Sub-Optimization In Healthcare

Elimination of paper documents except as backup for downtime events will provide cost savings to the organization. Savings will come from decreased printing cost as well as decreased cost of storage of paper charts, decreased cost of scanning paper documents into the EHR, decreased printing and decrease cost of document destruction.

Adoption of EHR can derive a great amount of benefits in clinical outcomes such as patient safety and quality of care. Qualtiy of care can be measured with different dimensions such as patient safety, effectiveness, and efficiency. Patient safety is defined as ‘avoiding injuries to patients from the care that is intended to help them’(Menachemi and Collum, 2011, p. 49). Often times, lack of time can contribute to omission of asking patients important questions such as drug allergy information and confirming important patient identifiers such as addresses/phone numbers. Improvement of medication error is a well-noted benefit of EHR as seen in numerous researches. According to a study, researchers found that a CPOE system was contributory in reducing serious medication errors by 55% in the hospital setting (Bates, 1998). Many other studies have reported similar findings in patient safety improvement. When e-prescribing is used, prescriptions can be checked for any drug interactions with

One of many administration burdens to physicians and medical office staff is the nees to respond to prescription refill requests. E-Prescribing gives providers acess to review, authorize and transmit several refill authorizations in a matter of seconds. In case of emergency a refill can be quickly done to aid a patient that is traveling and out of

Giving the facts from the Real-World Case by purchasing the same EHR system as Community Hospital, physicians have confidence that they will have better control of care over their patients. In addition, they will be able to write orders, advise medications and also have the capability to get into the providers EHR systems while covering in other specific areas of the hospital. For this reason, some pros of the EHR consist of better patient care, better-quality care coordination, upgraded diagnostics and patient outcomes and the applying of a computerized physician order entry; this allows in the decrease of transcript mistakes related to poor writing on behalf of the physicians for either procedures or prescriptions. (HealthIT, 2015) Regrettably, there is also a downside, as not all areas of the hospital, such as the Physical Therapy unit, Nurse’s station and Nutrition department are ready to engage with the new technology.

The use and advancement of technology has expanded throughout the years. Technology has recently begun to be incorporated into the healthcare setting to enhance patient care, patient safety, and to optimize therapeutic outcomes. This concept is otherwise known as medical informatics, and is composed of six core areas: electronic health records (EHR), computerized provider order entry (CPOE), electronic prescribing, pharmacy automation and dispensing systems, privacy and security of informatics, and telehealth. Computerized provider order entry specifically refers to a licensed healthcare professional inputting medication orders and other medical information into an electronic pharmaceutical program.1 However, implementing CPOE has revealed

Providers will have an explanation and a glimpse into outlook of future performance. As EHR is befitting to every provider’s practice, providers should have an understanding that EHR implementation will objectively promote their practice through considerable, and reasonable designs. In consideration of the status, providers quality of care, systems employed would be scrutinized, and evaluation of desirability to stay in touch with patients or potentially change in system processes. In addition, appraisal of current systems such as quality of documentation, work flow, and staff’s ability to fully utilize the systems would happen. Given the opportunity to swiftly access patient information from a central place, patient history, instant check of drug interactions and allergies and e-prescription would occur. Provider’s determination towards favorable choices and patient safety will continue because, instant communication of patient information, and alerts will occur. Furthermore, promotion of diagnostic and beneficial choices for patients will exist. Ideally, providers should have a grasp of how EHR will promote practice, resources available to manipulate through the entire

Some of the benefits of paper-less prescribing are reduced paper cost, you can handle higher volume with less employees, easily restore documents in case of a disaster. The process of paper-less prescribing is fairly simple, the prescribing doctor fills out the prescription which is then sent to the pharmacy. Once the pharmacy gets it the pharmacy technician fills the prescription, the pharmacist checks it to make sure it is correct, and the patient can then pick it

The largest United States initiative to date that is designed to encourage widespread use of electronic health records is the Health Information Technology for Economic and Clinical Health Act of 2009. The Health Information Technology for Economic and Clinical Health Act was signed into law as part of the “stimulus package.” The purpose of this paper is to review and summarize the literature on the benefits and drawbacks of Electronic Health Record systems in light of the changes anticipated from this policy initiative. Much of the literature has focused on key Electronic Health Record functionalities, including computerized order entry systems, health information exchange, and clinical decision support systems. Our paper describes the potential

