and protecting personal health information. Since, this information is extremely essential and sensitive, it must remain secure and safe to prevent frauds and cyber-attacks. First of all, this paper discusses vitality of the health information in regards to individuals, professionals, and organizations along with its benefits to improve overall quality of life. Secondly, it discusses the role of information technology in various aspects of the industry and the what the future holds within IT.