Electronic Health Records Research Paper

Health providers across America are using Electronic Health Records systems to keep up with patient’s health information. Long hours of filing and writing patients health information manually has become a thing of the past. The Electronic Health Record system, known as EHRs, has changed how patients and health providers communicate as a whole. It has taken information technology to a different spectrum, and has helped patients become more aware of their health history and health conditions. Throughout the years, EHRs systems have been crucially ridicule in the medical world, due to lack of knowledge, high expenses, and apprehension among health providers. Because there will always be challenges when new technology starts to expand in any type of establishment. I believe that EHRs serves a great purpose in health care despite its delays.

After decades of paper based medical records, a new type of record keeping has surfaced - the Electronic Health Record (EHR). EHR is an electronic or digital format concept of an individual’s past and present medical history. It is the principle storage place for data and information about the health care services provided to an individual patient. It is maintained by a provider over time and capable of being shared across different healthcare settings by network-connected information systems. Such records may include key administrative and clinical data relevant to that persons care under a particular provider. Examples of such records may include: demographics, physician notes, problems or injuries, medications and allergies, vital

As the national health care system transitions to the electronic health record (EHR), it is important to recall the impetus to this reform. Prior to the implementation of the electronic health record, the national health care system encountered many problems that impeded quality patient care. There was not a standardized formal structure with the process. Consequently, it lacked communication across disciplines and among providers and

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

In the modern world technology is everywhere and it affects everyone’s daily life. People are constantly attached to cell phones, laptops, and other electronics, which all have affected how people live their lives. Technology is also a large part of the healthcare system today. There are many electronics and technologies that are used in health care, such as electronic health record, medication bar code scanning, electronic documentation, telenursing, and there are many more forms of technology that impact nursing. One technology that stands out is the electronic health record. The electronic health record, also referred to as EHR, is an electronic version of a patient’s chart, and it contains is a list of the patient’s current medications, allergies, laboratory results, diagnoses, immunization dates, images, treatments, and medical history (“Learn EHR Basics,” 2014). The purpose of the electronic health record is to have a patient’s health care record available to health care providers nationwide, but the patient can decide who has access to their record (Edwards, Chiweda, Oyinka, McKay, & Wiles, 2011). The electronic health record is a very important technology in health care and it impacts nurses, nursing care, and has a significant impact on patient outcomes.

As patient information is readily available in the electronic record, it makes health care provider make better and quicker choices and decisions. These decisions can be based on evidence base care that is supported through data that is gathered from the patient’s records. EHR improves patient safety by providing access to information, eliminating gaps of communication among the different providers, decrease redundancy, and reduces duplication in testing. EHR has benefited health care and at the same time create positive outcomes for the nurses. Some of the positive outcomes for nurses are; comparison of previous to current data, improves documentation of the quality of care, allows recognition of the work done in measurable units by nurses, and reduces redundancy with baseline demographic data (Hebda & Czar, 2013). Data that is summarized through the EHR can evaluate performance management and look at quality issues. Along with those features, EHR can potentially increase efficiency, improved quality of care, standardize documentation, increase clinical workflow, and improved overall outcomes for

I understand your concerns regarding the legality of the electronic signature. Electronic health record system have many policies and rules that must be followed in both state government and federal. In 2000 the U.S. Government passed a law that gave electronic signature the same legality as written signature. It doesn’t mean that its signed electronically that anyone can access it and sign it for you. Your signature authentication requires a password, biometric, and unique code this identifies that its you who is the signer in the system. If someone tries to access any documents to sigh them they will not be allowed because the system will not recognize it if it wasn’t you. To be save there are passwords that go along.

The use of electronic health records (EHR) aims at improving the quality and safety of patient care. An electronic health record (EHR) is an electronic version of the patient’s entire medical history including past diagnoses, treatments, and current medications being taken. There has been a rise in the conversion to EHR from paper records because these electronic records can track patient data over time and monitor parameters such as trends in vital signs over time or vaccination history, all which contribute to the improvement in the quality of patient care being delivered (Department of Health and Human Services, 2014). EHR’s are used currently to make more efficient, comprehensive decisions about patients, because there is more information available at the fingertips of the providers. By adopting EHR’s, it can provide health care providers accurate, more comprehensive information about the patient’s health to enhance the ability to provide quick and efficient care, to better coordinate patient care, and to provide a way to share this comprehensive set of information with both the patient and their families (Department of Health and Human Services, 2014). The purpose of this paper is to explore EHR’s in entirety including the EHR mandate, who started it, when it was started, and what the objectives and goals of the mandate are. The connection between EHR’s and The Affordable Care Act will also be explored. Each facility has their own implementation of the use of EHR’s;

As an Electronic Health Record worker it can be difficult with patients medical history, diagnoses, medication, treatment plans, immunization records, and radiology; a lot of this can be overwhelming because you have to make sure when your doing these things it takes times rushing into it may cause errors and huge mistakes when dealing with a patients health and there life itself. Things that you do can reflect on improving their quality of a patients care. For one not having enough training can be an issue maybe to much information to capture at one time.Lack of interoperability between information technologies, cost of set-up and maintenance, HIPAA violations, empty data fields, coping and pasting and end closing. It would definitely be best

Even if they haven 't converted their paper-based records system to an electronic health record (EHR), every physician who is aware of any medical acronyms has heard of EHR. The EHR technology helps practices maintain digital files detailing patient histories, chart notes, treatment records, past and current medications – including adverse events and allergies – and images and lab results. People also associate the term “EHR” with capabilities such as rapid file sharing, robust security and 24/7 access to files from any where because a practice can establish authorized access to files with external partners, such as hospitals, out-patient clinics, specialists and other healthcare networks.

While an F.F.A. member in high school, I competed in a bow saw competition at Virginia Tech in Blacksburg, Virginia. I won 5th place out of 175 schools. I was really proud of myself for not only placing, but because I set a goal and I accomplished it. Which seems to be something I struggle with.

Being able to tell about the roots of where the Electronic Health Records come from the paper will now look at the benefits of the system. The Electronic Health Records areis defined as, “electronic version of a patientspatient’s medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports The EHR automates access to information and has the potential to streamline the clinician 's workflow.” (CentresCentre’s for Medicare & Medicaid Services 2012) With the EHR’s there are a lot of mixed emotions towards it being beneficial or not useful however the good outweighs the bad in this case. The EHRs have taken care of the duty of physically transporting paper records from clinic, to hospital , to lab and also the chore of having to re write medical paper records every time of going into a new medical setting. Also for patients that need their clinicians to access their forms it can be now easily at hand for them as well, making it less of a hassle to looking up a patientspatient’s medical history.

“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an

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

24. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.