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WTT2/ C156
Advanced Information Management and the Application of Technology
Kelly Belcher
Western Governors University
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In the proposed scenario, a Clinical Nurse Specialist (CNS) with a Post-Masters Nursing
Informatics Certificate has decided that the 100 bed hospital that she works in would benefit from transitioning from paper charting to using an electronic health record (EHR) system. She has done initial clinical research and has a solid foundation of best-patient-practice reasons that support this change. She has also researched and studied the information on the government’s websites HealthIT.gov, and CMS.gov pertaining to the American Recovery and Reinvestment
Act and the Health
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The team is aware that currently they have a computerized system that they use for reporting and tracking labs, radiology and scheduling, but all documentation is paper based. They consider the price point involved with adding modules to the existing McKesson software vs purchasing and implementing an entirely new EHR called EPIC. EPIC appears to be user friendly and able to seamlessly connect all of the facilities under the umbrella of their corporation.
They make a list of some of the pros and cons associated with each system. McKesson has the upside of being a system they have already worked with and it has different programs that can be pieced together to meet some of the meaningful use (MU) criteria for compliance. They already have a working relationship with this vendor and some experience with the product. Once the discussion gets going, the team realizes that there are many more bad points than good with
McKesson. In their experience, the software modules are connected in a piecemeal fashion that makes it difficult for programs to interface. Quite frequently data is just lost and not retrievable.
There are different data entry systems for the different types of departments i.e. OR, ER, labor &
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delivery, Med/Surge, radiology, and pharmacy. The different systems do not allow for across the board data
1. Fill in the table below with the results from the monosaccharide test experiment, and your conclusions based on those results.
Over the past few years, we have notice a significant change in the workflow of a healthcare organization. This change is caused by the technological advancements of Health Information Technology (HIT). One of the many technological advancements of HIT is the Electronic Health Record (EHR). Electronic health records are a patient’s paper chart in a digital format. It always contains real time information and can be easily accessible. With EHR put into act, it has the ability to electronically view and share a patient’s medical history, past and current medications, immunization dates, any diagnoses or allergies, as well as testing and lab reports. It is also used to document and store data, in addition with many more abilities. It is important to understand the purpose, application, challenges, and advantages of an electronic heath record. In order to get a greater understanding of its use, we will use a private family medicine practice as the foundation for implementing the EHR.
Custom software is often developed in-house for use by a specific organization or set of users: True or False
Select or upgrade to a certified EHR by picking the right HE based plan depending on the needs and size of the facility
Technology has enabled us to make advances in patient care, and thus increase healthy patient outcomes. Nurses are constantly adapting to new technology, and need to learn to work with their IT department to successfully maneuver their electronic system. This paper will provide details of EHR implementation, and the goals of health implementation technology.
What an exciting time to become part of the health care industry! Medical research makes new discoveries to improve the quality of patient care and save lives on a daily basis. Health care reform is gaining momentum, revolutionizing the industry and requiring many administrative changes, such as the creation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Rules and standards evolved from this act provide a way to ensure your protected health information remains confidential. In this digital age, it is particularly relevant. The digital evolution impacts many areas. Digital TVs, computers, smart phones and iPods have totally changed the way we do business and enjoy entertainment. In the medical industry, the
Electronic health information exchange is a dynamic evolving landscape that can help all doctors, pharmacists, nurses and any health care providers and patients to properly access fast to share patient basic health medical information via electronically improving quality, safety and speed and the cost of patient care HIE is fault finding for successful health care reform allowing to happen interoperability and significant use of health IT, and Health care Information and Management System Society (HIMSS) is here to help health care and health IT is qualified to understand all of the latest developments. There are various types of health information exchange and health information exchange organizations that are currently across the United States and its nation.
There are different electronic health record software and one so happens to be greenway electronic health record. Greenway electronic health record is an ambulatory platform that provides healthcare organizations with clinical, financial, and administrative tools and services. More than 75,000 care providers use Prime Suite and Greenway's electronic health record. Greenway electronic health record is very beneficial in a lot of ways. Greenway electronic health record is an outpatient provider group. Greenway offers over 4,000 clinical templates and Electronic medical record content for over 30 specialties and sub specialties. Some of the specialties so happens to be Allergy & Immunology, Cardiology, Cardiovascular & Thoracic Surgery, Dermatology, and Ear, Nose & Throat and the list
As an Electronic Health Record worker it can be difficult with patients medical history, diagnoses, medication, treatment plans, immunization records, and radiology; a lot of this can be overwhelming because you have to make sure when your doing these things it takes times rushing into it may cause errors and huge mistakes when dealing with a patients health and there life itself. Things that you do can reflect on improving their quality of a patients care. For one not having enough training can be an issue maybe to much information to capture at one time.Lack of interoperability between information technologies, cost of set-up and maintenance, HIPAA violations, empty data fields, coping and pasting and end closing. It would definitely be best
Legacy electronic health record (EHR) software was engineered to facilitate building comprehensive patient records, primarily collecting clinical data. Electronic patient files compiled during the 1960's, 70's and 80's were definitely more complete, accurate and legible, but not necessarily easier to share. In the early 1990's as the size and price of computer equipment plummeted, more practice managers embraced the EHR concept and adoption rates soared. Today, the majority of physicians use some form of digital patient record management system, but not everyone is happy with their of EHR software performance. Which leads to the topic of this post: Is your EHR software holding your practice back?
Increased public demand to access health information and growth of consumerism in health care industry are two important reasons form increasing attention to Personal Health Records (PHRs) in the recent years. Surveys show that a considerable number of people want to have access to their health information. In one survey, 60 percent of respondents wanted physicians to provide online access to medical records and test results, and online appointment scheduling; 1 in 4 said they would pay more for the service.
The federal government has taken deliberate steps to ensure that EHR systems are strong, secure, and able to communicate with each other. “Certification” is a way to enforce standards. Hospitals, doctors and other eligible practitioners can earn incentive fees under the meaningful use program, by adopting certain standards and earning certification. EHRs are certified after passing tests of their functionality, reliability, security, and compliance with the standards. Certification provides assurance to purchasers and other users that an EHR system offers the necessary technological capability, functionality, and security to help them meet the meaningful use criteria established. Providers and patients must also be confident that the
two years ago the hospital implemented EPIC Electronic Medical Records (ERM) system to move from paper charts to the computer in all its clinical and surgical operations. Epic is used by major health systems around the United States. Bascom Palmer Eye Institute as part of the University of Miami Health Systems lunched UChart, a version of the Epic EMR to fully integrate a vast set of patient care applications, including: scheduling, registration, billing operations; clinical, lab, and operating room systems for doctors and ancillaries staff.
Challenges that arise due to workflow changes and transition during paper to hybrid record and eventually to Electronic Health Record (EHR). I was one of the lead contributors into the transition from paper to hybrid. I was the original power user for scanning, indexing, and record upload. I had to figure out where, what, how to index documents, name format and classification. I learned and figured out to scan documents in Soarian Enterprise Document Management (EDM) and had to demonstrate to SFGH department leads, Laguna Honda Hospital (LHH) HIM department supervisor and assist UCSF Clinical Lab Scientist on how to upload results into their Vectra system. I also train department staff and other staff that are non HIS staff on EDM and E-Clinical Works (ECW) document indexing when needed.
Electronic Health Records (EHR) transition from paper to electronic has necessitated a “hybrid” environment. The combination of paper, EHR, and document imaging (scanning) is causing challenges for Health Information Managers (HIM). Paper forms are