The Electronic Health Record ( Ehr ) System

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1. The Electronic Health Record ( Ehr ) System
The electronic health record (EHR) System is a database that contains all the details of patient's
medical status and has been designed to facilitate rapid access to such information when necessary
(Hayrian, Sarnto & Nykanen, 2008). This database is advantageous for both medical practitioners
and patients as it facilitates an improvement in the level of care provided by health workers across
all departments, and has become a fundamental resource for the healthcare sector (Scott,2007).
Based on the definition declared by the health information management systems society (HIMSS),
an EHR is a detailed digital record of the medical statuses of patients based on at least one
healthcare visit or treatment program. These records provide vital information on each patient's
personal details, health concerns, progress reports, medicine administrated and prescribed, vital
signs, previous medical histories, immunization statuses, lab test reports and radiology results. The
database also assist in scheduling in the work of clinical practitioners as the EHR is capable of
presenting a comprehensive record of all treatment received by a patient across a diverse range of
medical fields and supports the use of evidence based decision making methods, quality
management and the effective evaluation of the patient outcome. In a clinical setting, the application
of an EHR system will depend on a number of technical, behavioral and management–based factors.
It is important to a health
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3. Electronic Health Records Essay
Electronic Health Care Records
Electronic health records (EHRs) are an electronic version of a patient's medical history (Centers for
Medicare and Medicaid Services, 2012). The development of EHRs has created a world of
opportunity for helping to increase patient involvement, sharing patient data among providers for
quality of care improvement and more. However, beginning to use an EHR is no simple task and
requires extensive research and planning to find the best options for individual organizations. This
essay will explore various complexities of EHRs, workflow analysis and redesign, as well as the
benefits of patient portals that are accessible through EHRs.
EHR Implementation, Adoption, and Optimization
There are definitely differences ... Show more content on Helpwriting.net ...
During assessment and planning it is important to decide what information needs to be transferred
from paper records as well as how the information is able to be stored within the EHR. Setting goals
for the migration can help develop the overall plan. For example, if an office is planning to use their
EHR to go paperless then they may want to consider keeping even the information that seems dated.
EHRs also typically support scanned documents but they cannot be mined for data. It is critical to
look at what parts of patient data must manually entered, especially because it can be time
consuming and may affect the adoption timeline. In consideration of the overall process it is
important for a group to look at who will be in charge of the different parts of the plan as well as
tracking timeliness.
Complexity of Electronic Health Records
Safer Assurance Factors for EHR Resilience (2014) suggest the success and capabilities of a EHRs
are determined by both the hardware and software components that they work with. Electronic
health record configuration is inclusive of the physical computer environment that allows the system
to work as well of the software infrastructure. Errors in the hardware and software set up of an EHR
can be detrimental to the system, especially in regards to security. For example, if security settings
are not well adapted, thorough, and monitored the patient data from the EHR is at risk. Also,
patients and providers will come to rely on
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5. The Electronic Health Record
The Electronic Health Record Introduction In the modern world technology is everywhere and it
affects everyone's daily life. People are constantly attached to cell phones, laptops, and other
electronics, which all have affected how people live their lives. Technology is also a large part of the
healthcare system today. There are many electronics and technologies that are used in health care,
such as electronic health record, medication bar code scanning, electronic documentation,
telenursing, and there are many more forms of technology that impact nursing. One technology that
stands out is the electronic health record. The electronic health record, also referred to as EHR, is an
electronic version of a patient's chart, and it contains is a list of the patient's current medications,
allergies, laboratory results, diagnoses, immunization dates, images, treatments, and medical history
("Learn EHR Basics," 2014). The purpose of the electronic health record is to have a patient's health
care record available to health care providers nationwide, but the patient can decide who has access
to their record (Edwards, Chiweda, Oyinka, McKay, & Wiles, 2011). The electronic health record is
a very important technology in health care and it impacts nurses, nursing care, and has a significant
impact on patient outcomes. Impact on Nursing The electronic health record has affected nursing in
multiple ways. The EHR helps nurses provide fast and effective care by saving them time, and time
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7. Electronic Health Records
With the increasing advances with technology in this day in age, there is no surprise that electronic
health records will soon be a major component in all hospitals of the Canadian health care system.
Assessment of Electronic Health Record Usability with Undergraduate Nursing Students is an
informative article, written by Jones & Donelle, about the increased use of electronic health records
within our system and discusses its benefits, as well as difficulties nursing students experience with
this new type of technology. It is a new method of technology that will soon replace paper charting
and will allow access to patients to communicate with their health care providers, manage their
health information, schedule appointments, and have access ... Show more content on
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I believe that this type of system is accessible, although may be difficult to use at times, provides
health care providers easy access to their patients information. I do believe that electronic health
records will be an important aspect of our health care because it will be more of an efficient way to
view patient results of laboratory data, test results, and access to past medical history compared to
searching through multiple patient documents in their chart. With this being said, I do believe that
switching from paper charting of documentation and patient assessments to an electronic method
will have some challenges. Participants in Jones & Donelle research stated that many were not clear
about where to document information, and where to search for patient information in the electronic
health record (Jones & Donelle, 2011). I believe that with any type of new technology it is essential
to incorporate hands–on training to understand its
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9. Electronic Health Records : Pros And Cons Essay
Electronic Health Records: Pros & Cons The advancement in technology has rapidly transformed
the world today, and the increase in the number of web–enabled devices has completely changed
peoples ' lives especially the way they communicate. Electronic Health Record system, which is a
digital copy of a patient's medical history is one of the revolutionary ideas that have come with this
advancement. Electronic Health Records (EHRs) are instantaneously updating records that are
patient–centered designed with the aim of providing real–time information to the authorized users
(Cohen, 2010). It contains all the patient's information that is in the hand of the medical providers
including their medical history, treatment dates and types, immunizations conducted to the patient
and their dates, radiology images and all the laboratory results from the tests conducted in the past.
All this information is held in a digital format and can only be updated by authorized users who are
stationed in the medical facilities. Electronic records are designed to make it easy for different
health providers and organizations to share patients' information which streamlines their operations
since all the necessary information and history can be accessed from any location at any time.
Implementation of Electronic Health Records System One of the most delicate aspect when
adopting EHRS is the implementation phase, yet failure to adopt EHR might come with an extra
cost of penalties from the government.
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11. Application Of An Electronic Health Record
Empower
As a nurse facilitator walking into a room of disgruntled nurses, the task of planning or an electronic
medical record adoption will not be an easy task. However, with the right approach, this endeavor
can be motivating. Our future is dependent on our ability to adapt to an ever–evolving healthcare
system that is becoming increasingly integrated with a dynamic technology explosion. Nursing
leaders need to develop insight into healthcare 's future and prepare the foundation for the changes
that are a prerequisite to leading the nursing division in the right direction. Murphy (2011) called
this "leading from the future" (p. 25). To embrace these changes, we need to learn how to role model
the nursing strength obtained from technology. Implementation of an electronic health record (EHR)
is one of the foundational requirements necessary to prepare a foundation for a technology future
both healthcare delivery and our nursing profession. This paper will review the strategies necessary
to support upstate New York adopt an EHR system based on the framework of Roger 's (2003)
diffusion theory.
