Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
American Recovery and Reinvestment Act (ARRA
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: American Recovery and Reinvestment Act (ARRA
The Health Information Technology Economic and Clinical Health Act also known as The HITECH Act, is Title 13 of the American Recovery and Reinvestment Act (ARRA) that was signed into law February 17, 2009 and enacted September 23, 2009 (Rouse). This piece of legislation was designed to stimulate the adoption of electronic health records (EHR). HITECH regulations were designed to reduce healthcare costs, provide safer practices, and improve the quality of services provided to the patient. In addition, HITECH encourages access for patients through the EHR systems to their personal ePHI (electronic protected health information) for patient-centered care. HITECH also promotes health information exchanges across the country, state, and/or healthcare …show more content…
For instance, the “meaningful use” aspects of the law must be evaluated by the ONC and demonstrated as effective, so that the incentives provided by the Centers for Medicare and Medicaid Services (CMS) may be obtained. “Meaningful Use” has been established in three stages, each stage has certain core objectives with deadlines for implementation and use. Furthermore, these specific requirements must be able to be performed properly for a two year period to gain acceptance and advancement to the next stage. For example, computerized physician order-entry (CPOE), clinical decision support, capturing patient information, and being able to exchange as well as integrate patient information from other sources, must be met and proven reliable in order to advance into “meaningful use” stage two. Final implementation of the new or updated EHR systems must be completed by 2015 in order to receive incentives. If interoperability has not been met, fines will be imposed on the eligible practice or professional until the new EHR is …show more content…
To date, there have been multiple studies on the different aspects of the Health IT infrastructure. These studies have shown many challenges ahead as well as some positive outcomes. One study quoted within the Article of “A Robust Health Data Infrastructure” stipulates, “180,000 outpatients and 800 clinicians in communities that had adopted EHRs from multiple vendors found that, over a multi-year period, the overall cost of outpatient care was reduced by 3.1% relative to the control group.” (Jason 14). The outcomes of this study have proven success with the implementation of EHR systems and the outlook is
Recommend which system is the best choice to meet meaningful use requirements in this particular setting. Both Cerner and CPSI have helped hospitals meet CMS Stage 1 and Stage 2 requirements. However, Cerner provides a modular concept that larger hospitals are using more than complete inpatient systems to achieve MU (Zieger, 2013). In 2014, EHR vendors said eight hospitals had attested to MU Stage 2, and Cerner was used twice as much as CPSI (Gregg, 2014). Concerning Computerized Physician Order Entry (CPOE), CPSI System had the broadest reach in community hospitals; nevertheless, the software was missing functionality and usability (KLSA Enterprises, 2010, p. 6). Therefore, CPSI’s CPOE was significantly below the market-average due to low physician satisfaction (KLAS Enterprises, 2010, p. 6). KLAS Enterprises (2010, p. 2) reported Cerner clients were happier the more they adopted CPOE.
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).
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 health information networks factor into the enhancement of the patient-centered management system, in that they help with the implementation of the Electronic health record. The HITECH Act for example allocated “18 billion through the Medicare and Medicaid reimbursement systems as incentives for hospitals and physicians who are meaningful users of EHR systems”(About the HITECH, n.d.). This is a beneficial way to promote the use of electronic health records and have them become universally utilized across the nation. NHIN is also an excellent network that is more widespread and contains policies as well as standards that help with the safe trade of data. NHIN is the biggest network that all other health information networks hope to achieve. The NHIN is a contributor to the expansion of the EHR and it also further improves the patient-centered management system by having the policies they have. These policies assist with keeping the information in the system safe and also helping many different entities to become a part of its use. Some of the entities involved are the Center for Disease Control and prevention, Social Security Administration, Department of Defense and Kaiser Permanente among others. Both CHIN and RHINO implement the use of electronic health record, which makes it more widespread,
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).
Did you ever think about how much time is spent on computers and the internet? It is estimated that the average adult will spend over five hours per day online or with digital media according to Emarketer.com. This is a significant amount; taking into consideration the internet has not always been this easily accessible. The world that we live in is slowly or quickly however you look at it: becoming technology based and it is shifting the way we live. With each day more and more people use social media, shop online, run businesses, take online classes, play games, the list is endless. The internet serves billions of people daily and it doesn’t stop there. Without technology and the internet, there would be no electronic health record. Therefore, is it important for hospitals and other institutions to adopt the electronic health record (EHR) system? Whichever happens, there are many debates about EHR’s and their purpose, and this paper is going to explain both the benefits and disadvantages of the EHR. Global users of the internet can then decide whether the EHR is beneficial or detrimental to our ever changing healthcare system and technology based living.
The Health Information Technology for Economic and Clinical Health Act (HITECH) was put into place as part of the American Recovery and Reinvestment Act of 2009, and was signed and made a part of law in February 2009. It sponsors the adoption and meaningful use of health information technology. (www.healthcareitnews.com). There was $22 billion and of this $19.2 billion was supposed to be used as a method to increase the use or the Electronic Health Records by the doctors and healthcare facilities. (www.hitechanswers.net).
“Meaningful Use” implemented in July, 2010, set criteria’s for physicians and hospitals to adhere, in order to qualify for certain financial incentives and to be deemed meaningful users (MU) of the EMR. Meaningful use in healthcare is defined as using certified electronic health record to improve quality, safety, efficiency, and reduce mortality and morbidity. There are 3 stages of meaningful use implementation. The requirements for the 3 stages are spread out over a period of 5 years. MU mandates that physicians meet 15 core objectives and hospitals meet 14 core objectives (Hoffman & Pudgurski, 2011). The goal is to in-cooperate the patient and family in their health, empower autonomy to make decisions while improving care in all population.
The HITECH Act is the Health Information Technology for Economic and Clinical Health act passed in 2009. The main points of the act concern security and the technology surrounding the Electronic Health Record (EHR) of each patient. They are in three stages:
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.
Administrative Mandates, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, ICD-10 and HIPAA 5010, are all part of administrative simplification and the need for systems optimiza...
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
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.
The process of implementing an EHR occurs over a number of years. An electronic record of health-related information on individuals conforming to interoperability standards can be created, managed and consulted with the authorized health professionals (Wager et al., 2009). This information technology system electronically gathers and stores patient data, and supplies that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system functions as a decision support tool to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lower the medical costs. Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely to provide better preventive care than were healthcare professionals who did not.