The Electronic Health Record (EHR)

The purpose of this discussion board is to describe the Electronic Health Record (EHR), the six steps of an EHR and how my facility implements them, describe “meaningful use” and how my facility status is in obtaining it, and to further discuss the EHR’s and patient confidentiality.

Core concepts include, what is the Electronic Health Record?, how does the Electronic Health Record relate to nursing informatics?, what is the significance of the use of the Electronic Health Record?, who benefits from the use of the Electronic Health Record?, and how secure are the Electronic Health Records? An initial understanding of the core concepts will provide the foundation for understanding how the Electronic Health Record is transforming the way nurses provide patient care.

The use of technology can be seen everywhere in the world today. One area which has seen a big push to add technology is the healthcare industry. Healthcare has now progressed to the age of electronic health records (EHR). The purpose of this paper is to discuss the evolution of the EHR, including the EHR mandate and the role of the Affordable Care Act in this mandate. It will discuss the EHR plan at Hackettstown Medical Center (HMC) to include the progress HMC has made with the mandate. This paper will discuss meaningful use and HMCs status with meaningful use. Lastly, the paper will define the Health Information Portability and Accountability Act (HIPAA) and what HMC is doing to prevent HIPAA violations.

Use of EHR (electronic health records) in United States has increased in past years and have gained widespread use in the country. The use of EHR-Electronic Health Records or EMR-Electronic Medical Records and the systems that support them have gained standardized collection of health information and data for patient and healthcare providers. Because of these technologies, healthcare providers now have information about their patients at their fingertips, which has led to better and more accurate care. There are debates on using EHR. According to Mushtaq (2015), one of the most common debate is the use of EHR compliance and the value of these technologies that surround them (Mushtaq, 2015). Providers wonder if EHR use is useful and what is to be gained for the HCP-Healthcare provider. In regards to such debates and ongoing conversations, it is important to understand the definition of meaningful use and whether these technologies have resulted in meaningful use. According to Burchell (2016), The government developed the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which incorporates the meaningful use program (Burchell, 2016). The program has goals that tell us how to use the meaningful use with EMR or EHR. It helps HCP and organizations alike attain, use and keep goals like patient and clinical outcomes, individual patient autonomy, and increased transparency for providers. When these goals are attained and kept it will greatly

The federal government established a nationwide health information technology (HIT) infrastructure which requires all health care facility personnel to use an electronic health record (EHR). According to Sewell & Thede, in 2004, President Bush called for adoption of interoperable electronic health records for most Americans by 2014. Electronic health records (EHR) is an automated system created by healthcare providers or organizations, such as a hospital in documenting patient care. In addition, EHR is an interoperable healthcare record that can comprise of multiple EMRs data and the personal health record (PHR). Furthermore, electronic health records can be created, managed, and accessed by approved clinicians and staff across more than one health care society (Sewell & Thede, 2013, p. 231-232). On the patients’ perspective, EHR will be used to support healthcare by providing electronic record of patients’ vital signs, demographics, allergies, medications, diagnoses, and smoking status. Consequently, on the providers’ perspective, EHR will support healthcare by use of decision support tools, enter clinical orders, such as prescriptions, provide patients with electronic versions of their health information, use systems that protect the privacy and security of HER patient data. Another meaningful use of EHR is to support activities such as conducting drug formulary checks, including clinical laboratory test results, recording advance directions for patient 65 years and

In the healthcare industry, urgent care organizations are often viewed by many as a disruptor in health care. This provides an impactful advantage for the urgent care industry, meaning it is an upstart that is changing the status quo by allowing patients to access care at the time and place they choose (Kulin, 2015). In the book,Where Does It Hurt? An Entrepreneur’s Guid to Fixing Health Care (Bush & Baker, 2014), reported a few stark stats that leadership presented to investors as to why our organization needed to make the switch to a new Electronic Health Record (EHR) that could better support future patient and healthcare needs. According to Bush and Baker (2014), the United States’ dysfunctional healthcare system:

The government has been trying to protect patients’ healthcare information since they first introduced The Health Insurance Portability and Accountability Act of 1996 (HIPPA). Since that time, technology has paved the way for The Electronic Health Record (EHR). Those that promote the usage of the EHR as the standard of care, strongly believe that the risks of privacy are outweighed by the benefits that it brings. These benefits include, but are not limited to: improved patient care, decreased medical errors, and better collaboration between healthcare providers.

