Patient Admission Process Paper

The emergency department is a general point of entry to a hospital and most frequently visited by those in need of an urgent care issues. The patient’s wait time begins from the moment the patient walks into the emergency department and end by the time the patient leaves the ED. Longer wait time might lead to crowding, complications and distress to the patient and can negatively impact the organization overall quality, financially, and patient relation among other implications. Some of

The United States health care industry is a dynamic industry that is consistently evolving to meet the changing needs of patients. This use of information technology to improve how patients are being managed within a healthcare organization is generating substantial awareness amongst hospitals and physicians. Your CEO hired pClinical Research, LLC to provide a summarized overview on how Healthcare Information Technology (HIT), more specifically electronic medical records (EMR) is impacting the healthcare system. After reviewing this summary, your leadership team will learn how intergrading electronic health records (EHR) within your entire organization will (1) improve patient care management (2) provide financial incentive to your hospital

The Canadian health care system is certainly unique in its features…. Despite, the fact that the Canadian health care system is one of the most evolved in the world, it lacks a sense of an efficiency effective mission, in which would improve the quality and accessibility of health care in the management perspective. In this paper we will analyze current ineffective practices, and alternate methods; in regards to patient information records on a large scale. Thus, by the removal of the traditional paper records in regards to patient information will prove to be an in effective process, calling for a technological evolution of health information by the means of Computerized Patient Records. Through the process of EMR’s the desired target would be to lead Canadian health care towards a future with an integrated delivery system, in which connects health care under one unified system. furthermore, EMR’s will lead to a more effective and efficient patient care. And lastly the introduction of the system would lead to a more effective allocation of resources in health care, thus looking at the cost in relation to the benefit. Thus the introductions of Computerized Health Records on a large scale would relive the financial and derivative stress on the health care economics, and system, and in so doing the use of EMR’s would strengthen the nations productivity

Quality is something that many medical care institutions have advocated for. With the innovation of Electronic Health Records, healthcare facilities as well as institutions were consumed with the concerns of how medical records were being handled. Currently there are many national organizations as well as some of the government agencies who are trying to pursue the cause of quality and patient safety (GAO, 2010). Although, Electronic Health Records are presumed to bring quality to the way healthcare data is being handled,

The presence of Emergency Department (ED) crowding, and long boarding times, hinders its ability to provide the quality and efficient care (Weiss, Rogers, Maas, Ernst, & Nick, 2014). According to Mullins and Pines (2014), an average patient in the United States spends more than 4 hours in the ED before being admitted to an inpatient unit. ED crowding and increased boarding time have negatively impacted bed availability, increased staff workload, decreased productivity, and lessened patient satisfaction. Many healthcare organizations, including the Veterans Health Administration (VHA), have established an electronic bed board system (BMS) and InterQual Level of Care Criteria (IQLCC), which aim to enhance patient flow within organizations (United States, 2013).

It can overall increase productivity and profit in the long-term. For instance, my workplace instills usage of electronic medical records for new and current patients for efficiency, productivity, and accuracy for the long-term of patients dental x-rays and health history. The costs involved are considerable and hard to calculate depending on the fees and licensing. According to, (Health Resources and Services Administration, 2016), a persistent problem is demonstrating a return on investment from an (EHR) implementation is often times challenging and may be even more difficult for smaller practices. The cost and effort involved from staff and management is difficult, but necessary to carry out productivity for implementation of (EHR). Every company practice is different and every practice must adapt to changes of implementing (EMR) for the duration of patient accuracy. Aside from the challenges, cost, and effort of implementing (EMR)’s in health care organizations, there is a desire to generate a return on investment (ROI) from them.

The executives at Leman Healthcare finally reached their goal of having the latest information available as a tool to reduce errors in the care of their patients. With all staff instructed on how to access information to complete their jobs and report any incidents the executives looked forward to seeing the correct data in reports (Burns, Bradley, & Weiner, 2011). Upon reading the data the executives discovered the new system was not utilized by the QI department because there were no changes in historical patterns. Without the correct data being used the process improvement projects for the entire hospital system could not be designed to meet the needs of patients.