Roger 's Theory
The five qualities of adopting new technology relative advantage, compatibility, simplicity,
trialability, and observable results will be examined and reviewed (Roger, 2003). An approach that
addresses each element will be considered during the meetings with staff and implementation of the
EHR.
Relative Advantage
The initial planning stage needs to include
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13. Electronic Health Record Systems ( Emr )
Currently, Electronic Health Record Systems (EHRs) are becoming more common in medical health
facilities. When comparing electronic and paper health records, electronic records have many more
capabilities and benefits. Although paper records have lower initial costs, electronic records easily
accessible, space–savers, and in the end can bring in higher profit. Providers who have made the
switch to EHRs have noticed "improvement in medical practice management and cost savings"
(HeathIT.gov). Dr. Robert E. Hoyt, an internal medicine physician with expertise in health
informatics and clinical research, talks about the benefits and abilities of EHRs, and how healthcare
practices and physicians would advantage from using them. He explains that paper records are
extremely limited. When handwriting a prescription or office notes, illegibility is a classic issue.
Other disadvantages of paper records are that they are "expensive to copy, transport and store; easy
to destroy; difficult to analyze and determine who has seen it; and the negative impact on the
environment" (2015, practicefusion.com). Efficiency in the office can be done through EHRs.
Practices that have already begun using EHRs have noticed "improved management through
integrated scheduling systems that link appointments directly to progress notes, automate coding,
and managed claims" (HealthIT.gov). Administrative tasks including filling out forms, processing
billing requests, represent a significant percentage of
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15. The Adoption Of Electronic Health Records
According to a survey from SK&A, after an initial migration to health IT solutions, practice owners'
adoption of electronic health records (EHR) has plateaued with only about a 2.8% increase from
January 2014 to January 2015. The survey found that overall adoption by physicians is 62.8%, and
that, in general, the larger the practice, the (not surprisingly) higher the adoption rates, with 77.2%
of docs at medical groups of 25 or more members using EHRs – this is compared to only 54.5% of
solo practitioners adopting the technology. Why the Drop in Adoption Rates? Other survey findings
clearly illustrate the fact that while EHRs do come with benefits, most are not embraced by
physicians because of their lack of functionality and difficulty of use. According to this survey ,
overall provider satisfaction with EHRs has declined by almost 30% over the past five years.
Conducted by the American Medical Association and American EHR Partners, the survey
questioned 940 practice owners about their level of satisfaction with their EHR. What was
interesting right off the bat about these findings was that only 34% of physicians said they were
"satisfied or very satisfied" with their EHR systems compared to 61% of respondents who were
satisfied only five years ago. The survey also found: 42% of physicians described their EHR's ability
to improve efficiency as difficult or very difficult. 43% said they were consistently challenged with
their EHR's ability to address productivity.
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17. The Electronic Health Record
1. Title
2. The electronic health record is the electronic version of a patients' medical chart (Centers for
Medicare & Medicaid Services, 2012). The information included in the electronic health record is
the patient's demographics and clinical health information, medical history, list of health problems,
progress notes, medications, vital signs, laboratory and radiology reports, and physician orders. The
purpose of the electronic health record is to prevent medical errors and improve care delivery to
provide a safer patient environment (McGonigle & Mastrian, 2015).
3. EHRs has been known to be a problem for some physicians or healthcare providers despite of the
advantages. Because of this system physicians are forced to perform some time–consuming tasks
that could be assigned to someone with lesser qualification, which creates more work for the
physicians. Physicians described poor Electronic Health Record (EHR) usability that did not match
clinical workflows, time–consuming data entry, interference with face–to–face patient care, and
overwhelming numbers of electronic messages and alerts (Friedberg, Crosson, & Tutty). Another
issue that was reported is that there are a lot of electronic alerts and people also could potentially
misuse the template–based notes which is pre–formatted and computer generated.
4. The use of Electronic Health Record can be very dangerous to patient care and safety when
wrongly document as information stored in the system are considered to be
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19. Personal Health Record
Personal Health Record (PHRs)
Nursing Informatics
Oluwatoyin Abolarin
Dr. Randolph Schild
11/30/2014
ABSTRACT The purpose of this paper is to generate information in regards to Personal Health
Records (PHRs) in relation to the nursing profession. The emergence of PHRs came to light as a
collective result of our complex set of medical needs, increasing need for timely access to health
information's without jeopardizing our privacy rights as patients, increasing advancement in
technologies and pressure to reduce cost of effectively healthcare delivery.
I will be providing different definitions of PHRs, types and general features. I will support my
definitions will existing literatures to show how close it is in meaning and features to ... Show more
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Lee et.al (2009) identified the concept of the PHR as those that "includes an electronic application
enabling individuals to access and manage their own lifelong health information, and to share all or
parts of such information with other individuals or care providers or authorized persons in a secure
and confidential environment". Looking at more literature, "The Markle Foundation's Common
Framework states that the key characteristics of a PHR are that the patient controls his or her own
PHR, that the information is from the patient's entire lifetime, the PHR contains information from all
providers, is accessible from anywhere at any time, and is both private and secure" (Kannry,
et.al.2012. p. 594).
There are active debates about the power of PHRs in the literature but there are general consensus
on the fact that they facilitate active interactions; for example, when patients collect and monitor
daily health data e.g blood pressure, educate themselves on health information thereby increase
knowledge, and challenge, inquire and probe health information especially, their own personal data.
The potential of patients actively engaging in their health and general wellness is dramatically
enhanced by PHRs It is also very helpful to the community wellness, "In terms of population health,
fully operationalized PHRs give epidemiologists, researchers, and policy makers vehicles
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21. Electronic Health Records And Health Information Technology
In the last decade of USA medical history there have been little to no change in medical errors in
regards to improvement of care. Meaningful Use, Electronic Health Records and Health Information
Technology are practices and programs that can be possible solutions for this issue. The goals of
meaningful use include improving quality, safety, efficiency, and to reduce health disparities,
improve care coordination and ensure adequate privacy and security of personal health information
(Hoyt,2014). With meaningful use, there are three stages: stage one begins the process of capturing
date and sharing the information. Stage two is advancing the data processing and sharing and
building off of the first stage. Stage three is the examination of the outcomes. Meaningful Use is
defined under the Center of Medicare and Medicaid (CMS) and is essentially an incentive program
through the government to create a health system that is run electronically and provides higher
quality of care through technology. Since the goal is to create safer and higher quality through HIT
by providing an incentive for EP's to further develop their use of the technology there must be a
time line in place in order to know whether the Ep's hitting the requirements. This year, 2014, is
originally a major year for Meaningful Use however, with changes in the time line, the cost of HIT,
and the increasing of objectives can lead to major complications in the initial timeline created.
