Medhost MU Stage 2

The health care market has expanded over the past few decades and diverse healthcare providers have tried to expand their market share. However not everyone is looking to provide the best care available for their patients. This is why tools like the Hospital Comparison website collects data from multiple hospitals and publishes them to the public. The free tool tries to empower patients and at the same time encourages quality of care. Patients now have the power to seek and choose the best care available.

The identified barriers are financial cost, physician and organizational resistance due to low computer literacy skills and disturbance of workflow caused by CPOE systems. The resistance can be overcomed by strategies such as strong leadership, providing trainings, addressing workflow concerns and advocating related policy changes. (Poon, Blumenthal, & Honour et al. 2004). Currently, Canada Health Infoway ( 2016) has promoted CPOE implementation among health care organizations across Canada. For example, North York General Hospital in Toronto has partnered with Canada Health Infoway to develop CPOE systems and share the order sets freely ( Zeidenberg, 2013). With public awareness of the CPOE gradually increasing, now most physicians recognize the positive impact of using CPOE system to improve patient safety , and they are willing to accept the application (Jung, Hoerbst, & Massari, et al. 2013).

The CPOE system failed due to lack of provider by-in. The use of the Medical Informatics Directors Working Group (MIDWG) will help to establish appropriate ownership and control over the process, as well as deliver a design workflow process and order sets that will be accepted and used by the medical staff.

This Stage 1 started from 2011-2012, its objective dealt with data capture and sharing, these sheets are providing these services to assist professionals and hospitals understand the requirements of each objective and demonstrate meaningful use success. This stage also allows qualified providers to receive their payment after fulfilling nine core objectives and one public health objective. The second stage of the Meaningful Use is Stage 2 started in 2014; it dealt with the advanced clinical processes. This Stage introduces new aims and measures, as well as higher entries; it also required health care providers to prolong EHR capabilities to a greater portion of their patient populations. The last stage of the Meaningful Use is Stage 3, this Stage it still in a building phase. Its objective will be focusing on improving quality, safety, efficiency, and leading to improved outcomes. Even though the details of this program have not been finalized, Meaningful Use Stage 3 will work to make the program easier to understand. It will provide the professionals (EPs) and hospitals the ability to exchange and use information between electronic health records, and improve patient outcomes. Based on the current timeline, healthcare providers have the choice to begin Stage 3 Meaningful Use in 2017 but are not permitted to use it until

The stage 1 of the meaningful use includes thirteen core criteria and ten menu set objectives. The first core criteria is the computerized provider order entry (CPOE). CPOE entails the provider’s use of computer assistance to directly enter medication orders from a computer or mobile device. The use of CPOE and the electronic prescription process is a technology that has been found to be helpful in preventing medication prescribing errors in several ways (Mominah & Househ, 2013). Having an accurate electronic patient medication profile will help prescribers and pharmacists review the medication history easily and consequently alert the pharmacist to communicate with the prescriber in case any unexplained change in the prescribed medication to the patient and then conforming the change with the prescriber. Applying CPOE technology reduces medication errors.

The Web Portal could also be expanded to provide outside vendor services such as, Just in Time pharmaceutical replenishment and inventory updates. Just in Time pharmaceutical replenishment will allow the hospital to automatically replenish stock and optimize inventory. The hospital will have to grant access to its database to companies similar to Just in Time, but the rewards for the hospital will be phenomenal. The hospital can cross references the prescription company’s database to ensure that no other medication the patient is taking will have complications for the patients or adverse effects. The system could also recommend alternatives to the prescribe medications to even further

These systems will also help cut down on medication errors by comparing the patient’s to medications or interventions so that it is given to the correct patient. Also documents the care given so there would be no human error in the case of questioning whether care had been given as long as the caregiver documents in the record. These features of the electronic health record are in place to promote patient safety by reducing errors.

