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Conclusion to pros and cons of ehr
Issue of healthcare informatics
What benefits can be achieved through the successful implementation of EHR
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Health information infrastructure (HII) is a community level informatics systems comprising thorough electronic patient records for the whole population and can be obtained from authorized personnel anywhere when necessary. The key requirements for a successful HII are privacy and trust, stakeholder cooperation, information always available in an electronic format, financial sustainability, community focus, and governance and organizational support. Moreover, HII can be viewed either from an institution or a patient standpoint (Yasnoff, 2014). Privacy and trust are pivotal between patients and health care professionals/organizations. Without its existence, patients will not get the optimal care that they need because they will not divulge …show more content…
Yansoff (2014) states, “Advocates argue that patient control, in addition to being an effective approach to privacy, could also serve to ensure ongoing, consistent health care stakeholder participation. Of course, in order for this approach to be practical, the rights of patients to electronic copies of their records under HIPAA would need to be enforced”. In addition, patient’s information must be in an electronic format to comply with inter-collaboration amongst physicians. However, not every physician employs an EHR because it is not beneficial to them. It is the other stakeholders who reap the benefits. Implementing an EHR is extremely expensive and most times it is the physician who bears the brunt of the expenses and not receive the rewards. “It is unreasonable to expect physicians to shoulder 100% of the cost of systems while accruing only 11% of the benefits” (Yasnoff, 2014). Furthermore, initial reimbursements from HITECH for implementing an EHR is much appreciated; however, it does not cover the life of the physician’s practice in business. It takes money to continuously update an EHR as technology improves over time. Reimbursements are only an initial …show more content…
If patients trust their physician/organization will manage and secure their information, then an institution-centric method is used. However, if it is the patient who controls information and access to his or her record from multiple health care facilities, then a patient-centric method is used (Yasnoff,
As the evolution of healthcare from paper documentation to electronic documentation and ordering, the security of patient information is becoming more difficult to maintain. Electronic healthcare records (EHR), telenursing, Computer Physician Order Entry (CPOE) are a major part of the future of medicine. Social media also plays a role in the security of patient formation. Compromising data in the information age is as easy as pressing a send button. New technology presents new challenges to maintaining patient privacy. The topic for this annotated bibliography is the Health Insurance Portability and Accountability Act (HIPAA). Nursing informatics role is imperative to assist in the creation and maintenance of the ease of the programs and maintain regulations compliant to HIPAA. As a nurse, most documentation and order entry is done electronically and is important to understand the core concepts of HIPAA regarding electronic healthcare records. Using keywords HIPAA and informatics, the author chose these resources from scholarly journals, peer reviewed articles, and print based articles and text books. These sources provide how and when to share patient information, guidelines and regulation d of HIPAA, and the implementation in relation to electronic future of nursing.
When you take the socialistic perspective towards implementing this system in Canada, you can see the advantages it brings to improving health care. If the government plays a larger role in funding the development of electronic health records for private and smaller organizations the benefits will immediately result in better quality of health care. As shown in a study done by the University of California in San Francisco that focused on expensive costs that make it difficult for smaller practices to incorporate electronic health records, “need policies designed to provide incentives and support services to help practices improve the quality of their care by using EHRs.” (Miller, West, Brown, Sim & Ganchoff, 2005) In this article they explain that electronic health records improve quality of health care, but the costs are too expensive for small practices to incorporate them.
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).
Portability can improve patient care. Patients no longer have to “tote” their cumbersome medical records around anymore. EHR’s give physicians and clinicians access to critical healthcare information in the palm of their hand, which ultimately leads to improved patient care outcomes. EHR’s also provide security to vital medical and personal healthcare information. Organizations like HIPPA defines policies, procedures and guidelines for preserving the privacy and security of discrete distinguishable health information (HHS.gov,
Disclosing confidential patient information without patient consent can happen in the health care field quite often and is the basis for many cases brought against health care facilities. There are many ways confidential information gets into the wrong hands and this paper explores some of those ways and how that can be prevented.
Out of all the duties of a nurse, one of the most important duties is how the nurse honors the trust of a patient by maintaining the patient’s privacy and safeguarding the patient’s information confidentially. Privacy is the ability of the patient to make the choices in how to handle information regarding him or herself that other individuals are not aware of. As an example, prior to releasing the patient’s private information, the nurse must notify the patient on how their information will be handled and get consent from the patient
“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 utilization of mobile devices and cloud computing in health organizations should be committed to protecting and respecting the privacy of protected health information and understanding the importance of keeping this information confidential and secure. The electronic health records and protected health information should be managed to ensure its security, confidentiality, integrity, and availability for authorized purposes. Health Insurance Portability and Accountability Act of 1996 (HIPAA) via the mobile devices and cloud computing should maintain a process to guarantee compliance with applicable provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). All members
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).
Additionally, the use of RHIOs can make it very difficult for national health information network to identify errors in the health information and the processes used by the healthcare organizations in different areas, if RHIOs are employed to achieve conformity ambitions. Another con is that, as a strategy to address patients privacy and security concerns, health information organizations were established to allow secure and integrated sharing of health information among various stakeholders, not excluding clinical partners and public health (Shapiro, Mostashari, Hripcsak, Soulakis, & Kuperman, 2011). However, RHIOs are still struggling with security, data storage, technical support, and master patient index issues and these conditions can limit the effectiveness of the exchange in future, if they are used for achieving NHIN 's
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
Rapid health information exchange and the diffusion of health information technologies will allow electronic health records to become accessible to healthcare professionals.
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).
The Health Insurance Portability and Accountability Act (HIPAA), Patient Safety and Quality Improvement Act (PSQIA), Confidential Information and Statistical Efficiency Act (CIPSEA), and the Freedom of Information Act all provide legal protection under many laws. It also involves ethical protection. The patient must be able to completely trust the healthcare provider by having confidence that their information is kept safe and not disclosed without their consent. Disclosing any information to the public could be humiliating for them. Patient information that is protected includes all medical and personal information related to their medical records, medical treatments, payment records, date of birth, gender, and
Individual privacy and confidentiality play a role in both research and clinical health care settings. In each instance, standards and expectations put in place by researchers and health care practitioners to follow to protect patients and research participants while interacting with them. The evolving health care system and convergence of research and treatment protocols to create learning health care systems (LHCS) are creating the need to look at patient confidentiality and privacy differently to protect them and their information.