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Are Electronic Medical Records a Cure for Health Care? case study
Electronic health records affect patients
The Impact of Electronic Health Records on Health Care
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It is not unreasonable for a patient to expect particular services from their healthcare providers. What services should be considered reasonable and which fall under the context of unreasonable? Should the specialist, your family physician referred you to, have access to your past medical history? What happens when you are traveling and have to make a trip to the emergency room, will your physician at home get all the information from that visit or will the ER physician have access to your medical history? Medical information recorded in paper format makes these tasks very difficult, if not impossible. "Fortunately, there is a growing movement to change that, using electronic information technology[3]." The use of this type of technology allows for "high-quality, safe, well-coordinated, and efficient care[4]." Society today is ever changing, we change jobs, location of residence, and doctors frequently. Many of our doctors and hospitals remain stuck in the medical stone age. While people speak of a medical "system," American medicine is in fact very unsystematic: it lacks standards, measures, and the ability to exchange information that constitute a true system. The medical industry has taken to every kind of clinical technology; from digital thermometers to CT scanners. However, the adoption of information technology in the medical industry lags behind the rest of our economy. Health informatics is best described as the point where information science, medicine, and healthcare all meet. It encompasses the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and the use of information in health and biomedicine. Health informatics incorporates tools such as: computers (hardware and softwar... ... middle of paper ... ...f clinical information systems in health care quality improvement. The Health Care Manager. 25(3): 206-212. [15]Garg AX, Adhikari NK, Mcdonald H, (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 293(10): 1223-1238. [16]Ornstein S, Jenkins RG, Nietert PJ, (2004) A multi-method quality improvement intervention to improve preventive cardiovascular care: a cluster randomized trial. Annual Internal Medicine. 141(7): 523-532. [18]http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?ss=1&doc_id=397&string= [19]Press I. 2005. Patient Satisfaction: Understanding and Managing the Experience of Care, 2nd Edition. Chicago, IL: Health Administration Press. [20]Charles BL. (2000) Telemedicine can lower costs and improve access. Healthcare Financial Management. 54(4): 66.
In conclusion, clinical decision support systems provide a mechanism for improving the quality of care services when integrated with evidence-based practice and clinical guidelines. These systems would particularly improve health care quality when combined with evidence-based medicine. This process may also include the use of databases and condition-specific clinical guidelines to improve their effectiveness and efficiency.
Health Information Management Technology. (3rd Edition). Chicago, IL: AHIMA Press.
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.
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
During the late 1970’s, Dr. Irwin Press, PhD, became interested in how patients’ social, emotional, and cultural needs relate and compare to their clinical care needs. He wanted to know if these comprehensive needs were being met by hospitals, and also whether or not meeting these needs improved overall care and decreased health care claims (History & Mission, 2015). After joining forces with Dr. Rod Ganey, PhD, an expert in statistics and survey methodology, Press Ganey Associates was formed (History & Mission, 2015). This company is the distributor of the Press Ganey Patient Satisfaction Survey, a highly ridiculed (Zusman, 2012) patient satisfaction survey. According to Zusman (2012), this survey was distributed to 40% of hospitals in the United States. As of the 2010 implementation of the Affordable Care Act, value-based purchasing initiative is now required for Medicare and Medicaid patients. The survey that was chosen to replace the Press Ganey Patient Satisfaction Survey and represent patients’ experience in the...
Nothing is perfect in the world of clinical systems implementation, so a Chief Informatics Officer is always on the go. He travels around the country to attend meetings in order to figure out how to best balance compliance, security, ease of use, automation of manual processes, and safety in electronic medical records systems and other hospital software systems. Clinicians have constantly evolving needs and often come to the Chief Informatics Officer with a clear idea of the problem they want to solve, but no idea of how to solve it. Reliably the pen records lessons from the meetings and concerns of clinicians as it travels with him. It crafts written reports to advise senior management on how to face the endless stream of projects, so that those which can accomplish the greatest good for the most people over the longest time period can be
Reimbursement policies prevent the total integration of telemedicine into health care practice (Prinz, 2008). Today, there is no overall telemedicine reimbursement policy in the federal health care system (HRSA, 2011 & OAT, 2003). As a result, reimbursement for telecare has been limited and somewhat haphazard. It’s up to each state to specify what telemedicine services, if any, are eligible for Medicaid reimbursement (HRSA, 2011 & OAT, 2003).
Miller, R., & Sim, I. (2004). Use of electronic medical records: Barriers and solutions. Retrieved June 29, 2011, from http://content.healthaffairs.org/content/23/2/116.short
As we enter the era of technological advances in the healthcare system, nursing informatics has become an essential element in the practice of nursing, and according to the American Nursing Association (2008), the managing of date, information, knowledge and wisdom are relevant to nursing. Thanks to health information technology (HIT), which has a wide-range of tools for improving care quality, there has been a reduction in care disparities, and improvements in care outcomes, including patient and family experience. In Addition, the advances in communication and information sharing has made HIT, a critical instrument for addressing the threats to safety and quality during care transitions, since every nursing action relies on knowledge based
Leal, S., Herrier, R.N., Glover, J.J., & Felix, A. (2004). Improving quality of care in
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.
Wager, Karen A, Frances W. Lee, and John P. Glaser. Health Care Information Systems: A Practical Approach for Health Care Management. San Francisco: Jossey-Bass, 2013. Internet resource.
Thrasher, E. H., & Revels, M. A. (2012). The Role of Information Technology as a Complementary Resource in Healthcare Integrated Delivery Systems. Hospital Topics, 90(2), 23-32. doi:10.1080/00185868.2012.679908
Cliff, B. (2012, May/June). Excellence in patient satisfaction within a patient-centered culture. Journal of Healthcare Management, 57, 157-159. http://dx.doi.org/Retrieved from
To better understand the roles needed to enhance the public health infrastructure; one must first know the purpose of a health informatician. An informatician is a person who studies or work in the field of informatics. According to the American Medical Informatics Association Inc., “Public Health Informatics is the application of informatics in areas of public health, including surveillance, prevention, preparedness, and health promotion. Public health informatics and the related population informatics, work on information and technology issues from the perspective of groups of individuals” (2016). In order to build a solid infrastructure