Technology And Health Information System

The positive effect of CPOE on Emory Healthcare is that, the order entry system is customizable and the CPOE is rapidly improving the system making the physicians to meet their emergency needs. Also, physicians can place their own orders in the system instead relying on the intermediaries like nurses, unit clerks etc. thereby reducing the verbal and communication errors. This system also enables the decision support in which the physicians can directly interact with the ordering provider through CPOE, hence reducing adverse drug events. Apart from this, it reduced hectic long time taking process for pharmacists where traditionally, they were entering medication orders sitting in the pharmacy. After CPOE, it has reduced workload for them, making them to actively participate in ensuring patients safety and making the delivery of hospitalization more

The purpose of this article is to examine an innovative health information technology based approach that is tailored to educate families about pediatric obesity and the associated health behaviors. It discusses the importance of advancing and improving health by utilizing innovative methods, such as health information technology (HIT). HIT systems are technology-based structures that allow access and exchange of information, computerization and improvement of decision making, and facilitation of behavior modifications to encourage healthier lifestyles.

It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).

The CPOE system failed due to lack of provider by-in. The use of the Medical Informatics Directors Working Group (MIDWG) will help to establish appropriate ownership and control over the process, as well as deliver a design workflow process and order sets that will be accepted and used by the medical staff.

Each year medical errors cause more than 400,000 American deaths and at least 10-20 times that number experience serious harm. Researchers say that is equivalent to “three 747 airplanes crashing each day.” Medical errors rank as the third-leading cause of death in America. Therefore, patient safety is a national concern.

Unfortunately providers do not have a choice when it comes to utilizing CPOE since it is a requirement for Stage 1 meaningful use (Step 5, 2015). The benefits of CPOE outweigh providers’ reluctance since CPOE has been shown to be safer than written orders (Step 5, 2015). However, health organizations and IT departments cannot ignore provider reluctance. Training is vital. When I led the implementation of an EMR system at my skilled nursing facility – training superusers was key. We ensured that nurses who were comfortable and knowledgeable with the software worked each shift. The presence of superusers gave the staff an

In order to streamline implementation and utilization of the EHR, computers and servers need to be capable of handling the demands of the EHR, requiring a strong internet connection and a large storage capacity. Offices not only face the challenge of upgrading their existing operating system, but ensuring compatibility and linking to the new EHR databases that may also be located outside the facility. I believe a clinical decision support software may also be necessary to emphasize the quality of care that is expected of the physician, allowing them to gain and apply information to a patient’s case that can help them in their diagnoses and treatment

The second barrier with CPOE is the lack of communications among nurse and physicians because physicians can enter orders from anywhere electronically and they don’t have to be at the bedside. As “Communication between physicians and nurses might be changed from a synchronous mode to an asynchronous mode” which “decreases the time spent on patient care” (Ayatollahi, Roozbehi, & Haghani, 2015, p 1-2). Another error that occurs with CPOE is the hesitance to adapt to a new system among health care providers. According to Charles, Cannon, Hall, and Coustasse (2014) that “Physicians are typically set in their ways and hesitant to change” (p 5) because they think that it will decrease patient satisfaction due to less personal contact with their

The health plan means any individual or group plan that provides, or pays the cost of, medical care. The health care provider means a provider of medical or health services. Health care clearinghouse means a public or private entity, ("Covered entity (hipaa)," 2005).

Since the 1999 report by the Institute of Medicine (IOM), To Err is Human, there have been many new efforts and initiatives to reduce the incidence of medical errors. While some people argued the report exaggerated the magnitude of the problem, others were concerned about the annual number of preventable medical errors.1 Medical errors include, but not limited to medication errors, hospital acquired infections, surgical mistakes, and communication failure.2

The Institute of Medicine’s (IOM) (1999) report To Err is Human revealed the United States healthcare system to be a rather unsafe environment for patients estimating that as many as 96,000 patients died or were seriously injured due to preventable medical errors. Incidentally, studies conducted as recently as 2011 have suggested that the actual rate of preventable medical error occurrence may be three times the IOM’s initial estimation (Andel, Davidow, Hollander, & Moreno, 2012). Statistics this extreme cannot be attributed to the mistakes or substandard practices of individual healthcare providers alone and thus it is imperative that healthcare organizations begin to seek out solutions at the system’s level (Geary, 2014). Therefore, it

Medicine is an always evolving field, and continues to grow in the pursuit of people health benefit. As time has passed better research studies, discoveries, treatments and improvement of patient outcomes has been the pride of the medical field. However; despite all the improvements in medical advancement, preventable medical errors have become a major problem in the field. About a decade ago, the Institute of Medicine (IOM) investigated and created the report To Err Is Human: Building a Safer Health System, in that report the IOM came to the conclusion that approximately 98,000 people has died yearly in the United States as a consequence of an preventable medical error (RWJF, 2011). Some of these errors are caused

There are several challenges involved in successfully implementing the meaningful use of EHRs. Among the most significant barriers are the high expense involved in upgrading current EHRs to meaningful use compliant EHRs, the computer literacy of medical staff, interoperability and the effective exchange of data for coordinating care between different facilities, and patient privacy and security of their medical information. An additional significant hurdle is the computerized physician order entry (CPOE) criteria. A study conducted by the Journal of the American Medicals Informatics Association found that half of the hospitals that failed to achieve meaningful use cited the primary reason as failing to effectively implement

The Computerized Provider Order Entry is effective program to help organization improve quality measures and financial margins. The CPOE is effective program; which monitors a hospitals current performance and calculates methods of improvement. For example, Trinity Hospital a leader in clinical intelligence to track and report across it members hospitals on systems wide quality measures (Balgrosky, 2015). The Clinical Provider Order Entry will help patients compare programs graded by the Center for Medicare & Medicaid and Hospital Quality Assurance. This program will further enhance the patient-centric model because patients will have comprehensive comparison of hospitals to make informed medical decision as to where they would like to receive treatment. The quality measures monitor readmission, complications, patient’s experience surveys and other categories. Patients are interested in receiving health care in top-notched care facilities that address their needs. Consumer needs are very important because translating into referrals by word-of-mouth or rankings. Technology plays a major role in an organization's success with supports Judy Murphy idea of enhancing patient’s health information technology

First, one of the clinical outcomes of implementing EHR is to improve quality of care by reducing medication errors. Research has shown that the use of computerized physician order entry (CPOE) systems led to a reduction of 55% of serious medication errors. In addition, the use of clinical decision support (CDS) tools helped decrease 32% of medication errors related to the prescription of antibiotics outside the recommended dosage range. Therefore, states with lowest meaningful use put their patients at increased risks for medication errors. In fact, hospitals with the highest rates of meaningful use adoption were able to reduce their adverse drug events by 52% whereas the hospitals with the lowest rates of meaningful use implementation