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More handpicked essays just for you.
Relationship between Information Technology and healthcare quality
Impact of information systems and computer technology in healthcare
Benefits and challenges of health information exchange
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As the US healthcare reimbursement moves from fee-for-service to value-based models, health information technology has been the forefront of these changes. The providers and healthcare organizations used health information technology to measure the performance and quality of the healthcare services delivered. Furthermore, health information technology plays an integral role in providing the necessary solutions to manage the costs and provide positive financial outcomes for health care organizations and healthcare providers. Additionally, it shows the government how well or how bad an HCO or a provider manages its patient’s health that determines its qualification for reimbursement. Capturing patient’s data and information, measurement of the quality metrics, and healthcare consumerism are some of the …show more content…
With healthcare providers uses health IT to chart and charge, it makes it easy and efficient to extract data to use for quality measurements (Buntin, Jain, & Blumenthal, 2017). Those data collected can be aggregated to identify what challenges healthcare organizations to face in terms of quality of their services, as well as analyzing pertinent information. Moreover, with information easily exchange through the system, redundant tests are prevented which help decrease unnecessary patient charges. Decreasing repetitive tests and other procedures that are unnecessary do not only alleviate the costs incurred, but also leads to greater patient satisfaction. Additionally, according to Buntin, Jain, & Blumenthal (2017), with streamline health information exchange insurers are able to manage any risk in the market and enrollees with a pre-existing condition. These are some of the reasons how P4P and VBP influence and contribute the way healthcare services are being
With the passage of the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services (CMS) has initiated reimbursement based off of patient satisfaction scores (Murphy, 2014). In fact, “CMS plans to base 30% of hospitals ' scores under the value-based purchasing initiative on patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems survey, or HCAHPS, which measures patient satisfaction” (Daly, 2011, p. 30). Consequently, a hospital’s HCAHPS score could influence 1% of a Medicare’s hospital reimbursement, which could cost between $500,000 and $850,000, depending on the organization (Murphy, 2014).
The federal government has taken a stance to standardized care by creating incentive programs that are mandated under the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009. This act encourages healthcare providers and healthcare institutions to adopt Meaningful use in order to receive incentives from Medicare and Medicaid. Meaningful use is the adoption of a certified health record system that acquires or obtains specified objectives about a patient. The objectives or measures are considered gold standard practices with the EHR system. Examples of the measures include data entry of vital signs, demographics, allergies, entering medical orders, providing patients with electronic copies of their records, and many more pertinent information regarding the patient (Friedman et al, 2013, p.1560).
Many new technologies are being used in health organizations across the nations, 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 a EHR incentive program called the Meaningful use Program. This program was instituted to encourage and expand the use of the HER, by providing health professional and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and medicaid," 2014). The Meaningful use program will be explored including its’ implications for nurses, nursing, national policy, how the population health data relates to Meaningful use data collection in various stages and finally recommendations for beneficial improvement for patient outcomes and population health and more.
The world of healthcare changes every day. Technology, as we know it evolves and changes the actual care that patients receive and even post care as well. It has been determined that most faults are caused by system failures. When a break in the system has occurred it must then be decided where the,” inefficiencies, ineffective care and preventable errors” to then influence changes within the broken system (Hughes, 2008). Improvements sometimes can begin with measurements and benchmarks which in turn will allow organizations to assess the trouble spots and broken areas within the system. Many times those broken areas within the system will be owned by the humans who operate within these systems. According to the Institute of Medicine (IOM)
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.
Haddad,M (2010).Technology helps track healthcare providers. Health Management Technology, 31 (5), 24-25. Health Source-Consumer Edition
Medicare impact the Health Informatics workplace by implementing the changes in the healthcare industry such as health insurance plans and the increase in healthcare costs as Medicare and other organizations seek to create efficiencies to reduce their costs it is beneficial for them to do so through technology by building more systems and being optimized. Health Informatics is in high demand for many practices that use Electronic health records to maintain standards defined by the Centers for Medicare & Medicaid Services (CMS) Incentive Programs that governs the use of electronic health records and allows eligible providers and hospitals to earn incentive payments by meeting specific record keeping criteria.
In general, access to healthcare describes how easily an individual can receive appropriate medical services. These include measures of access health insurance coverage, ability to see a physician and obtain needed medical attention, ease of obtaining after-hours care, and short waiting times for doctor appointments. Throughout the entire world, better healthcare access correlates to better health status and lower hospitalization rates as the whole. The United States has always tried to reach equality and justice in politics. This also applies to healthcare accessibility. The United States has gone through many reforms and reconstruction to better increase the accessibility for everyone nationally, but there are still multiple setbacks in the way of a more readily available healthcare system.
How one should go about maximizing third party reimbursement is a very vital and important part of keeping a medical facility up and running. In this day and age of insurance companies trying their best not to pay out maximums, it is an extremely hard job for a medical office to get maximum reimbursements without the proper knowledge and know-how of medical billing and coding. A medical facility must have experienced medical billing and coding personnel to achieve maximum reimbursements. If your personnel does not fully understand the process of medical billing and coding, you can expect to be getting minimal reimbursements from your patient’s insurance companies.
Health care must be fully accountable for quality and the patient experience is simply the patient's perception of quality. Society should question and debate on how healthcare organizations should show improvement for consumers. This can help organizations create reliable health coverage cost and evaluate medical performances for families and individuals in the future. Physicians and organizations are now evaluating patients with collection of electronic data to improve a patient’s...
The present environments for healthcare organizations contain many forces demanding unprecedented levels of change. These forces include changing demographics, increased customer outlook, increased competition, and strengthen governmental pressure. Meeting these challenges will require healthcare organizations to go through fundamental changes and to continuously inquire about new behavior to produce future value. Healthcare is an information-intensive process. Pressures for management in information technology are increasing as healthcare organizations feature to lower costs, improve quality, and increase access to care. Healthcare organizations have developed better and more complex. Information technology must keep up with the dual effects of organizational complication and continuous progress in medical technology. The literature review will discuss how health care organizations can provide effective care by the intellectual use of information.
Journal Title: Impact of Health Information Technology on the Quality of Patient Care. Introduction: Our clinical knowledge is expanding. The researchers have first proposed the concept of electronic health records (EHR) to gather and analyze every clinical outcome. By the late 1990s, computer-based patient records (CPR) were replaced with the term EHR (Wager et al., 2009).
...ue to numerous medical errors. With the amount of medical errors that currently do occur which is a current health care issue it cost the health care billions of dollar each year to fix the mistakes that were made.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.