The use of IT in the healthcare field has been a strategic focus for necessary improvement that stands to enable more cost effective, higher-quality, and far safer patient care according to the Committee on Data Standards for Patient Safety (2003). The National quality forum conceptualized the idea of meaningful use to the nursing fraternity and believed that they were the most critical link in patient care and health delivery and hence technology tools of EHR would be best used by them The purpose of the electronic health records was to improve the health of population, coordination of care, safety improvement in patients undergoing critical and long term care, and patient and family engagement in timely access of

In the Electronic Health System (EHR) you will be able to identify health insurance and the basic set up for Electronic Health Systems (EHR). In this, you will be defining All Scripts and how Urology is the specialty from the physician. Explaining the applications, the types of technology used to achieve it and, identifying the types of patients or healthcare to which it could be applied to. When you utilize your knowledge on this, you will then be demonstrating knowledge about All Scripts and how it applies to Urology.

Electronic health records (EHR) are digital patient records whose interoperable and sharable use can lead to improved safety, effectiveness, efficiency, and timeliness of care. The value of EHR is leading to more efforts into integrating medical organizations with the rest of the health care system to maximize patient benefits and improve transitions of care. Highlighting the case for EHR to health care stakeholders, such as organizations, organizational managers, and practitioners, will help contribute towards the integration above, in the process also supporting policies aimed to introduce EHR in healthcare. The objective of the policy brief is to demonstrate the value of EHR in promoting positive transitions of care and minimizing

Living in a world full of technology, more and more of us are overall connected to computerizing, and we expect it to do everything for us. Many years before we didn 't have technology, and mostly everyone was into making it. Now if we look at our world, everything is mostly done online. More Canadians do shopping online, students receive more knowledge about the subject their learning online, booking hotels, flights, and even do schooling online. Though looking after all this, most patients in Canada are still handed with paper based records. When we go to the doctor, most of us still receive handwritten prescriptions and our records are unrecognized.

Nursing information systems (NIS) are “computer systems that manage clinical data from a variety of healthcare environments and are readily accessible to improve patient care (Biohealthmatics.com, 2006). The Electronic Health Record (EHR) is an electronic version of a patient’s medical history. This record is kept current by the provider and includes administrative information, clinical data, demographic info, progress notes, medications, vitals, past medical history, immunizations, lab data and laboratory reports (CMS.gov, 2012).

The implementation of electronic health records (EHRs) will be beneficial to the advanced practice nurse (APN). EMRs are readily available, portable, helpful in improving the safety and quality of patient care, and allow more time for interaction with the patient (Denisco & Barker, 2016). As APNs, EMR will help streamline access to pertinent data needed to make clinical decisions, alerts when an error is about to be made, triggers any allergies, assist in determining a diagnosis and in entering appropriate orders, and prompts APNs when new patterns in patient data are acknowledged (Denisco & Barker, 2016). The use of EMR is a great way to search patient’s information in an organized manner like their history, assessments, lab results, medications, plan of care, procedures, and referrals. By having this relevant information in one place, the APNs can decrease time looking up information and focus their attention on the patient.

This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the

AI is arguably a fascinating development within the digital world and is an important aspect of today’s society. The technology of AI is more superior to the human brain. Almost every industry is now computerized and digitized for rapid data retrieval and trend analysis. This is one of the main reasons Health Care has a need for Electronic Health Records (EHR). This is beneficial to the health care system because there will be no need to use paper records. The goal is to have patient information available to anyone who needs it, when they need it and where they need it.