Computerized provider order entry (CPOE) is a significant piece of stage 1 meaningful use. CPOE in Power Chart allows for disease specific order sets decreasing the amount of free texting entries and therefore decreasing the incident of errors. Power Chart also interfaces with the hospital

This communication is to inform our fellow team member and most especially the physician groups about the intention of the organization to implement the Computerized Physician Order Entry (CPOE) system. The CPOE application will enable our physician provider to enter order directly into the computer system, the CPOE system will replace the old method of order entry that include, written, verbal order/telephone order, and fax. The CPOE system will enable physician to enter specifications about order such as, laboratory, medication, radiology and special procedure orders. Additionally, CPOE offers some the features of the Clinical Decision Support (CDS) at the point of order entry by recommendation dosage calculations, interactions with other medications, and warning of allergic reaction notifications with alternate medication

Step 5: Achieve meaningful use stage 1: Computerized physician order entry (CPOE) for medication orders. (2015, March 11). HealthIT.gov. Retrieved from

Stage 3 of Meaningful Use is currently underway, as mentioned this stage is to improve outcomes. An option/alteration is that CMS modified the EHR reporting period from the full year to a minimum of any continuous 90-day period during the calendar year and also adopting final policies to allow health care providers to use either or both 2014 and 2015 certified electronic health record technology. Furthermore, the Stage 3 deadline

MU stage 1 involves the acquisition and sharing of data and began in 2011 (Hebda & Czar, 2013). In order to meet MU standards, certain criteria must be met. Hospitals have 14 core requirements plus an additional 5 out of 10 requirements that must be met from a menu set (Hebda & Czar, 2013). Physicians must also demonstrate the use of electronic prescribing, the ability to provide patient lists by condition, and electronic progress notes (Hebda & Czar, 2013). Stage 2 of MU, which began in 2014, involves improved exchange of health information, enhanced requirements for including laboratory results, additional electronic prescribing standards, and an increase in patient access to their data ("How to attain Meaningful Use," 2013). Stage 3 of MU started in 2016 and consists of improving health outcomes through increased efficiency, quality, and safety; clinical

Organizational teams must adjust physician practices and reshape either the inpatient, outpatient or emergency care process because of the constant involvement of nurses, pharmacists, physicians and ancillary staff. Since the CPOE system is one of the most complex and challenging features of the healthcare information technology (HIT), it may involve an increase in the time spent by physicians in order to time spent on order to overcome this barrier. This especially applies to the improvement of patient care and satisfaction because of the exceptional performance of care healthcare providers and physicians provide. The implementation of executive leadership within their organization can become very beneficial to Larry and Emma as the organizational leaders. I believe that there are two major responsibilities that the MSMC must acknowledge. These are ensuring that the implementation of a complete functional EMR becomes successful and that theirs a smooth transition when improving the health information technology system, which may include telemedicine, e-health records, and the exchange of patient information. These are the advancements I would implement if I was in Sarah’s position because it would ensure that their organization would be able to sustain quality care. In effect, this would help the accessibility patient data and increase their

The UMUC Family clinic will transmit data via the Epic EHR system utilizing standards created by NCPDP (National Council for Prescription Drug Programs). NCPDP standards have helped to streamline the pharmacy industry, and because of this they have been able to save saving billions of dollars in health system costs while also increasing patient safety and quality of care. Many of the standards created have been named in federal legislation, including HIPAA, MMA (Medicare Modernization Act),HITECH and Meaningful Use (MU). All of these standards are necessary to ensure standardization of the data being transmitted As the need for new standards arise, current standards are updated, enhanced as well as new standards are created. Below is a current list of standards. As needs are identified, we update and enhance standards or create new ones. The current list of standards includes the following:

Information technology use in HMHP has been implemented in the past few years. The organization as a whole has gone to a system called EPIC that was at first difficult for staff to get used to but now is an asset to the organization. Advances in information technology have introduced new design approaches that support health care delivery and patient education (Demiris et al., 2008). The electronic medication administration record has made it safer for patients when receiving medications in the hospital because of the checks it uses upon administration. Also, the double verification of medication like heparin and insulin help to reduce errors. Physicians entering their own orders and having electronic notes has also made it easier to carry out orders and know what the plan entails. Information technology has also