The utilization of electronic health records (EHR) has become increasingly common in the inpatient hospital setting and outpatient care. EHRs benefit the physician, patient, and healthcare facility. Historically, electronic records were not in place for healthcare organizations, and currently, it helps the organization in several ways instead of using paper. Patients have access to their medical records and history, which gives them readily available information about their health. Proper implementation of an EHR system results in higher patient satisfaction. The benefits of EHRs significantly improve the care experience for patients physically and mentally. Additionally, patient care is improved because the patient can leave their doctor’s office with a complete copy of their medical record. While inpatient and outpatient care has several similarities, there are also many differences, as well as challenges with both healthcare setting with implementing the EHR.

There is opportunity to improve the quality of health care in Jones Hospital. Information technology (IT) offers the potential to address the organization’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that will aid Jones Hospital clinicians in decision-making by providing comprehensive patient information.

This week we have learned many things about patient accounts and data flow in our chapter. Such as patient accounts, data flow, and charge capture have to work together to ensure the hospital benefits. A patient’s information is collected at registration, and is used throughout the patients stay at the facility. As well as the patients care services and capturing charges. The billing process is also very important to hospitals as well as workers, because without it the hospital and employers would not make any money. The billing process helps maintain financial stability. The hospital must have an efficient process for making reimbursements for patients and third party payers.

The emergency department (ED) is one of the busiest place in most hospital and time is very crucial in some case. A survey done in 2002, shows that 90% of Level 1 trauma centers and hospital are considered over capacity with more than 300 beds and 62 % of ED considered themselves the same (Milsten, A., Klein, J., Liu, Q., Vibhakar, N., Linder, L., 2014. p.13). Assessment was done to find out the strength and weakness of the current process in use in the ED.

The Henry Ford Health System has currently acquired another hospital system from the Jackson area, thus creating a six-hospital affiliate system ("Henry Ford Health," 2016). Upon further review of the electronic health record programs, the board of directors have come to the conclusion that there must be a new electronic health record system developed that will link the medical records amongst all of the various hospitals. Quality of care is what the Henry Ford Health system strives for, thus, there must be interoperability amongst our hospitals. The new electronic health record system will have the following data systems: management information systems, decision support systems, executive information systems, expert system, and knowledge management system to ensure patient quality care and interoperability amongst all the hospitals. The implementation for the new electronic record system is expected to take approximately three years, so that information systems office can handle the testing stages of the new system. The Henry Ford Health system has had much success with our new billing program that links all the patient accounts within our hospital system. Subsequently, the board of directors believes that the implementation of our new electronic health record will be a smashing success, which will lower the chance of a patient having to repeat the same medical testing.

They’re currently in the process of reviewing more than two hundred health professionals (physicians, nurse and ancillary staff) to test their conceptualized health innovative in effort to improve care and reduce overall cost (CMS, 2016). In recent years we have seen innovative that replace paper based charting to electronic record keeping (CMS, 2016). Advantages of this provides patient more time with their providers to collaborate on their treatments (CMS, 2016). Disadvantages are the cost, time and man power to coordinate and implement different electronic operating systems to suit each faucet of health (CMS,

This white paper presents how the Lean methodology could be successfully applied in a healthcare system. As learned in previous discussions and readings, once executives realized that changes on the system and their methodologies are needed in order to improve process, is mostly when Lean is brought into the puzzle of business. A correct implementation of the Lean methodology will result on tremendous positive changes within the organization that will promote customer’s satisfaction, improve quality, thereby increasing profitability and even reducing costs for the organization.

I have conducted a clinical practice project within the emergency department triage area in which I work. Evidence based research show that inefficiencies and delay of patient care may result in undesirable patient satisfaction and poor patient outcomes. Through a comprehensive and collaborative process, I will implement operational changes of two triage systems; quick triage and Twiage. The implementations of both of these systems will allow the department to accommodate the increased patient volume and improve the patient wait times, thus improving the quality of care and increasing patient satisfaction. This paper will include the current triaging problem, an organization that supports my chosen clinical project, proposed solutions, my