Leman Healthcare Executive Summary

One of the issues with the electronic systems in health care for MU is the ability to retrieve laboratory results during a patient’s visit. In 2013, Hinrichs and Zarcone reveal that over 70% of medical decisions are determined by laboratory results. In 2007, AU Health implemented Cerner Millennium PowerChart that displays clinical data to improve the point of care for patients. With the PowerChart solution, the patient’s information can be easily verified, vital signs can be entered, and family history can be updated. The Affordable Care Act (ACA) signed by President Obama in 2013 places emphasis on expanding insurance coverage of medical care for everyone. As part of the ACA, the improvements in the way these results are exchanged and transmitted will add value to quality, safety, efficiency of health information (Hinrichs & Zarcone, 2013). The transmission and availability of EHR affect how other health professionals send and receive information at the local, state, and national levels.

Healthcare has evolved over past decades and continues to remain an issue of concern for individuals everywhere. Effectively managing data is important to improving the performance in the health care system. Accumulating, evaluating, deciphering and acting on data for particular performance measures allow health professionals to identify shortcomings and make the necessary adjustment, and track the outcome.

Updating and maintaining the accuracy of records and reports is vitally important for any care setting. The information in records or reports could be about an individual who is being cared for in our workplace, a relative or friend, or it could be about the organisation itself, about of for someone who works there, or for administrative purposes. The information could come to us in different ways: verbally- in a conversation or on the phone; on paper- in a letter, an individual’s health record, instructions from a health

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

Bates, D. W., M. Cohen, L. L Leape, J. M. Overhage, M. M. Shabot, and T. Sheridan.

1). Decision making by healthcare professionals is based on the assimilation of data, information and knowledge to support patient care. Organizing data, information and knowledge for the processing by computers is accomplished through the use of information technology and information structures (Newbold, 2008). The first level is data which “…are recorded (captured and stored) symbols and signal readings” (Liew, 2007, Definitions). Data is bits of information though to just have data is not meaningful to decision making. The second level is information which is organized, interpreted and communicated data between machines or humans. “Characteristics of quality information are: complete and clear in its descriptions, accurate, measurable, preferably by measurable objective means such as numbers, variable by independent observers, promptly entered, rapidly and easily available when needed, objective, rather than subjective, comprehensive, including all necessary information, appropriate to each user’s needs, clear and unambiguous, reliable, easy and convenient form to interpret, classify, store, retrieve and update” (Theoretical issues, 1998, Concepts). Knowledge is the third level of the model and is the collection of information that is obtained from several sources to produce a concept used to achieve a basis for logical decision-making. The information needs to be

Unfortunately, physician's perceptions are not objective outcome measures (Schenarts and Schenarts, 2012). It’s very dangerous the fact that providers rely on the electronic system to catch our errors. Furthermore, some of the most notable benefits of EHR include providers’ ability to access patients’ medical history almost anywhere, at any time. Nonetheless, the heavy reliance on health information technology is a major concern. It has the potential to cause harm to patients instead of the intended purpose of patient safety. Some examples of this include latent errors that do not manifest until they have already caused harm to the patient, or system failures which can cause a delay in time for healthcare professionals to review records thus, causing a delay in patient care. In addition, patient orders can be lost or miscommunicated. Healthcare providers rely on with confidence that the computer system will seamlessly promote the quality care of patients. According to Fiercehealthcare.com (2017), because of deficiencies in the eclinicalworks software, patients could not rely on the accuracy of their medical records. In addition, one patient was

On average, the guides took 27 minutes to complete. As the results indicate, Hospital A has not implemented some of the recommended practices in the following guides: Computerized Provider Order Entry with Decision Support, Patient Identification, and Test Result Reporting. The total number of these practices are 16 which accounts for 10% of the total recommended practices. Also, there is a number of practices that has been implemented partially in some areas in hospital A. These practices fall into the following guides: Computerized Provider Order Entry with Decision Support, Clinician Communication, High Priority Practice, Organizational Responsibilities, and system interfaces which account for 11% of the total recommended practices. The only guides that hospital A is fully complied with are Contingency Planning and System Configuration guides. The total number of practices that have been fully implemented across all guides is 125 which represent 79% of the total recommended practices.

