Electronic Patient Information System

Operational electronic health record systems (EHR) can provide the information necessary on demand, short of troublesome trial and error of probing around physical files. From the first steps of designing the system, the enquiries that will follow are predicted and accommodated. Similar to an office filing system, the appropriateness of a detailed patient record system is often adjudicated by how much time and effort are necessary to locate and recover data. Thus, an intimate cog of the design of an electronic health record system is its efficient process for access, retrieval, and reporting.

obligations in documents and alerts. Ease-of-use and functionality of workflow processes in the EHR system are key considerations for selecting the system vendor. Consequently, the needs assessment, readiness assessment, and the workflow analysis are fundamental steps to decide if an EHR system is convenient to be implemented in your healthcare facility, however the workflow analysis will guide you in choosing and purchasing the best system that fits your institution. Mapping the workflow for various tasks enables recognizing the features and functionalities that should be in the EHR system. These features are important to be presented for the vendor as scenarios, and it is recommended to ask the vendor to show you how a patient record is initiated and managed based on your previous presented scenarios. This allows you to compare between vendors and clarify the usage of the software for various workflows in your institution. Only scenario-based demonstrations elaborate if the system’s smooth usability matches your institution workflow or not. Finally, it is critical to test-drive the system by yourself

An electronic health record (EHR) defines as the permissible patient record created in hospitals that serve as the data source for all health records. It is an electronic version of a paper chart that includes the patient’s medical history, maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care. Information that is readily available includes information such as demographics, progress notes, allergies, medications, vital signs, past medical history, immunizations, laboratory data, & radiology reports. The intent of an EHR can be understood as a complete record of patient

To improve healthcare in America, the Obama administration passed a law under the Health Information Technology for Economic and Clinical Health Act, to encourage the widespread use of Electronic Health Records (EHR). Under this act, Clinicians and hospital would receive incentives and reimbursement for the effective used of EHR in their practices. Electronic Health Records is an electronic version of a patient’s medical history that is maintained by the health provider over time. It includes relevant clinical data that is pertinent in improving quality of care, reducing medical errors and potential health care cost. For the purpose of this paper, two functions of EHR will be discussed: Computerized Physician Order Entry (CPOE) and Clinical Decision Support (CDS) tools. These two support tools have the potential to greatly improve quality care and to reduce health care cost.

As an organization that pride itself on continuous improvement it is time to move away from an electronic medical record (EMR) to an electronic health record (EHR). The organization currently utilizes three different EMR, each for different reasons. This has and will continue to make accessing patient information difficult and inefficient as access to each database is dependent on individuals role within the organization. Overall, this will continue to influence patient care negatively. Currently, only nurses have the ability to enter and change orders, therefore, all orders must be given verbally to the nurse or be written down. Further, the system only contains information of each clinics patients and not across the

The scenario selected for this evaluation project focuses on the electronic health record. The scenario involves patient documentation, clinical decision support, and performing nursing notes. The project involves evaluation and implementation of EHR. The electronic health record and clinical decision support are not only relevant to my current organization but also are particular interest of mine. The electronic health record has helped to reduce the amount of paper which was a nightmare to maintain with the number of new patients being admitted daily. The electronic health record has also reduced the amount of missed documentation and errors. Any clinician can testify to the wasted time and poor communication among providers that sometimes results because antiquated paper records still predominate in our offices and on the hospital wards (Shortliffe, E. H., Tang, P. C., & Deimer, D. E., 1991). The clinical decision support system has been a great assistance to clinicians. Nurses, health visitors and midwives, as the largest group of healthcare professionals, record and generate most of the information used to maintain and improve patient care (Levy, S., & Heyes, B., 2012). Clinical support systems (CDSS) integrate information (ideally from high-quality research studies) with the

Electronic Health Record (EHR) is an electronic version of a patients 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 (Ehlke & Morone, 2013). The incentives from both of this articles will result in the delivery of quality care to many individuals in

Health information technology is a familiar entity for most working nurses in the year of 2017. Many nurses, have lived through the transition from paper charting to online charting. This transition has not always been a progression of ease. Change is never easy. The process of paper charting with pen and paper and the use of paper medication administration records have been the routine process for many years. With the new onset of the electronic health record (EHR) many processes have become easier, safer, and more efficient while some tasks have become more complicated, confusing, and more time consuming. The goal of this paper is to describe the electronic health record system, expand on the essence

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

The three main components of an electronic health record (EHR) consist of clinical functions, administrative functions, and data warehousing. Within these three components there are eight integrated components that support the provision of safe patient care (McGonigle & Mastrain, 2015, p. 250). An example of the integrated EHR components are: result management, order entry, and decision support. Results management, is the ability to collate results from the lab, radiology, and other downstream systems. The results are presented to the end-users in a logical fashion, either by an individual encounter, or over an extended period of time. Order entry is a functionality that creates

An Electronic Health Record (EHR) refers to patient centered record that allows access instantly and securely to healthcare providers. EHR system is designed to accurately store patient clinical data including patient’s past medical history, allergies, diagnoses, medications, treatment plans, laboratory test results, etc and displays a broader picture of a patient care. The EHR has the ability to support other patient care related tools such as clinical decision support, quality management, and outcomes reporting [1]. Also, the health information can be shared through the

Technology and health care have a relationship that has grown exponentially over time. Not only has advances in technology allowed for more treatments and research into cures for diseases, but it has also created a better patient care in hospitals. This is why nurses need to “Demonstrate effective use of technology to navigate the electronic health record, communicate with inter/intraprofessional teams, and be involved with decision making in the delivery of quality and safe patient care” (Ivy Tech Community College, 2016). A study conducted by (use of electronic) found that the most common thing nurses use now to help plan patient care is electronic health records. What was once a stack of paper in a binder is now streamlined onto a user interface, with easier access to what parts of the chart a nurse would need, compared to having to flip back and forth between pages in a paper chart. Hard to read hand writing on paper charts could lead to errors in patient care; nowadays, electronic charts have information in easy to read fonts with important information sometimes bolded or in different colors, allowing the information to better catch the eye of the nurse to avoid mistakes. (use of electronic) also

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

Hospitals and healthcare facilities have been expanding throughout every state in America. With that comes, the growth of EHR systems. With the help of HIM directors and health administrators, more and more healthcare facilities, are deciding on the adoption of different kinds of systems to assist in patient care quality. There are many types of electronic health record systems and each of them comes with their benefits and drawbacks. When implementing EHR systems, managers take major risks for their facilities by evaluating what can affect them in a negative way and choosing one to adopt. This research will evaluate the impact that certain electronic health record systems have on healthcare facilities. It could be both a positive or

Computers are considered to be one of the greatest discoveries of the 20th Century.  As time goes on, computers have become more and more important in our lives. We use computers at school, at home, and at work and most of us can’t imagine life without them. One of the many uses of computers is used in communicating within the country or even around the world where there is Internet access.