On February 17, 2009, President Barack Obama signs into law the American Recovery and Reinvestment Act of 2009 (ARRA). The law promotes electronic medical records (EMR) and infrastructure development, such as reimbursement-based pay, to cut health care costs (Frequently Asked Questions, 2009). Likewise, the ARRA is restructuring Medicare disbursements to reimburse for quality not quantity. While the law does not mandate EMR use, the federal government has set aside twenty billion dollars to help in the development of a strong health information technology infrastructure. Title IV states, “NO INCENTIVE PAYMENT IF FIRST ADOPTING AFTER 2014” (American Recovery and Reinvestment Act of 2009, 2009). In times of economic turmoil, hospitals and …show more content…
On the negative side, one huge reason electronic medical records are not worth using is the use of electricity. If something happens where health care providers cannot access a client’s EMR, they could be in a harmful, life or death situation. A software program glitch or a malfunctioning computer can also limit clinicians from providing informed care (EyeCandyHealthInformatics, 2008). One compliant the general public has is privacy. They fear employers might have access their EMR to gain medical information, and then deny employment or job advancement. In addition, individuals are cautious because they might be denied insurance due to medical records (Torrey, 2009). Another disadvantage is that some clients and health care professionals are technologically challenged and choose not to use EMR; nevertheless, electronic communication is becoming a necessary tool in the medical field (Balzer-Riley, 2008, p. 75). Just as the government has made certain medical changes beneficial, the government oversees the accreditation of nursing programs. The Indiana State Board of Nursing’s website states, “The Indiana State Board of Nursing accredits all nursing programs operating in the State of Indiana preparing individuals for initial licensure as either a Registered Nurse or a Licensed Practical Nurse.” To find a list of nationally accredited schools in Indiana go to
Even though I am an advocate for the electronic health record there are drawbacks to the system. Each individual physician will have to determine if the drawbacks are worth the advantages of the system. One of the drawbacks to the system is privacy. Privacy will always be a big factor. Some patients may not like the idea of having their medical information easily accessible by almost anybody. (The HWN Team, 2009) Electronic health records
It is no secret that the medical profession deals with some of population’s most valuable records; their health information. Not so long ago there was only one method of keeping medical records and this was utilizing paper charts. These charts, although still used in many practices today, have slowly been replaced by a more advanced method; electronic medical records or EMR’s. “The manner in which information is currently employed in healthcare is highly inefficient, which slows down communication and can, as a result, reduce the emergence and
Electronic health records (EHR) are health records that are generated by health care professionals when a patient is seen at a medical facility such as a hospital, mental health clinic, or pharmacy. The EHR contains the same information as paper based medical records like demographics, medical complaints and prescriptions. There are so many more benefits to the EHR than paper based medical records. Accuracy of diagnosis, quality and convenience of patient care, and patient participation are a few examples of the
A significant investment to encourage the adoption of electronic health records (EHRs) by healthcare providers was made by the American Recovery and Reinvestment Act of 2009. The EHR Incentive Program, which financially rewards providers for using EHRs and meeting all CMS program requirements, was launched by CMS in the year 2011. All healthcare providers (private or public) are required to adopt and demonstrate ‘meaningful use’ of electronic health records for maintaining their existing Medicaid and Medicare reimbursement levels (Cite). A set of penalties for healthcare providers who fail to meet the deadline have already been defined by the U.S. government. Healthcare providers failing to introduce EHR systems by the year 2015 will experience a one percent reduction in Medicare reimbursements in that year, a two percent reduction in the year 2016, a three percent reduction in the year 2017, followed by a reduction of up to a 95 percent reduction in reimbursements over a period of
The purpose of this paper is to review and summarize the literature on the pros and cons of electronic health record systems. This paper describes the many benefits of electronic health record systems, which include but are not limited to, less paperwork, increased quality of care, financial incentives, and increased efficiency and productivity. Organizational outcomes and societal benefits are also addressed. Despite the tremendous amount of benefits, studies in the literature highlight potential disadvantages of electronic health record systems. These disadvantages include privacy and security concerns, identity theft, data loss, financial issues, and changes in workflow, involving a temporary loss of productivity. Preventative measures that can be taken are addressed as well. Overall, people believe that the benefits of electronic health records can be realized when they are used correctly, and proper measures are taken to reduce any potential drawbacks.