Meaningful use is a subsection
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23. Electronic Health Record Essay
Equivocally, the ultimate trial for a medical practice affecting an electronic health record (EHR)
system is change. A successful switch from paper–based charts to electronic health records (EHRs)
in a clinic requires cautious synchronization for the many components. A myriad of perplexing
decisions must be made, extending from selection and application to training and updates. Operating
new software is typically easier than the interruption and reconfiguring of a practice's procedures as
well as how to handle its existing paper records. Clinician's, face many decisions in selecting which
original paper records to transport into a new electronic health record (EHR) system. They must also
manage the integrity of data throughout the ... Show more content on Helpwriting.net ...
Obstacles to EHRs include costs; lack of standardization of EHR products and the design of vendor
systems for sizeable practice surroundings; opposition to change; initial struggle of system use
leading to productivity decline; and apparent increase of repayments to communities and clients
rather than providers. "The authors stress the need for developing a flexible change management
strategy when introducing EHRs that is relevant to the small practice environment; the strategy
should acknowledge the importance of relationship management and the role of individual staff
members in helping the entire staff to manage change [Lobach]."
Processes during the transition Most providers do not have the technical infrastructure to support the
fully redundant servers, network volume needed to guarantee full readiness because of technical
limitations and discrepancies. Most providers have not planned their present processes to fix those
that are fragmented or need upgrading. Initiating the publications of clinical practice
recommendations in paper form is an essential starting point. "In Framework for Strategic Action,
David Brailer, MD, PhD, the national coordinator for health information technology, described
EHRs as "critical to delivering safe, affordable, and consumer oriented health care. [Amatayakul]."
It is important to that managers grasp the concepts using electronic health records (EHRs) in small
primary care offices and to examine discernments of
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25. Benefits Of An Electronic Health Record ( Emr )
Many patients do not fully understand the benefits as well as the drawbacks of an Electronic Health
Record (EMR); however, there are many of both. The first major benefit is that you, as a patient, no
longer have to remind the provider of previous information, such as orders or allergies. This greatly
increases efficiency in terms of patient visit times. Another benefit of an EMR is that a doctor is
much less likely to provide medication in error. For example, a patient could currently be taking a
daily dose of Aspirin, which is a blood thinner. If their doctor did not know this medication was in
use and prescribed them Warfarin, which is also a blood thinner, they have a much higher risk of
bleeding. With an EHR, this data is most likely stored in the system, as long as the physician was
aware of this. If they were, the system would alert them of this, which would prompt the physician
of this, and would not let them order the medication without signing off, agreeing that they are
aware of the conflict. There is always a chance for human error, but with an EHR, this is greatly
decreased. A negative effect of an EHR, which many patients are aware of, is the change in visit.
When paper records were in effect, the doctor could visit with the patient face to face, but there is
much more typing and checkboxes involved with current visits, so the physician is now required to
spend as much time on the computer as they do with the patient. After interviewing George Olsen,
Chief
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27. Electronic Health Records Research Paper
Electronic Health Records
Implementation of the electronic health records (EHRs) has been a growing trend in the healthcare
field from fear of the unknown to the acceptance of the reality of the EHRs and the actually utilizing
the system. The struggle to go live with the EHR was a challenge because change is always a
difficult implementation. According to Fickenscher & Bakerman, (2011) Change is a process that is
individualized base on one's ability to adopt and the interest on the change. Some people may take
longer to understand a process while others will grab the skill within a short time. However, some
few setbacks slow down the adoption of the EHRs when it was first implemented, Culture,
communication and training and time. Despite ... Show more content on Helpwriting.net ...
My organization uses Cerner for the computer program and because of this culture change, there
was a close relation with Cerner personnel who were present during "go live" to help with the
smooth transition. According to Cresswell & Sheikh, (2009) having a collaborative relationship with
the designer and the end–user is important for the evaluation of the product.
Communication
For change to talk place communication has to be well explicit to it uses for easy understanding.
There were some setbacks in the communication of the change with the EHRs; most nurses did not
really understand why they were moving to the EHR, there was no clear vision and value statement
(Fickenscher & Bakerman, 2011). The computer terminologies were a challenge to understand and
apply during the practice session making it difficult for some nurse to follow alone. Some of the
information seems to be different with the fact that there were sessions held in different shift and
repetition of the same information in another way (Fickenscher & Bakerman, 2011).
Because of these difficulties with communication, lowering the expectation bar for nurse by
increasing more time for them to understand and practice the skills was implemented Cresswell &
Sheikh, (2009). Giving nurse this extra time, took off anxiety and the urges not to rush if a skill
needs to be practiced more. Even though nurses were gradually working
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29. Personal Health Records
At its core, a personal health record (PHR) is a computerized tool that is designed to allow patients
to control, store, use, and share their personal health information. Braunstein (2014) stated that,
"According to a 2010 national survey done by California Health Foundations (CHF), patient access
to health data does actually improve care" (pg.81). People who have access to their medical records
are more aware of their health, are more interested in their health, and are taking better care of
themselves. This is an important step towards decreasing this country's chronic illnesses, which, in
return could possibly reduce medical spending. In order for personal healthcare records (PHRs) to
be successful there needs to be security, privacy, and ... Show more content on Helpwriting.net ...
