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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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According to Shi & Singh, (2015) medical information systems have been available since the 1950s. The proficiencies of the IT system has lead health care organization (HCO) to change and restructure their operational systems. The development and progression of new IT software is a multi dimensional system, which incorporates the electronic health records (EHR). The electronic health records (EMRs), is clinical communication system that is used to safeguard the patients’ medical history while building effective measure toward improving the delivery of quality care. I would like to know exactly how the electronic medical records (EMRs) system would improve the quality and delivery of health care service. I believe the questions we have about However, according to a survey that was conducted by the National Hospital Ambulatory Medical Care, which reported an increase in the EMRs implementation by hospital emergency departments (ED) of nearly 35% and outpatient department (OPDs) of about 48%. The time span of this study was from 2006 – 2011, 5years. The study found that the percentage rate of EMR adoption to be significant. The fact of the matter is there are a great number of hospitals that have acquired new IT systems, regardless of the cost. In fact, the same survey found that in 2011 the hospitals both plan to participate in the incentive payment program, which would require both facilities, to use the (EMR) system (Jamoom H. , 2015). For example, the hospital would need to record via the computer the patients office visit, which would include the basics, such as, the patient demographic information. Thus, by using the EMR system physicians the can coordinate the patient care electronically. In other words, computer is designed to eliminate the paper charts and improve quality and performance by creating data In another survey, by Hsiao & Hing (2014), it shows that in 2010 there was an 84 percent increase in the way physician prescribed their patients medication. In this instance, the belief is that this service will produce an effective service for the patient in meeting their medication needs. Therefore, the process of connecting with medical service providers, such as, the pharmacy the patient will have access to timely medication treatments thereby eliminating barriers. Furthermore, The process of sending prescriptions electronically makes connection via the computer networking systems from the doctor’s office to the pharmacy databases more convenient. The writers supports that the data coordination between the doctors office and the pharmacy is efficacious and useful in getting the patient the right medication. In addition, the writer point out the coordinating factor helps eliminate the paper footprint of written prescription and promotes resource efficiency. According to Hsiao & Hing (2014), this process will prevents duplicate orders of the medication being dispensed. The writer document further that the EMRs process is designed to point out the drug allergies that the patient has to certain medications. In my opinion, it is safe to say that because of the efficiency that technology offers physicians have the ability to better manage the patient’s health care
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.
This technology assist the nurse in confirming patients identify by confirming the patients’ dose, time and form of medication (Helmons, Wargel, & Daniels, 2009). Having an EHR also comes with a program that allows the medical staff to scan medications so medication errors can be prevented. According to Helmons, Wargel, and Daniels (2009) they conducted an observational study in two medical –surgical units one in the medical intensive care (ICU) and one in the surgical ICU. The researchers watched 386 nurses within the two hospitals use bar code scanning before they administrated patients’ medications. The results of the research found a 58 % decrease in medication errors between the two hospitals because of the EHR containing a bar code assisted medication administration
According to Accuracy at Every Step: The Challenge of Medication Reconciliation (n.d.), the most challenge is called medication reconciliation, which is a formal steps of gathering information related to the patient’s medication with accurate current medication list and compared to the doctor’s admission, transfer and discharge orders. Its aim is to prevent medication errors. There are three steps process- Verification (gather medication history), Clarification (confirm the medication with doses, properly) and Reconciliation (documenting with medication information). This challenge is important to obtain accurate information on all patients entering the hospital. Information technology may play an important role in improving
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.
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.
“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 transformation of paper based health record to electronic health record is not an easy step for any providers or organizations but is a major step in the process of providing improved and efficient patient care. Every healthcare organization should have the vision of adopting EHR because it provides numerous benefits not only to providers but also to patient. It is the vision of every healthcare provider to offer the best health care possible. So implementation of EHR is a necessity.
Over the years, healthcare facilities have acted like a storehouse for patients’ medical records, uninterested and unable to distribute clinical data to anyone beyond their organization. The EHR, started in the 1960s under the name of "computerized-based patient record" (CPR), became known as "electronic medical records" (EMR) in the 1990s and today it is known as electronic health record (EHR).The target of the Department of Health and Human Services (HHS) is to incorporate the EHR and use it in a "meaningful" way to improve the quality, efficiency, and safety of patient care delivery; to engage patients in their personal health record; and to improve care coordination. Equally important, the "meaningful use" of the EHR system intends to build a bridge to other systems by creating an interoperability of health information while implementing quality care throughout. However, this interoperability can only be accomplished when the receiving system and the user fully understand how to apply these exchanges.
E-prescribing is defined as “a prescriber’s ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point-of-care” (cms.gov). E-prescribing “represents an unprecedented opportunity to reduce healthcare costs and improve the safety and efficiency of a process relied upon by millions of patients every day” (surescripts.com). It gives the physician access to the patient’s prescription benefit information and prescription history, such as allergies, etc. The e-prescription is sent, electronically, from the doctor’s computer, through a secure closed network, directly to the patient’s pharmacy of choice. It will arrive at the pharmacy before the patient leaves their doctors’ office. There is no exchange of paper and the patient...
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.
The adoption of Electronic Health Records (EHR) systems offers a number of substantial benefits, including increased quality of care, better efficiency and productivity, and financial incentives. Now a days it has become extremely important for healthcare organizations to acquire the appropriate tools, infrastructure, and techniques to manage and use the electronic medical data effectively. The existing medical surveillance systems use EHR to reach a deeper understanding of the medical problems and improve the accuracy of the diagnosis. In the literature, EHR is also referred as Electronic Medical Records (EMR), Electronic Patient Records (EPR), and Personal Health Record (PHR).
Health information systems such as the ones supporting electronic health records (EHR) allow the clinical report, as well as the access, exchange and share of the re-quired clinical information for preventing and treating the disease [A6]. In terms of health care delivery, EHR systems represent a benefit to both the patient and organi-zations, since they enable secure, accessible and efficient clinical information report-ing and retrieving and, therefore, contribute to the quality of the health care delivery. Internationally, during the last two decades, the adoption of EHR system has been recognized as a priority. For instance, in the United States the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009.2 had acceler-ated the
Electronic Medical Record (EMR) provides convenient access to the staff of the clinic. It also provides quick access to patients’ information each time staff wants to retrieve the data. Other than that, the system could help in solving record movement problems and at the same time improve the quality of the process. In terms of security, using the EMR is more secured compared to manual system as it can be restricted to certain user for example to medical officer and receptionist. The user needs to login into the system so that it can be easily monitored and identified who uses the system. As for the b...
Again, one goal of health information technology is safe quality patient care. The Electronic Medical Record (EMR) has gained national attention over the past decade. “The Institute of Medicine has encouraged adopting EMR to reduce medical errors, and the American Recovery and Reinvestment Act (ARRA) of 2009 established financial ...
It is pertinent to note that ICT gives room for technological convergence in that various communication channels or platforms are integrated in it. This has opened the way for health enlightenment in various forms such as podcasts, short videos, blogs and so on. The limitless coverage of the internet allows these enlightenment efforts to be accessed all over the world enhancing global health. The information system of any health center will not function effectively without Information and Communication Technology (ICT). In other words, ICT is the backbone of the current information system. Information can be transmitted within a couple of no time. The array of purveyor of information under ICT is extremely vast and this technology helps doctors, hospitals, the general public and all other medical care providers. It is pertinent to note that Pharmaceutical industry is the industry that enjoys the biggest benefits of ICT. All the medical data available helps in assessing the medical requirements, makes them aware of similar research being carried out in different parts of the world and in letting the world know about their developments Consequently, the advent of ICT has made