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Research proposal paper on electronic health records
Research proposal paper on electronic health records
The Impact of Electronic Health Records on Health Care
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The internet is connecting health care organizations, physicians, and patients through an array of elaborate networks. Regardless of the size and type of healthcare organization, stakeholders see the need to share patient information and to make the information readily available for clinical and non-clinical staff. Streamlining the sharing of patient information through electronic health care records increases the quality of care, thus allowing the physician to focus on diagnosing the patient. To facilitate the communication and sharing of health care information the industry is developing community health information networks (CHIN) incorporating a telecommunication and networking capabilities linking health care communities and stakeholders (Tan & Payton, 2010). As a result, health care networks are consolidating a fragmented system and standardizing the flow of medical information. Challenges Impeding Health Care Information Networks The development of information network systems ties healthcare care organizations allowing them to disseminate patient information. However, there have been several key challenges in development, implementation and adoption. Some of the challenges organizations encounter is the lack of standardization between health care entities, patient restrictions in health information and access (Tan & Payton, 2010). Another challenge organizations would face is the initial costs and justifying expenditures on a health management information system (HMIS) (Tan & Payton, 2010). The final challenge organizations would be facing is the involvement from federal legislation advocating for the consolidation of electronic health care records (EHR). A focal point for federal legislation is the promotion of broad based... ... middle of paper ... ...cd-8971-d490e536ad88%40sessionmgr112&hid=109 Chinniah, P. P., & Muttan, S. S. (2012). HL7 standard based hospital information system. International Journal Of Biosciences & Technology. 532-39. Retrieved from http://eds.b. ebscohost.com.csuglobal.idm.oclc.org/ehost/pdfviewer/pdfviewer?sid=d321fdf9-3bd1- 4fb2-83fd-e936ab84b4f6%40sessionmgr111&vid=1&hid=110 Tan, J. K., & Payton, F. C. (2010). Adaptive health management information systems: Concepts, cases, and practical applications, third edition (3rd ed.). Sudbury, Mass: Jones and Bartlett Publishers. Thielst, C. (2007). Regional Health Information Networks and the Emerging Organizational Structures. Journal Of Healthcare Management 52(3). 146-150. Retrieved from https://eds-b-ebscohost com.csuglobal.idm.oclc.org/ehost/pdfviewer/Pdfviewer?vid =8&sid=906650d2-be7a-4acd-8971-d490e536ad88%40sessionmgr112&hid=109
Jha, A. K., Burke, M. F., DesRoches, C., Joshi M. S., Kralovec P. D., Campbell E. G., & Buntin M. B. (2011). Progress Toward Meaningful Use: Hospitals’ Adoption of Electronic Health Records. The American Journal of Managed Care, 17, 117-123
The health information networks factor into the enhancement of the patient-centered management system, in that they help with the implementation of the Electronic health record. The HITECH Act for example allocated “18 billion through the Medicare and Medicaid reimbursement systems as incentives for hospitals and physicians who are meaningful users of EHR systems”(About the HITECH, n.d.). This is a beneficial way to promote the use of electronic health records and have them become universally utilized across the nation. NHIN is also an excellent network that is more widespread and contains policies as well as standards that help with the safe trade of data. NHIN is the biggest network that all other health information networks hope to achieve. The NHIN is a contributor to the expansion of the EHR and it also further improves the patient-centered management system by having the policies they have. These policies assist with keeping the information in the system safe and also helping many different entities to become a part of its use. Some of the entities involved are the Center for Disease Control and prevention, Social Security Administration, Department of Defense and Kaiser Permanente among others. Both CHIN and RHINO implement the use of electronic health record, which makes it more widespread,
Many new technologies are being used in health organizations across the nations, which are being utilized to help improve the quality of health care. Electronic Health Records (EHRs) play a critical role in improving access, quality and efficiency of healthcare ("Electronic health records," 2014). In order to assist in expanding the use of EHR’s, in 2011 The Centers for Medicaid and Medicare Services (CMS), instituted a EHR incentive program called the Meaningful use Program. This program was instituted to encourage and expand the use of the HER, by providing health professional and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and medicaid," 2014). The Meaningful use program will be explored including its’ implications for nurses, nursing, national policy, how the population health data relates to Meaningful use data collection in various stages and finally recommendations for beneficial improvement for patient outcomes and population health and more.
