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Enterprise Patient Administration System
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Enterprise Patient Administration System (EPAS) is a state-of-the-art and combined electronic patient record system that will produce a consistent and complete electronic health record in the long run for patients across all South Australia Health (SA Health) sites. EPAS is a pre-built and pre-configured by 60% by a global healthcare systems company, Allscript. The system was greatly customised by 40% by SA Health to support SA Health’s clinical and administrative implementation. Also, the system becomes a dynamic environment that responds to user’s needs and changing business practice.
EPAS mainly consists of three main parts : clinical decision support, information of patient electronic health record (HER), and management applications regarding
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Clinicians and approved and trained staff can access to the system with appropriate security access.
Will all general practitioners (GP) have access to EPAS?
GPs employed by SA Health will have access to EPAS. Therefore, EPAS will not be available to the private sector.
Implementation of EPAS
Administrative staff and clinicians working at SA Health sites are able to access electronic patient information system and order tests, medications and review results from computers.
Prior to EPAS activated at each site, staff will receive a training session and business change support to help them prepare for the new system.
Since the activation of EPAS at SA Health sites, many advantages have been accrued thanks to improving patient safety and quality of healthcare for South Australians, clinicians and healthcare administrative staff.
Benefits to South Australians
• A trusted and consistent electronic health record
• Relevant information to inform healthcare strategies and research and development
• Connectivity between public healthcare staff in South Australia
• Innovative approach to treatment and processes across SA Health
• The system will be instantly accessible at the time of
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Among the benefits, it is easy for healthcare professional to sign in (just using a smartcard and PIN number). Medication safety is also enhanced via a barcode scanner which checks the right drug is being administered to the patient who also has the barcode on their wristband.
The only remaining limitation is the expansion of EPAS after 2014 to cover the whole SA Health footprint which is currently obstructed by the lack of adequate telecommunication infrastructure in South Australia, which the organisation is optimistic will be a gap taken care of by the National Broadband Network.
Economic Feasibility
Allscripts, the preferred EPAS software solution provider, provides and early estimates total cost for EPAS over 10 years at $220 million (capital cost of $151 million and operating cost of $69 million). The estimate was stated to be subject to refinement during the planning phase.
In terms of expected benefits, the benefits will realize over 10 years from May 2015 by $75.8 million.
• Directed Exchange – facility to send and receive secure data electronically among care providers to strengthen coordinated care
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.
This technology assist the nurse in confirming patients identify by confirming the patients’ dose, time and form of medication (Helmons, Wargel, & Daniels, 2009). Having an EHR also comes with a program that allows the medical staff to scan medications so medication errors can be prevented. According to Helmons, Wargel, and Daniels (2009) they conducted an observational study in two medical –surgical units one in the medical intensive care (ICU) and one in the surgical ICU. The researchers watched 386 nurses within the two hospitals use bar code scanning before they administrated patients’ medications. The results of the research found a 58 % decrease in medication errors between the two hospitals because of the EHR containing a bar code assisted medication administration
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,
In an effort to further improve the Australian Health Care System, an initiative was formulated in December 2008 in the Australian Health Ministers Conference for a National E-Health Strategy. This aims to formulate consolidated medical information of all Australians with the aim of optimizing the quality and efficiency of health delivery through electronic communications and information technology to ensure the right health info at the right time and place in a manner that privacy is secured. This initiative was highly regarded as a major achievement of the incumbent government upon its complete realization.
The case study by Elizabeth Layman (2011) is a very comprehensive compilation of the implementation of electronic health records, in relation to the Health Information Services Departments. Through this study Layman documents the conditions to be implemented to achieve satisfactory application of the change-over from the conventional pen and ledger system to computer documentation of patient’s records maintained by health networks.
Currently, we use the electronic health record system called Computer Programs and Systems, Inc. (CPSI). CPSI is “a l...
Healthcare professionals associated with medical billing and coding know the progress the technology has made so far. In the last few decades, medical billing and coding has switched from being a paper-based system to a computerized format. Under HIPAA laws, medical practitioners had to develop new software in order to send out electronic bills. With the advent of electronic medical records (EMR), with one touch of a button, doctors, Nurse Practitioners and PAs can gain access to all the care a patient has ever received from every healthcare facility the patients visited previously and can figure out possible illnesses. This enables statistical documentation of the population as a whole as well. EMR can also make the healthcare system more transparent and allow integration with reimbursement data. As the healthcare system changes, this will prevent unnecessary costs and make it easier to get the reimbursements needed to treat a patient.
Properly implemented and medication-use technology has the potential to moderate these costs. Bar-code-assisted medication administration (BCMA) has been shown to reduce medication administration errors by as much as 54-86%. BCMA, along with computerized electronic prescriber order entry and an electronic medication administration record, closes a technological loop that extends from the transmission of the order to the administration of the medication at bedside (Strykowski, Hadsall, Sawchyn, VanSickle, Niznick,
Healthcare Information and Management Systems. (2012). Electronic Health Record . Retrieved March 19, 2012, from HIMSS : http://www.himss.org/ASP/topics_ehr.asp
Young, J., Slebodnik, M., & Sands, L. (2010). Bar code technology and medication administration error. Journal of Patient Safety, 6(2), 115-120. doi:10.1097/PTS.0b013e3181de35f7
With the help of volunteer work HIMSS has been able to contribute to not only improve the health status of populations with the use of digital health, they have also aided in the quality, cost-effectiveness, access, and value of healthcare. This organization is not tied down to only North America, they stretch all over the world from Europe, Asia, Middle East, and Latin America.
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 records and documentation There are three mani types of health documentation that provided patient’s medical information like EMR, EHR and personal health record; however, even when they all contain patient information they differentiate by the their accessibility. Electronic medical record refers to the patient medical record used for diagnosis and treatment but in a digital form instead of paper record. EMR is used whiten the installation or hospital providing the care for the patient. Electronic health record refers still to the patient health information but it can be access by health care providers not only within a specific clinic or hospital but also it can be access by other health care providers who are providing care for the specific patient. Personal health record makes reference to information like immunization, medical history, past diagnosis and information that can be managed by the patient itself.
The environmental assessment helps organizations foresee and plan for some significant negative events and capitalize on others. For contemporary healthcare leaders, this means being aware of changes in all areas of the external environment: politics, economics, social and demographic, technological, and competitive. Ginter et al. (2013, p.46) report that there are three components of the external