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Electronic health record research paper
Electronic health record research paper
Benefits of electronic health records essay
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Electronic health records (EHRs) Has improved the quality and safety of patient care and achieve real efficiencies in the healthcare delivery system throughout the years. EHRs are the tools through which physicians, nurses, and other staff enter, view, and share the information required to deliver high quality care. it is vital in clinical decision making for patients and physician; therefore, the U.S. Department of Health and Human Services provides Healthcare industries with The Research-Based Web Design and Usability Guidelines. In the user-interface (UI) design community this is partially addressed through the establishment of interactive patterns and collection of building blocks that represent recurring solutions to common design problems.
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
Meaningful Use and the EHR Many new technologies are being used in health organizations across the nation, which are being utilized to help improve the quality of health care. Electronic Health Records (EHRs) play a critical role in improving access, quality and efficiency of healthcare ("Electronic health records," 2014). In order to assist in expanding the use of EHR’s, in 2011 the Centers for Medicaid and Medicare Services (CMS), instituted an EHR incentive program called the Meaningful Use Program. This program was instituted to encourage and expand the use of the HER, by providing health professionals and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and Medicaid," 2014).
The implementation of electronic health records (EHR) continues to make an impact on nursing and patient care throughout the country. As a part of the American Recovery and Reinvestment Act of 2009, all public and private healthcare providers were required to implement electronic health records in their facilities by January 1, 2014. By demonstrating “meaningful use” of the electronic medical record, facilities are able to maintain Medicaid and Medicare reimbursement levels. Providers who show that they are meeting the “meaningful use” criteria during EHR use will receive an incentive payment from Medicare and Medicaid. “Meaningful use” is “using certified technology in EHR implementation to improve quality, safety, efficiency, and reduce health disparities; engage patients and families; improve care coordination; and maintain privacy and security of patient health information” (Centers for Medicare & Medicaid Services, 2013).
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.
“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.
Technology is a driving force in our society. People can now manage their bank accounts, pay bills, and get their news with the click of the mouse. It only makes sense that the health care industry would join in on these web-based initiatives. More and more providers are using online patient portals as a means for communicating with patients and allowing them to have access to important health information. While patient portals are still in their emerging stages, positive results are being reported from patients and healthcare professionals alike. Online patient portals allow more effective communications between patients and their healthcare professionals by developing stronger, more utilized relationships and by creating a way to get information out to patients more efficiently. Through this enhanced communication there will be patients that are more actively engaged in their treatment, have stronger relationships with their healthcare professionals, and in many cases have improved medical conditions.
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
Canada provides a universal health insurance coverage plan (Medicare) to its citizens. This includes physician visits and specialist services by referral from a physician. Depending on the province, the coverage may include prescription medication and other services. Services like dental and prescription glasses may be obtained through other private insurance plans. Although the Medicare provides universal access, owing to the climatic and terrain conditions of Canada, one may find it difficult to access the various health care services.
In 2006, Sunnybrook Health Sciences Centre designed a web site for patients enrolled in a clinical research trial (Curtis, Cheng, Rose, & Tsai, 2011). MyChart’s success has resulted from healthcare providers engaging patients in their own healthcare and utilizing electronic access to personal health information (Curtis et al., 2011). The biggest challenges stem from institutional and end-user adoption, usability, and trust in acute healthcare settings (Curtis et al., 2011). MyChart continues to respond to developmental challenges of adoption, feature designs and usability improvements, multi-site integration and service enabling, and the development of research areas (Curtis et al., 2011). Sunnybrook has experienced a positive change in
The purpose of this paper is to discuss the implementation of Electronic Health Record’s (EHR). How to implement an EHR system within a healthcare facility, and my facilities current EHR system is provided for support. The definition and explanation of meaningful use is analyzed and applied to my facility’s status. The health insurance portability and accountability act (HIPAA) is related to the use of EHR’s and maintaining and incorporating patient confidentiality and security is analyzed. Concluding, is the benefits and risks of EHR systems in summary of this discussion.
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
Electronic health record (EHR) systems have the potential to transform the healthcare system from a paper-based industry to one that utilizes evolving, sophisticated information technologies that capture unique patient clinical and other pieces of information to assist health care professionals in delivering higher quality patient care (Article 2). The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, which is contained within the American Recovery and Reinvestment Act (ARRA), was signed into law with the explicit intention of “incentivizing providers (eg, hospitals and physicians) to adopt [and utilize] EHR systems” in a meaningful way. EHRs may be defined as “a longitudinal electronic record of patient health
E-health falls within a nation wide movement for change in the health sector. The key drivers for this movement seek to improve the safety, reliability, accessibility and quality of patient information. eHealth is a proposition which seeks to create a standardised electronic health information service for all in the health sector. It will provide a variety of information that is currently stored entirely in folders and paper. E-Health main task is to reduce costs while increasing the speed and accessibility of this information while furthering the security surrounding this sensitive information.
Wager, K. A, Lee, F. W., & Glaser, J. P. (2013). Healthcare information systems: A practical
Personal Health Records(PHRs) remain a major point of contention with there being many barriers to proper implementation and utilization. There has been little impact on the usability of PHRs to assist with entering and maintaining information. Computer literacy and computer anxiety are two major barriers within our population. Some of the barriers identified are access to use of compatible devices, cognitive disabilities that come with advanced aging and physical disabilities and limitations based on the aging process. Elderly, disabled and low income patient populations as well as consumers with low literacy rates stand to not benefit at all from this concept.