Medicine : Patient Information Management

The Clinical Documentation Improvement (CDI) has emerged as the most vital drive for overcoming the issues associated with maintaining a complete and good sound medical record in the U.S healthcare system. The main focus of CDI is to enhance clinical clarity of the health records which usually involves the process of improving the medical/health records documentation in order to promote effective patient outcome, data quality measures and accurate reimbursement for services and care rendered. For a medical record to be meaningful and mirror the scope of treatment and services provided, it must be accurate and meet the established guidelines set forth by the governing bodies such as the Centers for Medicare and Medicare.

Statins are also another type of medication prescribed if you have a high blood cholesterol level, this lowers cholesterol. This medicine blocks the formation of cholesterol and increasing the number of LDL receptors in the liver, which helps remove the LDL cholesterol from your blood. This helps slow the progression of CHD, and will make having a heart attack less likely. However, not everyone is suitable for this medicine.

Due to the large number of consumers being prescribed multiple medications, and the complexity of managing those medications, it is of a major safety concern that systems are in place for clinicians to reconcile patients medications to resolve any discrepancies in what the patient is using, or should be using, and newly added ones.

Health information technology or HIT is a huge part of the dashing changes in how medications are prescribed, dispensed, and administered by using technologies electronic devices to share and manage patient information, instead of doing it the old fashion way which was over the phone, having all patients’ records and files on paper, and using the old fax method. Everything is computerized, from managing the

Encourage the use of computer-generated or electronic medication administration records. Plan for the implementation of computerized prescriber order entry systems. Consider the use of machine-readable code (i.e., bar coding) in the medication administration process. Use computerized drug profiling in the pharmacy. Be a demanding customer of pharmacy system software; encourage vendors to incorporate and assist in implementing an adequate standardized set of checks into computerized hospital pharmacy systems (e.g., screening for duplicate drug therapies, patient allergies, potential drug interactions, drug/lab interactions, dose ranges, etc.)”. (Association,

People tend to keep private information private as the consequences of such information being exposed are dire. Identity theft being one of the main concerns. Sometimes, it depends on the type and severity of the medical condition. In extreme cases, this could lead to public isolation. There are exceptions to this. Highly communicable and contagious diseases need to be disclosed beforehand for prevention.

The new federal healthcare laws are now requiring clinics and hospitals to focus more on medication reconciliation. This is an improvement, but it will take a combined effort of healthcare providers and patients to make this successful. Another helpful application is the creation on the Prescription Monitoring Database. This database has been created in the effort to allow healthcare providers a resource to simply key in some of their patient’s basic information, such as name and date of birth, and review a patient’s prescription medication history particularly narcotics. While this database is not completely “fool proof”, it is a concerted effort in the battle against prescription drug

Unless the technical and political issues that have been affecting the Healthcare.gov website to malfunction are controlled and driven out, the new “Obamacare” will become a high cost and frustration for consumers to use. To date consumers in St Louis and the Metro East along with the rest of America, have not been thrilled with the Health Insurance Marketplace website at healthcare.gov, which is the initial step towards the new Patient Protection and Affordable Care Act (PPACA). The site has been choked with enrollees trying to meet the December 15, 2013 deadline, which is necessary if they want coverage that begins January 1, 2014. Open enrollment ends March 31, giving inadequate time to prepare for the major changes ahead in access to

There are many components that required to building a successful framework for a new health information system. Some of these components include (1) better patient experiences through quality and satisfaction; (2) better health outcomes of populations; and (3) reduction of per capita cost of health care (Feldman, 2014, para. 3). Other designs include several levels of abstraction including mechanical (hardware), informational (software), psychological (person), and social (community). Such an inclusive approach is aimed at understanding interdependent linkages between increasingly complex social and technological components. Working together, these components consider social motivations and accomplish a set of social goals that otherwise

The Electronic Health Record, or EHR, is used throughout the medical field. The EHR systems are a collection of patient health information that is stored in digital format, and can be shared electronically with all health care settings. The Electronic Health Record contains information regarding a patient’s health visit; everything that has been done during that visit is recorded in the EHR system along with the patient’s health insurance information. A patient 's lab test results, there is also a medication list that shows what is currently being prescribed and what medication has been taken in the past, immunizations, medical histories and demographics are also stored in the EHR system (www.healthit.gov, 2016). The Electronic Health

Patient S.G. is a 67-year-old female who came to Lutheran on March 28th. This patient’s pennant history has to do with the reason for her admission of a red swollen left leg. This patient has a fibromyalgia, had ovarian cancer 15-20 years ago, Arthritis, chronic back pain, psoriasis, MRSA infection in 11/5/2014, Uterine cancer, Type 2 diabetes, and peripheral neuropathy.

Health care practitioners that are licensed using these prescription drugs in ensuring that the injured or sick person receives the most appropriate treatment. The last decade has experienced some significant transformation in the health care, and this can be accorded with the relevant advances that have been gained in the pharmaceutical therapies. As a result, significant advances in how diseases are managed, prevented, or cured have been achieved with reference to the prescription drugs identified (Hamric, Hanson, Tracy, & O'Grady,

The utilization of prescription drug has increased in recent times. The availability of these medications has resulted in the treatment of numerous infections and ailments. These drugs alleviate chronic pain, depression and anxiety, sleep apnea, and much more. For an efficient health system, the main goal is to provide quality health care to all patients. However, over the years, there have been many legal and health controversies over drugs and the effects that they have on the body. The process of prescription drug starts from a lab and ultimately sojourns with the end-user. The drugs undergo testing and are often developed to treat a specific disease before being reviewed by the Food and Drug Administration (FDA).

Unit 9 give me more insight on the important of the use of clinical and patient portal. The case study proved the advantages in the use of Health information technology and it also show how effective are the use of healthcare information Application in healthcare organization setting. Yes I enjoy the case study, because, the case study is the overall summary of all the units that was covered in the class. It also enable me to know how some of these healthcare application are used in the real world scenario. There is nothing to share with you at these time.

Health Informatics created two main categories such as clinical and administrative information systems to meet the needs of one or more department within the health care organization. For the clinical information system, it is set to meet the needs in improving patient care. Therefore, the clinical information system (CIS) categories provide nurses information systems (NIS) that support the way nurses documents the care that given to the patients. However, to improve the delivery of nursing care, the healthcare organization must adopt a computer system that can successfully incorporate tools that will benefit nursing. There is two vendors’ software that implies these characteristics for the