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Essay on electronic medical records
Importance of the electronic medical records
Importance of the electronic medical records
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Medicine has entered a new era of information technology (EMR) Electronic medical records has been influenced in the last twenty years and now a growth in the medical profession with a Required certification and Degree level to work in medical records (HIT). Electronic medical records has made a safer and more efficient way to access patient information. This electronic system has created a benefit to all medical staff including Physicians. Allowing Doctors to view currently administered meds, blood test results, x-rays and prescribe electronically. EMR has also helps support HIPPA policies, in misidentifying patients and mixing medical information. Although this system seems to be great it is not self-standing without a Health information …show more content…
In my chosen profession as a Health information Technology, a two year degree is required to receive an associates. After research I leaned that successful completion of the HIT program. “Accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)” enables you to apply for RHIT testing. Professionals holding the RHIT credential are health information technicians who ensure medical records quality by verifying their completeness, accuracy, and proper entry into computer system applications to assemble and analyze patient data for the purpose of improving patient care or controlling costs using medical coding. Health information technologists are certified specialist in coding diagnoses and procedures and are required to hold CCS and CPC certification to become coders. Certification is important because it increases the chance of employment and helps earn higher paying salaries. These certifications are credentialed for 2years, and are easily recertified before expiration by meeting the following steps; recertification application, 30 continuing …show more content…
Computer skills are very important and are used for about 80% of the job. Most medical record positions use EMR systems which are electronic and require medical charting and computer knowledge. In an much older setting like medical offices paper charting, billing and filing is still used. HIT employees not only spend most of their time on a computer but often communicating on the phone or over email with insurance companies, billing verifiers, medical offices and with physicians. This job requires employees to send most of the day sitting. Later medicals problems seen in this profession are neck, back, wrist and vision
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.
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
An associate degree is required to pursue a career as a Health Information Technician. As part of your educational training, some of the classes that will be needed include human anatomy and physiology, medical classification systems, medical terminology, concepts of disease and legal aspects of are required as the job moves toward using computers as its major form of storing information. Two other important training aspects that are required are, experience in supervising other personnel and experience in a health care clinic. This training program is usually offered in community colleges for the length of two years. The two year program is accredi...
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,
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
Medical Billing & Coding Careers. (n.d.). Retrieved May 7, 2010, from All Allied Health Schools: http://www.allalliedhealthschools.com/fags/medical-coding-career
Some RNs only have a two-year associate’s degree with plenty of on-the-job experience. However, these RNs usually must take specialized classes in telemetry to improve their job marketability. Almost all hospitals require nurses working in telemetry to obtain their Advanced Cardiac Life Support (ACLS) certification. In order to become an RN, candidates must meet state certification requirements, pass the National Council Licensing Examination (NCLEX) and complete a specified number of employment hours providing bedside care. Afterwards, they are eligible to take the Progressive Care Certified Nurse (PCCN) exam through the American Association of Critical-Care Nurses
A Registered Health Information Technicians job consists of compiling, processing, and maintaining medical records for physician offices. It also involves reviewing medical records for accuracy, and compliance with regulations and the release of information to persons and agencies according to regulations.
A Path is a certain route a student or profession can take a part of to become a certified Cancer Registrar. On Path A, is to successfully complete an associate’s degree in Cancer Registry Management or Cancer Information Management from an NCRA accredited program. On Path B, one must successfully complete an associate’s degree in any field that is similar to Cancer Registry Management or Cancer Information Management and to attain a certificate in Cancer Registry Management or Cancer Information Management from an NCRA accredited program. Path C, is one must successfully complete an associate’s degree in any field and to partake in two semesters of Human Anatomy and Human Physiology. There are three, three week long testing periods that candidates must take and submit an application for as
We can look at the patient’s allergies, their vital signs, and even their most recent weight which is important when we have a patient with Congested Heart Failure. Being able to share a patient’s medical record and all their health care encounters is so vital in the complete care of a patient. Being able to assess a patient’s medical record electronically is also important when it comes to prescribing medications because it can alert the provider to potential conflicts with other medications that the patient has been prescribed. And if a patient comes into the emergency room unconscious from an accident, the provider can still look up the patient and adjust care as needed. The electronic medical record is important in the transition of care of a patient from one provider to another. For example, when a patient is hospitalized and then discharged, they are asked to follow up with their primary care doctor within two weeks. With the provider being able to consider the patient’s electronic medical record they can see what care the patient received while they were hospitalized and vice versa, the emergency room provider is also able to consider the patient’s electronic medical record to see the care plan for the patient and the care the patient has been receiving from their primary care provider. According to HealthIT, Electronic Medical Records can reveal potential safety problems when they occur, helping providers avoid more serious consequences for patients and leading to better patient outcomes. Electronical Medical Records can help providers quickly and systematically identify and correct operational problems. In a paper-based setting, identifying such problems is much more difficult, and correcting them can take
The use of computer technology plays a vital role in society. The use of it alone has made different task easier, by reducing time management, effort, and overall cost in completing a particular task. With the widely vast growth of computer technology in every field of life; the health care services are experiencing an immerse digital progression by the adoption of electronic health record systems through the Health Information Technology for Economic and Clinical Health Act (Hitech Act).
Currently, Kaiser Permanente, a nonprofit organization has already begun to implement the practice of electronic medical records. Kaiser Permanente patients have the privilege of sharing their medical history with each medical provider seen during their Kaiser membership. Depending on the level and type of information needed, every healthcare professional patients have encounters with within their geographical region will have access to notes, prescriptions, procedures, and diagnostic tests at the click of a mouse, to effectively and proficiently render care. All medical documentation provided to Kaiser Permanente from othe...
Over the last several years, electronic medical records are becoming more prominent in health care facilities, replacing traditional written records. As many electronics are becoming more prevalent with the invention of numerous smartphones and tablet devices, it seems that making medical records available electronically would be appropriate for the evolving times. Even though they have been in use to some extent for many years, the “Health Information Technology for Economic and Clinical Health section of the American Recovery and Reinvestment Act has brought paperless documentation into the spotlight” (Eisenberg, 2010, p. 8). The systems of electronic medical records mainly consist of clinical note taking, prescription and medication documentation,
The purpose of the Electronic Health Record is to provide a comprehensive, standardized and universal digital version of a patient 's health records. The availability of a patient 's digital health record provides health information and data for critical thinking and evidence based decision-making, aggregates patient data for quality assurance and research. The Electronic Health Record has been, "identified as a strategy for effectively and efficiently coordinating and maintaining documentation of patients health histories and as a secure method of providing more informed clinical decision making" (MNA, 2006).
The main education or certification that is needed is in billing and coding and something that someone has to know how to use is Microsoft excel. Microsoft excel is a program that doctors use the most.