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why is quality important in healthcare
importance of providing quality patient care
importance of quality in health care
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1.0 Introduction
The interpretation of quality health care varies with each person. Some place emphasis on the ability to access various treatments without interference. Others value the feature of being able to simply select one’s provider. Quality health care, according to the Institute of Medicine (2001), can be defined as care that is “safe, effective, patient-centered, timely, efficient and equitable” (p. 3). Furthermore, it should account for, in detail, a patient’s medical history, and improve overall patient well-being.
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
Though the benefits of IT are numerous, successful adoption into healthcare has been difficult. The Medicare Payment Advisory Commission (2004) states, “barriers include the cost and complexity of IT implementation, which necessitates significant work process and cultural changes” (p. 158). These challenges, sadly, have resulted in a series of ineffective systems.
The forthcoming passages will illustrate initiatives and barriers to adopting health IT (HIT), as well as critical factors relating to successful adoption. The goal is to establish a realistic guide to increasing the possibility of successfu...
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...th first-year EHR adoption, loss of physician productivity appeared to be the largest component, estimated at $101,250.
Works Cited
http://www.rand.org/content/dam/rand/pubs/research_briefs/2005/RAND_RB9136.pdf
http://www.iom.edu/~/media/Files/Report%20Files/2006/Preventing-Medication-Errors-Quality-Chasm-Series/medicationerrorsnew.ashx
http://webobjects.cdw.com/webobjects/media/pdf/Newsroom/CDW-Healthcare-Physician-Practice-EHR-Price-Tag.pdf
https://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/91xx/doc9168/05-20-healthit.pdf
http://content.healthaffairs.org/content/30/3/481.full.pdf+html
http://www.iom.edu/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf
http://www.himss.org/files/HIMSSorg/content/files/DMODePhillips.pdf
http://www.medpac.gov/publications%5Ccongressional_reports%5CJune04_ch7.pdf
Jha, A. K., Burke, M. F., DesRoches, C., Joshi M. S., Kralovec P. D., Campbell E. G., & Buntin M. B. (2011). Progress Toward Meaningful Use: Hospitals’ Adoption of Electronic Health Records. The American Journal of Managed Care, 17, 117-123
...fines for breaches. There were federal grants and/or incentives for those organizations and individuals that chose to use the EHR via the Health Information Technology for Economic and Clinical Health Act. The people are so sure that the Health Information Technology for Economic and Clinical Health Act would work that they even provide incentives for training programs so that the people can be well educated and knowledgeable in regards to the EHR system. We all have medical records in some physician's office and we would like to know that our medical history is kept safe from those who does not have permission to access our information. Since the HITECH Act allows a variety of random audits, healthcare organizations and individuals will work harder to ensure that they are up to par on all of the federal guidelines in regards to their patients privacy and security.
When a new system is implemented, an initial setback is always a major hurdle to overcome. In case of E-health the hurdle is the initial training provided to the staff as this can significantly decrease the productivity of the staff. A study conducted by the University of California-Davis found a 25-33 percent drop in physician productivity in the initial implementation phases of the EMR. While ultimately the goal is to increase productivity in the office or hospital, expect to see a significant drop in productivity, and ultimately revenue, in the first several weeks, and perhaps longer. (Palma,
In 2009 President Obama, through the American Reinvestment and Recovery Act, pledged to provide incentives to the nation’s physicians and hospitals to convert to an electronic healthcare system in attempt to improve the quality of care and reduce cost (Freudenheim, 2010). By converting to an electronic system, we have the opportunity for improved communication between all healthcare providers and decreased cost to our healthcare system. The goal is to improve communication across all aspects of the service chain (Horan, Botts & Burkhard, 2010). Almost two years later, the conversion progress continues to be slow. Only one in four physician’s offices, mostly large groups, have implemented the electronic record system (Freudenheim, 2010).
“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.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an incentive, the government began issuing payments to those providers who “meaningfully use certified electronic health record (EHR) technology.” (hhs.gov) There are three stages that providers must progress through in order to receive theses financial incentives. Stage one is the initial stage and is met with the creation and implementation of the HER in the business. Stage two “increases health information exchange between providers.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) Stage three will be the continuation and expansion of the “meaningful use objectives.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) The hospital, where I work, initiated the HER mandate many years ago. In this paper, I will discuss the progression and the challenges that my hospital encountered while implementing the EHR mandate.
Administrative Mandates, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, ICD-10 and HIPAA 5010, are all part of administrative simplification and the need for systems optimiza...
