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Imapact of computers and technology on health care delivery
Relationship between technology and healthcare
Relationship between technology and healthcare
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Introduction
Increased public demand to access health information and growth of consumerism in health care industry are two important reasons form increasing attention to Personal Health Records (PHRs) in the recent years. Surveys show that a considerable number of people want to have access to their health information. In one survey, 60 percent of respondents wanted physicians to provide online access to medical records and test results, and online appointment scheduling; 1 in 4 said they would pay more for the service.
Moreover, increasing costs of healthcare delivery and emerging trends toward patient empowerment and patient-centered care in order to achieve higher quality healthcare, needs patients to play a more active role in their own health management. Access to personal health information is a fundamental part of this process.
What are Personal Health Records?
There is no uniform definition of PHR in literature and industry. Among different definitions, Markle Foundation definition is more widely accepted and used. Markle Foundation defines Personal Health Record as:
“An electronic application through which individuals can access, manage and share their health information, and that of others for whom they are authorized, in a private, secure, and confidential environment”
The above definition is relatively broad, yet it does not cover all the features a PHR might have. Many experts believe that access to personal health information by itself cannot improve the quality of care nor it can empower patients and help them make informed decision unless they have access to some tools and services to interact with the system and get support for their decisions. Secure communication between patients and caregivers, app...
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Friedman, D. J., Parrish, G., & Ross, D. A. (2013). Electronic Health Records and US Public Health: Current Realities and Future Promise. American Journal of Public Health, 103(9), 1560-1567
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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.
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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.
Neal, H. (2013, January 10). History of Electronic Health Records (EHR). Retrieved April 24, 2014, from Software Advice: http://blog.softwareadvice.com/articles/medical/ehr-timeline-113/
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).
Sroufe. L. A., Egeland, B. E., Carlson, E. A., & Collins, W. A. (2005). The development of the
A Summary of a Health Record Disclosure Log What is a health record disclosure log? A health record disclosure log is an accounting of shared persons protected health information (PHI). It can be an accounting of who accesses certain patient files in a medical office, so the tracking of it can tell the office manager who should not have seen those medical files.
Macionis, J. J., Jansson, S. M., & Benoit, C. M. (2009). Society: the basics. Toronto: Pearson Canada.
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).
Siegel, L.J., Brown, P., & Hoffman, R. (2013).CRIM 2nd edition. Toronto, Canada: Nelson Publishers. pp. 203-205
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.