Project Summary Of Project

To better understand where my facilities progress is concerning EHR’s, I will first explain the six step process in implementing an EHR. In the first step, an organization must assess their preparedness to initiate an EHR. This includes their

Select or upgrade to a certified EHR by picking the right HE based plan depending on the needs and size of the facility

Hence, EHR 's are inherently complex amalgamations of diverse subsystems targeted toward varied users. The stakeholders are the users and must have a role in implementing any IT or EHR system into its work flow. An EHR can be customized to accommodate any environment depending on the level of expertise of the vendor and how long they have been in the business of creating an optimum system that 's customized to fit the organizations needs. For the most part, EHR 's must be designed for efficient, error free use. Ideally, an EHR is a system that encompass all the subsystems that make a hospital meet "meaningful use" criteria to acquire incentives for adopting EHR into practice. In the next five years, EHR adoption will no longer be a luxury, it will be a "MUST". EHR 's and other health information technology will be a necessity to practice medicine (econsultant.com, 2010). Rather than purchase several standalone systems, it would behoove one , in my opinion , to purchase an EHR that would satisfy all the needs of the stakeholders, the physician , nurses and other hospital staff and all parties involved in the tertiary practice too. Although LWMS 's budget is not large enough to accommodate the full cost of implementing an EHR,

In efforts to reform the United States healthcare system and create a nationally unified data exchange system the federal government has established an incentive program to eligible professionals and hospitals. The federal government has turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116).

There are so many Incentive Programs that provide financial incentives for the use of certified EHR technology to improve patient and by taking part the Center can receive incentive payments for certain Medicaid health care and can receive up to a maximum of $63,750 over six years participation. Although to qualify we must have a minimum 30% of Medicaid patient volume and a practice predominantly in a Federally Qualified Health Center and have a minimum 30% patient volume attributable to needy individuals.

In order to participate in stage 1 of the HITECH/ARRA incentive program, the Ambulatory care practice must choose an EHR that is specially certifies the EHR technology meets 100% of the CMS requirements. A CMS certification ID number must be provided. The factors to consider must include security, functionality and technical capability. CMS has provided a website to verify the certification of EHR products via the ONC website at oncchpl.force.com/ehrcert. Meaningful use is divided into 2 categories. The first is for hospitals and the second is for eligible professional. In order to qualify for incentive payments through Medicare EHR incentive program, Hospitals must meet 8 required core objective which Includes 1 public health objective (CMS.GOV, "2015 Program Requirements").

The system should be fully integrated including care coordination, sustainability and quality improvement efforts. The selected EHR must provide features and functions to facilitate the achievement of both CMS Meaningful Use (Stages 1-3). The features and function of the EHR should not require any additional hardware, software or program development.

A wave of medical errors and patient deaths caused by healthcare providers renewed the search for a viable EHR system in 2000. Electronic health records would allow "providers to make better decisions and provide better

Nationally, EHRs have become fairly popular and it is essential to realize they are resourceful to health care professionals. Canada Health Infoway INC. continues to help the federal government present EHRs to various health care institutions. The organization only puts funds forward for hospitals and clinics they believe the equipment will be successful in and consider the territorial and provincial standards. Also, Canada Health Infoway INC. plans on creating an authorized agreement for each individual territorial and provincial assignment, and guarantee that they fulfill the requirements.

The EHR article explains the progress and the adaption of rates of EHR systems over the years. The article states there has been a slow participation in the EHR incentive program, but there has been a shown continue increase in implementation in provider settings of EHR in 2014. As for Physician and Hospital, there has not been a fast implementation. Many of these facilities are at only stage one of the meaningful use in 2014 about one out of five hospitals and only 38% of hospitals is at the second stage of meaningful use. There have been gains in the implementation of new EHR systems in 2014 there was a 75% adoption rate in 2014 compared to 61% in 2013 for hospitals and for physicians 62% plan to participate in the EHR

Topic and Project Description (a thorough description of the topic and project, written in the scholarly format appropriate to the field):

The results will be analyzed by our developers, and a statistical summary will be produced after meeting with key individuals. The statistical summary will be used to evaluate the problem at hand and provide a solution as well as alternative solutions.

I will line up subject matter experts who know the business processes for the new system and can provide guidance to developers and programmers during build out.12 In addition, assign a business expert full-time, or nearly full-time, to the implementation; and create a steering committee that includes subject matter experts and developers, that meet frequently.12 A detailed plan will be developed to describe the functionalities of the system and how to measure the performance of the system and its output. The EHR system has to be compliant with requirements of Health Insurance Portability and Accountability Act (HIPAA) which helps ensure the privacy of electronic health information.13

The intended audience is those working the HIT field, hospital administration, and healthcare economics, with a purpose of advocating for the increased implementation of HIT and EHRs within a hospital setting.

There is no information on: description of the recommendation development process, outcomes of the recommendation development process,description of how the process influenced the recommendations.