March 10, 2016 Medical Care Organization Case Analysis Reason for the Case: The reason fort the case is to provide guidance to DR. Rodriguez how to efficaciously implement an electronic medical record system into her medical practice within short period of time and show her in what way she can benefit financially. Summary of the Case: Generally, medical care organizations in rural areas have an important role in the communities. Moreover, the residents in rural areas are most likely the poorest and low income population who experience difficulties to access quality healthcare services. In order to provide quality services to a wide variety of low-income patients DR. Rodriguez should adopt new strategies to her practice. Additionally, she …show more content…
The American Academy of Physician assistants defines physician assistants as part of the healthcare team who work in a dependent relationship with supervising physician to provide comprehensive care” (Shi, L. & Singh, D., 2015, p. 141, 142). “Electronic Health Record and Systems (EHRs) are IT applications that enable the processing of any electronically stored information pertaining to individual patients for the purpose of delivering health care services. EHRs include collection and storage of health information on individual patients over time, immediate electronic access to person and population level information by authorized users, availability of knowledge and decision support that enhances the quality, safety and efficiency of patient care and support of efficient processes for health care delivery” (Shi, L. & Singh, D., 2015, p. …show more content…
It determines the variance in between benefits and costs” (Shi, L. & Singh, D., 2015, p. 182). “Cost benefits analysis evaluates benefits in relation to costs, when both are expressed in dollar terms” (Shi, L. & Singh, D., 2015, p. 183). “Public financing supports categorical programs, each designed to benefit a certain category of people, such as Medicare for elderly, Medicaid for low-income, VA for war veterans and Department of Defense programs for active service people and their families” (Shi, L. & Singh, D., 2015, p. 214). “Medicaid, also referred to as Title 19 of the Social Security Act, was originally designed to finance health care services for the indigent” (Shi, L. & Singh, D., 2015, p. 222). “Disbursement of funds (claim processing) is carried out in accordance with the reimbursement policy adopted by the particular program. (Shi, L. & Singh, D., 2015, p.
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.
The physician assistant is a team player in the medical world, working daily with surgeons, physicians, therapists, and many other health care professionals. Similar to the job description of physicians, PAs see patients, take medical histories, preform physical exams, make diagnoses, order and interpret tests, and develop treatment plans (Ludwig). A physician assistant, nowadays, may even perform procedures that were once performed exclusively by physicians. Because every PA must have a supervising physician who oversees their work, it is assumed by many that PAs are “assistants to doctors”, however, that is not the case because a vast majority of PAs work independently. The extent of supervision by a physician varies depending on location and branch of medicine. Although, a physician assistant may carry out much of the same roles as a physician would, the amount of schooling required to become a PA is nearly half as many as that of a physician. Physician assistant programs nationwide require an undergraduate degree in one of many sciences, such as biology, and certain
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 bill created a Job Corps similar to the New Deal Civilian Conservation Corps; a domestic peace corps; a system for vocational training. The bill also funded community action programs and extended loans to small businessmen and farmers. This helped people to get jobs with good wages.Then came the Medicare Act of 1965 which help people to get better health coverage. “No longer will older Americans be denied the healing miracle of modern medicine. No longer will illness crush and destroy the savings that they have so carefully put away over a lifetime so that they might enjoy dignity in their later years” (1) In 1964 more than 44 percent senior had no health coverage or insurance. Senior citizens were dragged down to poverty as they were not able to pay the medical bills. But after the Medicare Act of 1965 which provide everyone with the medical coverage of all people age 65 and above this issue was almost solved. Along with the Medicare, the Johnson Administration established the Medicaid program to provide healthcare to the poor. Different from Medicare, this Federal-state partnership is largely determined in form and construct by each individual state. In the first three years of the program, nearly 20 million beneficiaries were enrolled
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.
