The purpose of this paper is to discuss the electronic health record mandate. Who started it and when? I will discuss the goals of the mandate. I will discussion will how the Affordable Care Act ties into the mandate of Electronic Health Record. It will describe my own facility’s EHR and what steps are been taken to implement it. I will describe the term “meaningful use,” and it will discuss possible threats to patient confidentiality and the what’s being done by my facility to prevent Health Information and Portability Accountability Act or HIPAA violations.
The purpose of this discussion board is to describe the Electronic Health Record (EHR), the six steps of an EHR and how my facility implements them, describe “meaningful use” and how my facility status is in obtaining it, and to further discuss the EHR’s and patient confidentiality.
Healthcare reform and the Affordable Care ACT and how it relates to the Electronic Health Record.
In 1965, as part of his Great Society Legislation, President Johnson signed Medicare and Medicaid into law. With these two programs he concluded two decades of congressional debate of the future of health care. In the forty years to follow, the United States of America and its health care industry experienced dramatic changes. Population increased by over one hundred million people (Census Bureau), advances in medical technology supported a growing elderly population, diets and lifestyle habits changed, and health care costs outpaced both per capita GDP and wages. By 2010, America was long overdue for health care reform. That year, President Obama passed the Affordable Care Act (also the ACA or Obamacare), an ambitious plan of over 400 provisions for one of the nation’s most complex and powerful industries—an industry upon which millions of lives depend. The Affordable Care Act of 2010 fails to fully address the fundamental problems with American health care system, but serves a necessary and promising starting point for such comprehensive reform.
The author, Judy Murphy, focuses mostly on how the government played a huge role in the adoption of EHRs into the medical world. Murphy brings up George Bush’s statement in his 2004 State of the Union address and Obama’s push to make that happen, but this is just scratching the surface of government interventions. The author discussed the money allocated by the acts such as “The Stimulus Bill” or “The Recovery Act” to help fuel the economy and rescue a struggling health care industry. She states how acts were passed, and how there were rules set in place to be followed by hospitals and providers around the United States. The article describes how the government is basically forcing these facilities to adopt EHRs by using a reward
Protecting the privacy of patient information is one of the top priorities of all healthcare providers and is specifically required by various state and federal laws. On February 17, 2009 the American Recovery and Reinvestment Act of 2009 (ARRA, sometimes referred to as “the stimulus”) included provisions making significant improvement in the privacy and security standards for health information was signed into law by the federal government (http://www.hpsafind.hrsa.gov). Included in this law is $19.2 Billion which is intended to be used to increase the use of Electronic Health Records (EHR) by physicians and hospitals; this portion of the bill is called, the Health
The way in which facilities access patient’s health records have changed from paper charts to electronic health records (EHR). Healthcare facilities have been mandated by the federal government to start using EHR for access and storage of health information (Department of Health and Human Services, 2008). There are six steps that assist facilities in order to prepare them to start utilizing EHR (Office of the National Coordinator for Health Information Technology, 2014). EHR privacy is maintained through the Health Insurance Probability Accountability Act (HIPAA) (Burkhart and Nathaniel, 2014). This allows coordination of care among healthcare professionals in order to deliver quality, safe, cost effective care to patients.
As the emergence of electronic health records (EHRs), the subject of transforming the delivery method of healthcare is prominent in the United States. The use of EHRs is a major key in the way physicians practice in healthcare organizations through communication and management of patient information. Henricks (2011) points out that EHRs are a part of an objective aimed at improving all aspects of health care and reducing health disparities, making the healthcare of patients and families appealing to them, refining the direction of healthcare, along with population and public health improvement, continuation of privacy maintenance and the security of health information, and finally reducing costs. In the perspective of health information technology
The future of America’s health care system looks bright with new innovations coming about. Advancements in technology, patient care, and access to care are all important factors to create a health care system suitable for American citizens. New health care reforms help shape our health care system to provide better care to all citizens. To implement these new reforms, the plan must be financially viable and be understood by those it effects. To improve the current health care system, new reforms should include ways to insure more citizens in a cost effective manner, offer insurance at an affordable rate, improve efficiency of the health care system, and provide higher transparency to the public.
The use of technology can be seen everywhere in the world today. One area which has seen a big push to add technology is the healthcare industry. Healthcare has now progressed to the age of electronic health records (EHR). The purpose of this paper is to discuss the evolution of the EHR, including the EHR mandate and the role of the Affordable Care Act in this mandate. It will discuss the EHR plan at Hackettstown Medical Center (HMC) to include the progress HMC has made with the mandate. This paper will discuss meaningful use and HMCs status with meaningful use. Lastly, the paper will define the Health Information Portability and Accountability Act (HIPAA) and what HMC is doing to prevent HIPAA violations.
Use of EHR (electronic health records) in United States has increased in past years and have gained widespread use in the country. The use of EHR-Electronic Health Records or EMR-Electronic Medical Records and the systems that support them have gained standardized collection of health information and data for patient and healthcare providers. Because of these technologies, healthcare providers now have information about their patients at their fingertips, which has led to better and more accurate care. There are debates on using EHR. According to Mushtaq (2015), one of the most common debate is the use of EHR compliance and the value of these technologies that surround them (Mushtaq, 2015). Providers wonder if EHR use is useful and what is to be gained for the HCP-Healthcare provider. In regards to such debates and ongoing conversations, it is important to understand the definition of meaningful use and whether these technologies have resulted in meaningful use. According to Burchell (2016), The government developed the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which incorporates the meaningful use program (Burchell, 2016). The program has goals that tell us how to use the meaningful use with EMR or EHR. It helps HCP and organizations alike attain, use and keep goals like patient and clinical outcomes, individual patient autonomy, and increased transparency for providers. When these goals are attained and kept it will greatly
In 2004 president George Busch announced the goal to mandate electronic health records for every American by 2014. This would require every paper chart to be converted to electronic chart so that health care providers and the patient themselves can access their information through the internet (Simborg, 2011). The purpose of developing the EHR is to provide appropriate patient information from any location. Also to improve health care quality and the coordination of care among hospital staff. To reduce medical error, cost and advance medical care. Last to ensure patient health information is secure (DeSalvo, 2014) The Department of Health and Human Services appointed the Office of the National Coordinator for Health
The final step in the process of implementing a nationwide EHR system is Stage 3, which is set to be in full development by 2018. On February 14, 2014 the ONC meaningful use workgroup submitted recommendations for the implementation of Stage 3 meaningful use incentive program to the Health IT policy Committee, however their findings have not been published to date. This will result in the Policy Committee approving recommendations in mid 2015 the Health and Human Services Department to develop the final rules. There are several proposals in place but the leading one that has emerged would have hospitals and providers use a six priority decision matrix that would include preventative care, disease management,
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
An external strength is the availability of new technology in the workplace. There are many emerging technologies that will change the practice of nursing in the coming decade including genetics and genomics, less invasive and more accurate tools for diagnosis and treatment of diseases, 3-D printing, robotic simulations, biometrics, electronic health records, and even computerized physician order sets (Huston, 2013). This skill set is forecasted to become even more essential in the coming years. One goal identified in the Healthy People 2020 initiatives is use of health information technology to improve population health outcomes and health care quality, and to achieve health equity (Healthy People 2020, 2012).