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Strengths and weaknesses of electronic health records
Impacts of electronic health records on patients
Reflection on patient centered care
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Patient-centric care practices are becoming the foundation of the current healthcare system. However, there is work and research to be done before a fully integrated and patient-centric system is in place throughout the healthcare system. Murphy (2011) has taken a closer look at the patient-centric care system, and what must be done before the patient truly becomes the center of the healthcare universe. Patient-centric care makes the patient and their family members a significant part of the care team, which may help to remove unneeded and unwanted services (Murphy, 2011). Murphy (2011) determines four areas within the healthcare system that can be improved to increase patient involvement in their care: eHealth, primary care, hospital care, and health information exchange.
Within the eHealth sector the patient can create a profile that allows them to schedule appointments, store important medical paperwork online, create and update medication and allergy lists, and store relevant medical history (Murphy, 2011). All of this information can then be easily accessed during medical emergencies, and during regular office visits. This creates the evidence-based care that clinicians continuously struggle to provide (Murphy, 2011).
Primary care should be the first point of contact with the healthcare system for many individuals. The primary care physicians, however, are not as patient-centric as they should be. There was a Commonwealth Fund project that determined 11 patient-centric care practices, with only 22% of the physicians’ offices being in the high range (6-11 practices adopted) of patient-centric practices met (Murphy, 2011). This could easily change if more physician offices adopted more automation within the office.
Hospit...
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...to be more involved with their care and be able to understand the care that is being provided to them because they can help update medical histories, insurance information, and medications through portals from their homes. Allowing the patient to be in control of their own health and the care they are receiving.
References
Tan, J., & Payton, F. C. (2010). Adaptive health management information systems (3rd ed.).
Sadbury, MA: Jones and Bartlett.
Murphy, J. (2011). Patient as a center of the health care universe: A closer look at patient-centered care. Nursing Economics, 29(1), 35-37.
Singh, Y. & Chauhan, A. (2009). Neural networks in data mining. Journal of Theoretical and
Applied Information Technology, 5(2), 37-42.
Carpenter, D. (2007). Visions of health care’s future: Bigger, more patient-focused systems?. Hospitals & Health Networks, 81(5), 4-7.
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
The goal of the program is to increase EHR adoption, improve quality, safety, reduce disparities, and improve public health (HMSA, 2012). The Meaningful Use program was set up for implementation in three stages over a five-year period. The first stage ended in 2012 and involved evaluating health trends, and finding out methods to engage patients and families in their own care. Stage two focuses on advanced data sharing, such as e-prescribing and electronic exchange of patient information between professionals. Stage three’s focus will be on outcomes, patient access to care and self-help care tools for patients, such as access to their medical records.... ...
Portability can improve patient care. Patients no longer have to “tote” their cumbersome medical records around anymore. EHR’s give physicians and clinicians access to critical healthcare information in the palm of their hand, which ultimately leads to improved patient care outcomes. EHR’s also provide security to vital medical and personal healthcare information. Organizations like HIPPA defines policies, procedures and guidelines for preserving the privacy and security of discrete distinguishable health information (HHS.gov,
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.
Patient-centered care recognizes the patient or designee as the source of control and full partner in
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
The Health Foundation describes patient centred care as being a type of health system where patients take control of their
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
The health industry has existed ever since doctors bartered for chickens to pay for their services. Computers on the other hand, in their modern form have only existed since the 1940s. So when did technology become a part of health care? The first electronic health record(EHR) programs were created in the 1960s around the same time the Kennedy administration started exploring the validity of such products (Neal, 2013). Between the 1960s and the current administration, there were little to no advancements in the area of EHR despite monumental advancements in software and hardware that are available. While some technology more directly related to care, such as digital radiology, have made strides medical record programs and practice management programs have gained little traction. Physicians have not had a reason or need for complicated, expensive health record suites. This all changed with the introduction of the Meaningful Use program introduced in 2011. Meaningful use is designed to encourage and eventually force the usage of EHR programs. In addition, it mandates basic requirements for EHR software manufactures that which have become fragmented in function and form. The result was in 2001 18 percent of offices used EHR as of 2013 78 percent are using EHR (Chun-Ju Hsiao, 2014). Now that you are caught up on some of the technology in health care let us discuss some major topics that have come up due to recent changes. First, what antiquated technologies is health care are still using, what new tech are they exploring, and then what security problems are we opening up and what is this all costing.
Advances in technology have influences our society at home, work and in our health care. It all started with online banking, atm cards, and availability of children’s grades online, and buying tickets for social outings. There was nothing electronic about going the doctor’s office. Health care cost has been rising and medical errors resulting in loss of life cried for change. As technologies advanced, the process to reduce medical errors and protect important health care information was evolving. In January 2004, President Bush announced in the State of the Union address the plan to launch an electronic health record (EHR) within the next ten years (American Healthtech, 2012).
Patient-centered care is a broad topic that can be discussed on a daily basis within the healthcare world. Patient-centered care is when healthcare providers and facilities provide care that is respectful to the patient’s preferences, needs and values. It can also be described as physicians who practice patient-centered care can improve their patients’ clinical outcomes and satisfaction rates by improving the quality of the doctor-patient relationship, while at the same time decreasing the utilization of diagnostic testing, prescriptions, hospitalizations, and referrals (Rickett, 2013). Unfortunately, ideal patient-centered care is hard to come by, especially in all 50 states because there is a shortage of money and proper resources needed
Patient and Family-Centered Care (PRCC). Patient-centered care is the active involvement and collaboration of patients, their family members, and providers in the design of new care models and in decision-making about individual options for treatment. The Institute of Medicine defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions." I feel as though my role as a patient has given me the personal experience of the importance of patient-centered care and has peaked my interest in and dedication to empowering the patient in the future as health care professional. Involving patients and families in care experience is a critical part of creating an environment that fosters safety and quality and has been linked to improved patient outcomes. As a health care professional, I can empower the patient and their family by creating an environment where health care decision making is a collaborative process; one that includes and values the opinions of all those involved in order to come to a conclusion about what is best for the health of the
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2