As it stands specialty care provides world-class healthcare to the general population over a dispersed system but at an obviously higher price. The training a specialist receives puts them in a better position of suspecting serious pathology or chronic conditions more commonly than a generalist (Pointer, Williams, Isaacs, Knickman, & Barr, 2007, p. 50). Some examples of a specialty based system are cardiology, endocrinology, nephrology, neurology, pulmonology and orthopedics. Frequently, the primary care physician (PCP) will consult with a specialist in the care of a patient to get a clear idea for diagnosing and treatment. Before the electronic health record (EHR) the patient would have to request a face-to-face with the specialist, now consultations
can be done via secure text messaging, telemedicine of various types, and preemptive population consults by the primary (Kirsh, Ho, & Aron, 2014). Nevertheless, when serious pathology or chronic conditions are non-existent in a patient the quality of care, cost containment, and public sentiment is what’s preferable to the masses which are advantages that the PCP has over the specialist. It is estimated that by 2030, chronic conditions will increase to 150 million from 99 million in 1995, and the cost of dealing with specialty care of any kind will rise also (Pointer, Williams, Isaacs, Knickman, & Barr, 2007, p. 57). World-class health care will not be a necessity from a specialist if serious pathology and chronic conditions can be contained through preventive maintenance of the patients. -Carmen Nash
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
Primary care physicians are trained in a number of diagnostic techniques such as interviewing the patients to get information on symptoms, examining the medical history of the patient so as to obtain more information, conducting a physical examination on the patient and most importantly, carrying out a medical examination. This might include blood and urine tests (Dahrouge, Muldoon, Ward, Hogg, Russell, & Taylor-Sussex, 2014). The physician then makes a differential diagnosis which is used to prescribe medicine for the patient. On the other hand, family nurse practitioners take part in preventive care which may involve screening patients, conducting health-risk assessment, facilitating immunization, providing counseling meant to improve the health of patients. Most importantly though, family nurse practitioners are directly involved in managing chronic infections, giving ways to improve the care provided by the primary care physicians. This is often because of their experience and in-depth research they are exposed
Primary care is generally your first line of defense against common illnesses. With your primary care physician, you and your family can
The nurse practitioner (NP) is a registered nurse with graduate education and advanced clinical training. The NP has acquired knowledge and clinical skills to diagnose and treat illness, and provide individualized, evidence-based care to a particular population (Chism, 2013). Throughout the past decades, the responsibilities of the NP have expanded and evolved due to the advances in healthcare. NPs are responsible for understanding the complex life processes of patients and must integrate evidence-based research into clinical practice (American Association of Colleges of Nursing, 2006). NPs focus on meeting the current and the future health needs of the patient population.
Nurse practitioners are called upon in the health care system to take the initiative and become changes agent, which will improve the quality, safety, and efficiency of care delivery (Clark, Casey, & Morris, 2017). The overall case scenario gave me the knowledge I need to be equipped to function in my role as a nurse practitioner. I was given the opportunity diagnose and treat patients with different
Electronic Health Record (EHR) is a digital collection of patient health information instead of paper chart that captures data at the point of collection, supports clinical decision-making and integrates data from multiple sources in any care delivery settings. The health record includes patient’s demographics, progress notes, past medical history, vital signs, medications, immunizations, laboratory data and radiology reports. National Alliance for the Health Information Technology defines EHR as, “ an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more
Lohr, Steve. “Most Doctors Aren’t Using Electronic Health Records.” New York Times. New York Times, 19 June 2008. Web. 13 Nov. 2011.
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 EHR is a computerized health record that will take place of the paper chart. The health care information will be available to all health care providers at anytime, anywhere. The record will contain medical history, diagnosis, medications, immunization, allergies, diagnostics and lab results; from past doctors, emergency department visits, school, pharmacies, and out patient laboratories and facilities (Department of health and human services, 2014). Health care providers will be able to access evidence-based tools to aid in decision-making. EHR will also streamline workflow, and support changes in payer requirements and consumer expectations. In 2004, “the HHS secretary, Tommy Thompson appointed David Brailer as the national health information coordinator to provide: leadership for the development and nationwide implementation of a interoperable HIT infrastructure, with the goal of establishing electronic health records...
Doctors should possess the skills necessary to assess what the patient actually needs contrary to what he/she believes they require. An illness obviously impacts one’s life regardless of how minuscule. A doctor plays a vital role in both the physical condition and the, often over-looked, emotional well-being of his/her patients. I firmly believe that through my experiences in two separate, but fairly similar branches of medicine I have developed the ability to care for those in a compassionate yet professional manner along with the ability comprehend the information necessary that being a health care provider
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).
A primary care physician is one who has specialized education and training in general internal medicine, family practice, or another first-level-of-care area. Primary care physicians are those who provide patients with any/all of the following:
Age groups who can receive treatment from NPs are from neonate to elderly Adult. They can manage either acute or chronic illnesses. Additional job description of NP is their ability to provide comprehensive assessment, establish differential diagnosis, treat, order and interpret laboratories and diagnostic tests or even prescribed medication. They can also make referrals to other specialty areas (oncology, psychiatric etc.) if furthers assessment needs to be done regarding patient health status. An NP can be involved in health promotion and disease prevention by providing education to patients and their family about disease processes (Advance practice, “n.d.”). In contrast, CNS practice is more focus in education, consultation to other disciplines, research conduction, improving quality of care, and administrative role. CNS also provides direct patient role but NPs spend twice as much time providing direct care. CNS is more likely to teach, conduct support groups and provides psychotherapy in daily basis to health care staff (Lincoln,
The introduction of technology in health care in the form of Electronic Health Records (EHR), the storing and maintaining confidential medical history electronically. This advancement in technology has catapulted how patient records are received and transferred from physician to physician. Telemedicine is a form of technology that allows a physician or specialist to treat and diagnosis a patient from miles away or from other continents. Telemedicine gives individuals in rural area the ability to see a physician without struggling to find a doctor in their region (www.beckershospitalreview.com, 2014).The introduction of Health portals that allow patients and physicians to communicate from the comfort of one’s home, office or anywhere technology is welcomed. Mobile health unit that travel to rural areas and other areas where individuals that may not have transportation to visit medical facilities. Finance and economics have impacted the health care industry over the last 10 years by the cost sharing and changing benefits in many employer-sponsored health plans. Health cost makes up a large part of the budget in the United States because 10 years ago the number of uninsured or underinsured Americans was higher than previous years. The economy in the
i.e. a re-examination of the re-examination of the re-examination of the re-examination of the re-examination of the re-examination of the re-examination of the re-ex Since 2004, even the major priority of President Obama’s agenda is EHR (Madison & Stagger, 2011). The healthcare administration considers EHR as the introduction of advanced technology which can improve patient satisfaction 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 EHRs (Hebda & Calderone, 2010). The EHR system has also improved the patient service and satisfaction. The most interesting fact is that patients who see using EHR while diagnoses view it as innovative and progressive than others.