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Phlebotomy Essentials
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Compliance has received a number of requests lately from Sales Reps. asking that Phlebotomists be allowed to access Provider’s EMR’s. In an effort to maintain compliance and monitor activity, I’ve instructed the Phlebotomy Compliance team to ask a series of questions to obtain why they need access, starting with, is CareEvolve (CE) not working? We need to understand the need to bypass CE, and communicate with IT, if users are having problems. We also need to justify the reason for access. A month ago I established the following protocol: 1. Ask question (i.e.), is CareEvolve not working? 2. Proof of the request from the provider. 3. Verify that there is an up to date PSA on file, with the correct account number(s) 4. We issue an addendum
According to the report provided by the consultant, the employees at this facility were not taking precautions in safeguarding the patient’s health information. Therefore, the employees at this facility were in violation of the Health Insurance Portability and Accountability Act (HIPPA). It is important for employees to understand the form of technology being used and the precautions they must take to safeguard patient information.
The federal government has taken a stance to standardized care by creating incentive programs that are mandated under the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009. This act encourages healthcare providers and healthcare institutions to adopt Meaningful use in order to receive incentives from Medicare and Medicaid. Meaningful use is the adoption of a certified health record system that acquires or obtains specified objectives about a patient. The objectives or measures are considered gold standard practices with the EHR system. Examples of the measures include data entry of vital signs, demographics, allergies, entering medical orders, providing patients with electronic copies of their records, and many more pertinent information regarding the patient (Friedman et al, 2013, p.1560).
In the medical billing and coding process there are several steps. In the medical billing process physicians prepare and sign documentation of the patients visit. The next step is to post the medical codes and transactions of the patients visit in the practice management program and to prepare claims. The process used to generate claims must comply with the rules imposed by federal and state laws as well as with payer requirements. Claims that are correct help to reduce the chance of an investigation of the practice for fraud and also the risk of liability if an investigation does occur (Valerius, Bayes, Newby & Seggern, 2008). Most physicians depend on their personnel to process their medical bills without looking at the bills before they’re submitted for payment. Some physicians who don’t review the medical billing procedures may not receive the payment they deserve (Adams, Norman, & Burroughs, 2002).
Surgical errors are seen in every hospital; however, hospitals are not required to report such incidents. Unintended retained foreign objects, often abbreviated as URFOs, are among those events that are often not reported.
The U. S government passed the American Recovery Act in 2009 that established incentives and penalties to promote EHR use. From this legislation the Meaningful Use Program for EHR’s s was created. Through The Meaningful Use Program the U.S. government is able to support the adoption and use of EHR technology to enhance and revolutionize health care. The goal of the program is to increase EHR adoption, improve quality, safety, reduce disparities, and improve public health (hmsa , 2012).
To begin, there are numerous advantages throughout the EHR system. Considering this, enhancing patient safety is priority in the healthcare industry. Reminders, alerts, and pop-ups are just a few of the safety features an EHR can provide. These items can prevent medication errors, by alerting a nurse or physician of a blood sugar that is out of range, or a medication with too high of a potency, such as a wrong dosage amount. Reminders can be as simple as an immunization reminder to get a flu shot. Another example could be a drug interaction between NSAIDS such as i...
When it comes to EHR’s a patients medical record follows them wherever they go electronically, whether it be home based care, physicians office or a hospital. Access to medical records are easily accessed through smartphones, and computers depending on the EHR system that particular person or company is using. There are many EHR systems that different health facilities use but one in particular has stuck out to me because I constantly see or hear it being used in health facilities Ive personally been too. The particular EHR system I am talking about is Meditech, and it is one of the largest electronic health record softwares that many hospitals as well as small clinics and health facilities are using in order to transfer patient information, and provide detailed information about a person’s medical history such as their medical records electronically. But lately has Meditech been facing substantial issues with their software and why is Meditech the number one ranked EHR system that is being used still despite these complications? By the end of this paper I hope to have all your answers to these questions addressed and answered.
“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.
According to Center for Medicare and Medicaid Services (CMS), around 3500 optometrists have attested for Electronic Health Records (EHR) incentives. In the coming years the incentives will decline and penalty be put on those practitioners who fail to attest to Meaningful Use for EHRs. The biggest question in everyone’s mind is that are you ready for Meaningful Use Stage 2 requirements in 2014?
In health delivery system, one common goal for all providers, doctors and administrators is to provide high quality health care services at low costs. But in the United States, health care spending has increased drastically, but outcomes are not efficient. In the recent study conducted by common wealth fund shows that United States health care spending is 50 percent more when compared to 13 top nations in the world. [1] This report also shows that despite of having high health care expenditure in the United States, the health care outcomes are worse when compared to other countries whose health expenditure is low. To address these problems and improve outcomes, patient safety and satisfaction, in the field of surgery the American
Iowa Teaching Standard seven is shown in the classroom by the surgical activity done earlier this year. My cooperating teacher, and the other teachers they work with on their team had a Language Arts Surgical Activity. The team created this activity together weeks beforehand, and all decided to keep it a secret from the students until the day of the activity. What this activity did was, it enhanced the student’s knowledge from the topics previously discussed within language arts. The students dressed up like doctors in scrubs, and found headings, glossaries,
Tan & Payton (2010) describe the electronic health record (EHR), which dates back to the 1950s. These computer-based patient records have evolved into complex systems with many capabilities. They were designed to provide healthcare professionals with a comprehensive picture of a patient’s health status at any time and are meant to automate and streamline the workflow of the healthcare professional (Tan & Payton,
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).
Since the beginning of time, human beings have been in search of ways to advance life as we know it. Every single day, somewhere in the world, technology is being transformed and an exciting new piece is birthed into society. Perhaps, one of the most influential advances is in our ever evolving medical profession. Thus, as technology continues to change the world as we know it, it is sweeping the medical field right along with it. Surgical procedures are being drastically improved with the use of robotic technology called da Vinci.
Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely provide better preventive care than were healthcare professionals who did not. (page 116). From 2004, EHR has initiated, even the major priority of President Obama’s agenda is EHR (Madison & Stagger, 2011). Health care administration considers EHR as the introduction of advanced technology which can improve patient satisfaction are can increase the financial incentives of the healthcare organization. Studies have pointed out that the federal policy is proposed to transform all medical records into EHR (Hebda & Calderone, 2010).