The Board Of Trustees. Harris Memorial Hospital And . Harris

In regards to technology and how its influences healthcare today we see the use of EHRs, which allows for a high capacity healthcare environment by condensing patient information into an easily accessible form for all healthcare professionals. “EHRs allow us to collect meaningful data to determine the efficacy in which our units are functioning” (Biddle & Milstead 2016, p.12). This technology can help manage the high capacity hospital environment while not compromising quality. This

With and pro there is a con in most situations and this too is true when it comes to having an EHR system. One of the cons is the amount of cost it has on a facility to do this that includes things like the cost to switch, train, and purchase the system. The average cost to invest normally rates close to ten-thousand dollars per physician employed in a facility. After

Another measure that implementation of EHR may affect will be patient satisfaction. Its impact on patient satisfaction will be difficult to quantify. It is anticipated that staff will be more knowledge about the patient and will have more time to spend with the patient both factors are known to improve patient satisfaction. Patient satisfaction is reported publicly so scores can affect selection of the hospital as a place for treatment and patient’s willingness to recommend or return.

If you review table four and reference the savings from year one to year two you can determine the potential return on investment. The clinic did not obtain the full impact of the revenue in year one because having to account for initial cost of implement billing system that has the feature of e-statements. I used the total financial return from year one as a starting point. I did not move over the one-time costs to the second year and other one-time costs. For example, the one-time cost of the new billing system would only apply to year one. The clinic then would utilize the $208,960 savings per year going forward. The savings that I determined her would be calculated at a minimum amount for what the entire billing system would do for the clinic. The clinic has other departments that would benefit from this billing system and the new features the system has to offer. I would recommend the clinic go with this product and new workflow that I have identified.

The software related Electronic health record implementation need to be appropriate for the needs of the organization and budget.(Swab, & Ciotti, 2010) The EHR software system has many areas of market depending upon the size of the hospital bed size. The first criteria for the vendors according to the bed with 100 and small hospital The Electronic health record system cost about between $ 1 million and 2 for the electronic health record system The electronic health record software cost for the organization about medium hospital cost is much larger than the first one. It comes around three to ten million. The hospital and organization with more than average bed cost for the electronic health record system will be higher amount than the other one. The cost and amount of electronic health record system will depend upon the size of the hospital . The management has to decide about the budget for the organization. (Swab, & Ciotti, 2010). The organization must evaluate its mission and goals in light of its particular strengths and weakness and in light of the demand for services and competition in the external environment. Based on that evaluation it can make a plan that will take advantage of opportunities like Electronic health record implementation according to the goals of an organization.(Finkler, Ward, & Baker, 2007).

How cost effective is this considering the different service rates of MDs and NPs? (Assume NPs work 47 weeks per year.)

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,

All staff directly or indirectly connected to the EHR will be educated in the safe and professional use of patient information. The first group of staff to be trained on the EHR will be “super users” (SU’s). The super users will be the clinicians provided with extensive training on the software program and its safety features. (Simmons 2013. Pg 53). These clinicians will be the mainstay in the building between the staff and the informatics department. Each department in the facility will have 3 super users, 2 full time employees and 1 part time employee to rotate and fill in the gaps ensuring there is never a day without a super user. These individuals will receive 6 months of training comprised of 3 days/week at 5 hrs/day. After this is completed, all staff will be educated including employees, medical staff, contractors, volunteers and students. These training events will be a time to ask for feedback on health information safety and HIPPA laws. The feedback received during training will be used to monitor risks to the facility. (MN DOH, 2014 pg 4). Also we will be “sending compliance reminder emails routinely” (MN DOH, 2014 pg

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).

Majority of the cost would be on educating the staff through a meeting and written documents. The entire healthcare team and the staff of the unit will be affected by this change. The physicians and nurses will be affected the most because they are the ones doing the morning rounds on the patients, but the house keepers and patient care assistants will also be affected because they to will need to plan a time to go into the rooms when it is least disruptive for the patient.

However, whereas this seems to prove the importance of EHRs there is a need to understand the steps to quality healthcare and how EHRs enable hospitals provide these aspects. This paper will try to bring forth, the true picture of Electronic Health Records effectiveness. It is important to understand what an EHR is. According to this paper, this will take the following definition

Patients orders and medications will be recorded on the electronic health record, EHR, before the end of each shift. This is to ensure the next shift will have all the information that is needed for the continuation of care. The computers will time out when not active for the specified amount of time and employees would be required to lock the computer before walking away. Any monitors in patient care areas would have screen shields that block the view of PHI.

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.

Discussion activity –How does EHR make different staff members work easier?Explain how each staff member would utilize an EHR?

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.