Unit 2 Report : The Shenandoah Community Health Center

and save patient data such as allergies, health history, lab results, health center visits in the electronic health record (EHR) and securely communicate these records with other health entities and governmental agencies (Oracle, 2010). With the ultimate ambition being the establishment of a more effectual, patient centered health care system that decreases provider’s administrative expenditure, improving coordination of care among providers and increasing patient’s participation in their own health care (Galbraith, 2013). This article will supply a synopsis of the meaningful use program, the connotations of its core standards and present proposals for further measures.

In order for the team members to be effective EHR users they must have basic computer knowledge. Before an electronic system goes “live” training is provided typically 4-6 weeks in advance to maximize user proficiency and patient care outcomes (McBride & Tietze, 2016). After the launch of an EHR system users are provided with ongoing support by super

To better understand where my facilities progress is concerning EHR’s, I will first explain the six step process in implementing an EHR. In the first step, an organization must assess their preparedness to initiate an EHR. This includes their

Meaningful Use engages patients and families in their health care, improve care coordination, improve population and public health and maintain privacy and security ("CMS," 2015, para. 1). Healthcare providers must show CMS that they are using their EHRs in ways that can positively affect the care of their patients. To do this, providers must meet all of the requirements established by CMS for this program and be able to demonstrate Meaningful Use of their EHRs to receive incentive reimbursement. The Meaningful Use program is divided into 3 stages which span 2011 (data capture and sharing), 2013 (advanced clinical processes) and 2015 (improved outcomes).

In the recent years, EHR implementation has been one of the biggest change that occurred in the health care delivery system. The adoption of EHR system which aims to improve the quality of healthcare, however, has met a lot of issues and barriers that are detrimental to its success. Thus, for any healthcare organization to achieve a favorable outcome after the EHR implementation, numerous factors have to be examined. Merrill (2010) has listed down the top ten factors for a successful EHR adoption. It includes right leadership, shared vision, right culture, governance, physicians, nurses and key stakeholders are engaged early and accountable to lead the clinical transformation, resources, clinical content standardization, realistic timelines and expectations, effective training and communication plan, and right vendor partnership relationship.

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

I spoke with the Director of Informatics, Dorothy Vanderweil, to learn how our hospital addressed the implementation of an EHR. Dorothy was able to tell me how they assessed readiness, planned their approach, selected a certified EHR, and conducted training and implementation of the EHR. HMC assessed the specific flow of each department. At the start, they discovered there were individual needs for each department. They then assessed which departments could consolidate to share work flow. They evaluated the need for training of individuals and found many staff could barely use a mouse. HMC determined which devices would best suited when documenting in the EHR, along with how many devices were needed. The planning then began and the decision was made to use the C5 tablet for documenting. Of course, they needed to know the cost involved with the procurement of these devices. Decisions were made as to how and what they wanted to be able to view and chart. Since they were moving from paper charting there was no data integration to be concerned about. They formulated a plan for training including the adoption of super users for extra support during the first few months of going live. They selected Cerner as the EHR system to implement. Once all staff were trained and physicians as well, a decision was made to go live. By January 2010 HMC was ready and implemented the EHR certified system Cerner. Go live was very well planned with extra staff

Nationally, EHRs have become fairly popular and it is essential to realize they are resourceful to health care professionals. Canada Health Infoway INC. continues to help the federal government present EHRs to various health care institutions. The organization only puts funds forward for hospitals and clinics they believe the equipment will be successful in and consider the territorial and provincial standards. Also, Canada Health Infoway INC. plans on creating an authorized agreement for each individual territorial and provincial assignment, and guarantee that they fulfill the requirements.

The pre-implementation phase is the fundamental part of the EHR project because it concentrates on activities that facilitates its success. It includes assessment of processes, structural, performance features, and uniformity systems of health care facility for the strength of the network connection. Moreover, the pre-implementation phase involves developing an appropriate roadmap to the EHR project. Once the need for EHR is established, a set of essential elements should be involved, like, assessment, suitable planning for implementation, defining the need for EHR and choosing a vender, implementation and providing relative support procedures, final assessment for the system, enhancement, maintenance, and full EHR support

Gawande’s (2015) article “Overkill,” suggests that physicians overprescribe drugs and tests which are ultimately unnecessary for patients. To eradicate such behavior, I would implement an electronic health record (EHR) with the following functions: Computerized provider order entry (CPOE) with a clinical decision support system (CDSS) to assist physicians/clinicians (stakeholders) in their medical practice or at hospitals. These functions will help to alleviate redundant tests and make suggestions about treatment. According to HealthIT.gov (2014), CDSS caters chiefly to drugs, laboratory testing, radiology procedures, and helpful clinical literature (HealthIT.gov, 2014).

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

Meaningful use is defined as using certified electronic health record (EHR) technology. It is important to healthcare because of the following; quality, safety and efficiency which reduces health disparities by having computerized physician order entry (CPOE) to document all medical orders that other health care providers inside and outside the hospital to be aware of health management. Maintaining an active medication lists ensuring that any health care provider working with a patient is aware of most or all the medications that a patient is being treated with, and allows the EHR system to make the health care provider aware of any controlled medications, allergies, or drug-drug interactions. Implementation of clinical decision support rules

Implementation Phase: This stage accepts that reasonable desires were produced. In the event that doctors and other key office staff are oversold on what the new framework will do, the framework is bound to be viewed as no less than a halfway disappointment. The EHR champion must help the training set reasonable desires for the effect on beginning profitability amid the early framework usage stages. Amid the usage of an EHR, rehearse profitability will at first decay, regardless of how great the framework and what the

The healthcare industry has been transformed by the implementation of Information Technology. In this case, our hospital is Health Care Organizations are facing the positive and negative impacts of EHR technology in HI operations. This paper will establish and provide an overview of the three operations, such as Clinical Documentation Management/Improvement, Release of Information, and Patient Identity Management. Thus, we are going to discuss its usage towards hospital outcomes and evaluate different elements based on management challenges and HIM-specific issues.

UMUC is the community-based hospital that offers services to the nearby members of the community with a goal of improving their life’s. Besides the clinic providing such services, it has serious challenges which want to be solved in a process of ensuring that the service it delivers is well scheduled. The critical problem has been a challenge of the clinic failure to handle their clients because of the use of an old and also outdated means in its service provision and again a fact that it has few professionals. Hence, there is instant demand to develop the system which should be brought in the UMUC clinic to solve the existing situation that looks to be initiating huge difficulties in the delivery process. With this, the EHR program is an excellent way and means to coordinate the services and synchronized the activities that occurs in the clinic hence this paper shall focus on such operations.