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The effects of her implementation
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Essays on disadvantages of ehr system
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Recommended: The effects of her implementation
One of the major objectives of the Health Insurance Reform Act passed in August 2004 is to rationalize health care consumption through a better coordination of care. Delivery of excellent primary care central to overall medical care demands that providers have the necessary information when they give care (Bates et al, 2003). Implementing an Electronic Health Record (EHR) system to provide all the capabilities, support and benefits to provide fast, safe and efficient healthcare organization.
Primary care is critical to the delivery of integrated, comprehensible health care services by clinicians accountable for addressing most personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.
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EMR system provides much easier access to retrieve and track patient data and demographics. EMRs is also a great benefit as all patient charts are organized and provide an outline of patient medical information such as lab results, diagnostic testing, major illnesses, surgeries, allergies, and medication.
The main objective of EMR is to improve quality, safety, and efficiency as well as reduces costs. Through EMR systems, physician and health practitioner will be able to provide and improve care coordination. Moreover, by having patient information available to both patients and patients’ health care team, patient result is not only accessible quickly and easily. However, EMR will eliminate duplicated tests and exam, this will save money and times. Furthermore, by using EMR systems will provide meaningful use to both the organization and patients, as it will meet the goals and objectives for our organization (healthit, n.d):
• Improve quality, safety, efficiency, and reduce health disparities
• Engage patients and family
• Improve care coordination, and population and public
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.
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).
To be considered meaningful users of the EMR, the qualified applicant must use clinical content that is consistent and standardized across systems and healthcare settings, use decision support tools such as alerts and reminders, have the ability to collect and store raw data from documentation that can be used for reporting purposes, collect and report data to the state. Reporting of data will help to improve public health and awareness and provide sharing of information between systems (Tripathi,
One of the policies that ACA made to improve healthcare quality is to provide free preventive screening, immunization, and wellness visit. Since this policy took place, 76 million Americans now receive free preventive care. Moreover, under this policy doctors will get paid more so they can take more proactive approach to patient care and making sure patients are healthy, rather than only treating them when they are sick. Also by making the healthcare recorders electronic that increased the quality of healthcare. Creating EHRs decreased healthcare errors, decreased the amount of time spent on documenting and increased space capacity. Moreover, by creating EHRs this gave the healthcare providers extra time to spend with their
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.
The second key point focuses on primary care. To be able to have health care that is functional and effective it starts with primary care. “A robust primary care system is the cornerstone for a more equitable health care system” (Fiscella, 2011). Restructuring of this program in certain areas is important “payment reform, enhancing the training pipeline, transforming practice, and buttressing the primary care safety net” (Fiscella, 2011).
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.
The EHR is a computerized health record that will take place of the paper chart. The health care information will be available to all health care providers at anytime, anywhere. The record will contain medical history, diagnosis, medications, immunization, allergies, diagnostics and lab results; from past doctors, emergency department visits, school, pharmacies, and out patient laboratories and facilities (Department of health and human services, 2014). Health care providers will be able to access evidence-based tools to aid in decision-making. EHR will also streamline workflow, and support changes in payer requirements and consumer expectations. In 2004, “the HHS secretary, Tommy Thompson appointed David Brailer as the national health information coordinator to provide: leadership for the development and nationwide implementation of a interoperable HIT infrastructure, with the goal of establishing electronic health records...
EHRs are “a real-time, patient-centered” records that make health information available promptly and bring any patients’ health information together in one place such as medical history, medications, diagnosis, laboratory test results, immunization records, allergies and even medical images, and many others. The use of electronic health records (EHRs) continuously increases. An ability to collect secure patient data electronically, and supplies the information to the providers upon a request is one of the features in EHR. The system can also bring together information from more than one health care organization and any past and current clinical services of the patient that helps the health care professionals in providing quality services. Within this scope, EHR benefits health care providers to enter orders directly into a computerized provider order entry (CPOE) system, provides tools in decision making like, alerts, reminders, and provides access to the new research findings and evidence-based guidelines (Wager, Lee, & Glaser, 2013, pp. 134-37). The United States is creating large investments to boost the adoption and use of interoperable electronic health records (EHRs)
“There are two concepts in electronic patient records that are used interchangeably but are different-the electronic medical record (EMR/EHR) and the electronic health record. The National Alliance for Health Information Technology (NAHIT) defines the EHR as the electronic record of health-related information on an individual that is accumulated from one health system and is utilized by the health organization that is providing patient care while the EMR accumulates more patient medical information from many health organizations that have been involved in the patient care. The Institute of Medicine (IOM) has been urging the healthcare industry to adopt the electronic patient record but initially
The new healthcare technology that is spreading nationwide it the EHR programs that are being implemented and updated in healthcare organizations. Government policies are in place for societies protection and privacy, it also helps to create a place where healthcare information can be utilized to its fullest potential. ONC authors’ regulations that set the standards and certification criteria EHRs must meet to assure health care professionals and hospitals that the systems they adopt are capable of performing certain functions (HealtIt, 2015).
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).
There are six principals of Primary health care. To begin with, the first principles are Accessibility Equality and Social Justice. It is the first and most important key to primary health care. Health care service must be equally distributed and shared by all people of the community irrespect...
...all primary health care is initiated to guide us to work towards equitable social circumstances to provide adequate care to the people and equal access to the health care and community empowerment through public participants in all aspects of life. Primary health care addresses the main health problems in the community providing promotive, curative, preventive, and rehabilitative services accordingly. The goal of the primary health care is to build community capacity to enable sustainable health and wellbeing of all the people worldwide.