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Essays on health information exchange
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Essays on health information exchange
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RHIOs and the HIE Health Information Exchange (HIE) was introduced by President Bush in 2004 (Kruse, Regier & Rheinboldt, 2014) so it is not a new concept. HIE is instrumental in gaining overall population health as it can lead to a reduction in healthcare costs, increase patient safety, and increase health outcomes. Regional Health Information Organizations (RHIOs) are a conglomerate of healthcare providers and patients in a region that exchange healthcare information with the goal of delivering quality care to the individuals they serve. This paper will discuss the pros and cons of RHIOs, key challenges in gaining long term viability, and provide ways in which capital is raised to support HIE. Pros and Cons of RHIOs Healthcare …show more content…
Pharmacy is highly regulated and must of the data is already in electronic form, data review is much easier. Reviewing the drugs that are being administered and possibly steering usage away from high cost brand drugs to lower cost generic drugs can lead to a reduction in costs without a decrease in health outcome. Simply stated, health outcomes are improved when a healthcare provider has a complete access to all records for the patient and when those records are enhanced with information such as drug interactions and dosing calculation among other things, patient safety can also be improved (AHA, …show more content…
Because the use of HIE is for the ‘greater good’ of the population, it could be supported through taxes or other local assessments. However, increasing taxes, in any amount, is a politically heated topic and may be a hard sale to constituents. Brokerage Fee Model The brokerage fee model utilizes a third party to offer services through the HIE network. Here the third party could develop an application that is beneficial to an organization. Part of the fee collected for use of the application would be passed on to the HIE as an additional revenue stream. Conclusion While health outcomes could increase with the implementation of HIE and RHIOs, implementing such programs are not easy. The financial burden to take on such a task may be more than some organizations want to take on, however, with healthcare reform it is inevitable that all organizations must increase health outcomes and reduce costs. A well planned HIE and RHIO just may be the way to population
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
There are a variety of health settings that provide patient health services. With the use of health services there has to be some type of health information exchange or system that will enable users to exchange data. Today there are networks that do this. Some of these networks are Community health information network (CHIN), Regional health information network (RHINO), National Health Information Network (NHIN) and Health Information technology for economic and clinical health act (HITECH Act). The purpose of this paper is to identify these networks, discuss the relationship among each other and lastly, explain their relationship to formation of a patient-centered management system and electronic health records (EHRs).
The healthcare industry, as a whole, has made great strides towards improving access to he...
Did you ever think about how much time is spent on computers and the internet? It is estimated that the average adult will spend over five hours per day online or with digital media according to Emarketer.com. This is a significant amount; taking into consideration the internet has not always been this easily accessible. The world that we live in is slowly or quickly however you look at it: becoming technology based and it is shifting the way we live. With each day more and more people use social media, shop online, run businesses, take online classes, play games, the list is endless. The internet serves billions of people daily and it doesn’t stop there. Without technology and the internet, there would be no electronic health record. Therefore, is it important for hospitals and other institutions to adopt the electronic health record (EHR) system? Whichever happens, there are many debates about EHR’s and their purpose, and this paper is going to explain both the benefits and disadvantages of the EHR. Global users of the internet can then decide whether the EHR is beneficial or detrimental to our ever changing healthcare system and technology based living.
Some method such as audits, chart reviews, computer monitoring, incident report, bar codes and direct patient observation can improve and decrease medication errors. Regular audits can help patient’s care and reeducate nurses in the work field to new practices. Also reporting of medication errors can help with data comparison and is a learning experience for everyone. Other avenues that has been implemented are computerized physician order entry systems or electronic prescribing (a process of electronic entry of a doctor’s instructions for the treatment of patients under his/her care which communicates these orders over a computer network to other staff or departments) responsible for fulfilling the order, and ward pharmacists can be more diligence on the prescription stage of the medication pathway. A random survey was done in hospital pharmacies on medication error documentation and actions taken against pharmacists involved. A total of 500 hospital were selected in the United States. Data collected on the number of medication error reported, what types of errors were documented and the hospital demographics. The response rate was a total of 28%. Practically, all of the hospitals had policies and procedures in place for reporting medication errors.
