Cheryl Fahrenholz throughout chapter 3 discusses various laws and acts that govern electronic health records and the principal functions that they provide. I picked five of these terms that I believe are the most important. Case management, Credentialing, informed consent, health record and performance improvement. Case-management is one of the most vital parts of any clinical faciality as it is through these individuals that the goals and livelihood of the patient are heard and responded to with corrective measures. The book describes this as an “ongoing review of clinical care conducted” safeguarding the patient against any treatment that is not in their best care (Fahrenholz, page 78 chapter 3).…
We gathered our information from a study conducted through surveys, and direct observation at INOVA hospital. INOVA hospital currently uses electronic medical record (EMR) system, however it is a first generation system, and lacks an integrated system through the hospital. Our findings showed this occurred because of early adoption of this technology and lack of planning when implementing the old system. In the old system, the departments are not connected to a central database. This creates the need to print medical records for transfer between departments, which causes errors, slow response time, increased cost, longer wait time, and redundancy of data.…
The cost of nonadherence is estimated to cost the US healthcare system $100 to $300 billion a year (Phrma, 2015). This figure includes the cost of hospitalization, premature death and nursing home admission. Adding an additional $2,000 to the annual per patient cost, 40% of the nursing homes admission has been associated with non-adherence (Phrma, 2015). The consequences of nonadherence are significant, they include transplant failure, acute rejection, decrease quality of life, which all leads to an increase in health care cost and potential longer term hospitalization (Tanriover, Stone, Mohan, et al, 2013). Nonadherence cause approximately 13%-35% of the transplant loss. Kidney recipients who do not adhere to their treatment regimen die at…
During a needs assessment the “need” will have to be clearly defined. “A need is a discrepancy or gap between what is and what should be.” For the purposes of healthcare the gap is between paper medical records and electronic medical records. The targeted group most also be defined to ensure that the need fits the group. The question; is this a critical change? Must be answered. Finally, the consequences for misfortune must also be addressed. In healthcare the facility must consider the consequences if implementation of the electronic medical record failed. They would be at a great finical…
According to WebMD, organ transplants are “the surgical movement of a healthy organ from one person and its transplantation into another person whose organ has failed or was injured.” The first organ transplant was conducted on December 23rd, 1954. Dr. Joseph Murray and Dr. David Hume transplanted a kidney from Ronald Herrick, into his brother Richard. The first successful tissue transplant was a skin graft, performed in Germany in 1823.…
Electronic health records (EHR) are often confused in terminology with electronic medical records and the two are vastly different with only a few similarities. Electronic medical records are the culmination of medical information of patients in one office. Electronic health records are designed to follow the patient wherever they receive care to build a complete history of care, treatment, and diagnoses to allow accurate care. EHR’s design is to be shared with any provider, health care system or organization, and ancillary provider to easily share the patient’s health history. This culmination of information follows the patient to any facility in town, in the state, or in the country to provide the most effective history on the…
The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician 's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter - as well as supporting other care-related activities directly or indirectly via interface - including evidence-based decision support, quality management, and outcomes reporting. (HIMSS)…
“Each day, an average of 79 people receive organ transplants. However, an average of 21 people die each day waiting for transplants that can't take place because of the shortage of donated organs” (The Need Is Real). There are many different views of the pros and cons that make up transplants of all kinds, from organ to bone transplants, and whether or not they should be allowed to be continued.…
This evening of September 13, 2012 at 0900hrs we received word of an available heart. After further review of each matching candidates, we have decided that the 12 year young lady named Lisa will be receiving this heart. If Lisa does not receive this heart she has a high chance of not even making it to her 20s. She has suffered many health issues in her short life due to various viral infections and lupus like immune deficiency.…
Collection, analyzing, and interpretation of data are important functions at the skilled facility. The nurses are major contributors of data that is either, generated electronically or by the health record department staff. Health care provision today is centered on evidence-based care, which continues to influence the type of care patients receive. Statistical information enables the health care providers to plan, formulate current and future policies, improve patient care through evidence-based studies, evaluate, and improve on customer care, and for compliance purposes. Examples of data collected on daily basis are the daily patient census that summarizes the total number of patients per unit by the end of the day computed manually at 12 midnight. This reporting tool is presented in tabular format and shows all new admissions, readmissions, in-house transfers, transfers out to other levels of care, discharges, deaths, or missing patients. Another example of statistical…
* Electronic medical records will improve the health care provider to assist patients of complex chronic…
Twenty years ago, Riverview Hospital was limited with technology. The use of paper files for patient records is a thing of the past. Today Riverview Hospital uses electronic medical records (EMR). “An EMR is able to electronically collect and store patient data, supply that information to providers on request, permit clinicians to enter orders directly into a computerized provider entry system, and advise health care practitioners by providing decision-support tools such as reminders, alerts, and access to the latest research findings, or appropriate evidence-based guidelines” (Wagner, Lee, & Glaser, 2009, p. 1). “Paper-based records have been in existence for centuries and their gradual replacement by computer-based records has been slowly underway for over twenty years in western healthcare systems” (Open Clinical, n.d., p. 1).…
Using computerized electronic medical records management systems will provide nurses and patients with increased quality of care. Because electronic medical records are quantifiable, data from existing and previous patients sharing the same medical condition and/or characteristics can be researched to determine the best care plan and outcomes for the patient, such as what methods of care were practiced, which medications worked, which therapies were most effective, etc. This enhances not only provides better quality of care to the patient, but also enhances evidence based practice (Thede & Sewell, 2010).…
In this paper about heart transplants I will be talking about the operation, and what needs to happen before surgery. Then I will be telling you about the beginning of all transplants and who accomplished it. Then I will talk about what a heart transplant actually is. After that I will tell you what the purpose of a heart transplant is and why we use this procedure. I will talk about the safety precautions and a lot of other dangers, or things that can go wrong in or after heart surgery. Then I will tell you the problems with getting a heart transplant. After this I will describe what transplant rejection is and why it is so dangerous. The next thing I will be talking about is what medications you can take to help transplant with lower possibility of rejection. The last thing I will inform you on is who needs a transplant and why people would need to have a heart transplant.…
Improving patient care is a process that always has room for improvements. It is important to make sure patients receive the best quality care available. "Studies suggest that high quality patient care relies on careful documentation of each patient 's medical history, health status, current medical conditions, and treatment plans" (Glandon, Smaltz, & Slovensky pg.3). To help with the process of quality care for patients HIPAA laws have been set in place. "The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 required the Department of Health and Human Services to establish national standards for electronic healthcare transactions and national identifiers for providers, health plans, and employers" (Glandon, Smaltz, & Slovensky pg.118).…