The implementation of electronic health records (EHR) continues to make an impact on nursing and patient care throughout the country. As a part of the American Recovery and Reinvestment Act of 2009, all public and private healthcare providers were required to implement electronic health records in their facilities by January 1, 2014. By demonstrating “meaningful use” of the electronic medical record, facilities are able to maintain Medicaid and Medicare reimbursement levels. Providers who show that they are meeting the “meaningful use” criteria during EHR use will receive an incentive payment from Medicare and Medicaid. “Meaningful use” is “using certified technology in EHR implementation to improve quality, safety, efficiency, and reduce health disparities; engage patients and families; improve care coordination; and maintain privacy and security of patient health information” (Centers for Medicare & Medicaid Services, 2013).
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.
In 2009 President Obama, through the American Reinvestment and Recovery Act, pledged to provide incentives to the nation’s physicians and hospitals to convert to an electronic healthcare system in attempt to improve the quality of care and reduce cost (Freudenheim, 2010). By converting to an electronic system, we have the opportunity for improved communication between all healthcare providers and decreased cost to our healthcare system. The goal is to improve communication across all aspects of the service chain (Horan, Botts & Burkhard, 2010). Almost two years later, the conversion progress continues to be slow. Only one in four physician’s offices, mostly large groups, have implemented the electronic record system (Freudenheim, 2010).
“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.
Technology is a driving force in our society. People can now manage their bank accounts, pay bills, and get their news with the click of the mouse. It only makes sense that the health care industry would join in on these web-based initiatives. More and more providers are using online patient portals as a means for communicating with patients and allowing them to have access to important health information. While patient portals are still in their emerging stages, positive results are being reported from patients and healthcare professionals alike. Online patient portals allow more effective communications between patients and their healthcare professionals by developing stronger, more utilized relationships and by creating a way to get information out to patients more efficiently. Through this enhanced communication there will be patients that are more actively engaged in their treatment, have stronger relationships with their healthcare professionals, and in many cases have improved medical conditions.
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
An HIE (health information exchange) allows medical professionals at multiple levels access and share medical information electronically, and within the confines of HIPAA privacy laws. HIE is meant to improve efficiency, speed, quality, and cost of patient care. It is thought by some in the industry that HIE is not able to address recurring challenges associated with rapid technological advancements. The initiative for HIE is being driven by meaningful use requirements, coordination needs for new payment approaches, and federal financial incentives.
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
Nursing informatics is an emerging field that integrates both the medical field of patient care with computer science and technology. In today’s society, we relieve a lot on technology as it has improved and become more accessible over the years. Access to the internet is now at the tip of our fingers as we can use our mobile phones or even our cars to explore and surf the World Wide Web. With the quick access comes positives and negatives, as anyone can publish anything on the internet; which is why as health providers it is important to direct our patient’s into the right direction. For example: cdc.gov, the Centers for Disease Control and preventions, offers up-to-date resources of any medical condition and also
The present environments for healthcare organizations contain many forces demanding unprecedented levels of change. These forces include changing demographics, increased customer outlook, increased competition, and strengthen governmental pressure. Meeting these challenges will require healthcare organizations to go through fundamental changes and to continuously inquire about new behavior to produce future value. Healthcare is an information-intensive process. Pressures for management in information technology are increasing as healthcare organizations feature to lower costs, improve quality, and increase access to care. Healthcare organizations have developed better and more complex. Information technology must keep up with the dual effects of organizational complication and continuous progress in medical technology. The literature review will discuss how health care organizations can provide effective care by the intellectual use of information.
The process of implementing an EHR occurs over a number of years. An electronic record of health-related information on individuals conforming to interoperability standards can be created, managed and consulted with the authorized health professionals (Wager et al., 2009). This information technology system electronically gathers and stores patient data, and supplies that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system functions as a decision support tool to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lower the medical costs. Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely to provide better preventive care than were healthcare professionals who did not.
If the systems are shared or communicate, there is less opportunity to error. Sharing and maintaining accurate and timely information should be a top priority. In emergent situations, time is of the essence and impacts the results of the patient’s treatment. For accurate information to be exchanged, certain patient identifiers must be confirmed. The Office of the National Coordinator (ONC) has identified specific domains that are essential to health information exchange.