Electronic Health Records: A Case Study

Patients should be given information regarding the importance of prenatal care and availability of prenatal care for future pregnancies.

We rolled out a new electronic health record in 2010. In 2011 we added additional applications to that, including electronic physician order entry and medication reconciliation. In the very early stages we decided that we needed to have policy’s in place. We wanted to have them ready to go when the applications were activated. Not to wait until we had been on them for a while and see what was working and what was not. We reached out to other facilities, and the EMR system staff to see what suggestions they had. We went on site visits to multiple facilities and job shadowed clinical users. Consulted with our clinical managers, staff, and physicians. Held weekly meetings to review, edit and revise the policies before we finalized them.

I followed Monica A. Rios in the Birth Registry area. The duties of a Birth Registry clerk include collecting information from new mothers at their hospital bedside and inputting the data into IVRS database. At the end of this process the child’s birth certificate will be produced. I will attach the Live Birth Worksheet she uses to attain statistic information on the child and parents. The best part of my day at birth registry is interacting with the new parents and assisting them with the worksheet. Ms. Rios on this day had a backlog of worksheets that needed to be collected from the parents, which can be challenging at times. If the parents do not get the worksheet filled out and back to her, she would have

A catalyst for unplanned cesarean deliveries are inappropriate elective inductions. Being that the direct consequence of inappropriate elective induction is a cesarean delivery, a change must occur in the elective induction process. In order to decrease cesarean delivery rates, the rates of inappropriate elective induction must be decreased. This

The audience equally consists of dads and moms who would love to participate in early childbearing and parenting. Lastly, to the decision-making power who want to make sure every employee is in good health while actively at

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

First I will give a brief history of the program and its presenting issues that we face with the providers. In consultation with my supervisor and other caseworkers, it was a unanimous decision that our provider’s

Delivering a baby at 40 weeks gestation is optimal for mother and for baby. Spontaneous deliveries decrease the incidence of maternal and/or fetal complications (Bingham, Ruhl, & Cockey, 2013). Exploring ways to decrease elective deliveries that are not medically necessary in the current obstetric clinic setting is the point of interest. An important step in the reduction of non-medically necessary inductions is to develop and implement standardized protocols that can be used by all providers in any setting. The use of a standardized guideline offers advanced practice nurses (APN), certified nurse midwives (CNM), physicians and other providers a document to reference when scheduling induction procedures for patients. The World Health Organization (WHO) recommendations for induction of labor (World Health Organization [WHO], 2011) provides guidance and offers specific instances of induction, methods used to induce, management of complications and safe settings for induction. The purpose of this paper is to appraise an existing guideline to determine if the guideline might be used in the current obstetric clinic as it is written or if the guideline needs modifications.

I have only had patients sign the consent and whatever paper work is printed out. So, I do not fully understand the registration process and insurance. I am a hands-on leaner and the training we received does not make feel component or validated to register patients. So I am going to try to schedule time with registration in the next week to hopefully feel more confident. I do have one suggestion we may need 2 people at the front desk the 1st week of go live to help. Sometimes 2 heads together is better than one.

As important as patient reviews and criticism are, another factor that I will use in order to evaluate how my staff is performing will be by providing peer reviews multiple times a year. This ensures that there is significant peer accountability; driving my staff to hold each other responsible for their duties and encourage them to provide their best possible effort to the patients of my future practice. A multidisciplinary team that is concerned with not only each individual’s duty, but also the responsibilities of others in the group, will help lower negative outcomes, both within the delivery room and within my practice (Escape Fire). As The Commonwealth Fund suggests, in order to better deliver effective healthcare, instituting policies

Robert Miller and Ida Sim found not only benefits but, also barriers that health care facilities and physician would encounter when adopting and using Electronic Medical Records. High initial cost and uncertain financial benefits was the highest rated barrier faced by Electronic Medical Record System adoption and implementation. Robert Miller and Ida Sim found that the cost of adopting an EMR for use by physicians ranged from $16,000 to $36,000 per physician (“Barriers to EMR Use,” Physicians’ Use of Electronic Medical Records: Barriers and Solutions, 2004). Since most health care institutions have more than one practicing physician and several other physicians with practicing rights. The initial cost to eliminate paper records and move to

This is the beginning of the mother’s involvement with the midwife. This is an opportunity for both parties to establish a personal relationship, partnership. This is where education exchange can occur, recognition of responsibilities, options and choices are determined which are supported and discussed with the mother and her supporters. (Pairman, 2010, pg. 431-432)

This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the

Also included in the plan are programs to that will help change the mentality of public to use primary care instead of the Emergency Room, advocate for the free treatment for colorectal and prostate cancer and the linking of education of Health Care System to English as a Second Language courses in the community. Other plans include the formation of a community health Insurance Program for everyone in the community, application for grants that would allow Visiting Nurse to educate communities with recent immigrants on the United States health care system, provide more education on the importance of prenatal care and above all advocate for universal health care plan (“Hudson County community,” 2007).

Staff nurses are already open to the idea of group talk and discussion about changes to institutional-based practices that should be changed or implemented. These discussions occur through monthly council meetings, shift huddles, and staff meetings. At these meetings, nurses are encouraged