Evolution of Health Care Information

Today’s world in Health care Electronic health records are being utilized in every office. With that utilization of the electronic health records from your staff and physicians and patients, the reduction in mis-diagnoses is continuing to decrease as the years pass. Some would say that EHR is a continual migration path sometimes dictated by internal organizational issues. (Latour, 2009) A CIO would need to research and evaluate every option for her hospital staff. The hospital would do great to join the newly HIR organization to extend its ability to care for patients across the continuum of care (Latour, 2005) The whole purpose of the EHR system is to provide quality care by providing care to patients ensuring accuracy, comprehensiveness, data integrity, data security, and decreased medical errors within the patients chart and clinical side.

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

There were concerns related to risks of hackers, malware attacks, password changes which can be disruptive to the clinical workflow and can lead to inefficiency. Human errors, inadequate knowledge and ability to use PHR (health literacy). Are the patients aware of the HIPAA regulations? Some patients of a particular age group refrain from using PHR. Interoperability which is the core purpose of electronic health records is also one of the primary concerns. The use of unauthorized USB drives can lead to the malware attack which may interoperability. The other questions that needs to be answered is despite encryption, firewalls which have been initiated to maintain security, there are still concerns about data security

This affects the delivery of healthcare in that the information needed by providers, physicians, medical staff, and the patients themselves, may not be delivered correctly, timely, and of course securely. Various systems will be discussed and each how they affect healthcare delivery, in particular Electronic Health Record (EHR), Electronic Medical Records (EMR) and Computerized Physician Order Entry (CPOE) (also sometimes referred to as Computerized Provider Order Entry).

So much so that our political leaders and President Barack Obama have created a stimulus package called the American Recovery and Reinvestment Act of 2009. Within this legislature, improvements to our healthcare industry and systems have been made with long-term financial savings in mind. As technology and uniformed data was becoming the standard in healthcare, the Health Information Technology for Economic and Clinical Health Act has accelerated the speed. “The number of certified EHR vendors in the United States has increased from 605,6 to more than 10007 since mid-2008” (Sitting and Singh, 2012). Healthcare organizations now have no choice but to invest in a new

Technology has come a long way over the years and continues to advance rapidly. The health care system is greatly affected by the advancements in technology. An example of this would be the use of electronic health records (EHR). In this paper I will be describing the electronic health record system. How my facility has initiated the EHR with following the six steps and describe meaningful use and how my facility is working towards this. Lastly I will discuss how to maintain patient confidentiality with use of EHR, and what my facility is doing to prevent HIPPA violations.

Many health care facilities are already starting to use an electronic health record in some of their departments. An electronic health record is a system that allows health care employees to input patient information into a computer system and saves that information into a database for the facility. The information that is being stored directly into the computer system is patients’ personal information (name, date of birth, address, emergency contact information, insurance information, and primary care physician and/or admitting physician), medical history, allergies, current medications, nurses and doctors’ notes, and other information that may pertain to the reason for the visit. Radiology and lab results are also saved into the electronic health record. Even though some health care facilities use a computer system to save some information, there may also be paper work that is also being used. This paper work is scanned into the facilities database so that it can also be saved and viewed if necessary.

The federal government established a nationwide health information technology (HIT) infrastructure which requires all health care facility personnel to use an electronic health record (EHR). According to Sewell & Thede, in 2004, President Bush called for adoption of interoperable electronic health records for most Americans by 2014. Electronic health records (EHR) is an automated system created by healthcare providers or organizations, such as a hospital in documenting patient care. In addition, EHR is an interoperable healthcare record that can comprise of multiple EMRs data and the personal health record (PHR). Furthermore, electronic health records can be created, managed, and accessed by approved clinicians and staff across more than one health care society (Sewell & Thede, 2013, p. 231-232). On the patients’ perspective, EHR will be used to support healthcare by providing electronic record of patients’ vital signs, demographics, allergies, medications, diagnoses, and smoking status. Consequently, on the providers’ perspective, EHR will support healthcare by use of decision support tools, enter clinical orders, such as prescriptions, provide patients with electronic versions of their health information, use systems that protect the privacy and security of HER patient data. Another meaningful use of EHR is to support activities such as conducting drug formulary checks, including clinical laboratory test results, recording advance directions for patient 65 years and

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

EMR systems would change the way care is delivered with designed technology and proper use of its software.

The Electronic Medical Record, or "EMR," is a digital version of the paper charts in a hospital or physician's clinic. The Electronic Medical Record is capable of storing all of the patient's medical history, both past and present. Prior to the creation and implementation of the EMR, all physicians were on paper records. EMR's are far superior to paper records in many ways, most notable the ability to comprehensive data collection, ease of access and transferability, and transparency.

There are currently many technological impacts happening in the field of healthcare. While there are many and extremely valuable changes being implemented in medical facilities, one of the biggest changes is the transitioning from paper charts to electronic health records. Over the past few years and most recently, medical facilities have done their best to improve the EHR implementation so that they are comfortable with how information is being entered into the system as well as how it is accessed in a new location.

Healthcare is a prevailing topic of today’s conversation. People want and need better access to care. Electronic Health Reports provide access to better care because their implementation and use is considered to be of greatest importance for reducing medical errors and improving the quality of service that patients receive (Song et al. 2011). The traditional paper-based record keeping system will be a thing of the past as the US healthcare delivery system makes a shift to electronic record keeping. This transition will take place as an advantage that links local and national healthcare strategies and places a priority on efficient operational practices. Even though a benefit of

This case study is based on the integration of electronic medical records known as EMR. The integration process came from Dryden, New York and was tested by a small medical practice named Dryden Family Medicine. The practice has been known for its outstanding family based services given to their community. The implementation process of EMRs doesn’t come without risks, but with its outstanding paper based medical record keeping that continued to expand as the practice grew left the Dryden Family practice no other choice but to try out something new in hopes for a better outcome.

(March 2009), the United States has less than 2 percent of U.S. hospitals that have completely accepted a fully functional electronic medical records. With U.S. President Barrack Obama has made electronic medical records a central piece of his plan to cut costs out of U.S. healthcare system that consistently ranks lower in quality measures than other rich countries. The U.S. President also allotted $19 billion to push into the increase the use of information technology in healthcare. The numbers of without electronic medical records are relatively high compared to those organizations that have adopted Electronic Medical Records.