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Impacts of electronic health records on patients
The Impact of Electronic Health Records on Health Care
The importance of the electronic health record
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El Camino Hospital is a 300-bed, state-of-the-art, nonprofit, multi-specialty acute care facility in Mountain View, California with a smaller branch in Los Gatos, California. Located in the heart of Silicon Valley, approximately 15 miles north of San Jose, and 45 miles south of San Francisco, the hospital is considered one of the most technologically advanced hospitals in the nation. Since the hospital is located in a relatively affluent community, it typically only serves a small number of indigent, and Medi-Cal (California's insurance program for low-income residents) patients. This is because most indigent, and Medi-Cal patients in the area are served by Santa Clara Valley Medical Center, which is a county hospital. Meanwhile, nearly 50 percent of El Camino Hospital's patients are covered by private insurance such as Blue Shield Blue Cross, United Healthcare, Aetna, and Cigna while roughly 45 percent are covered by either MediCare or a Medicare HMO. Since the opening of its doors in 1961, El Camino Hospital has valued, and embraced the important role of technological advancements in healthcare. In 1971, the hospital partnered with Lockheed to launch the original computerized medical information system. More importantly, due to its geographical advantage, the hospital is not only able to obtain the technology but to obtain the newest version of it because the company is down the street. When El Camino Hospital decided to construct its new, $470 million technologically, and seismically advanced healthcare facility, the hospital calculated that the staffing cost to make continuous deliveries would exceed $1 million annually. After all, the spacious design (450,000 square feet) combined with the horizontal layout in the new hospi... ... middle of paper ... ...ome price is $4.6 million: Silicon Valley claims 3 of nation's 10 most expensive housing markets. Retrieved from http://www.bizjournals.com/sanjose/news/2014/07/07/when-the-median-home-price-is-4- 6-million-silicon.html?page=all Herman, B. (2014, January). The great pay debate: 5 hospital executive compensation trends for 2014. Retrieved from http://www.beckershospitalreview.com/compensation-issues/the- great-pay-debate-5-hospital-executive-compensation-trends-for-2014.html Martin Health System. (2012). EPIC – Electronic medical records questions and answers. Retrieved from http://www.martinhealth.org/upload/docs/EPIC_QA_Electronic_Flier5.pdf Versel, N. (2013, November). Taking a close look at electronic health records. Retrieved from http://health.usnews.com/health-news/hospital-of-tomorrow/articles/2013/11/05/taking-a-close-look-at-electronic-health-records
In this case, the reader learns that liquidity is a better than average. The ratio and cash on hand have been better than 2013 from the past years. Moreover, it shows that the hospital has a higher ability to meet its cash obligation because it has more security compared to other hospitals. Funding allows hospitals to control funds and limit investments. Not-for-profit organizations help provide more services and margin of safety. Therefore, creditors look for a margin of safety so that the community that financed a small portion of total financing can be returned to the owners by leveraging. Capitalization ratio measures the funds that were borrowed and the assets that have been used. The coverage ratio measures the number that time they fixed financial charges. The time's interest earned ratio shows the ability of the hospital to meet
This paper will propose the major steps that Caring Angel Hospital (CAH) could take to achieve each of the following goals: Improve the quality of care, add value to the organization, improve employee morale, design an efficient organizational chart, create a strong team environment and create the hospital’s competitive edge. It will also recommend one approach that the hospital could use for acquiring a larger market share given the prevailing financial circumstances. It will investigate two value-added services that CAH could offer to strengthen its value proposition and examples of the advantages of those services.
General Practices Affiliates is considering an offer from Titus Lake Hospital to join under a provider leasing model. Under a provider leasing model, Titus Lake Hospital is purchasing General Practices Affiliates’ services. The practice will retain control of personnel, management, and practice policies. Titus Lake Hospital submitted financial reports to assure transparency during the lease agreement process. The following analysis will discuss whether Titus Lake hospital is a viable financial partner for General Practice Affiliates, possible implications of the lease, and recommendations.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
Savel, R. H., & Munro, C. L. (2013, November). Promise and pitfalls of the electronic health
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.
Wright, A., Henkin, S., Feblowitz, J., McCoy, A., Bates, D., & Sittig, D. (2013). Early results of the meaningful use program for electronic health records. New England Journal of Medicine, 368(8), 779-780. http://dx.doi.org/doi: 10.1056/NEJMc1213481
Frequent repositioning and progressive mobility have been shown to provide significant benefits to hospitalized patients. Recently released guidelines from the National Pressure Ulcer Advisory Panel (NPUAP) recommend repositioning all patients at risk of pressure ulcers, unless medically contraindicated. Using Leaf’s wearable patient monitors, we now know when a patient has been turned and how that patient has been turned.
Neal, H. (2013, January 10). History of Electronic Health Records (EHR). Retrieved April 24, 2014, from Software Advice: http://blog.softwareadvice.com/articles/medical/ehr-timeline-113/
Advances in technology have influences our society at home, work and in our health care. It all started with online banking, atm cards, and availability of children’s grades online, and buying tickets for social outings. There was nothing electronic about going the doctor’s office. Health care cost has been rising and medical errors resulting in loss of life cried for change. As technologies advanced, the process to reduce medical errors and protect important health care information was evolving. In January 2004, President Bush announced in the State of the Union address the plan to launch an electronic health record (EHR) within the next ten years (American Healthtech, 2012).
Miller, R., & Sim, I. (2004). Use of electronic medical records: Barriers and solutions. Retrieved June 29, 2011, from http://content.healthaffairs.org/content/23/2/116.short
Electronic medical records not only effect health care professionals, but the patients of those health care providers as well. However, nurses spend the most time directly using electronic medical records to access patient date and chart. Nurses now learn to chart, record data, and interact with other health care providers electronically. Many assume that electronic means efficient, and the stories of many nurses both agree, and disagree. Myra Davis-Alston, a nurse from Las Vegas, NV, says that she “[likes] the immediate access to patient progress notes from all care providers, and the ability to review cumulative lab values and radiology reports” (Eisenberg, 2010, p. 9). This form of record keeping provides health care professionals with convenient access to patient notes, vital signs, and test results from multiple providers comprised into one central location. They also have the ability to make patients more involved in their own care (Ross, 2009). With the advancement in efficiency, also comes the reduction of costs by not printing countless paper records, and in turn, lowers health care
Friedman, D. J., Parrish, R., & Ross, D. A. (2013). Electronic health records and US public health: current realities and future promise. American Journal of Public Health, 103(9), 1560-1567. doi:10.2105/AJPH.2013.301220
This is a digital rendition of a patient’s paper chart. They are actual time, patient-centered records that make data accessible right away and securely to approved users. Although an EHR has the medical and treatment histories of patients, this system is created to move beyond regular information composed in a provider’s office and can be comprehensive of an expansive view of a patient’s care. (Health IT. Gov, 2018).