Integrated Public Healthcare Information System

This case analysis of Stanford’s Hospital and Clinics (SHC) electronic medical record (EMR) system implementation will focus on how the healthcare organization focused on resolving a problem to meet regulatory pressures and responded to an opportunity to create operational efficiency, by capitalizing on the use of information technology to help reduce costs. We will discuss the organization’s IT problems, opportunities, and the alternatives available to address each. We will summarize an analysis of potential alternatives including the organization’s EMR system of choice and conclude with a recommendation to the Board on how to rollout the new system.

There are many essential features found in a heath information system that are designed to protect patient privacy. For starters, at this candidate’s organization, every login is specific to an individual nurse and the

The high cost of healthcare continues to rise and many in the United States are optimistic for health information technology to reduce and improve our current situation. Health IT encompasses a broad array of new technologies designed to manage and share health-related information. When properly implemented, these systems can help coordinate patient care, reduce medical errors, and improve administrative efficiency. Therefore, implementing a Regional Health Information Organization (RHIO) will help the National Health Information Network (NHIN) achieve their goals in improving quality of care for the citizens of the United States. Thus, in order for the health IT to deliver on its promise, several obstacles must be overcome.

The purpose of this paper is to review and summarize the literature on the pros and cons of electronic health record systems. This paper describes the many benefits of electronic health record systems, which include but are not limited to, less paperwork, increased quality of care, financial incentives, and increased efficiency and productivity. Organizational outcomes and societal benefits are also addressed. Despite the tremendous amount of benefits, studies in the literature highlight potential disadvantages of electronic health record systems. These disadvantages include privacy and security concerns, identity theft, data loss, financial issues, and changes in workflow, involving a temporary loss of productivity. Preventative measures that can be taken are addressed as well. Overall, people believe that the benefits of electronic health records can be realized when they are used correctly, and proper measures are taken to reduce any potential drawbacks.

There are many problems that could arise from a patient’s information landing into the hands of a stranger, a boss, an enemy, or any other individual that does not have permission to view that information.

Grand Hospital was an early proponent of incorporating a health care information system (HIS) at its facility. Computerized clinical data may be stored in aging systems used in proprietary formats which may be difficult for other systems to access. The use of proprietary programs may lock customers into using only specific information systems. Grand Hospital’s HIS is a proprietary system that may not to be able to interact with other programs.

There are three major ethical priorities for electronic health records: privacy and confidentiality, security, and data integrity and availability. The key to preserving confidentiality is making sure that only authorized individuals have access to information. The process of controlling access begins with authorizing users. The user’s access is based on pre-established, role-based privileges. Hence, designating user privileges is a critical aspect of medical record security: all users have access to the information they need to fulfill their roles and responsibilities, and they must know that they are accountable for use or misuse of the information they view and change.

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

In 2004 president George Busch announced the goal to mandate electronic health records for every American by 2014. This would require every paper chart to be converted to electronic chart so that health care providers and the patient themselves can access their information through the internet (Simborg, 2011). The purpose of developing the EHR is to provide appropriate patient information from any location. Also to improve health care quality and the coordination of care among hospital staff. To reduce medical error, cost and advance medical care. Last to ensure patient health information is secure (DeSalvo, 2014) The Department of Health and Human Services appointed the Office of the National Coordinator for Health

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

Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving

United States has a long intensive history in the healthcare industry. The health information services has been estimated to be around since 1928. The American College of Surgeons wanted to improve the quality of records that were being created in the clinical settings and still trending today due to new technology advancements of organizing health records. “Health information management is a combination of business, science, and information technology. These professionals are managers: experts in processing, analyzing and reporting information vital to the healthcare industry, respected staff members who interact daily with the clinical and administrative staff, all of whom depend on health information to perform their jobs” (Medical,1). The development of healthcare management as a career has largely pursue the development of medical science and the growth of hospitals in the United States. In the 1920’s healthcare professionals concluded that documenting a

Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.

In a world full of electronics it would only seem logical to have health records electronic. Not only are medical records efficient, reliable, and quick to access, new technology allow patients to access their own personal medical records with a simple to use login and password. “People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no”(Thede, 2010). At my hospital, upon every admission we ask the patient for a password for friends and family to have to have if they would like an update on the patient 's condition. We do not let visitors come up and see the patient without the patient 's consent. In doing these things, we help to ensure the safety and protection of the patient 's health information and privacy.

In light of available security measures and their widespread acceptance within the information security community, there is no excuse for healthcare organizations to fail in fulfilling their duty to protect personal patient information. Guaranteeing the confidentiality and privacy of data in healthcare information is crucial in safeguarding the data of patients as there should be a legal responsibility to protect medical records from unauthorized access.