PHR Reflection

In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.

* Must ensure people are informed about how and why information is shared by those who will be providing their care.

Value the rights of patients to whom you will need to obtain and use their health data to collaborate in their own care with other clinicians and physicians.

Quality patient care requires the communication of relevant information between health professionals and/or health systems. Healthcare professionals who regularly work with patients and their confidential medical records should contribute to the development of standards, policies, and laws that protect patient privacy and the confidentiality of health records/information.

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

As a carer or healthcare provider, some of our obligations are to make sure that information is: utilized reasonably and legally, utilized for restricted, particularly expressed purposes, utilized as a part of a way that is sufficient, applicable and not unnecessary, accurate, kept for no more than is totally fundamental, handled by information insurance rights, kept protected and secure and not exchanged outside the UK without sufficient insurance (Walsh, 2011, p.88).

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

As stated before, protecting patients’ privacy must be part of the day-to-day work of the

Accreditation is a major component of quality improvement in the health care field. If accreditation is to remain an important part of quality improvement, there will need to be a few changes in the system. In order to prove that accreditation will ensure accountability to the system, it will need to evolve in response to the market and adapt to constant changes in the healthcare system. One of the future changes that accreditation could improve on is proliferation of new products and services, (Ransom, 2008). The fast dissemination of electronic and administrative data have given the freedom to practice ambulatory care and ancillary services, this is something that accreditation does not take in to consideration. In addition, accreditation

This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the

Their duties include planning the information system, developing the health policy to suit this system and identifying the present and future information requirements. These professionals use informatics to collect, store, use, and transmit information in such a way that the expert, legal, and organizational record keeping needs of the healthcare institutes, are met. They also ensure appropriate collection, management and application of information within the healthcare system for purposes of effective detection of health problems and for identifying inventive solutions to improve health outcomes.

On 1/18/17 we met with Dr. Pelshaw PMR for an initial evaluation. I had reminded Ms. Edwards of the appointment in the morning along with the location. She was 25 minutes late for the appointment. I was told normally Dr. Pelshaw will not see patients even 1 minute late. I explained the severity of his injury and Dr. Pelshaw agreed to see us. The recent Rainbow team meeting was discussed along with concerns about impulsivity, poor concentration, difficulty sleeping, urinary frequency and constipation. Dr. Pelsahw said he felt that the constipation is causing the frequency. Ms Edwards said he has not had a bowel movement for a long time, Miralax was added. For the concentration and impulsivity Dr. Pelshaw added Depakote and Concerta.

Privacy and confidentiality are basic rights in our society. Safeguarding those rights, with respect to an individual’s personal health information, is our ethical and legal obligation as health care providers. Doing so in today’s health care environment is increasingly challenging (OJIN, 2005).

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