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Brief summary of implementation of electronic health records
Brief summary of implementation of electronic health records
Brief summary of implementation of electronic health records
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Technology is emerging as a growing need within the healthcare organization. From documentation to medication administration and management of inventory, technology is utilized to help manage various areas of the hospital. The most important role of healthcare technology is the capability to assist in the patient care. Cerner Corporation has taken on the challenge of developing a system that can appropriately handle computerized physician order entry (CPOE), barcode administration, and documentation of patient care. This paper will analysis how Cerner technology is used within a healthcare facility, including strengths and weakness, implementation and training, and quality and safety.
Cerner in the Workplace
Deciding on a technology application
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“The primary use of an HER system is to facilitate clinical care while improving the quality of healthcare delivery and enhancing the safety of patients with emphasis placed on workflows that support the provision of care”(Laird-Maddox, Mitchell, & Hoffman, 2014, p. 1). However, no system is perfect and when compared with other technology application systems, Cerner presents with benefits, strengths and weaknesses. Cerner is considered the largest independent health IT company worldwide with continue satisfaction among user surveys. The benefits of Cerner are its longevity and functionality in the hospital setting. It offers increased efficiency by providing instantaneous, updated information needed to make effective decisions. Strengths incorporated in this system is the ability to integrate medical devices such cardiac monitors transmitting vital signs to the Cerner system and the capacity to access information on portable devices such as smartphones and tablets through various applications. Nonetheless, Cerner does carry a number of weaknesses. Although it functions great within the hospital, physicians have complained that the system can run slowly and entering orders can be time consuming as search functions require exact language and requires numerous clicks. Another issue for this technology application is the lack of ability to integrate with other systems. “Part of the driving force behind the model (using technology to track and follow patient flow), stemmed from the need to integrate EHRs throughout the health system and share information with network of referring hospitals”(Palma, 2013, p. 1). When compared with other health technology systems, Cerner fairs well, but not the
Computerized Physician Order Entry (CPOE), is also known as Computerized Provider Order Management (CPOM). CPOE is a process of automated or electronic entry record of health care physician on different types of instructions on how to treat patients, especially patients that are hospitalized under a physician’s care. CPOE is one of the most remarkable system that is being used in the healthcare system to effectively reduce the amount of medication errors. The University of Health Care System might be in the process of rolling out the CPOE portion out of the EMR project, however, they did not do a thorough investigation on what CPOE is and whether or not it would have a positive impact on the EMR project. They should have not taken the step to start the project without already knowing the basics of CPOE. They might have had thought that since it is a computerized system everything would turn out okay and there would not be any problems. However, they fall short to recognize that the user’s knowledge and experience with using the CPOE system would have a significant influence on the effectiveness and productivity of the actual system.
Recommend which system is the best choice to meet meaningful use requirements in this particular setting. Both Cerner and CPSI have helped hospitals meet CMS Stage 1 and Stage 2 requirements. However, Cerner provides a modular concept that larger hospitals are using more than complete inpatient systems to achieve MU (Zieger, 2013). In 2014, EHR vendors said eight hospitals had attested to MU Stage 2, and Cerner was used twice as much as CPSI (Gregg, 2014). Concerning Computerized Physician Order Entry (CPOE), CPSI System had the broadest reach in community hospitals; nevertheless, the software was missing functionality and usability (KLSA Enterprises, 2010, p. 6). Therefore, CPSI’s CPOE was significantly below the market-average due to low physician satisfaction (KLAS Enterprises, 2010, p. 6). KLAS Enterprises (2010, p. 2) reported Cerner clients were happier the more they adopted CPOE.
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
This technology assist the nurse in confirming patients identify by confirming the patients’ dose, time and form of medication (Helmons, Wargel, & Daniels, 2009). Having an EHR also comes with a program that allows the medical staff to scan medications so medication errors can be prevented. According to Helmons, Wargel, and Daniels (2009) they conducted an observational study in two medical –surgical units one in the medical intensive care (ICU) and one in the surgical ICU. The researchers watched 386 nurses within the two hospitals use bar code scanning before they administrated patients’ medications. The results of the research found a 58 % decrease in medication errors between the two hospitals because of the EHR containing a bar code assisted medication administration
Nothing is perfect in the world of clinical systems implementation, so a Chief Informatics Officer is always on the go. He travels around the country to attend meetings in order to figure out how to best balance compliance, security, ease of use, automation of manual processes, and safety in electronic medical records systems and other hospital software systems. Clinicians have constantly evolving needs and often come to the Chief Informatics Officer with a clear idea of the problem they want to solve, but no idea of how to solve it. Reliably the pen records lessons from the meetings and concerns of clinicians as it travels with him. It crafts written reports to advise senior management on how to face the endless stream of projects, so that those which can accomplish the greatest good for the most people over the longest time period can be
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.
The case study by Elizabeth Layman (2011) is a very comprehensive compilation of the implementation of electronic health records, in relation to the Health Information Services Departments. Through this study Layman documents the conditions to be implemented to achieve satisfactory application of the change-over from the conventional pen and ledger system to computer documentation of patient’s records maintained by health networks.
“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.
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.
The rising cost of healthcare and the lack of health insurance coverage for over 15% of the U.S. population have appeared as important political, economic and policy concerns. Hospitals have to find ways to develop effectiveness to drive down the cost of their services. Hospital organizations in United States are facing pressures to control costs, and to improve quality outcomes. Information systems (IS) have an integral role in addressing these challenges. Successful presentation of Information systems (IS) in the healthcare industry can create new professional models. Dramatic improvement in technology improves the availability of clinical data with no time and so improves patient outcome and care management. Information technologies can assist in the reform of organizations and h...
Nurses are fundamental to the process of implementation of certain systems used in the workplace. Nurses should be allowed to have input and suggestions regarding what works and what doesn’t when it comes to those systems, whether it is the EMR, healthcare organization systems, or even the use of point of care systems (Mitchell, 2011). This allows for open collaboration between the nurses and information technology to come up with solutions and user friendly applications when needed. The technology world is ever changing and with that comes new ways to monitor and take care of our patients.
“There are two concepts in electronic patient records that are used interchangeably but are different-the electronic medical record (EMR/EHR) and the electronic health record. The National Alliance for Health Information Technology (NAHIT) defines the EHR as the electronic record of health-related information on an individual that is accumulated from one health system and is utilized by the health organization that is providing patient care while the EMR accumulates more patient medical information from many health organizations that have been involved in the patient care. The Institute of Medicine (IOM) has been urging the healthcare industry to adopt the electronic patient record but initially
ABSTRACT Technology affects society in every aspect in today’s world. There is not one single industry that has not been affected by technology, but no other industry is more affected than the field of medicine and healthcare. Modern technology has changed the structure and organization of the medical field. With rising health care cost the amount of uninsured people keeps rising higher and higher. With new technology the prices will only continue to rise. There are currently approximately 46 million people without health care coverage and that number continues to climb with rising health care cost. Employers are either no longer able to pay for employee insurance because of the 54 percent cost increase, or they are having to change policies
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.
Information and Communication Technology (ICT) has been shown to be increasingly important in the education or training and professional practice of healthcare. This paper discusses the impacts of using ICT in Healthcare and its administration. Health Information technology has availed better access to information, improved communication amongst physicians, clinicians, pharmacists and other healthcare workers facilitating continuing professional development for healthcare professionals, patients and the community as a whole. This paper takes a look at the roles, benefits of Information and Communication Technology (ICT) in healthcare services and goes on to outline the ICT proceeds/equipment used in the health sector such as the