Healthcare Service Environment: According to Gunter & Terry (2005), the shift to an episodic care model like that of the shift from in-patient to ambulatory care has increased the “need for accurate and efficient flow of patient medical and billing information between organizationally and geographically distinct providers”. Another shift has been that to managed care, whose complex operations have evolved various needs. Their PCP’s as gate keepers have data needs, their consumers demand performance reviews, their system administrators have evolving needs for complex utilization review and risk management tools, and organizations have developed the need for data transparency (Gunter & Terry, 2005). The health service shift to shared care has also developed the patients need for access to health data, specifically information in their medical record. Shared care is described by Gunter & Terry (2005) as the relationship where “the patient shares responsibility with the provider for care. Shared care often leads to large numbers of fragmented or episodic relationships with multiple providers and it has created the need for providers to have continuous access to other occasions of treatment, especially pharmacy related care (Gunter & Terry, 2005). Lastly, the evolution of the health care industry has also introduced demand for increasing amounts of data regarding performance errors or near misses and outcomes in populations (Gunter & Terry, 2005). This clearly is information
In today’s society, the accuracy of health information, the availability of health records, and the professional resources in which one live are vital in decision making for health conditions. Meaningful Use (MU) is a program developed by CMS Medicare and Medicaid that awards, incentives in the health care industry in which the certified electronic health records (EHRs) are used to improve patient care (Practice Fusion, 2016). These incentives are for professionals that care for about 30% of their adult patient volume or 20% of their children’s volume for Medicare and Medicaid patients (CMS, 2016). In addition, adjusting from paper charts to electronic charts of patient’s information is beneficial for MU. Furthermore, the American
Healthcare has evolved over past decades and continues to remain an issue of concern for individuals everywhere. Effectively managing data is important to improving the performance in the health care system. Accumulating, evaluating, deciphering and acting on data for particular performance measures allow health professionals to identify shortcomings and make the necessary adjustment, and track the outcome.
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.
14. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically
The health care sector is impacted by numerous changes and challenges, such as increasing need for health care provision, changing demands from patients or rapidly evolving technologies. In the context of evolving technologies, the developments occur not only in the actual provision of the medical act, but also at the level of the complementary operations, such as health care information management.
Patients are taking an aggressive role in their healthcare needs. Patients desire to in touch with their medical records. Medical professionals are utilizing the Electronic Health Records to implement current data into information necessary to provide quality care for the patient. Thereby, managing patients’ current, and past histories. To understand what is occurring today, one must recognize why patients are taking an active approach to their healthcare.
This Stage 1 started from 2011-2012, its objective dealt with data capture and sharing, these sheets are providing these services to assist professionals and hospitals understand the requirements of each objective and demonstrate meaningful use success. This stage also allows qualified providers to receive their payment after fulfilling nine core objectives and one public health objective. The second stage of the Meaningful Use is Stage 2 started in 2014; it dealt with the advanced clinical processes. This Stage introduces new aims and measures, as well as higher entries; it also required health care providers to prolong EHR capabilities to a greater portion of their patient populations. The last stage of the Meaningful Use is Stage 3, this Stage it still in a building phase. Its objective will be focusing on improving quality, safety, efficiency, and leading to improved outcomes. Even though the details of this program have not been finalized, Meaningful Use Stage 3 will work to make the program easier to understand. It will provide the professionals (EPs) and hospitals the ability to exchange and use information between electronic health records, and improve patient outcomes. Based on the current timeline, healthcare providers have the choice to begin Stage 3 Meaningful Use in 2017 but are not permitted to use it until
Assessing the county population for a 4.31% growth in the over 65 age group (which is a low estimate, due to the large 45-64 group within the county), and including an additional facility for the Carter Village’s 110 new assisted living program, the number of available beds in 5 years appears to be 686, compared to a demand of 814. Although this facility appears to assist this problem, there still is a need for 128 additional beds for long term care.
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
It has only been within the last five years that health information management (HIM) has experienced exponential changes, due to the healthcare reform. The electronic health record (EHR) is connected to health information exchanges and other systems of interoperability. The timely completion of charts, coding and release of information (ROI) has become much more efficient with the electronic record. Traditional HIM functions will just be transformed and will always be an integral part of successful patient care. Professionals must be flexible and willing to adapt and even generate change. As Health Information Technology continues to evolve, so will the roles
This journal entry is a reflection of research on the Health Insurance Portability and Accountability Act (HIPPA). Enacted by Congress in 1996, HIPPA was created to “modernize health information exchange” (Solove, 2013). For the consumer, HIPPA sets rules which protect the privacy of health information, to be followed by health care providers and insurance companies. It also gives consumers rights over their health information, such as obtaining a copy, making sure it is accurate, and to know who is or has seen their health information (Office for Civil Rights, n.d.). The modernization of health information exchange, came out of a concern as technology advanced, and computer data bases were now collecting personal health information.
In 2009 the American Recovery and Reinvestment Act which led to the significant investment of $30 billion in health information technology. The RRA provided financial incentives for hospitals, and physicians to use EHR systems in 2014, 83% of physicians use some form of EHRs, and 76% of hospitals have an EHR setup. Even with a basic EHR system a hospital or physician can create an autonomy of service that the patient can take comfort in that they are receiving the highest quality and tailor made health care experience. Noting the physicians and hospitals with EHR Patients feel as though they play an even larger role in determining their need for care but the outcome of the care they receive. If care is given to a patient at a specialized care facility and can, travel to a hospital for a separate issue communication should be seen by both facilities ensuring the patient is not receiving duplicate treatment. Patients who have EHR interface have a more satisfying experience at about 82% (source, 2016). With the open lines of communication, a real collaborative relationship can develop
The transformation of health care through the use of Health Information Technology continued with the passing of the Patient Protection and Affordable Care Act of 2010, which mandated the integration of physician quality reporting and Electronic Health Record reporting. This Act required the creation of measures and reporting of the “meaningful use of the electronic health record” and “quality of care furnished to an individual.” In doing so, the law directly links the adoption of the electronic health record with quality of care to the patient. This entails coordination which the Act requires the use of electronic health
Information overload is a significant liability that a majority of the clinicians, working in the healthcare facilities within the United States of America, face. Due to the fact that the adoption of the EHR leads to the storage of virtually large amounts of data concerning patients; it is difficult for the clinicians to review all the relevant health information of the patients in a limited timeframe. In this case, a legal suite may ensue in the event that a clinician omits some crucial information relevant for treatment while reviewing records for a patient. The clinician could be sued for negligence with the understanding that the information was at his/her disposal (Blumenthal & Tavenner, 2013).
The variation in information needs across any healthcare provider organization forces healthcare information technologies (HIT) platforms, systems, processes and procedures to align its design to support the unique information needs of each department and role. The greater this alignment of HIT systems and technologies to specific administrator, doctor, nurse and lab technician roles, the higher the level of overall systems performance and results attained (Agrawal, Grandison, Johnson, Kiernan, 2007). Just as an enterprise has strategic information needs that help to define the future direction of the business, healthcare provider organizations also have a comparable set of strategic information needs. The administrative roles in healthcare providers need to have a consolidated view of the organization from a cost, quality management, service level, patient recovery rate, patient satisfaction and profitability standpoint as well (Middleton, 2005). All of these factors are often gathered together in a dashboard that administrators often rely on to manage the core areas of their healthcare business (Leung, 2012). Administrator's information needs are also longer term in nature and more oriented towards the development of strategic initiatives that will last several years, requiring