sponsored programs, such as Medicaid, that try and offset medical problems of the poor youth,
The healthcare field is a large organization filled with individuals that work towards the common goal of helping others. In the past several years’ health care organization have focused their attention in improving healthcare as a whole by focusing on factors such as access to primary care, control cost, increase efficiency and improve outcomes. A growing trend in trying to meet these challenges has been the use of physician assistants. According to Assistant, physician (PA). (n.d.). Retrieved September 30, 2015, from http://www.medicinenet.com/script/main/art.asp?articlekey=8593 a physician assistant is a mid-level medical practitioner who works under the supervision of a licensed physician. Their education qualifies them to examine patients,
In 1965 President Johnson signed both Medicare and Medicaid programs into law (Nile, 2011). According to Medical news today, “Medicare is a social insurance program that serves more than 44 million enrollees as of 2008” (MediLexicon International Ltd, 2011, para2). It cost about $432 billion or 3.2% of GDP, as of 2007(par2).Medicare is broken down into parts, Part A is hospital Insurance Part B is medical Insurance, and Part D is Medicare prescription drug coverage (medicare.gov). Like we previously stated Medicare is a health insurance for people who are 65 and older, people under 65 with certain disabilities, and people of any age with End- Stage Renal Disease. Medicaid is a joint federal-state program of medical assistance for low income persons (Benefit.gov). It is administered by the Illinois Department of Human Services (DHS) and Illinois Department of Public Aid (IDPA). Medicaid serves about 40 million people as of 2007; it cost $330 billion, or 2.4% of GDP, in 2007.(par.2) “In Illinois you may be eligible for Medicaid if you are a child, pre...
The United States is going through a huge shortage of physicians, which is composing a very severe supply and demand problem in this country. Citizens living in rural areas should be able to receive the same amount of quality care as those living in urban areas. The shortage of physicians in rural America calls for immediate attention and change because the shortage is affecting the quality of patient care. The life expectancy of people living in these areas is declining due to treatable conditions like diabetes, cancer, heart disease and chronic obstructive pulmonary disease. Thankfully, these conditions can be managed with proper medical treatment. Many people living in rural America have poor access to medical care. Approximately twenty percent of the population live in rural areas, which is twenty percent not getting adequate healthcare. Healthcare is in catastrophe in many different countries. There are many providers that are unable to provide medical care to an increasing number of chronically ill and the aging population. There are numerous amounts of systemic failures, none are more difficult to fix than the usual basic lack of human resources. There are not enough physicians to service the needs of the entire population. Many physicians get into the more specialized fields. The issue is deepened in rural areas, where specialized physicians are not found within several hundred miles. This healthcare system need to figure out how to do more with less and stretch a limited amount of resources to work more efficiently. There are many programs that are created to recruit and retain physicians in rural communities. Physician shortages continue to threaten the healthcare delivery in rural areas. This area will be hit the hard...
Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency ("What is Medicare? What is Medicaid?” 2008).
In the United States, spending on Medicaid's forty million beneficiaries is projected to an overall of two hundred twenty billion during the fiscal year of 2001. In the year 1998, the federal government's share of medicaid expenditures averaged about fifty-seven percent in every state. Eleven percent is the average rate the Medicaid spending grew during the years between 1980 to 2000. Moderate spending caused a concern to both the federal legal and regulatory efforts aimed at states use of financing mechanisms. For example most states used a huge amount of disproportionate share hospital payments, intergovernmental transfers, and provider taxes and donations. However, this did not impact the enrollment of people to Medicaid due to a strong economy along with state welfare reform and fewer expansions in eligibility. Services provided to Medicaid recipients were provided at costs that remained constant due to moderate health care price inflation along with expanded use of managed care and increased use of home and community-based alternative to costly institutional long term care.
Two of the largest government funded insurance groups are Medicare and Medicaid. Between the two, they service upwards of 40% of the total American population(2010 & 2012, KFF). However, the two programs offer various similarities and differences. Medicare is a federal government-sponsored healthcare program primarily for seniors; Medicaid is for low-income families and is managed by both the state and federal governments. By performing a SWOT analysis on each program, it is possible to compare the two.
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).
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.