“Go Paperless and Get Paid” is how the Office of the National Coordinator for Health Information Technology (ONC) presents the incentives for electronic health records. The United States Department of Health and Human Services (U.S. Department of HHS) distributed more than $160 billion dollars to “improve and preserve health care, health information technology, community health, and prevention initiatives” (United States Department of Health and Human Services [HHS], 2014e). Likewise, the ONC offers “Health IT Adoption Programs” through the Health Information Technology for Economic and Clinical Health (HITECH) Act, seeking to advance the American health care delivery system and to improve patient care through an unique investment towards health information technology (HHS, 2014d). Additionally, the American Recovery and Reinvestment Act of 2009 allows the Centers for Medicare & Medicaid Services (CMS) to reward eligible hospitals and professionals with monetary incentives as they implement, adopt, or upgrade and demonstrate meaningful use of certified electronic health record (EHR) technology (HHS, 2014b). The Electronic Health Records Improvement Act (H.R. 1331) introduced by the United States House of Representative Diane Black is a bill to further improve the nation’s health care adoption of health information technology.
The author, Judy Murphy, focuses mostly on how the government played a huge role in the adoption of EHRs into the medical world. Murphy brings up George Bush’s statement in his 2004 State of the Union address and Obama’s push to make that happen, but this is just scratching the surface of government interventions. The author discussed the money allocated by the acts such as “The Stimulus Bill” or “The Recovery Act” to help fuel the economy and rescue a struggling health care industry. She states how acts were passed, and how there were rules set in place to be followed by hospitals and providers around the United States. The article describes how the government is basically forcing these facilities to adopt EHRs by using a reward
So much so that our political leaders and President Barack Obama have created a stimulus package called the American Recovery and Reinvestment Act of 2009. Within this legislature, improvements to our healthcare industry and systems have been made with long-term financial savings in mind. As technology and uniformed data was becoming the standard in healthcare, the Health Information Technology for Economic and Clinical Health Act has accelerated the speed. “The number of certified EHR vendors in the United States has increased from 605,6 to more than 10007 since mid-2008” (Sitting and Singh, 2012). Healthcare organizations now have no choice but to invest in a new
The American Recovery and Reinvestment Act was created to improve the efficiency of how health organizations will improve patient outcomes and accountability, aid in coordination of that care; improve and promote effective health management across organizations, as well as align incentives with good patient outcomes. It was designed to use electronic health records with in and across health organizations in order to improve the outcomes of medical care. In order to do this correctly, health and medical organizations must “meaningfully” use the programs that are available in order to receive any incentives given by Medicaid and Medicare.
This program creates the standards of reporting requirements, incentive payments, and penalties that can occur for eligible providers and hospitals that seek the same goal of achieving meaningful use of EHRs (Henricks, 2011). Organizations who are participating providers in the Medicare and Medicaid programs are eligible to take part in this program. If participating in both Medicare and Medicaid, an organization must only choose one route in which they will receive their payment and has the option of switching programs once before 2015 after attestation is complete (Chin & Sakuda, 2012). Within the Medicare incentive program, healthcare professionals range from dental surgery, podiatry, optometry, or chiropractic care. Eligible professionals receive an incentive up to $44,000 over the course of five years with participation starting in 2012 (Chin & Sakuda, 2012). Additionally, eligible Medicaid providers can receive two-thirds of their maximum amount ($42, 500) and $63,750 for pediatricians over a six-year period. In the coming years, if organizations have not demonstrated that they have used their technologies in a meaningful way, the payments will decrease, and a 1% percentage drop each year it
An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The
Electronic medical records can benefit patients in many ways. One major way it can benefit a patient is the efficiency of the records being organized and easy for any practitioner or staff member to read. EMR can lower the risks of
Besides the disadvantages of (EMR)’s the advantages pose great benefits to patient care and efficiency. The greater use of electronic medical records or health records can reduce wait times, of seeing doctors or waiting for test results. All staff would need to cohesively work out the technical challenges and software data. With sophisticated IT
The goal of this literature review is to increase our knowledge about technology use in practice and to identify where there is need for improvement. Information technology seems to be a widely discussed topic these days and most nurses have no clear idea how it can transform the way we do things on an every day basis. We will also look at the impact technology has on nursing, patients, and colleagues. We will then focus on a specific nursing setting, in this case the emergency room. This literature review is organized to grow on each independent section so that you, the reader, can form your own opinion, but take with you the universal understanding of how information technology will lead us down a new and exciting career path.
Electronic medical records (EMR) software is a rapidly changing and often misunderstood technology with the potential to cause great change within the medical field. Unfortunately, many healthcare providers fail to understand the complex functions of EMRs, and they rather choose to use them as a mere alternative to paper records. EMRs, however, have many functionalities and uses that could help to improve the patient-physician relationship and the overall quality of patient care. In order for this potential to be realized, both the patient and the healthcare provider must have a deeper understanding of EMR purpose and function. In this paper will highlights the historical developments and its potential effects on the patient physician relationship in order to