These breaches in security can leave many people open to identity theft. Cybercriminals can steal
private information such as: birthdates, addresses, and Social Security numbers and use this
information in so many wrong ways. People are afraid that once their information is compromised
they will be vulnerable
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31. A Report On Phr ( Personal Health Record )
INTRODUCTION: I am going to prepare a report on PHR (personal health record), What are its
benefits and How it is useful.PHR is an E–device used by the patients to maintain their health
information in a safe and secure environment. This stands in opposite to the more likely used e–
medical record and data is operated by hospitals and contains data entered by physician or billing
data to help insurance company. The proposition of a PHR is to give a total and brief outline of a
patient's health history which is available on the internet. The information data on a PHR may
consolidate patient–reported result data, lab results, data from contraptions, for instance, remote
electronic measuring scales or assembled inactively from an advanced cell phone. BACKGROUND
OF THE COMPANY: St. jon Medical Hospital: The development work of the another stage
comprising of an 600–bed healing facility, Nurses ' lodging and living arrangements of Staff was
begun in june 1977. The OPD were opened on July 8, 1985. From there on, the IPD were opened
steadily. At the point when the last period of development was finished in 1989, the grounds had all
the obliged offices. A theater, with 900 seats, was included 1999 as a remembrance of the Silver
Jubilee of the hospital. At present St. Jon Medical Hospital has 1800 IPD beds, conveyed among the
Departments of GM, GS, O & G, Ped, CT Surgery, Plastic Surgery, Ophthal, Dermat, Dental Sx,
Genito–urinary Sx, ENT dept, kidny, Ortho, ICU, Cardiac,
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33. The Electronic Health Record ( Ehr )
Introduction The Electronic Health Record (EHR) is a comprehensive electronic record of patient
health information (PHI) eventuated by one or more encounters in any care delivery setting. This
longitudinal information includes, demographics, vital signs, past medical history, progress notes,
problems, medications, immunizations, radiology data and laboratory reports. The EHR organizes
and automates the clinician 's workflow. The EHR has the ability to create a complete record of a
clinical patient encounter – as well as complementary other care–related activities directly or
indirectly via interface – encompassing evidence–based decision support, outcomes reporting and
quality management("Electronic Health Records(Standards),"). Health ... Show more content on
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Between EHR benefits and its disadvantages, it has been very difficult for decision makers to make
a decision regarding such systems. An evaluation is needed in order for decision makers to pick a
side; whether they support EHR implementation or not. Evaluation is "decisive assessment of
defined objectives, based on set of criteria to solve a given problem." Evaluation mainly serves three
purposes: to compare results with the goals and excepted effects of the system, to direct work
towards the expected result with the help of formative evaluation during development and
introduction of the system, to use the finding and outcomes of the evaluation process as an
experience base for future projects(Ammenwerth, Gräber, Herrmann, Bürkle, & König,
2003).Whereas, some define evaluation as the systematic process of information collection about
program activities and features to judge and enhance its effectiveness. Evaluation leads to the settled
opinion that something about the program is the case, which may lead to a decision to act in a
certain way(Institute, 2007). The process Evaluation describes the implementation of an information
source and judging the merits and worth which includes
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35. Personal Health Records Essay
Introduction
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.
Moreover, increasing costs of healthcare delivery and emerging trends toward patient empowerment
and patient–centered care in order to achieve higher quality healthcare, needs patients to play a more
active role in their ... Show more content on Helpwriting.net ...
For this reason, some experts think that the term "Personal Health Record" is not descriptive enough
and can limit innovation and usage of these systems. Personal Health Record Systems (PHRS) and
Personal Health Platforms (PHP) have been suggested as more appropriate terms.
Types of PHRs
From an architectural point of view, PHRs can be divided into four different types.
Stand–alone PHR: This is the simplest form of a PHR that does not connect with any other system.
The data is usually entered manually by the patient. This type of PHR can be in the form of USB
devices, CDs, smart cards, desktop applications, or even web–based applications that can be
accessed through the internet. Although this model of PHR gives patient complete control over data
and seems more secure as it has no connection to other systems, it lacks the reliability and
usefulness and is not considered a preferred model. Stand–alone PHRs can only be considered
computerized versions of paper–based health records the some people keep.
Provider–tethered PHRs: In this model, PHR is developed and maintained by a healthcare provider,
insurer, or employer. The type of health information that is stored in these PHRs is affected by the
nature of the provider business. For instance, in PHRs that are offered by insurers, the content is
mostly administrative and billing in nature. In the case of healthcare providers, PHR would be a
customized view of
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37. The Electronic Health Record Information
The Electronic Health Record, or EHR, is used throughout the medical field. The EHR systems are a
collection of patient health information that is stored in digital format, and can be shared
electronically with all health care settings. The Electronic Health Record contains information
regarding a patient's health visit; everything that has been done during that visit is recorded in the
EHR system along with the patient's health insurance information. A patient 's lab test results, there
is also a medication list that shows what is currently being prescribed and what medication has been
taken in the past, immunizations, medical histories and demographics are also stored in the EHR
system (www.healthit.gov, 2016). The Electronic Health ... Show more content on Helpwriting.net
...
Personal Health Records are in many forms; you can get them in paper form, or on the personal
computer using the internet there are even PHR applications that can be bought and be applied to a
phone or tablet (www.sharecare.com, 2016). The PHR system is a way that the patient can keep
track, and share past or present health information with their healthcare provider. Some of the
information that is contained in a Personal Health Record that is given to a patient from a health care
office will contain an identification sheet; this has the patient's personal information, like name,
address, phone number, and the type of insurance that the patient has. Often a medication list is
included; this contains a list of current and past medication that the patient is taking. The patient can
also receive any progress notes that have been done by the health provider with any information that
contains physician's orders, like imaging or further blood tests that are required and even follow–up
visits that may be needed. Some of the benefits of the Personal Health Records would be that
patients can better manage their own care when they have access to the past and current health
records; this, in turn, helps to coordinate and combine previous care with a new health provider so
that they can coordinate care with either the patient's previous provider or other current
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39. The Electronic Health Records
Being able to tell about the roots of where the Electronic Health Records come from the paper will
now look at the benefits of the system. The Electronic Health Records areis defined as, "electronic
version of a patientspatient's medical history, that is maintained by the provider over time, and may
include all of the key administrative clinical data relevant to that persons care under a particular
provider, including demographics, progress notes, problems, medications, vital signs, past medical
history, immunizations, laboratory data and radiology reports The EHR automates access to
information and has the potential to streamline the clinician 's workflow." (CentresCentre's for
Medicare & Medicaid Services 2012) With the EHR's there are a lot of mixed emotions towards it
being beneficial or not useful however the good outweighs the bad in this case. The EHRs have
taken care of the duty of physically transporting paper records from clinic, to hospital , to lab and
also the chore of having to re write medical paper records every time of going into a new medical
setting. Also for patients that need their clinicians to access their forms it can be now easily at hand
for them as well, making it less of a hassle to looking up a patientspatient's medical history. The
Electronic Health records also allow for physicians to make notes on a patientspatient's page about
his or her prescriptions or any other information that other physicians should know about them
before assessing
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41. Electronic Health Record ( Ehrs )
Introduction Living in a world full of technology, more and more of us are overall connected to
computerizing, and we expect it to do everything for us. Many years before we didn 't have
technology, and mostly everyone was into making it. Now if we look at our world, everything is
mostly done online. More Canadians do shopping online, students receive more knowledge about
the subject their learning online, booking hotels, flights, and even do schooling online. Though
looking after all this, most patients in Canada are still handed with paper based records. When we go
to the doctor, most of us still receive handwritten prescriptions and our records are unrecognized.
We live in an era where we are more dependent on technology and want an enhanced access to
health care system in Canada. Electronic Health Record ( EHRs a system where the basis of
provinces health policy will provide a more rapidly and more effective usage to the society in need.
Though not having full access to EHRs might be the barriers for many people in different areas in
Canada. Some could have issues concerning about losing their medical documents, and it can
diminish the waiting time in hospitals or even health clinics as well. So electronic health records
should be available for everyone throughout Canada, and should be providing patients with a safer
health care system.