Health Maintenance Organizations, or HMO’s, are a very important part of the American health care system. Also referred to as managed care programs, HMO's are combinations of doctors and insurance companies that are formed into one organization. This organization provides treatment to its members at fixed costs and decides on what treatment, if any, will be given based on the patient's or doctor's current health plan. Sometimes, no treatment is given at all. HMO's main concerns are to control costs and supposedly provide the best possible treatment to their patients. But it seems to the naked eye that instead their main goal is to get more people enrolled so that they can maintain or raise current premiums paid by consumers using their service. For HMO's, profit comes first- not patients' lives.
“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.
(W. Lease, personal communication, July 23, 2010), the “unknown” of the recent health care reform legislation is an external influence that is most relevant to our organization, stated by William Lease, senior vice president of clinical support services. Mr. Lease states, that health care reform legislation will impact our organization in many ways; especially after 2014. While more employees will have health insurance coverage and there will be more patients to treat; the need for controlling costs and improving efficiency is i...
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
Barton, P. (2010). Understanding the U.S. health services system (4th ed.). Chicago: Health Administration Press.
Regional Health Information Organization also known as RHIO is the Health Information Exchange Organization which sits under the Nationwide Health Information Network. NHIN describes technologies, standards, laws, policies, programs, and practices that enable health information to be shared. The purpose of the RHIO organization is to facilitate a health information exchange; which is the transfer of healthcare information electronically across organizations. The reason for HIE is to improve the safety, quality, and efficiency of healthcare as well as access to healthcare through the efficient application of health information technology.
It is enthralling to note that in spite of the advances in healthcare systems, such as our hospital’s ability to provide patients with lower cost, managed One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds.
...d has cut down the illegal distribution of prescription drugs. It cuts down on medical costs for the patient by allowing the physician to view what insurance coverage the patient carries for certain medications and. providing lists of similar generic drugs. E-prescribing is just one part of U.S. government’s goal to gradually adopting standards facilitating the shift to all electronic medical records for citizens. Although it has only been available for a short time, electronic-prescribing has already made an impressively large impact on the medical field.
Quality improvement organizations drive and champion the quality improvement, monitor the appropriateness and effectiveness, and provide quality initiatives for our nation’s health care system. They measure development, endorsement and approval. They provide accreditations, influence quality improvement, make public reporting available, and sometimes provide payment and incentives for efficiency. We also need information sharing between organizations on what works and what doesn’t in healthcare. Doing this helps eliminate unnecessary or harmful practices. It improves the efficiency in healthcare, the cost-effectiveness, and safety. These quality improvement organizations frequently make it one of their objectives to have a cross sharing of medical information between health care facilities (Donini-Lenhoff, 2011).
Electronically entering medical information helps ease the space taken up by paper records, especially from patients that have large files. Another advantage is being able to access records from another doctor without having to fax information or the previous method of carting around paper copies of your chart. Sending a prescription electronically also has a major benefit, as a patient no longer would need to drop a paper script off to the pharmacy and wait. The script would be sent directly to the pharmacy and from there the pharmacist would go over the prescribed drug and error check then process the prescription. It allows the patient to drive directly to the pharmacy after a doctor visit and their medication would be ready and waiting. Most of all the software for the electronic records provide a doctor to accurately enter a diagnosis and sub diagnosis without having to look it up codes in a medical book. It also allows a doctor to enter notes much easier because it takes the guess work out of questionable handwriting. I agree that medical records will be very beneficial once I feel they are safe. I still feel there needs to be a lot worked out with the safety of my health information and making sure I won’t ever feel like I can’t trust my own doctor. I enjoy the ease of having all my information in one spot and knowing if I were to