Healthcare Informatics : The Satellite Clinic

In regards to technology and how its influences healthcare today we see the use of EHRs, which allows for a high capacity healthcare environment by condensing patient information into an easily accessible form for all healthcare professionals. “EHRs allow us to collect meaningful data to determine the efficacy in which our units are functioning” (Biddle & Milstead 2016, p.12). This technology can help manage the high capacity hospital environment while not compromising quality. This

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.

Datamonitor (2011) indicates Kaiser Permanente has some very recognized strengths. This organization caters to various needs of different populations by offering adverse range of products. The organization's diverse service portfolio provides a position in a Health Maintenance Organization (HMO) market. It is the largest civilian electronic medical records (EMR) project in the world which enables the organization to improve the customer connectivity across its large membership. The EMR is used by care providers across all the organization's outpatient settings and available to all the members online.

The federal requires the healthcare organizations to adopt and demonstrate the use of electronic medical records (EMR) or the electronic health records (EHR). They contain patient’s medical history and it

Grand Hospital incorporated currently uses a proprietary healthcare information system that includes a patient portal, electronic medical records, computerized physician order entry, imaging, laboratory and pharmacy. Grand Hospital’s leadership is investigating creative resolutions to improve current physician service coverage, including ICU, radiology, and behavioral health via the implementation of telemedicine into the current system. (Wagner, Lee, & Glaser, 2013)

Anita Ground also stresses on the huge importance of this planning stage by using a concept of system life cycle. It consists of feasibility study, analysis, design, programming, implementation, and lastly maintenance (Ground, 2011, VA TMS training material). The analysis phase in particular would coincide with what the author Yoshihashi is presenting in figuring out office strategy and researching EHR options. Identification of stakeholders and system requirement would play a critical role in EHR adoption (Ground, 2011). Stakeholders would include patients, family, clinicians, billing, registration, and coding as well as the external users such as Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS). Bottom line is that the new system being purchased would need to provide meaningful use to the clinic based on the current certification standards.

A handy electronic health record system can diminish complications scattered all through the VA. This system will allow a modest and efficient ways to record, analyze, and inquire about specific patients with minimal training. Case in point, when a patient transfers from one state to another within the same region, or to another region completely, the information can be extracted, organized, and conveyed electronically. The hospital receiving the electronic record can download the patient’s complete medical history, therefore eradicating the requirement for re-entering the information into their own disconnected system. Electronic data can

In efforts to reform the United States healthcare system and create a nationally unified data exchange system the federal government has established an incentive program to eligible professionals and hospitals. The federal government has turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116).

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

To improve patient compliance with care plans a telemedicine pilot project is taking place with patients who cannot access care due to their inability to travel to their primary care physician’s office due to physical limitation. Rather than attempt travel, a telemedicine appointment will take place with a primary care provider at the Providence Physician Group. The Providence group was chosen out of the three largest primary care groups in the area because they have the most patients enrolled in the MIH/CP program. Also, Providence has system wide implementation of Epic EHR on a single instance which means that all their electronic health records are transferrable amongst providers across the entire Providence network. Primary care providers,

Technology is changing how people communicate, work and establish relationships at the point that does not matter who you are, technology will be use in a certain manner. Healthcare is one of the industries that is being pushed to move forward and change their communication process and make patients information available 24/7. For many years hospitals, doctors, and another medical facilities were acting independently on the matter of administrate their own patient medical records, EMRs. Now they are required to convert those EMRs in electronic health records, EHRs. The difference between EMRs and EHRs are resumed in that EMRs contains the medical and treatment history of the patients in one practice only, and EHRs are designed to share information in more than one practice (Garret, 2011). EHRs are more global and will change the way we communicate in the healthcare industry.

Some of the forces inside and outside health care that are driving a move toward a greater use of informatics are national forces, nursing forces, healthcare consumer empowerment, patient safety, and cost. The National forces aim is to create electronic health records (EHR), and the creation of national coordination for healthcare information and technology. With the use of electronic health records many patients that have more than one provider will benefit because

Health informatics has successfully captured the attention of clinical and public health leaders around the nation as they realize its potential to solve problems, cut cost and enhance patient experience. As discussed in class, The American Reinvestment and Recovery Act (ARRA) of 2009 initiated a program designed to equip hospitals and medical practices around the country with electronic health record systems. Known as the Meaningful Use program, it has provided financial encouragements to health care organizations to install these computerized systems. This act has resulted in a huge increase of electronic health records (EHR) companies and has generated countless jobs for healthcare data analysts and related IT positions.

It is required to install Web based EHR software program to protect patient privacy and to facilitate the communications between staff rather than the old program that causes $80,000 loses yearly due to miscommunication and time delay. Additionally, we need to contract 1 year with software company for monthly maintenance that would cost $1500 per month rather than buying new computers and programs to fix the shortages in the system that would cost us around $5000 monthly. Also, we need budget for an auditing program, costs $100,000 to guarantee each operation or drugs which are documented properly in patient electronic medical record this program will protect patient and firms from uncompensated amounts or bills estimated around $500,000 due to poor documentation (Levinson, 2003). Moreover, creating a training programs for 5 years to avoid diagnosis errors or dosage errors that cost the hospital $85,000 yearly, thus we can save more money (Colin O'Neill, 2009).

Demographic shifts in the global population, greater levels of technological disruption due to the Internet, social media and the en masse adoption of smartphones and tablet PCs are together re-defining the healthcare informatics market. System and informatics theories have emerged as the foundational elements of healthcare informatics supported by the Data, Information. Knowledge (DIK) Model which acts as a taxonomy for these developments (Haugh, 2005). Systems and informatics theories along with the DIK Model form the ontological foundations of healthcare informatics field of research occurring today and will continue to provide a basis for further research (Braganza, 2004). The intent of this analysis is to evaluate the contributions of systems and informatics, the role of the DIK Model, expert systems in nurse care and medicine, and the use of decision aids and decision support systems. All of these elements are critically important to strategic information systems plans healthcare providers put into place to serve patients while giving healthcare professionals the applications, systems and software they need to excel in their roles (Djellal, Gallouj, 2007).