Information Officer Of Imperial College Nhs Trust

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.

Healthcare and health information technology (health IT) are undergoing transformative change at an unprecedented pace. Strategic planning has become a major discussion point among CIOs, CTOs, CMIOs, and IT Directors. Whether it is implementing enterprise-wide electronic health record (EHR) systems, working toward compliance with the “meaningful use” EHR Incentive Program, enabling patients’ involvement through PHRs, transitioning to ICD-10, establishing insurance exchanges, becoming an accountable care organization, or even deploying a medical home, healthcare executives are confronted with a confluence of high-priority initiatives.

After decades of paper based medical records, a new type of record keeping has surfaced - the Electronic Health Record (EHR). EHR is an electronic or digital format concept of an individual’s past and present medical history. It is the principle storage place for data and information about the health care services provided to an individual patient. It is maintained by a provider over time and capable of being shared across different healthcare settings by network-connected information systems. Such records may include key administrative and clinical data relevant to that persons care under a particular provider. Examples of such records may include: demographics, physician notes, problems or injuries, medications and allergies, vital

Two organizations migrating to a common health information system would need a system that meets current regulatory requirements, meets the needs of the combined organization and their practice environment. The implementation of a common health information system would require an interdisciplinary group of forward thinking innovators, and an interoperable electronic medical record system that includes standard nursing terminology.

Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system.

Most IT departments agree that less is more in the grand scheme of systems to maintain, manage and administer. This recommendation follows that

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

A wave of medical errors and patient deaths caused by healthcare providers renewed the search for a viable EHR system in 2000. Electronic health records would allow "providers to make better decisions and provide better

“… longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting”. Included in this information are patient demographics… reports. The EHR automates and streamlines the clinician 's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter, and related activities directly or indirectly via interface—including evidence-based decision support, quality management, and outcomes reporting.”(GAO, 2010)

OSF Healthcare is growing at such fast rates, that soon it will be the largest employer in Central Illinois. Currently, my department supports 11 hospitals concerning their electronic medical record (EMR) system. The responsibilities include building the training environment, maintaining the live environment, training and certifying the credentialed trainers (CT) for the applications, developing the education materials for the trainers to use and communicating with every credentialed trainer throughout OSF to ensure that everyone is aware of changes and issues with the system. Through the findings, it became abundantly clear that everyone in the department was working towards the same goals, just using multiple routes to get there. Several people were reinventing the wheel without even realizing it, CT’s were getting conflicting information and every time an orientation class came through they were receiving different information than the class before them.

The activities that can be identified are physician engagement, clinical staff engagement, electronic monitoring systems and improvement infrastructure. The obstacles I see we will face are motivating the staff to comply with new policies and technology. Also, we need to ensure we are bringing a good EMR system into the organization prior switching. I believe we can overcome these obstacles by bringing trained consultant on the software to help educate the staff/physicians to help them feel more comfortable with the

The rapid development of technology is directly impacting the design and direction of the EHR. As medical devices are smaller and more user friendly, patients are being involved in reporting and this will be incorporated into the EHR. In addition to technological changes, EHRs have evolved in relation to consumer needs. Originally the EHRs were focused

Other healthcare organizations have integrated the design of healthcare technologies within the organization. For such organizations, the CIO takes part in the analysis and assessments of the proposed healthcare information technology (HIT) applications. The CIO further manages the development, design and implementation of the HITs. In addition, healthcare organizations are rapidly acquiring HITs. Therefore, there is an increasing need to train the healthcare staff to ensure they can use the systems. The CIO, therefore, plans and supervises the development of training methods for the management and technical staff on the use and possible maintenance of the HITs (Tan, Payton, & Tan, 2010).

Electronic health records (EHR’s) have many advantages, but there are plenty of disadvantages. EHR’s were created to manage the many aspects of healthcare information. Medical professionals use them daily and most would feel lost without it. Healthcare organizations were encouraged to adopt EHR’s in 2009 due to the fact that a bill passed known as The Health Information Technology for Economic and Clinical Health Act (HITECH Act). “The HITECH Act outlines criteria to achieve “meaningful use” of certified electronic records. These criteria must be met in order for providers to receive financial incentives to promote adoption of EHRs as an integral part of their daily practice”, (Conrad, Hanson, Hasenau & Stocker-Schneider, 2012).