The History First, some background: It has been reported that in the year of 1980s, high efforts were
made to increase the use of
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43. The Electronic Health Record System
When you think of technology and health care, what do you initially think about? Do you think
about the amazing innovations of the 20th and 21st century or the amazing price tag on all of this
"advancement"? These days the rising cost of health care is on everyone's minds. So, how can the
cost of technology advancement help the cost of health care? Well, one solution comes down to
what every doctor, pharmacist, nurse, administrator, and CEO uses on a daily basis, and that is
records. Surprisingly, the health care industry is behind the power curve and finally technology is
bringing the industry into the digital age. One of the biggest problems we face is there is no
commonality in the patients records and nothing to safeguard them. The health care industry needs
to start using an electronic health record (EHR) system in order to combat the issue of commonality
and information security. There are many reasons why the electronic health record system isn't
growing as fast as it could. Health care costs for new medicines, equipment, software, surgical
procedures, and doctors are becoming mind numbing. In order for us to start a new system, like
EHR it will cost more money and resources. The expenses will be to buy new equipment and
software, spend the time to transcribe all the information in the database, and train everyone how to
use the system (Rothman, Leonard, & Vigoda, 2012). You still have hospitals and clinics sticking to
the old way of keeping track of
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45. Electronic Health Records And Meaningful Use
Electronic Health Records and Meaningful Use
Marcia McPhee
MIS 567
Keller School of Management
Dr. Cohen
Table of Content
Cover Page.................................................................................. 1
Table of Content ........................................................................... 2
Introduction ................................................................................. 3
Body ..........................................................................................
Solution .......................................................................................
Summary .....................................................................................
Conclusion....................................................................................
Bibliography .................................................................................
Introduction According to HealthIt.gov (2014) Meaningful Use (MU) is defined as a "certified
electronic health record that helps improve patient quality; safety; efficiency and reduces health
gaps; engage patients and ... Show more content on Helpwriting.net ...
ARRA, cosigned the HITREC (Health Information Technology Regional Extension Center) focal
point on healthcare, which includes monetary incentives, grants and loans funding, promotion of
HIT all through Medicaid and Medicare. By applying and maintain HIT standards, these acts were
designed to improve the quality, efficiency, safety and security/privacy within healthcare. The grant
and loan portion of the MU act assist in the following areas of HIT: research to strengthen the HIT
foundation, applications, Regional Extension Centers and lastly assist physicians and hospitals with
adopting certified EMR/EHR technology by using "meaningfully through the socialized medicine
providers Medicare and Medicaid (Meaningful Use: A Summary History, 2011). Many physicians
are saying that they are facing an uphill battle such as loosing thousands of dollars during the
attestation process due to the strict criteria set by CMS. Attestation in an EMR/EHR setting is
defined as: "A process that documents that an organization or individual has successfully
demonstrated meaningful use and is successfully fulfilling the requirements for electronic health
records and related technology." (HealthIT, 2014). In the beginning, MU implementation had many
excuses hampering the ability of many physicians to achieve the attestation process such as: "Time–
consuming data entry, User Interfaces that do not match clinical workflow, Interference

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48. Electronic Health Record : Electronic Healthcare Record
Electronic Health Record An Electronic Health Record (also known as EHR) is an official health
record for a patient that is stored with multiple facilities and agencies. The main purpose of this
electronic system is to improve efficiency, quality of care, and reduce costs. How can one system
possibly do all these improvements to health records? Well let's break it down to simpler terms. It
will improve efficiency for individuals seeking healthcare from a different facility in the future.
There will be no more paper trails, meaning no more faxing, emails, by mail, or playing the waiting
game to get your records from another facility. With EHR the records will already be in the data
base and they can pull up your charts within a few ... Show more content on Helpwriting.net ...
When selecting a new facility or agency they must have the system required for electronic filing. If
they have adopted this system, then the facility will be able to access the patients record through the
data base by the information provided. This will help them review the charts to help further one's
diagnoses or treatments. Some may mix up an EHR and Electronic Medical Record (EMR) because
of some of their similarities. However, they are different in many aspects. "The EHR contains
patient health information gathered from the EMRs of multiple HCD organizations and is
electronically stored and accessed. EHRs differ from EMRs because they contain subsets of patient
information from each visit that a patient has experienced, possibly at many different HCD systems.
EHRs are interactive and can share information among multiple healthcare providers (Darline 4)."
"Meaning it has digital version of charts, streamlined sharing of updated, real time sharing, patient's
medical information to move with them, and access tools for decision making (EHRvEMR 1)."
Although, this is the best electronic system used, there are more electronic systems out there that are
used. The EMR is among the many used. It is defined as an electronic version of patient files within
a single organization. "EMR has digital records of an individual's
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50. Spotlight in Electronic Health Record Errors
Introduction In today world, healthcare sector is one of the most important sectors in every country.
This is because; it plays a major role in providing healthcare services for the whole populations.
This situation leads to the use of technology in managing the entire document related to patient in
public or private hospitals. Use of technology in managing the documents brings many benefits, but
with a careless ways of handling those documents, it can cause many problems that will personally
effect the administration of the hospitals itself.
Article Review This article entitle "Spotlight on Electronic Health Record Errors: Paper or
Electronic Hybrid Workflows" was written by Erin Sparnon on June, 2013. The Electronic Health
Record (EHR) is a longitudinal electronic record of patient health data made by one or more
encounters in any care delivery setting. Comprised in this information are patient demographics,
progress notes, complications, medicines, vital signs, past health history, vaccinations, laboratory
records and radiology information. This system automates and updates the clinician's workflow and
has the capability to create a complete record of a clinical patient encounter – as well as supporting
other care–related events directly or indirectly, including evidence–based result support, quality
management, and results reporting. According to the writer, this article focus on errors connected to
hybrid medical records workflows, in which a combination of
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52. Electronic Health Records (EHR)
Electronic health records (EHRs) are a mainstay of HIT, and, since the passage of the HITECH Act
in 2009, almost all hospitals and most physician practices have adopted some sort of EHR. Benefits
of EHRs fall into 3 major categories: 1) quality, outcomes, and safety, 2) efficiency, productivity,
and cost reduction, and 3) service and satisfaction. Many challenges to adoption and usage of EHRs
exist. High cost associated with the adoption and maintenance of EHRs can be a limiting factor to
their adoption. Technical issues, such as lack of controlled terminology can affect the capturing of
clinical data. Another technical barrier is user familiarity with computers. Older users are more
likely to resist incorporation of computers into their workflow ... Show more content on
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The Leapfrog Group champions use of CPOE to help improve patient safety. CPOE works best
when integrated with Clinical Decision Support, which will be reviewed in the next paragraph.
When used in conjunction, physicians (or other high–level care providers such as nurse
practitioners) can be alerted of potential problems with orders in real time rather than later in the
order process. Also, CPOE eliminates errors made due to illegible physician handwriting. Like
barriers for EHRs, incorporation of CPOE may result in the need for a complete overhaul in
workflow processes, which is often met with much resistance and is extremely time intensive.
Training issues are also of note during CPOE implementation. Physicians may be resistant to set
aside enough time to train due to fear of lost revenue and backlog of work. Also, physicians may
prefer to be trained individually, which can be an expensive, time consuming methods of training.
