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My clinical site utilizes an electronic medical record. This system is integrated with the nearby hospital system. Information is placed directly into the patients’ electronic medical record (EMR). Details related to the history and physical are entered as information is obtained during each visit. Behavior and psychosocial details get recorded in a standardized template such as a SOAP note.

“The Medical KM is used by doctors and nurses to access online medical databases to assist in patient diagnosis and drug administration.” (Apollo Group Inc., 2013) As stated this information system is web deployed and links not only to internal databases for patient medical records, charts, etc., but connects to external databases that contain the same types of information.

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

There are physicians, recreational therapists, dietary/nutritional and nursing staff as well as Environmental staff. You have administrative professionals including the facility administrator, Director of Nursing and Human Resource Personnel.

Professionals that provide services (interprofessional, one discipline, etc.): Management/Administrators, Program managers, nurses, Caseworkers, House Managers, VA Liaisons (licensed clinical social

Mrs. Nelson holds the positions of Patients Relations Manager, which is responsible for the JC elements of patient rights and the CMS elements for patient grievances; the Privacy Officer, which oversees all ongoing activities, related to the development, implementation and maintenance of the organization’s privacy policies in accordance with applicable HIPAA and HITECH regulations, and the Recipients Rights Director and is responsible for the administration, investigation, monitoring of recipients of public mental health services.

When selecting a new facility or agency they must have the system required for electronic filing. If they have adopted this system, then the facility will be able to access the patients record through the data base by the information provided. This will help them review the charts to help further one’s diagnoses or treatments.

Each member of the team is a coordinator/questioner, evaluator, elaborator, energizer, initiator and problem solver for different reasons. The roles of these team members vary and will briefly be discussed to give an overview of how important each member is to the team. The psychiatrist’s primary function is diagnosis of mental disorders and prescription of medical treatments. The social worker works with families, community support and referral and the case manager is involved in clinical skills, relationship skills, and liaison and advocacy skills.

While conducting the initial investigation, it was discovered that the providers wanted a system that would allow them to keep all the patients information (demographical information, medical history, and insurance information) one central location that could be accessed when it was needed. They would also like a way to make sure

The hospital board has clear roles and expected initiatives in regards the health information technology of the hospital (HIT). The run involves the application of information processing that includes both the software and hardware of the computer that is involved with storage, sharing, retrieval and use health care information within the networked system.

The main intention of introducing this system is to reduce the manual work at Health center counters. Every sort of task is performed by the system, such as registering different types of persons (i.e employees , students and others) ,enquiries, and complaints etc. reducing much paper work and burden of file storage. Also the latest information is right available for the officials and executives wherever they require. The system also facilitates the pharmacist to enquire about the drugs and about the stock to be ordered and about the expiry date .

The medical record, either paper-based or electronic, is a communication tool that supports clinical decision making, coordination of services, evaluation of the quality health care, legal protection, education and regulatory processes. Health care industry is developing gradually. Developing includes the tools used by the healthcare professionals in order to provide quality health care. For example senior citizens may clearly recall when doctors would jot down notes of a form inside a folder. That used to be the patient’s medical file. Paper based medical records have many limitations. Main limitation is lack of

Electronic health recording has become the primary source of information for health care, meeting all clinical, legal, and administrative requirements. It allows an individual’s health data to be maintained and distributed over different systems in different locations (e.g., hospital, clinic, physician’s office, pharmacy). Overall, the goal in the development and use of EHRs is to enable effective and measurable improvements in the health of individuals and fully involve them in the process (Dimick, 2011). Electronic health recording offers complete and accurate information. Providers will be in a better position to manage and advocate for patients when they have access to a patient’s entire complete and accurate health history (Dimick, 2011).

The aim of this project is to provide with a system that assists in smooth flow of information and makes communication easier across the departments, employees, the system itself and the external healthcare system. It will only include the primary health care information such as details of patients, their treatments, expenses and reimbursements, third party payers, hospital staff, clinical transactions, equipments, assessments etc.

As a member of ABC Consultants, Northwestern Human Services (NHS) based in Philadelphia, Pennsylvania has hired me to find technology that will help the company financially and also give their clients the best care possible. Northwestern Human Services cares for individuals with developmental and intellectual disabilities, mental health patients, and autistic individuals. NHS.(n. d.) ”NHS provides innovative solutions to support the unique needs of the individuals we serve by striving to create a caring and responsive environment that promotes the highest standards of integrity and