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.

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

Technology has come a long way over the years and continues to advance rapidly. The health care system is greatly affected by the advancements in technology. An example of this would be the use of electronic health records (EHR). In this paper I will be describing the electronic health record system. How my facility has initiated the EHR with following the six steps and describe meaningful use and how my facility is working towards this. Lastly I will discuss how to maintain patient confidentiality with use of EHR, and what my facility is doing to prevent HIPPA violations.

In the modern world technology is everywhere and it affects everyone’s daily life. People are constantly attached to cell phones, laptops, and other electronics, which all have affected how people live their lives. Technology is also a large part of the healthcare system today. There are many electronics and technologies that are used in health care, such as electronic health record, medication bar code scanning, electronic documentation, telenursing, and there are many more forms of technology that impact nursing. One technology that stands out is the electronic health record. The electronic health record, also referred to as EHR, is an electronic version of a patient’s chart, and it contains is a list of the patient’s current medications, allergies, laboratory results, diagnoses, immunization dates, images, treatments, and medical history (“Learn EHR Basics,” 2014). The purpose of the electronic health record is to have a patient’s health care record available to health care providers nationwide, but the patient can decide who has access to their record (Edwards, Chiweda, Oyinka, McKay, & Wiles, 2011). The electronic health record is a very important technology in health care and it impacts nurses, nursing care, and has a significant impact on patient outcomes.

Aviation first trains their pilots on simulators and case studies before allowing pilots to fly the plane by themselves. This development was created after World War II to reduce pilot error (Gibson & Singh, 2003). Aviation makes it very hard to allow their pilots to make mistakes, especially since those mistakes include potential deaths. I believe healthcare should follow the footsteps of the aviation industry. Practitioners should practice and continue to practice even throughout their careers to ensure that new techniques and skills are learned and old ones are sharpened. As the world continues to advance, so do the use of technology and different methods when implementing care. Gibson and Singh (2003) mentioned the use of “dummy medicine”. Practitioners and nurses can now practice on simulated patients and act out real life situations so that they are better prepared to handle these situations on the field. This will reduce the likelihood of medical errors or mistakes from occurring and safeguard patients from these events. Cadavers, simulated patients, three dimensional (3D) realities, and even case studies can help all healthcare providers to learn, train, and sharpen their skills so that the mistakes will be made during the training rather than on an actual patient. Even though someone may train on a simulator, does not mean they are skilled and competent to care for a living human

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

Huston, C., (2013) "The Impact of Emerging Technology on Nursing Care: Warp Speed Ahead" OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 1. Retrieved from http://web.b.ebscohost.com.ezp.waldenulibrary.org/

CHELSEA BEGIN Providence not only strives for a great experience with their customers but also with their caregivers. The main focus for Providence at this time for their caregivers is improving their experience by; more emphasis on development, using technology to ease their way; improving the performance review conversation and aligning performance and development. Along with improving their experience, Providence has a lot of lean projects that are helping to standardize how things are done. All of this work will help increase standardization within the work place, which has been one of the main downfalls that Providence has been working to fix.

An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. Authorized health care providers and, in some cases, patients have access to EHR electronically anywhere, anytime in support of care provided. This record is designed to facilitate data sharing across the continuum of care between healthcare delivery organizations and across geographical regions. Despite the potential of EHR, healthcare providers are reluctant about its use. This project aims to evaluate the perceptions of physicians using EHR and to propose a set of key elements that will be useful for adjusting any difficulties

Electronic health record (EHR) rapid progress for reporting electronic data storage that employs uniform data

Yes, I agree that technology is arguably one of the most powerful drivers of clinical practice and leadership today; ongoing innovations in software and devices offer significant opportunities to improve both the delivery and safety of healthcare. Computer technology improves patients care quality, stream lines practice productivity and efficiency which is within reach of all the providers of care. However, at the same time, this has not kept up with the fact that “there are still many provider organizations with limited online functionality for nurses” (McGonigle & Mastrian 2015) .Hence the need for us as Nursing Informatics students to be very prepared educationally to keep up with this knowledge and be a channel that is guaranteed to bridge

Technology is incapable of providing the care and attention in the same aspect a nurse can. According to the Nurses Review, Maintaining the Art of Nursing in an Age of Technology, Barbara Nash states, “Technology is here to stay and more incredible advances are arriving daily. We, as nurses, must make certain that these technological wonders do not become more important than the human beings we are caring for”

Nursing and patient communication have been important factors of the field since its inception. For a patient to come in and know that there’s always going to be someone to help them with their problems once they arrive is a more than welcome sight. It’s one thing to receive support medically, but to also receive much needed emotional support through whatever medical turmoil or complications, a nurse is always there. Much like many other fields of science and medicine, technology as a whole has accelerated the growth a development of newer technological marvels and devices that can better assist the nursing field. For some people, technology can feel less like an empathetic caregiver and more like an advanced appliance. The vision of an exclusively automated nursing landscape may appear as an efficient thought, but in truth is a much less impactful and personal one. However, technological growth is an invaluable system to understand and one of its many facets, communication, can greatly benefit the nursing field as a whole. This is where the concern and caring presence of a nurse is intermixed with the precise and punctual of electronic communication; the nursing informatics.

The use of information technologies (IT) in the health care setting has become pervasive in many countries, and governments around the globe resume to finance in the implementation of IT systems. These clinical systems include a variety of functions, comprising medication administration, order entry, radiological/laboratory results viewing, clinical documentation, and decision-making ability. Introduction of IT in a hospital influences the management of the organization, health care delivery, and patient outcomes while proposing likely advantages in better patient safety, decreased hospital costs, and enhanced efficacy of medical care. Computers have facilitated nurses and physicians maintain track of several things, and additionally support to validate new roles for nursing in the health care setting. This basically means that the role of a nurse is improved through duties on the computer along with their clinical duties. So, computers are simplifying the nursing process, and a job that used to be strictly hands on is now splitting out to the technological.