As previously noted, integration of CPOE is touted to improve patient safety by reducing human
error, but great care and attention must be paid during the implementation phase. Han et al observed
an unintended consequence, an increase in patient mortality, during CPOE implementation at
Children's Hospital of Pittsburg. While CPOE implementation did result in a decrease in adverse
drug events, researchers pointed out potential for problems, including increased time to enter orders,
delayed medication administration times, reduction in nurse–to–patient ratios, and medications
being given at incorrect
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54. Electronic Health Record System Is No Exemption
Nothing is without any negative effect. Similarly the electronic patient record system is no
exemption. The critics have raised an important question of the benefits of the electronic health
record system towards both the health care and physicians. The critics have argued that though this
electronic health record system can help in saving money, but on the other hand it may not be a
financially benefit to the physicians who opt to buy the system. The price tags for electronic health
record system vary and depend largely on what is included and how vigorous it is.
Although it is believed that EHR system has made fast availability of data with much more accuracy
and reliability, however on the other hand the physicians have argued upon the ... Show more
content on Helpwriting.net ...
Therefore the debate on benefits versus cost of the EHR coming from the adopted technology is
highly controversial. Consequently the high price of the EHR system provides huge uncertainty
about the benefits that can be obtained after implementation of this system in terms of return on the
investments (www...1). Thereby influencing the adoption of this system to a great extent.
A survey conducted has pointed out that the physicians and the administrators, who are found to be
adopting the EHR system, have highlighted that the benefits in the efficiency were counterbalanced
by the reduction in the productivity (www...1). Above all the need to grow the staff in the
information technology department to maintain and support the system has also offset the benefits
gained from it.
Arguably the hospitals in Karachi have argued to a large extent that the cost saving achieved by the
implementation of the EHR system may not be gained in small physicians clinic as it is believed that
the cost lowering benefit may only occur in large extensive integrated organizations.
Arguably this EHR system can prove to be a financial burden in the small physicians clinic if they
adopt this system (Ackerman, 2011). Although it is widely accepted that the development and
implementation of the electronic health record could lower the cost to a significant level at large
integrated setups and eventually this cost saving could ignore the cost, however still a large number
of the physicians
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56. Benefits Of Adopting Electronic Health Records
Good Afternoon ladies and gentleman! I appreciate not only your time but your commitment to the
implementation of Electronic Health Records (EHR). As a recap from our last meeting, hard and
soft ROI represents various benefits which can be included and used in an ROI analysis. The hard
benefits are the direct benefits which are tied to the impact of implementing the proposed solution.
Soft benefits on the other hand are less easy to quantify and rely on. Soft benefits are often referred
to as indirect, because they rely on a number of steps in order for the benefit to be realized. Today
we will focus on the soft benefits of adopting Electronic Health Records. In addition to the costs
directly associated with the EHR, such as ... Show more content on Helpwriting.net ...
Soft ROI isn't always easy to quantify and doesn't always include hard statistical data, but this
doesn't reduce the value of soft ROI. Actually soft–return factors can play a key role in improving
the health facility over the long–term. The clinical data alone that comes through EHR can play an
important role in transforming the process of an organization. A study was recently completed and
published in HealthAffairs, according to this study; health care practices were able to cover the cost
of the EHR in approximately 2.5 years and then received an average of approximately $23,000 per
year per full–time employee in net benefits. This study also notes that much of the ROI consisted of
efficiency gains and increases in revenue. The increases in revenue arose primarily from more
accurate higher level coding, but some providers also were able to see additional patients due to
time saved from using an EHR (Miller, West, Brown, Sim, & Ganchoff, 2015) EHR systems have
the potential to change the health care system from a mostly paper–based industry to one that
utilizes clinical and other pieces of information to assist providers in delivering higher quality of
care to their patients. The Health Information Technology for Economic and Clinical Health
(HITECH) Act of 2009, which is part of the American Recovery and Reinvestment Act (ARRA) was
signed into law with an explicit purpose of incentivizing providers to adopt EHR systems. The
incentives
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58. A Personal Health Record ( Ehr )
A personal health record (PHR) is an emerging health information technology that patients may use
to participate in their own health care and improve the quality and efficiency of that care. Most
articles written about PHRs have been published since 2000.
PHR could be defined as "An electronic application through which individuals can access, manage
and share their health information, and that of others for whom they are authorized, in a private,
secure, and confidential environment". A PHR should not be confused with an electronic health
record (EHR). While EHR is entered and edited by health care provider, PHR is accessed and, in
some cases, edited by the patient himself.
There are two main types of PHR, tethered, or connected, PHR and untethered, or standalone, PHR.
There are many benefits of PHR such as Empowerment of patients, Improve patient–provider
communication and relationships, Increase patient safety, Access to patient data in emergencies,
chronic disease management, Improved quality of care, more efficient delivery of care, Better
safeguards on health information privacy, bigger cost savings and improve Behavioral habits.
There are many challenges facing adoption of PHR such as maintaining data security and privacy
and Digital divide and literacy related issues.
1. Introduction to Personal Health Records:
Mr.Davidson is a 70–year–old gentleman with diabetes and hypertension. Mr.Davidson went to his
family doctor this afternoon, and on the way home he
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60. Health Record Worksheet
University of Phoenix Material
Health Record Worksheet
In 150 to 350 words, explain the importance of the health record. Support your explanation using
your assigned readings. The importance to health records is that it is easier to treat a patient if you
already have the history of the patient illnesses and what medications have helped in the past as well
as it will tell them anything they are allergic. They are also important for you don't have to retake
the same test over again if you already have it on file at the hospital you went too. Now with the
electronic health care they are heping to make the paients experience better for them with less wait
time and questions. Also with the electronic health records it helps the ... Show more content on
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The doctor will tell the patient why they are in pain and the next steps for them.
Pharmacy system component
This is where the doctor can order perscriptions and send them to the pharmacy without writing out
a prescription and giving them a paper to bring to pharmacy. Also will help make sure that there are
no forgery with any of orders. That way the patient doesn't lose it as well.
Clinical documentation
This where the patients information goes so it is easily found by the doctor to access it. Also is
where the description of the events that happened of each visit with the patient and what has worked
and what did not work as a solution. Also can find the patients contact information here.
Use the following table to identify and list at least five structured coding systems. Additionally,
include a 50– to 100–word description of each system. Support your descriptions using your
assigned readings.
Structured coding system
Description
International classification of diseases this would be different coding they use between other
countries and the United States. This is when I believe a patient comes to America with the disease
already in them so they talk about it to others they use a code instead of just plainly saying it out
loud in front of the patient.
