Use Of Electronic Medical Records From Emergency Departments ( Ed )

In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.

In a healthcare world that operates on stringent budgets and margins, we begin to see the need for a higher capacity healthcare delivery system. This in turn puts pressure on the healthcare organizations to ensure higher standards of patient care, and compliance with the reform provisions. However, these are the harsh realities of today’s healthcare environment, a setting in which value does not always equal quality. The use of technology can help to amend some of this by providing higher capacity care without compromising quality; this can be done with the use of such technology as electronic health records (EHRs). This paper will aim to address how EHRs influence healthcare today by expanding upon topics such as funding sources, reimbursement methods, economic factors, socioeconomic factors, business influences, and cost containment.

The EMR is a software program used to enter patients information into a computer, which organizes and stores the information. I believe most offices will keep the paper charts in a very safe location or shred it. But I think because of the confidentiality that any and all information or records relating to patients is considered privileged. basically saying keeping all information about the patient confidential.

In our society today, we have a broad range of computer technology for our use. This technology in the nursing field is called informatics. Informatics is defined as a combination of computer science, information science, and nursing science designed to assist in the management and processing of nursing data, information, and the knowledge to support the practice of nursing and the delivery of nursing care (Thede, 1). Nearly anywhere we go, and whatever career we choose we all need to have basic computer skills. Computers are used in the health care profession due to an increase of productivity they can provide, therefore allowing for better patient care. Computers also allow for hospitals, doctor’s offices, and other healthcare facilities to change over to and begin keeping electronic medical records (EMR). An EMR has the medical information that the doctors and nurses obtain when you have an office visit. The patient’s paper medical record is put into an EMR program is basically made into a digital version of that patient’s medical information. The patient’s healthcare provider can then use these EMRs for diagnoses and treatment. There can be advantages and disadvantages for healthcare providers to transition to an EMR system, and those providers will have to decide which one will outweigh the other.

The use of mobile technology in the healthcare industry has exploded in the last ten years. Mobile health or mHealth, provides an entire new aspect of the relationship between patients and their doctors and other medical providers. Mobile devices place important and critical information into a medical professional’s hands in real-time. Doctors can monitor a patient’s condition more frequently, allowing them to make better and more informed decisions and diagnoses.

Mhealth has reached the poorest of communities (U.S. Department of Health and Human Services, n.d.). More than 9 million patients email their physician in 2009 (Digital Health Care, 2010), because patients’ busy lifestyles do not allow time for an office visit for non-emergent health conditions. . In recent years, the expansion of mobile health (mhealth) technologies, including health text messaging, mobile phone applications, remote monitoring, and portable sensors, have changed the way health care is being delivered in the U.S. and globally (U.S. Department of Health and Human Services, n.d.). Patients like the convenience of communicating with his or her physician through advanced technology.

The Role of Electronic Health Records and Health Information Exchange in the Delivery of Quality Healthcare

The emergency department in the modern hospital is one of the most complex clinical settings to operate. According to Johnson, Sensei, & Capasso (2012), this department is an intersection of the diagnosis and treatment of emergency cases. As a result, it experiences immense volumes of patients every day. However, in most hospitals, patients visit the facilities with an indication of what they might be suffering from. Specifically, they use their iPhones to get a list of conditions that they might be having (Boncana, 2016). This method of detection has come to be known as mHealth. In this regard, mHealth, rather mobile health, is a method that patients use to enhance their health and medical practices via the use of mobile technology. The cell phones used in this approach are equipped with medical/health software, a personal digital assistant (PDA), and patient monitoring devices.

The Inner City Clinic is experiencing problems with medication prescribing errors and seeks a resolution to this problem through use of electronic medical records and registration medication reconciliation. The Institute of Medicine reports in the work entitled "Preventing Medication Errors" that the "average hospitalized patient is subject to at least one medication per day. This is reported to confirm previous research findings that medication errors represent the "most common patient safety error." (Barnsteiner, nd, p.1) Medication reconciliation is described as follows:

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.

We live in a world filled with technology. School teachers and college professors use technology to give lectures, health care professionals use technology to keep medical records, or monitor patient’s vital signs, we use technology such as social media, to connect with people and gain acceptance. In 2014, Gary Turk posted a video to Youtube titled Look Up, in which he argues that technology, such as smartphones, causes us to miss out on certain things in life, because we don’t use it in moderation. Technology benefits our lives by making us more efficient in our professional and personal activities.

In a world full of electronics it would only seem logical to have health records electronic. Not only are medical records efficient, reliable, and quick to access, new technology allow patients to access their own personal medical records with a simple to use login and password. “People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no”(Thede, 2010). At my hospital, upon every admission we ask the patient for a password for friends and family to have to have if they would like an update on the patient 's condition. We do not let visitors come up and see the patient without the patient 's consent. In doing these things, we help to ensure the safety and protection of the patient 's health information and privacy.

Patton-Fuller Community Hospital is a nonprofit Healthcare organization in the city of Kelsey that has provided quality

of electronic healthcare.[3] As mobile device has become an integral part of our lives, it can alter the way we look after our health. As there is an increase in the mobile use is more seeing this we have used mobile as a platform for a healthcare. Our aim is to make people live a balanced life. M-Health devices and applications are easy to use, and provide efficient and secure healthcare services. Mobile healthcare services and applications demonstrate a clear benefit to all players in the value chain. Mobile healthcare can provide significant savings for public and private health systems.[1] Thus, mobile healthcare helps in a rapid response information management as well as a better communication, coverage for patients and public, improved care and treatment for all as well as broader benefits to society. The advantages of broader benefits possibly includes improved life expectance, insights into epidemics and diseases, improved information sharing on treatments and reduced absences from work. In summary, we can create a smarter and

While traditional methods of patient education such as lecture, handouts, and logs are helpful, patients and caregivers are much more technically savvy than they were a decade ago. In fact, Seto et al. (2012) found that “the use of the mobile phone-based system had high adherence and was feasible for patients, including the elderly and those with no experience with mobile phones” (p. 1). These findings are promising that mobile health applications can perhaps revolutionize chronic disease management. People are now much more comfortable with using computers and mobile devices to locate information and people are relying more on technology to carry out basic functions like banking, bill pay, and email.