Vermont Chronic Care Compliance Summary

Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system.

Working with this tool on a day to day basis has raised questions on how it is being effectively used. Analyzing human-technology interface we can see what questions need to be solved for the future. Human-tech. interface is defined as, people having any contact with technology (Mastrian, McGonigle, & Effken, 2017). This can be a large problem, especially when work flow is affected; Nurses simply do not like breaking their routine (Mastrian, McGonigle, & Hammel-Jones, 2017). If a program is given to them and the staff does not know how to use it, they will continue their day and forget about it. I asked staff how they incorporate the program in their workday, several people

* Implement a timetable of training sessions available and a method of communication to staff, by the end of March

My interest in all things healthcare related led me to take a position as an electronic health records (EHR) specialist and trainer at North East Medical Services, a federally qualified health center based out of San Francisco. With no prior computer programming background, I accepted the challenge and fed my curiosity by entering unfamiliar territory. Through this experience, I gained a unique perspective on the physiology of a health clinic from medical coding to charting and was privileged to witness the transformative work of a nurse practitioner. The role refined my abilities to lead execution intensive projects with time constraints and to stay present and grounded in high-pressure situations.

Choosing your platform: With many diverse styles of computer systems found with a health care facility finding an application that can integrate across multiple healthcare organizations is

The intent of conducting this SLP was to discover and reveal the access of quality medical care that Southwest General delivers to its patients through use of the CareView system. A recent surgery hospitalization for my husband introduced me to what I hold to be an evolutionary patient care product, the CareView system. Since I was intrigued by all the features the system had to offer, this SLP was the perfect opportunity to conduct research on the CareView system. My overall expectation in conducting this SLP was to gather knowledge on how the latest hi-tech options in patient monitoring systems not only connects patients, families and healthcare providers, but most importantly, how it delivers quality medical care.

Technology infrastructure can be defined as the hardware and functioning software that permits the computing of data within a health care system (Englebardt & Nelson, 2002). The infrastructure includes but not limited to computers, mainframe computers, mid-range computers, workstations, portable computers, handheld devices, communication networks, and peripherals. The designated area for review and research is the technology infrastructure for the home telehealth department within the Veterans Administration (VA) Health care facility in Durham, North Carolina (NC). The VA defines home telehealth as the methodical application of health information technologies in the management of chronic disease, health promotion, and disease prevention in an at-risk population (Darkins, Ryan, Kobb, Foster, Edmonson, Wakefield, & Lancaster, 2008). The goal of

A clinical information system (CIS) collects patient information from technological applications. The information is distributed to certain locations in the facility/healthcare setting. Locations vary based on unit, such as OBGYN, cardiology, ICU, or psychiatric. The CIS represents the patient’s history of illnesses and interactions with health care providers by encoding knowledge capable of helping clinicians decide about the patient’s condition, treatment options, and wellness activities (Sittig et al., 2002).

Complete the following information. Be specific in your responses. You must present a rationale for ALL items. No yes or no responses are accepted. It is unacceptable for you to copy and paste information from the study. This is to be your own interpretation of the study critiqued and synthesis of research content.

The Epic system eclipse our previous documenting systems abilities. Epic has afforded nurses with the ability to chart assessments, patient education, care plans as well as connect all caregivers with the most current information, changing patient care. The system also has a built-in electronic system to document past and present medications and medication schedules. Radiology images, diagnostic results, lab work, and past medical history are all instantly accessible with this technology. Epic is a vital tool that requires advanced training. E-learning modules were assigned to all health care professionals when Epic was first introduced. I strive to increase my proficiency with these technologies, confident they with further my overall nursing

Participated in the research, design and implementation of programs, policies and procedures to ensure that Piedmont Healthcare was compliant with HIPAA & accreditation standards, as well as relevant laws and regulatory requirements.

However, there were some parts to the learning modules that could have been improved, which could have added additional clarity to the application process. For instance, further discussing how to relay the information on a certain insurance plan to the consumer through simplified language, would have enhanced the training. (One thing I saw during the day I shadowed, was the difficulty some navigators were having in successfully communicating to the individual about the characteristics an insurance plan embodied).

We equip staff members on how to identify CCM patients and create patient-centered care plans.

To understand the scope of the cardiac system of care, the healthcare and evaluation professionals from the state of South Dakota conducted full scale mock exercises during Summer 2014 to understand the flow of patient information, which directly affects the quality of care, across three sub-systems Computer Aided Dispatch (CAD), EMS and Hospitals. It was then identified that all the three sub-systems have independent software and their databases are not inter-linked, which creates an obstruction in the continuum of care (CoC) for the patient.

An outside resource training was updated and instructions did not lined with the module instructions making it confusing for the participant