Diagnostic and Statistical Manual of Mental Disorders
This is what doctors use to label someone with a mental disorder whether it was from birth or from a
substance abuse. Every patient

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63. The Benefits Of Choosing The Electronic Health Record System
Choosing to adopt the electronic health record (EHR) system requires planning and gaining
knowledge about vendors in order to make an evidence–based decision before the selection and
implementation process (Gleason, November/December 2014). It can eliminate the use of
unnecessary technology and services that have created risk management and quality issues. With the
EHR adoption, it can bring challenges and opportunities to existing processes by reducing costs and
improving the efficiency for healthcare organizations like Bethany Place in order to inhere in
operating more effectively in an effort of increasing the quality of care provided to the patient to
achieve better medical outcomes (Cascardo, March/April 2014). 2 Bethany Place ... Show more
content on Helpwriting.net ...
4 With a SWOT summary, I will analyze two favorable vendors, such as the Allscripts and Cerner,
potential strengths and opportunities that could inhere to being a perfect fit to the operation at
Bethany Place along with their weakness and threats of that could cause the organization to operate
ineffectively when using the technology. Strength Both Allscripts and Cerner systems are suitable
for a long–term care facility, they have usability, effectiveness with multi–functionalities with
interoperability capability, and is a standalone practice management system that provides
Meaningful Use and is ICD10 and HIPAA complaint with Cloud, SaaS, Web: Installed – Windows
and Mobile – iOS Native. However, the Cerner system has the Mac operating system capability and
integrates health data with other applications. Weakness With the Allscripts system, it is time–
consuming using modules and retrieving reports when needed due to the system slowing down.
Opportunity Both Allscripts and Cerner systems are similar when it comes down to being able to
exchange and communicate and consult patient medical information with other providers in other
locations along with having technical support with a variety of training resources. Threat The
Allscripts system requires constant, useless time–consuming upgrades. On the other hand, the
Cerner system requires
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65. Electronic Health Records ( Ehr )
Electronic health records The electronic health records (EHR) is almost certainly the foundation of
all real global eHealth advancements at present occurring globally, including NHS CFH 's NPfIT
(Lewis et al., 2011; Mackert et al., 2014). A definitive objective is to have accessible complete
longitudinal health data for all individuals from the populace, with the potential for getting to and
adding to these records by different clients working over a scope of medical services settings.
Electronic health records range from straightforward stockpiling gadgets to those with fluctuating
degrees of included usefulness, including the capacity to electronically recommend (ePrescribing)
and access to supportive networks, which are dynamic ... Show more content on Helpwriting.net ...
EPrescribing There is impressive variety in the nature of recommending. Drugs administration
mistakes are regular, exorbitant and an imperative wellspring of iatrogenic mischief. ePrescribing
can be characterized as the utilization of processing gadgets to enter, change, survey and yield or
convey solutions. EPrescribing frameworks are exceptionally variable in family history, usefulness,
configurability what 's more, the degree to which they incorporate with different frameworks
(Mackert et al., 2009). Further research into the configuration highlights, information bases and
basic calculations, clinical significance of yield, interoperability of ePrescribing frameworks and
socio–specialized components that upgrade use is required with a specific end goal to repeat the
advantages of ePrescribing that have been shown in US focuses of perfection (Odukoya & Chui,
2013). Specialists in the change administration custom are typically peppy about the advantages of
the EPR however expect these might be acknowledged if the change procedure is legitimately
overseen (Dainty et al., 2011). We discovered 16 observational concentrates, most contextual
analyses,
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67. Electronic Health Records Research
Research the transition from paper records to electronic health records.
One of the limitations of paper records is the unsecured storage in the event of a natural disaster or
human error. In fact, a natural disaster, Hurricane Katrina displayed the importance of the transition
from the paper record to electronic record. This disaster washed away thousands of paper records
and victims of this event lost all their medical information. This disaster showed the necessity of
electronic records. As technology is changing, electronic records gaining importance. There are
some challenges as well to the transition. The first step is to get the right product that will convert all
the paper records into electronic records. The transition from paper ... Show more content on
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EHR uses standardized templates that capture data by typing, scanning, and utilizing drop–down
menus among other features. A physician can enter complex prescriptions and record patient visit
notes directly into EHR without handwritten notes. In an EHR system, all the records of a patient
are saved in one system and diminish the chance of misplacing the records. In an EHR system,
health records are accessible. With a mouse click, the database can search and track the entire
medical history of the patient. Moreover, through the system, the records can be accessed remotely.
It does not make a difference of where the patient is receiving care, his or her medical records can
be accessed from anywhere and aid in the care. Therefore, electronic records have reduced these
errors.
Has electronic records created new medical errors?
Electronic records have decreased certain medical errors. However, a human enters all the
information in the electronic health record system. It is very easy for staff that is working on an
electronic record to make a mistake while using the records. The staff may click on a wrong number
or may enter information in the wrong person's file. Or it could be just a simple typing mistake. If
the staff working on records is untrained and unaware of how EHR system works, he or she may
make a blunder and it may cause a medical error.
As a MA, how can you prevent electronic medical errors in your
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69. Article Review : The Case Of Electronic Health Records
I appreciate the way you write the whole article in a short way, I really agree that you said we are
currently dealing with the Harvey tropical storm catastrophe, yet we are more a la mode now at that
point back when Katrina hit. Disobediently influencing full scale our records with a web to source
that you can pull up from any PC and be in any state. Recuperation time would be way speedier, in
light of the fact that you don't need to go burrowing attempting to discover everything. 2– I am
really very impressed with your writing style and the way you summarized the article. I agree with
that one thing that would help in case of a catastrophic event is if every one of the clinics in the
encompassing zones had the same EHR programs so that ... Show more content on Helpwriting.net
...
Normally this standard incorporates instruction, encounter, and an exam of learning, aptitudes, and
capacities expected to play out the employment. At the point when an individual meets the standard,
he or she gets confirmation from an ensuring office. The validity and respectability of the
confirming office decides if the organization's confirmation implies anything to people in general,
and along these lines, eventually, its esteem. Likewise, affirmation organizations may search out
acknowledgment by an outside office that will, thus, bear witness to the guaranteeing office meeting
a standard. By and large, this standard includes the capability necessities to take the exam,
regardless of whether the exam meets acknowledged psychometric norms for exam improvement,
how the exam is given and scored, how the organization is managed, and whether its tenets are
reasonable. The National Organization for Competency Assurance works the National Commission
for Certifying Agencies for that reason. Licensing is a non–deliberate process by which an office of
government directs a calling. It stipends authorization to a person to take part in an occupation in the
event that it finds that the candidate has accomplished the level of competency required to guarantee
the general health, security, and welfare will be sensibly ensured. Authorizing it generally in view of
the activity of an
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71. Electronic Health Records ( Ehr )
Electronic Health Records
The concept of electronic health records (EHR) was introduced in 2004 (Sheridan, 2012), and in the
13 years that have since followed hospitals across the United States have adopted computer charting
systems. As of 2015, 96% of hospitals in this country are using electronic health records systems
(Conn, 2016). It is important for facilities to maintain safe and secure computerized charting to
better care for patients and to protect and exchange medical information.