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

Quality and Safety has been recognized as important issues in creating the delivery of effective and responsive health care. To improve Quality and Safety the leader must analyze data and interpret the information to develop a system for clinical performance by motivating, supervising, and develop a problem solving approach to deal with system of medical errors. The purpose of this paper is to inform the reader of the role of the leader in evaluating data to improve

The Computerized Provider Order Entry is effective program to help organization improve quality measures and financial margins. The CPOE is effective program; which monitors a hospitals current performance and calculates methods of improvement. For example, Trinity Hospital a leader in clinical intelligence to track and report across it members hospitals on systems wide quality measures (Balgrosky, 2015). The Clinical Provider Order Entry will help patients compare programs graded by the Center for Medicare & Medicaid and Hospital Quality Assurance. This program will further enhance the patient-centric model because patients will have comprehensive comparison of hospitals to make informed medical decision as to where they would like to receive treatment. The quality measures monitor readmission, complications, patient’s experience surveys and other categories. Patients are interested in receiving health care in top-notched care facilities that address their needs. Consumer needs are very important because translating into referrals by word-of-mouth or rankings. Technology plays a major role in an organization's success with supports Judy Murphy idea of enhancing patient’s health information technology

The variation in information needs across any healthcare provider organization forces healthcare information technologies (HIT) platforms, systems, processes and procedures to align its design to support the unique information needs of each department and role. The greater this alignment of HIT systems and technologies to specific administrator, doctor, nurse and lab technician roles, the higher the level of overall systems performance and results attained (Agrawal, Grandison, Johnson, Kiernan, 2007). Just as an enterprise has strategic information needs that help to define the future direction of the business, healthcare provider organizations also have a comparable set of strategic information needs. The administrative roles in healthcare providers need to have a consolidated view of the organization from a cost, quality management, service level, patient recovery rate, patient satisfaction and profitability standpoint as well (Middleton, 2005). All of these factors are often gathered together in a dashboard that administrators often rely on to manage the core areas of their healthcare business (Leung, 2012). Administrator's information needs are also longer term in nature and more oriented towards the development of strategic initiatives that will last several years, requiring

In today’s medical field technology plays a big role when it comes to patient care. Technology is huge when it comes to giving the patient the best type of quality care when they are in the hospital. In the old days people would just write it down on a sheet of paper and record it by hand, which caused mistakes. Now with the Electronic Health Record those mistakes are drastically declining. Statistics have shown that using the Electronic Health Record has lowered Nursing mistakes as well as improved patient care. Our society has progressed through the years and has been introduced with the Electronic Health Record which has drastically improved our health care system. The Electronic Health Record provides great communication between

Inevitably, health information systems (HIS) affect both patient care and documentation. Consider the following scenario. A patient with hypertension schedules routine appointments with his primary care physician. At every appointment, the nurse documents the blood pressure reading along with the most updated list of medications that the patient is currently taking. After

Having a single view of the patient and their treatment and recovery plan is invaluable in ascertaining which are the most and least effective tactics in treatment. The 360-degree view of the patient and the many processes supporting them is crucial for increasing the accuracy, effectiveness and performance of treatment programs over time (Blakeman, 1985). Computerized management systems are critical for organizing, analyzing and translating the massive amount of data captured on patients, treatment and recovery processes, and the use of supporting IT systems to optimize patient health and organizational provider performance (Peshek, Cubera, Gleespen, 2010). The ability to aggregate and intelligently use all available data, information, patient-based and process-generated data to deliver higher levels of quality care is possible when computerized management systems are used throughout healthcare organizations.