Effecting Change Information Technology: Why is the Healthcare Industry sluggish to upgrade their Hospital Information Technology Systems?
John Iskarous
Health Rights/ Responsibilities – HSM542 Prof. Gomillion
DeVry University, Keller Graduate School of Management
February 22, 2013
Table of Contents
Abstract 3
Background 3
Define The Problems 5
Privacy and Security Concerns 11
High Level Solution & Suggestions 13
Problem Analysis 15
Solution Implementation 17
Business Process Changes 18
Technology/Business Practices Used to Augment the Solution 21
High Level Implementation 22
Justifications 24
References
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This affects the delivery of healthcare in that the information needed by providers, physicians, medical staff, and the patients themselves, may not be delivered correctly, timely, and of course securely. Various systems will be discussed and each how they affect healthcare delivery, in particular Electronic Health Record (EHR), Electronic Medical Records (EMR) and Computerized Physician Order Entry (CPOE) (also sometimes referred to as Computerized Provider Order Entry).
Electronic Medical Records (EMRs) are a digital version of the paper charts in the clinician’s office. An EMR contains the medical and treatment history of the patients in one practice. EMRs have advantages over paper records. For example, EMRs allow clinicians to: * Track data over time * Easily identify which patients are due for preventive screenings or checkups * Check how their patients are doing on certain parameters—such as blood pressure readings or vaccinations * Monitor and improve overall quality of care within the practice (Garret and Seidman, 2011).
But the information in EMRs doesn’t travel easily out of the practice. In fact, the patient’s record might even have to be printed out and delivered by mail to specialists and other members of the care team. In that regard, EMRs are not much better than a paper record (Garret and Seidman, 2011).
Electronic Health Records (EHRs) do all those
It is no secret that the medical profession deals with some of population’s most valuable records; their health information. Not so long ago there was only one method of keeping medical records and this was utilizing paper charts. These charts, although still used in many practices today, have slowly been replaced by a more advanced method; electronic medical records or EMR’s. “The manner in which information is currently employed in healthcare is highly inefficient, which slows down communication and can, as a result, reduce the emergence and
There are a number of factors that contribute to the impact of the nursing shortage.
Why would anyone consider Physician-Assisted Suicide (PAS)? It’s a scenario that’s seen all too often—a chronically ill woman is suffering in severe excruciating pain daily and feels like she’s become a burden to her family, a lonely man is suffering with a life-limiting illness and has no family to offer any care or support to him. These individuals have lost their independence and feel like they have no quality of life left to live.
There are multiple problems that have to be solved. The first problem is that Obama care is focusing on making sure everyone gets health insurance. First of all, you do not want anyone to force you to get something? No! Because you know what is right and wrong for you. Obama care is a force and I think everyone can make his or her own decision if they want insurance or not. From my own opinion, I think the only solution to this problem is to let people decide if they want to enroll or not. From this, money will be saved and people can decide for their best in health decision. If we all make a change to the issue, I think the society will be happier.
Promote quality of care using and developing clinical analysis of performance as it relates to risk adjustment and quality data. Influence present model processes and design/implement new programs to improve clinical
Storage space dedicated to paper charts can essentially be eliminated once the transition to an EMR system is complete. Also, staffing for filing and retrieval for a patient files and the need to purchase paper based supplies is substantially reduced or eliminated. Once widespread use of EMR is in place and the transition is completed, it will become easier to build longitudinal patient records, and gather broad-base epidemiological and efficacy data, improving the quality and efficiency of health care
Computerized physician order entry (CPOE) systems allow physicians to directly enter medical orders into the system (e.g. ordering medications, laboratory testing, diagnostic imaging and any other treatment plans available within the system). This is to eliminate the potential medical errors caused by the physician poor handwriting. Health Information Exchange (HIE) allow physicians, patients and other healthcare professional to appropriately access and securely sharing patient’s medical information electronically. Electronic health record (EHR) systems provide many new ways to use patient information to ensure that patients are receiving the best treatment by adhering to medical “best practices”.
We live in an age where everything is somehow intertwined with technology. In the health care setting technology has been put in place to help nurses and physicians limit their errors as well as become more efficient at taking care of the patient. There are many advancement which have changed over the years and are still changing. One of these advancements is the EMR, Electronic Medical Records. The EMR has allowed hospitals to move away from paper charting and move on to electronical charting which makes it easier for physicians and nurse to monitor the patient. The EMR helps correlate data and trends a patient has, to understand what needs to be done to better their health as well as if the care plan currently implemented is working. Also, it helps doctors and nurses communicate on different floors and different hospitals easily without having to actually travel to the doctor or nurse to show them a copy of the chart. Therefore, making it effortlessly assessable for anyone who needs to see the patients chart.
The electronic medical record (EMR) is a technological tool that was created for the “long term collection of medical information about patients and populations” (Gunter & Terry, 2005). EMR’s can be established, collected, managed, and referred too by authorized personnel” (Gunter & Terry, 2005). According to the Healthcare Information and Management Systems Society (HIMSS) (2015) you can use EMR’s to “collect demographics, medical history, immunizations, problems/diagnosis, medications, vital signs, laboratory data, radiology reports, progress notes and other relevant patient information/data”.
According to Edward P. Ambinder, MD (2005) The American health care system is preparing for transition into the Information Age, much like other institutions such as financial, supermarkets, airlines and most manufacturing industries. Ambinder says that this transition will facilitate the widespread and universally accepted use of electronic medical records (EMRs), electronic health records (EHRs) and personal health records (PHRs). Before discussing why EMRs should be used, one must first understand what it is and what its functions are.
Electronic medical record Often referred to by its acronym EMR, an electronic medial record is a patients' diagnosis and treatment history and is governed in sue by the HIPAA Act (Wager, Lee, Glaser, 2009). An EMR is often indexed through both department-based and hospital-wide medical systems, and are created using a relational database structure for ease of retrieval and analysis (Saleem, Jones, Hien, Moses, 2006).
An electronic medical record [EMR] is a “computerised record that maintains patients’ health-related data, which is available to be used and accessed, only by authorised personnel, in order to deliver healthcare services within the health organisation” (Hasanain, Vallmuur & Clark, 2014, p. 1). From patient record keeping to administrative reporting and clinical support tools, the extensive functionality of an EMR solution has the potential to fundamentally transform how healthcare services are provided by the hospital (Goo, Huang & Koo, 2015).
The electronic medical record (EMR) is a fundamental advertized as a standard of practice for American medicine in the 21st century. The motivation to use EMRs is driven by the need and desire
Electronic medical record (EMR) can be defined as an electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization. There are two advantages and two issues of EMR in Malaysian Government Hospital that I will discuss in this paper.
Electronic Medical Record or EMR is basically the digitized version of the patient's medical record which might include demographic information, scanned copies of the patients report and any other information that might be collected by the healthcare provider about the patient. With EMR, it is usually collected and maintained by a single entity. The single entity can use EMR for diagnosis of treatment and the diagnosis reports cannot be shared with other entity because EMR are designed not to be shared by outside entity. Figure \ref{emr} displays the visual representation of EMR and EHR within New Zealand. It shows how medical information is collected from various healthcare providers and feeds to the national EHR. EMR are single records that can be accessed and modified by everyone within the practice and can be referred to anything that can be found on a paper chart, such as patients treatments, diagnosis etc.