Description of the Electronic Health Record
An electronic health record is a digital copy of a patient's medical chart, which replaces the paper
charts formerly used by facilities. The EHR contains diagnoses, history, prescriptions, laboratory
data, ... Show more content on Helpwriting.net ...
Facilities and providers were given financial incentives to select and begin using electronic health
record systems that correlated with meaningful use, as further described below.
My Facility's Plan Last March, my facility underwent the Epic system. This was a major project
several years in the making. My hospital is part of a large health system consisting of 13 hospitals,
numerous physicians' offices, home health care, and skilled nursing facilities (SNF). The two
smallest hospitals were chosen to go first; these included my hospital and another small one about
an hour and a half away. My hospital is currently in the midst of the six step EHR transition. Assess
your practice readiness. This was done at the administrative level, which took a hard look at our
current practices. Strengths and weaknesses of the current system were noted. Goals were identified,
as well as financial and technological concerns. Since my hospital was mostly on paper, a weakness
that administrators surely recognized was the need for extensive computer training, especially for
employees who were not used to using computers in other aspects of their lives. They may have also
recognized the need to purchase new computers and upgrade existing computers, as well as the costs
of such an endeavor. A significant goal would have of course been to link all facilities within our
system through the same EHR,
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73. The Cloud Based Electronic Health Record
The Cloud Year after year, installing, upgrading, patching, backing up and, in general
troubleshooting server issues was a taxing responsibility that burdened the day to day operations of
a practice. Finally, a cloud based electronic health record (EHR) system removes the obligation from
playing IT tech and lets one focus on managing practice operations and patient care. More and more,
EHR vendors are developing cloud based systems due to the client demand for a product that is
reliable, versatile, practical and convenient to all users, including physicians, staff, patients and third
party companies. Introducing a practical workflow that streamlines the day to day processes to
include record documentation, prescription, diagnostic and laboratory ordering, scheduling,
insurance verification, billing and collection tasks, improve effectiveness and efficiency of the
practice. As more importance is focused on patient care, as opposed to focusing on purchasing and
maintaining hardware and software, a cloud based EHR system relieves some of the financial costs
and time consuming duties associated with managing an on–site server. Providing bi–directional
integration with laboratories and third party companies with an option to publish results to the
patient portal plays a crucial role in enhancing patient doctor relationship while empowering
patients to manage their health. Therefore, a cloud based EHR system adds considerable value to the
medical practice. Cloud based EHR systems
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75. Electronic Health Records ( Ebd )
Electronic Health Records (EHRs) is another version of a patient's medical history, that is
maintained by the healthcare facilities or provider over time, and may include all of the key
administrative clinical data relevant to that persons care under particular healthcare facilities,
including demographics, progress notes, medication, x–rays, surgical history, and etc.(CMS,2012).
While the adoption of the electronic health record system seems promising for the healthcare
community and having a positive impact on the HIM field with better care and decreased in
healthcare cost, and other promising aspects. However, poor EHR system design and improper use
can cause EHR–related errors put at risk to honesty of the information in the EHR; causing or
leading healthcare facilities and hospital to break that confidential bond they have with the patient.
This will cause EHRS to have errors that endanger patient safety or decrease the quality of care that
the patients expect from the hospital or healthcare facility (Bowman, 2013). In the paper I will
discussed the topics along the lines like managing the Transition from Paper to EHRs, EHRs to
redefine the role of doctors, and other ways how EHRs impact will have on the HIM community.
The transition from a paper–based health record to an electronic health record (EHR) must be
addressed and managed on many different and complex levels: administratively, financially,
culturally, technologically, and institutionally. The EHR consists of
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77. Electronic Medical Records : Information Technology For...
In 2009, one of the largest US initiatives to date put place under Health Information Technology for
Economic and Clinical Health Act was electronic health records. The main initiative of this act was
to encourage widespread use of electronic medical records also known as EHR. EHRs are defined as
"a longitudinal electronic record of patient health information generated by one or more encounters
in any care delivery setting. (Menachmi, 2011) Government continues to incentivize the industry
with new healthcare objectives based around quality and technology. One can only think that the
basis of these initiatives start with the electronic medical records as the foundation. The
implementation of electronic medical records can result in many ... Show more content on
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(Bennett, Douv, soleman) These type of data driven decision applications offer numerous
advantages in measuring outcomes. This allows physicians to avoid difficulties of paper charts with
the ability to access an integrated system to better collaborate with other physicians. Ongoing
published data available due to electronic medical records allows better implementation of research
amongst physicians. The data presented shows EHR's are closing the gap between standardization of
care utilizing clinical based research from real population data. EHR's have assisted in increasing
quality of patient care across the board because various variables these programs offer. Most
programs promote preventative care and consistently send reminders for appointments, screenings,
and vaccinations. This allows agencies to eliminate human error and improve best practices; as it
has been seen that these tools have increased the widespread use of influenza and pneumococcal
vaccine rates by 35%. In the hospital setting you hear countless stories about individuals coming in
after multiple calls for a screening, where cancer is identified at the earliest stage and is prevented;
all because of consistent reminders generated from an EHR system. Another reduction I can account
for by working in the hospital setting is the reduction rate of medication errors. This happens more
often than any organization would
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79. Electronic Health Record
Abstract Electronic health records (EHR) is more and more being utilized in organizations offering
healthcare to enhance the quality and safety of care. Understanding the advantages and
disadvantaging of EHR is essential in the nursing profession as nurses would learn its strengths and
weaknesses. This would help the nursing profession know how to deal with the weak areas of the
system. The topic on advantages and disadvantages of EHR has been widely researched on with
different researchers coming up with different opinions. Nurses ought to have knowledge on the
advantages and disadvantages of EHR systems for them to use systems efficiently. This would
transform the operations of health systems and benefit patients with quality service. ... Show more
content on Helpwriting.net ...
This meant that there was 41 percent reduction in the risk of pulmonary embolism or deep vein
thrombosis ninety days following discharge. In addition, researchers have established that there is a
relation between efficiency and EHRs in the delivery of healthcare. EHRs societal benefits
Improved ability to conduct research is another less tangible benefit associated with EHR. When the
data for patients is electronically stored, makes the data easily accessible hence more quantitative
analysis can be undertaken for identification of evidence–based best practices with ease. In addition,
public health researchers use electronic clinical data more actively which have been amassed from a
huge population hence coming up with research that benefits the society (Mitka, 2011). Clinical data
availability is limited but this form of data will increase. Probable EHRs disadvantages Irrespective
of the findings regarding the advantages of various functionalities of EHRs, some probable
drawbacks on EHR have been identified by researchers. These comprise of financial concerns,
temporal loss in productivity linked with adoption of EHR, change in workflow, security and
confidentiality concerns and several unintentional consequences. Financial concerns comprise of
costs of adoption and implementation, cost of maintenance, revenue loss due to temporal low
productivity, and revenue declination. These factors act as deterrent for physicians
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