Electronic Health Records
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
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My organization uses Cerner for the computer program and because of this culture change, there was a close relation with Cerner personnel who were present during “go live” to help with the smooth transition. According to Cresswell & Sheikh, (2009) having a collaborative relationship with the designer and the end-user is important for the evaluation of the product.
Communication
For change to talk place communication has to be well explicit to it uses for easy understanding. There were some setbacks in the communication of the change with the EHRs; most nurses did not really understand why they were moving to the EHR, there was no clear vision and value statement (Fickenscher & Bakerman, 2011). The computer terminologies were a challenge to understand and apply during the practice session making it difficult for some nurse to follow alone. Some of the information seems to be different with the fact that there were sessions held in different shift and repetition of the same information in another way (Fickenscher & Bakerman, 2011).
Because of these difficulties with communication, lowering the expectation bar for nurse by increasing more time for them to understand and practice the skills was implemented Cresswell & Sheikh, (2009). Giving nurse this extra time, took off anxiety and the urges not to rush if a skill needs to be practiced more. Even though nurses were gradually working
The Health Information Technology for Economic and Clinical Health Act (HITECH Act) was passed as part of the American Recovery and Reinvestment Act on February 17, 2009. The road to patient-centered care was paved with the passing of the HITECH act, which authorized incentive payments through Medicare and Medicaid to clinicians and hospitals when they use EHRs privately and securely to achieve specified improvements in care delivery. If providers do not become meaningful users of EHRs by 2015, penalties will be triggered through reduced Medicare payments. These provisions aim to create a nationwide electronic health system that is efficient and secure to improve health outcomes and lower the cost of healthcare. To accomplish these
Over the past few years, we have notice a significant change in the workflow of a healthcare organization. This change is caused by the technological advancements of Health Information Technology (HIT). One of the many technological advancements of HIT is the Electronic Health Record (EHR). Electronic health records are a patient’s paper chart in a digital format. It always contains real time information and can be easily accessible. With EHR put into act, it has the ability to electronically view and share a patient’s medical history, past and current medications, immunization dates, any diagnoses or allergies, as well as testing and lab reports. It is also used to document and store data, in addition with many more abilities. It is important to understand the purpose, application, challenges, and advantages of an electronic heath record. In order to get a greater understanding of its use, we will use a private family medicine practice as the foundation for implementing the EHR.
An important aspect of nurse practice is communication as it is the process of transferring information, feelings and ideas (RCN, 2015). It also provides knowledge based on identifying behaviour patterns, establish a relationship between nurse and patient and it is also
Over the previous eight years, there has been a significant investment of private and public funds to upsurge the adoption of Electronic health records (EHRs) across the nation. The extensive adoption and “meaningful use” of electronic health records is a national priority. EHRs come in various forms and can be utilized in distinct organizations, as interoperating systems in allied health care units, on a regional level, or nationwide. The benefit of utilizing an EHR depends heavily on provider’s uptake on technology. Benefits related to electronic health records are numerous and may have clinical, organizational and societal outcomes. However, challenges in implementing electronic health records has attained some attention, the implementation
Technology has enabled us to make advances in patient care, and thus increase healthy patient outcomes. Nurses are constantly adapting to new technology, and need to learn to work with their IT department to successfully maneuver their electronic system. This paper will provide details of EHR implementation, and the goals of health implementation technology.
Knowledge of the basic principles of the Electronic Health Record is essential to understanding the vital role and appreciating the true value of the Electronic Health Record.
However, whereas this seems to prove the importance of EHRs there is a need to understand the steps to quality healthcare and how EHRs enable hospitals provide these aspects. This paper will try to bring forth, the true picture of Electronic Health Records effectiveness. It is important to understand what an EHR is. According to this paper, this will take the following definition
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
Although, the use of electronic health records (EHRs) not easy for healthcare organizations to implement or even can change due to their old way of doing things. For instance, Ajami at.el. 2011 & Castillo, 2010, both speaks of the importance of executives of clinics, vendors, physician, staff and IS leaders of Electronic Health Records (EHRs) in the marketing, selection, implementation and utilization has contributed to a myriad of problems due to miscommunication, misinformation, and misinterpretation between them. This transition may be a challenge, but may go smoother through communication between each of them. Because it may give each of them the opportunity to share information in writing or speaking, sharing
The electronic health record has affected nursing in multiple ways. The EHR helps nurses provide fast and effective care by saving them time, and time
For a nation to be technologically advanced, the United States (U.S.) is having a hard time overcoming the dark era of utilizing hand written scripts, progress notes, and paper records. In comparison to other countries, the U.S. is lagging behind in the health care system. Even with all the improvements that have been made recently, the U.S. ranked last in 2014 in areas such as access, efficiency and equity compared to Australia, Canada, France Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom (Davis, Stremikis, Squires, & Schoen, 2014). Now, as our nation is trying to improve the quality, access, and proficiency of our health care, concerns have been raised whether the new policies are adequate enough for privacy amongst sharing and obtaining health information. This paper was put together to give background information on how the electronic medical record came about and whether privacy is a major concern amongst the American population.
The transition from a paper-based health record to an electronic health record (EHR) must be addressed and managed on many different and complex levels: administratively, financially, culturally, technologically, and institutionally. The EHR consists of
We live in a world filled with technology. School teachers and college professors use technology to give lectures, health care professionals use technology to keep medical records, or monitor patient’s vital signs, we use technology such as social media, to connect with people and gain acceptance. In 2014, Gary Turk posted a video to Youtube titled Look Up, in which he argues that technology, such as smartphones, causes us to miss out on certain things in life, because we don’t use it in moderation. Technology benefits our lives by making us more efficient in our professional and personal activities.
In the last decade of USA medical history there have been little to no change in medical errors in regards to improvement of care. Meaningful Use, Electronic Health Records and Health Information Technology are practices and programs that can be possible solutions for this issue. The goals of meaningful use include improving quality, safety, efficiency, and to reduce health disparities, improve care coordination and ensure adequate privacy and security of personal health information (Hoyt,2014). With meaningful use, there are three stages: stage one begins the process of capturing date and sharing the information. Stage two is advancing the data processing and sharing and building off of the first stage. Stage three is the examination of the outcomes. Meaningful Use is defined under the Center of Medicare and Medicaid (CMS) and is essentially an incentive program through the government to create a health system that is run electronically and provides higher quality of care through technology. Since the goal is to create safer and higher quality through HIT by providing an incentive for EP’s to further develop their use of the technology there must be a time line in place in order to know whether the Ep’s hitting the requirements. This year, 2014, is originally a major year for Meaningful Use however, with changes in the time line, the cost of HIT, and the increasing of objectives can lead to major complications in the initial timeline created.
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