As medication plays an important role when it comes to resolving health related problem and improve patient’s health, at time the process to prescribe or the process followed by many of the clinician itself can be complex and erroneous. Such process can cause many medications related injuries, permanent health related problems. A proper system in place can not only bypass this problem but also helps better manage medication prescribing and lower the cost of medication related operations, Computerized Provider Order Entry is

Focusing on the outcome and not the process of the outcome, a needs assessment is a systematic approach to the electronic record adoption project scenario. The outcome of a needs assessment given scenario is the adoption of an Electronic Health Record system by the health care organization. For the site to adopt and accept implementation of an electronic health record system, benefits have to be clearly outlined and presented to the site staff. The staff must be convinced that the core functions of implementation of an electronic health records system is management of patient health information and data. Transitioning from an analogous patient records too EHR system, patient information and knowledge becomes immediately accessible and navigable by medical personnel. Electronic Health Record system would also provide the staff immediate access to testing result and CPOEs. Electronic health record CPOEs eliminates the self-evident sometimes ineligible physician order. Eliminating the time from when the physician prescribes the order to the time the procedure is performed is a core benefit to electronic health record application. Finally the staff needs to be informed that one of the outcomes of an electronic health record application system is decision support. Prevention, drug prescription, diagnosis, and disease management are functional EHR decision support functionality applications (“Comprehensive Needs Assessment,” ed.gov, 2001).

After reviewing Figure 1 & 2, I recommend the practice purchase System B. Both System A & B offer many of the same key attributes needed of a computer-based patient record system identified by the Institute of Medicine in 1991. However, one main reasoning for choosing System B over A is that System A does not have the capacity to offer tailored views. The benefit of an EMR/EHR system that can offer tailored views, goes beyond meeting functionality needs and is a benefit that can greatly aid in the successful user integration of the computerized order entry function (CPOE) of the system. Recent studies show there is great value in having an EMR/EHR system that is specifically designed to meet the practice’s needs or offers tailored views to reduce user fatigue and support the proper use of the system (Russ, Zillich, McManus, Doebbelingb & Saleem, 2012). Tailored views improve the user’s experience with the technology, make it easier

Nowhere in health care has information services and information technology made more of an impact that at the physician services level. The ability to gather and compare data pertaining to a patient’s health care and their treatment plans has provided the physician with the information necessary, in the right place, at the right time, to properly diagnose and treat the patient. The system that has provided the most information and has been paramount in assisting the physician is the inception of the electronic health record.

Hi Donna, I had to chuckle when reading that we can now understand the doctors orders because they are now in the computer. This is very true. Not only are orders much easier to read, but I find we take less verbal orders, so there's less room for error and . Also, doctors have remote access to enter orders and order sets or view their status (such as the result of diagnostic tests) is highly appreciated (Zahra Niazkhani, 2009). The only negative I find is having to wait for the doctors to put in the orders, so they can be followed. An example, the doctor wants a lab, but doesn't put the order in, well I am unable to send the lab because I need a label from the order. So, it can be more time consuming, waiting for them to put in orders. I can

The outpatient group planning to embark on the implementation of the electronic prescription writer should reach to out to other organizations that have recently completed the process of implementation. Organization such as the Oceanview Clinic (OMC) can offer valuable tips on how to proceed with the implementation process, and the aspiring outpatient group can learn from their success or failure. The aspiring outpatient group can learn from both technical and political challenges encountered by OMC.

The pros of the technology are it makes it safe to help with filling of the medication. It generates and label, and comes with drug information forms that provides complete information about the drug, giving the patient all the needs to knows, regarding the medication. The technology informs the associate about what medication are in stock and what is not, as well as showing detailed picture of exactly how the medication looks. Also, the verification check within system helps low rate for medication errors. The cons of the technology are that due to it being technology it’s not always reliable, you can have a computer glitch, or patient information can get erased or compromised. Sometimes with the satellite signal you may not always get updated