On February 17, 2009, President Barack Obama signs into law the American Recovery and Reinvestment Act of 2009 (ARRA). The law promotes electronic medical records (EMR) and infrastructure development, such as reimbursement-based pay, to cut health care costs (Frequently Asked Questions, 2009). Likewise, the ARRA is restructuring Medicare disbursements to reimburse for quality not quantity. While the law does not mandate EMR use, the federal government has set aside twenty billion dollars to help in the development of a strong health information technology infrastructure. Title IV states, “NO INCENTIVE PAYMENT IF FIRST ADOPTING AFTER 2014” (American Recovery and Reinvestment Act of 2009, 2009). In times of economic turmoil, hospitals and physicians, who are not hospital-based, can receive incentive payments (Frequently Asked Questions, 2009). So, most institutions will comply with the restructuring and use EMR’s, even though there are pros and cons.
The ratification of the Health Information Technology for Economic and Clinical Health (HITECH) Act in February 2009 as part of the American Recovery and Reinvestment Act (ARRA) heightens the planning and implementation of EHR adoption. As a result, the federal government made the health information exchange (HIE) a national priority. In this regard, the Office of the National Coordinator for Health Information Technology (ONC) is sanctioned by HITECH to establish program and projects to improve health care quality, safety, and efficiency through the promotion of health IT. There are various government...
Healthcare Information and Management Systems Society (HIMSS) is a global non -profit organization with the focus of bettering health through information and technology. HIMSS North America which includes America and Canada provides leadership, professional development, and public policies. The North America division has over 61,000 members and partners with over 400 other non-profit organizations. One way in which HIMSS helps improve health is through their Electronic Medical Record Adoption Model (EMRAM). The model was first proposed by HIMSS in 2006 and verifies digital capabilities. EMRAM drives organizations to a paperless environment and support technology to increase patient health. The model ranks facilities based on an eight-step scale,
The U. S government passed the American Recovery Act in 2009 that established incentives and penalties to promote EHR use. From this legislation the Meaningful Use Program for EHR’s s was created. Through The Meaningful Use Program the U.S. government is able to support the adoption and use of EHR technology to enhance and revolutionize health care. The goal of the program is to increase EHR adoption, improve quality, safety, reduce disparities, and improve public health (hmsa , 2012).
“Mike Leavitt, who served as U.S. Department of Health and Human Services Secretary, championed the creation and development of a national collaboration in terms and standards adoption in order to aid rapid health information exchange and the diffusion of health information technologies (IT) among U.S. healthcare facilities” (Tan, J., and Payton, F, C.,2010). The collaboration of health information technology will assist with achieving interoperable medical information systems to motive patients and healthcare providers to utilize electronic healthcare
The present environments for healthcare organizations contain many forces demanding unprecedented levels of change. These forces include changing demographics, increased customer outlook, increased competition, and strengthen governmental pressure. Meeting these challenges will require healthcare organizations to go through fundamental changes and to continuously inquire about new behavior to produce future value. Healthcare is an information-intensive process. Pressures for management in information technology are increasing as healthcare organizations feature to lower costs, improve quality, and increase access to care. Healthcare organizations have developed better and more complex. Information technology must keep up with the dual effects of organizational complication and continuous progress in medical technology. The literature review will discuss how health care organizations can provide effective care by the intellectual use of information.
Health care information system (HCIS) is an arrangement of information (data), processes, people, and information technology that interact to collect, process, store, and provide as output the information needed to support the health care organization (Wager, Lee, Glaser, 2013, p. 105). Having ready access to timely, complete, accurate, legible, and relevant information is critical to health care organizations, providers, and the patients they serve (Wagerm Lee, & Glaser, 2013). In the health care industry, the quality of care is one of the most important objectives for most health care organizations. The growing developments in health information technology have a great impact on the delivery of health care and have changed the systems used to record and share information. It has the potential to improve the quality of care if it is appropriately used. Health care organizations routinely apply computers and other technologies to record and transfer health information such as diagnoses, prescriptions, and insurance information.
Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely provide better preventive care than were healthcare professionals who did not. (page 116). From 2004, EHR has initiated, even the major priority of President Obama’s agenda is EHR (Madison & Stagger, 2011). Health care administration considers EHR as the introduction of advanced technology which can improve patient satisfaction are can increase the financial incentives of the healthcare organization. Studies have pointed out that the federal policy is proposed to transform all medical records into EHR (Hebda & Calderone, 2010).