Electronic Health Records Case Report

In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.

Implementing change among all organizations is necessary to achieve success; within the health care industry change is constant and it is the role of management teams to assess, plan, implement and evaluate change to ensure satisfaction. Considering this among the other aspects of running a successful organization it is essential to ensure that there is minimal resistance and familiarity to change. Demands of the consumers and staff as well as regulations are continuously changing. The responsibility of managers is to successfully lead these inevitable changes.

Implementation of the electronic health records (EHRs) has been a growing trend in the healthcare field from fear of the unknown to the acceptance of the reality of the EHRs and the actually utilizing the system. The struggle to go live with the EHR was a challenge because change is always a difficult implementation. According to Fickenscher & Bakerman, (2011) Change is a process that is individualized base on one's ability to adopt and the interest on the change. Some people may take longer to understand a process while others will grab the skill within a short time. However, some few setbacks slow down the adoption of the EHRs when it was first implemented, Culture, communication and training and time. Despite

All team members will respect the ideas and views of the other members even if there is disagreement. Team members will encourage each other and help each other along through the course so that the end goal can be achieved.

The Inner City Clinic is experiencing problems with medication prescribing errors and seeks a resolution to this problem through use of electronic medical records and registration medication reconciliation. The Institute of Medicine reports in the work entitled "Preventing Medication Errors" that the "average hospitalized patient is subject to at least one medication per day. This is reported to confirm previous research findings that medication errors represent the "most common patient safety error." (Barnsteiner, nd, p.1) Medication reconciliation is described as follows:

Important team building strategies to consider are focused on giving team members a chance to get to know one another. Through understanding team member’s perceptions, differences, and priorities, insight can be gained to improve conflict resolutions (Moore et

The project management team will help to establish an EHR for the satellite facility through remote technology. The team members selected to serve on this committee are very important, and they must be able to dedicate their time, attend meetings, and be willing to train others if necessary. All members must have leadership qualities and is ranked highly by managers and peers. The team picked for this interdisciplinary team will consist of a doctor, informatics nurse specialist, hospital administrator, and a member of the information technology (IT) department.

As medical informatics becomes involved in ever larger and more complex systems, both the overall organizational leaders and the informatics leaders must adapt to the following realities.Clinicians are usually (or should be) part of selection and implementation teams and can make valuable contributions to these teams if they understand some of the best practices.

The usability evaluation study was designed and utilized to assess administrative or clinical task in the Electronic Health Record, analyze the utilization of VA Blue Button application, discuss the benefits of using this consumer health informatics software and determine if it meets the needs of consumers, and discuss additional solutions which solves the consumer’s problem. Particularly, this assessment will consider the attributes related to administrative or clinical task usability in the form of content clarity as well as the visual design of this system.

As per Fenton, Giannangelo, & Stanfill (2006), Workflow, project management, personnel, training, support, communication, motivation, vision, leadership and evaluation, are essential considerations for successful electronic health records (EHR) implementations. HI 5329 Assessment and Evaluation course utilized a team work practical approach that covers explicitly or implicitly the majority of those considerations. The first six modules within this course focused mainly on business processes and workflow modeling as described in ‘Workflow Modeling’ textbook (Sharp & McDermott, 2009), hence this is the first topic discussed in this paper. Additional skills developed during this course include communication and presentation skills, which is discussed here as the second topic. Lastly, the third topic is the economic aspects of evaluation as explained in the ‘Evaluation Methods in Biomedical Informatics’ textbook (Friedman & Wyatt, 2005). Although this topic was not covered within the course and the practical assignments, it grabs my interest as it discusses a critical real-world issue.

Work Team development is a dynamic and often difficult process. Most teams find themselves in a continuos state of change and development. Eventhough, most teams never reach full stability, there is a general pattern that describes how most teams evolve. There are five stages of team development, the first stage is forming. In this stage there is a great deal of uncertainty about the teams purpose, structure and leadership. Members are testing the the waters to determine what types of behaviors are acceptable. This stage is complete when members began to think of themselves as part of the team. The second stage is called storming. In this stage there is much intragroup conflict.Team members accept the existence of the team, but there is resistance to the control that the team imposes on individuality. Conflict can arise from numerous sources within the team setting but generally falls into three categories:communication, factors, structural factors and personal factors (Varney, 1989/Townsley). In addition, there is conflict over who will control the team.

My future plans and goals with Health information technology is beyond the means as a coder. My plans are to further my education to Health Information Management and rolling as a current student at Louisiana Tech University. As I obtain my degree in Health Information Management, I hope to gain employment at a local Shreveport facility or at one of our neighboring states. Taking all my knowledge from school and from my employed facility will encourage me to take on a management position. The Manager of Health Information Management is responsible for ensuring accuracy and efficiency in the medical records and transcription departments. The Manager of HIM reviews processes and identifies areas for improvement taking into account user needs.

In many aspects of our life, it is pervasive to work in a team. No matter in company, school, or another type of team it is necessary to be a part of a team and to achieve a team goal by corporations. People join a team with different personalities, goals, values, beliefs and needs. On the one hand, these differences can be a valuable quality of teams. On the other hand, these same differences inevitably lead to different levels of conflicts as well.

While many health care practitioners are willing to change, the issue is that change is often mismanaged by leaders whom are either incompetent or lack the resources to follow through in the implementation of change. An example was documented in a study of a California hospital unit where patient satisfaction scores rose and immediately fell. At the time, the hospital was going through transition. The nurses in the unit saw this as an opportunity to improve patient satisfaction score. They initiated the process by recommending that the new chief executive officer (CEO) change the current procedure to one that could led to the improvement of patients’ satisfaction. The result, in a few months

Fixing problems that face health care in many health facilities demand a system wide set of solutions. The systems used in these facilities must be assessed and redesigned to identify factors that will aid in the achievement of the set goals. The enormous task of achieving the goals should be undertaken collaboratively by all the key stakeholders, who include, health care professionals, planners and policy makers, administrators, payers, and patients and their families. These partnerships must begin with a common understanding of the problems together with a shared commitment to cooperate and work together to eliminate the problems. With this knowledge, therefore, an action plan for redesigning the health care system can be developed and later implemented. For a successful health care service to be realized, there are various factors which should be employed and which are not found in the traditional business setting. These include unique economic processes, proper regulatory requirements and the perfect quality indicators. This creates a need for every leader within the healthcare industry to create or develop unique skill sets that will harmonize both organizational leadership and the inter-professional team development. It is, therefore, important to understand the comprehensive approach to the management of patient care and also how the concepts of team development and organizational leadership support healthcare leaders in creation of a patient-centric