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Impact of information systems and computer technology in healthcare
Impact of information systems and computer technology in healthcare
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Introduction This paper employs multiple research techniques and sources to give a holistic analyst of the partnerships developed with people from different division of a healthcare organization. I identify problems from my personal experience as an Ophthalmic Technician and System Analyst for the Department of Ophthalmology at The Ohio State University Medical Center. The Literature Review, Analysis, and Solutions sections are based on research and without personal reflection. This paper addresses two questions. First, has Personal Health Records (PHR) made communication simpler and safer for the healthcare industry? Second, how to improve communication between Information Technology services and Healthcare providers? These two questions are important to understand an organization’s behavior as it adopts new technology. The Ohio State University Medical Center comprises of five hospitals: University Hospital, The James, Ross Heart Hospital, University Hospital East, and Harding Hospital and hundred of specialty clinics located around Columbus, Ohio. Its mission is to improve people’s lives through innovation in research, education and patient care. In order to improve patient care, the Ohio State University Medical Center adopted Personal Health Records two years ago. Personal Health Records has changed how the hospital communicates and interacts with patients. An Ophthalmic Technician works with Ophthalmologists who specialize in eye diseases. In this role I assist each physician by gathering health information and performing ophthalmic testing when required by the physician and accurately enter data into the patient’s electronic medical record. As a system analyst I create and edit features within the Personal He... ... middle of paper ... ...national Journal of Medical Informatics , 79, pp. 478-491. Nirel, N., Rosen, B., Sharon, A., Blondhiem, O., Sherf, M., Smuel, H., et al. (2010). The impact of an integrated hospital-community medical informaiton system on quality and service utilization in hospital departments. International Journal of Medical Informatics , 79, pp. 649-657. Wangler, B., Ahlfeldt, R.-M., & Perjons, E. (2003). Process oriented information systems architectues in healthcare. Health Informatics Journal , 9 (4), pp. 253-265. Win, K. T., Susile, W., & Mu, Y. (2006). Personal Health Record System and Their Security Protection. Journal of Medical Systems , 30 (4), pp. 309-315. Wu, H.-H., Chen, Y.-C., & Greenes, R. (2009). Healthcare technolgy management competency and its impacts on IT-healthcare partnerships development. International Journal of Medical Informatics , 78 (2), pp. 71-82.
Recommend which system is the best choice to meet meaningful use requirements in this particular setting. Both Cerner and CPSI have helped hospitals meet CMS Stage 1 and Stage 2 requirements. However, Cerner provides a modular concept that larger hospitals are using more than complete inpatient systems to achieve MU (Zieger, 2013). In 2014, EHR vendors said eight hospitals had attested to MU Stage 2, and Cerner was used twice as much as CPSI (Gregg, 2014). Concerning Computerized Physician Order Entry (CPOE), CPSI System had the broadest reach in community hospitals; nevertheless, the software was missing functionality and usability (KLSA Enterprises, 2010, p. 6). Therefore, CPSI’s CPOE was significantly below the market-average due to low physician satisfaction (KLAS Enterprises, 2010, p. 6). KLAS Enterprises (2010, p. 2) reported Cerner clients were happier the more they adopted CPOE.
The Health Insurance Portability and Accountability Act of 1996, or HIPAA, is a law designed “to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.”1 HIPAA mandates that covered entities must employ technological means to ensure the privacy of sensitive information. This white paper intends to study the requirements put forth by HIPAA by examining what is technically necessary for them to be implemented, the technological feasibility of this, and what commercial, off-the-shelf systems are currently available to implement these requirements.
Studies by Jha et al. examined surveys completed by the 2010 American Hospital Association Annual Information Technology of 2902 hospitals’ readiness for Meanin...
...f clinical information systems in health care quality improvement. The Health Care Manager. 25(3): 206-212.
With today's use of electronic medical records software, information discussed in confidence with your doctor(s) will be recorded into electronic data files. The obvious concern is the potential for your records to be seen by hundreds of strangers who work in health care, the insurance industry, and a host of businesses associated with medical organizations. Fortunately, this catastrophic scenario will likely be avoided. Congress addressed growing public concern about privacy and security of personal health data, and in 1996 passed “The Health Insurance Portability and Accountability Act” (HIPAA). HIPAA sets the national standard for electronic transfers of health data.
