Hospital Management System Chapter 1

Over the past few years, we have notice a significant change in the workflow of a healthcare organization. This change is caused by the technological advancements of Health Information Technology (HIT). One of the many technological advancements of HIT is the Electronic Health Record (EHR). Electronic health records are a patient’s paper chart in a digital format. It always contains real time information and can be easily accessible. With EHR put into act, it has the ability to electronically view and share a patient’s medical history, past and current medications, immunization dates, any diagnoses or allergies, as well as testing and lab reports. It is also used to document and store data, in addition with many more abilities. It is important to understand the purpose, application, challenges, and advantages of an electronic heath record. In order to get a greater understanding of its use, we will use a private family medicine practice as the foundation for implementing the EHR.

In order to eliminate the inefficiencies witnessed in many public and private hospitals that serve a number of patients, an integrated approach to handling the daily workload is necessary. There is need for all departments within the hospital to work closely together in ensuring more effective and efficient service deliveries. In this paper, a planned change is going to be carried out involving designing a new system that incorporates all the departments within the hospital. This includes the surgery department, pediatrics department, dentistry department, nursing department, pharmacy departments, laboratory and testing department, X-ray and Physiotherapy departments, Equipment maintenance and Engineering department, Information Technology

Electronic health records were a technological advancement in the healthcare industry in which paper patient record’s became digital. The transition from paper to digital charting allowed easier, quicker access to patient information for those who were authorized to do so. EHRs are secure and protected with username and password access only. It contains information such as patient medical history, procedures, diagnoses, medications, labs, tests, and treatments. Healthcare professionals and organizations who are authorized to access a patient’s electronic health record can do so at ease via a secure network or online database (HealthIT, 2013).

Hourly rounding is usually performed every hour during the hours of 6:00 a.m to 10:00 p.m. and every two hours between the hours of 10:00 p.m. to 6:00 a.m. (Hicks, 2015). When doing the hourly check on the patient, it is important for the nurse or nurse assistant to focus on pain, potty, position, and proximity of personal possessions. These four concepts are known as the four p’s of hourly rounding. Communication is a key factor not only between nurses but between nurse and patient, therefore many hospitals have what is known as a “whiteboard” in each patient’s room. This whiteboard allows the nurses and patient to communicate about rounding preferences such as positioning and comfort measures, this whiteboard allows for these preferences to be seen by the entire healthcare team (Halm, 2009). The whiteboard in the patient’s room tend to increase the patient’s and family satisfaction by allowing them to see needed information while keeping them up to date on any changes that have been made throughout the course of the hospital stay.

Patient fills out and signs new patient registration forms. Copies of I.D. and insurance cards are made.Create encounter form and new patient chart.

Today, there are a lot of changes in technology in almost all the sectors of the economy in the world. Everything is undergoing digitization. Even medical field today uses the electronic forms making claims in the hospitals. Most of these types of machines are first, reliable, efficient and also can handle large volumes of data. For this reasons, the Medicare left the use of the paper to make claims. Papers also may get lost or also someone may easily alter their contents compared to the electronic means

Healthcare can be known for a complex industry. Every day is a new day facing complicated clinical administrative transactions with electronic medical records and safety? Health Information technology is suppose to realize errors using electronic medical records. Leaders must understand the complexity and safety issues in order to help mandate electronic medical records with design, development, implement and use. In the last decade, this article has informed executives, clinicians, and technology. Their main focus was on these three areas computerized physicians order entry. Their main focus was to work all three areas computer physician order entry, computer decision support system,

A significant, impactful trend on healthcare organizations (HCOs) is the implementation of technology-based information systems (IS). The systems consist of hardware and software used in gathering and processing data that supports the provision of patient care. There are administrative systems, which have been in place for decades and their usefulness are highly recognized. They track services rendered, billing processes used for third party payers and patients, as well as payroll for employees. Administrative systems are essential for the financial component of a business. More recently, the importance of clinical information systems has moved into the spotlight. They are intended to

In Stage 3, enhancements to the UMUC Family Clinic business process will be proposed by recommending HIT (health information technology) solution, consisting of a certified EHR (electronic health system)/EMR (electronic medical records) system. Once this system is implemented, it will immediately improve the current process. Customer complaints are high, and the focus is on the long wait times and redundant processes when a patient arrives to be checked in. Moreover, some nurses are not readily available, because they are preoccupied with other administrative duties within the practice. Inconsistent record keeping practices lead to additional time searching for patient records. A HIPPA violation may be detected if a patient’s record is misfiled or lost; henceforth, creating a need for supplemental time and possible duplication of another medical record may be required. This process can be greatly improved by the HIT solution using a terminal loaded with the EHR solution. This will allow patients the ability to enter all of their health record information upon their arrival and that information will be instantly available to the nurses and doctors. This process will also give the patient the opportunity to validate the information and make any necessary changes (benefit information, addresses, phone numbers, and medications).

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

As being the director of continuing care service at St. Timothy’s Health Care System. Which is a multilevel system consisting of an array of acute and long-term services. My goal is to develop an information system that will track client’s overtime and place. This system will also help track clinical, financial and management purposes.

Overall, the purpose of this paper was demonstrated the development of electronic health records and clinical documentation that is used by healthcare practitioners to provide the quality care. The Clinical Documentation has focused on providing care to patients and sharing patient information between healthcare providers and patient medical record to track their conditions. Essentially, future technologies will reduce the dependence from medical paper based industry to use fully an electronic clinical documentation and significantly contribute to these changes and assists health practitioners in meeting professional and organizational goals. This will provide a more efficient infrastructure, and it would be more beneficial for health care when the technology advances, which is helpful towards all patients, the care teams, and health care organizations.

These hospitals are using the manual approach of relating with consumers as will as payers. Remittance to providers and disburse paper checks is prone to errors, costly and time consuming. It is required of payers to adopt the standardized electronic healthcare transactions according to the regulatory mandates. Electronic funds transfer (RFT) and Electronic Remittance Advice (ERA) are the recommended digital healthcare transactions that would reconcile the crisis at hand and reduce the administrative costs.

For a medium-sized urban hospital with 160 beds and 1,500 associates to be able to gain the trust and confidence of patients and compete with mega-hospitals in the healthcare industry, the management of the hospital would have to explore new technologies that would enhance the quality of services and patient care rendered to customers. Further, to ensure that all the departments in the hospitals such as ICUs, mother & baby, emergency services, radiology, oncology, surgery, and operating room (OR) would have to function efficiently and improve the patient experience. New EMR application would improve the security of patient’s information and ensure timely retrieval of medical records such that the quality of diagnosis would be enhanced significantly. As the IT director, it is my responsibility to make sure that the hospital system has a robust IT network that would enable efficient information flow within

Papers based systems work but are time consuming. The paperwork burden in hospitals is obvious. Unlike just about every other industry, health care still relies on an old-fashioned paper/fax/phone transaction process. These paper based systems