The objective of the MCEG is to provide channels to exchange information between managed care/health plan information systems executives and to provide opportunity for personal networking. MCEG provides a forum to develop policy which relates to the use of information technology and healthcare. MCEG provides feedback to vendor sponsors and other vendors on the trends and types of technology needed to ensure that their products and strategies meet their customer’s present and future managed care needs. Additionally, their objective is to “educate executives on clinical and administrative trends in health care, new and emerging technologies, and other pertinent information to assist in achieving the key goals of cost containment, effective service and high quality health care.” (Why We Matter, 2011)
... that do not communicate with each other will need to be addressed. The implications of the American Recovery and Reinvestment Act (ARRA) and Health Information Technology for Economic and Clinical Health (HITECH) Act will lead to an investment in the transformation of healthcare systems. Ultimately, healthcare systems will become transformed to exchange health information between systems in order to deliver equitable high quality care to everyone. According to Kadry, Sanderson, and Macario (2010) clinicians need to understand workflow and recognize barriers to meaningful use. Poor user interface can lead to negative clinical outcomes (Kadry et al., 2010). Without a clear vision, “institutions will convert paper-based systems into expensive digital chaos” (Kadry et al., 2010, p. 185). Without proper workflow analysis, potentially the same outcome could occur.
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
Physicians, administrators, staff, and patients who are affiliated within the healthcare organization should understand the importance of interoperability by coming together to ease ...
The word inclusion represents a famous quote from Lilo and Stitch: “Ohana means family. Family means nobody gets left behind or forgotten.” Similar to Lilo’s relationship to Stitch, inclusion is being there for someone who does not fit in, can be socially anxious or extroverted to a point that may seem out-of-place. In the case of Stitch’s inclusion into Lilo’s life, Lilo had seen a “dog” that everyone was afraid of, knowing she had not fit in with children her age. It became her goal to make friends with him and help him adjust to life on earth, adopting him into her family. Inclusion is just that, adding someone to your group of friends, discussions, and activities.
Thrasher, E. H., & Revels, M. A. (2012). The Role of Information Technology as a Complementary Resource in Healthcare Integrated Delivery Systems. Hospital Topics, 90(2), 23-32. doi:10.1080/00185868.2012.679908
HMIS and ERP assists in the integration of medical record databases across healthcare settings and allows multiple healthcare providers to access to their patients’ complete health histories and facilitate patient care coordination (Washington, Sun, & Canning, 2010). However, Sanja (2013) explains since healthcare providers are a diverse group of professionals, CIOs might experience resistance to adopting ERP systems across healthcare settings. In order to increase the chances of successful ERP implementation and improve interoperability, she stresses CIOs must clearly communicate health information exchange (HIE) strategies and goals to their employees, so they understand why ERP is important to healthcare coordination and disease management (Sanja, 2013). Healthcare coordination can be improved through the collaboration of healthcare providers across
Healthcare is changing daily and with technology these changes are occurring faster. Health informatics is one of these changes. It combines healthcare, information technology and business. This technology makes it easier for healthcare personnel to access client information and for clients to manage their healthcare.
The rapid growth of information technology (IT), combined with provisions of the American Recovery and Reinvestment Act (ARRA) of 2009, have led to a paradigm shift in healthcare documentation and recordkeeping, resulting in widespread implementation of healthcare information technology (HIT). Successful integration of HIT requires an artful blend of traditional project management techniques with the distinctive theories of change and IT administration (Coplan & Masuda, 2011). As a future leader in the field of nursing informatics, it is inevitable that I will be taking an active role in managing HIT projects. In this paper, I describe my personal insights into the unique process of technological change implementation in the healthcare industry.
In this article author showed two ways of ANT-informed approach to deal with executing Information technology in health care settings which are useful conceptually and practically. The conceptual value of approach was through Fluidity of Reality which gave a well-defined picture of various actors and their relationships with other actors. This concept was very well explained by taking a health reform in New Zealand as an example and the role of Actors in that organization ( i.e., Managers, Doctors, Nurses etc.,) , shifting of roles depending on their position over time. The similar sort of shift was observed on EHR introduction as a part of NPfIT programme as a macro perspective. In micro perspective ANT helps in the way how new systems were interlinked in establishing a network of EHR system that helps to overcome the barriers that usually exist in integrating the new technology.