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Electronic Health Records Essays (Examples)

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EHR Database and Data Management for Obesity
Words: 969 Length: 3 Pages Document Type: Term Paper Paper #: 34038993
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EHR Database and Data Management

Electronic health record (EHR) has, in the recent past, emerged as a crucial element in the management of patient data/information. The emergence of this crucial element is fueled by the increased measures by policymakers, researchers, healthcare providers and professionals, patients, and health insurers to enhance the delivery of healthcare services, particularly enhanced management of patient information. The adoption of electronic health records in the modern healthcare setting is attributable to their numerous benefits in comparison to the conventional ways of managing patient data. However, the use of EHR in the clinical setting requires developing suitable databases and utilizing appropriate data management processes. This paper discusses EHR database and data management for obesity, which is a public health concern.
Brief Description of the Patient Problem
An example of a clinically-based patient problem that would benefit from the use of a database management approach is obesity. Obesity…

References
Abhyankar et al. (2014, January 2). Combining Structured and Unstructured Data to Identify a Cohort of ICU Patients Who Received Dialysis. Journal of the American Medical Informatics Association, 21(5), 801-807.
Agency for Healthcare Research and Quantity. (2015). Use of Electronic Health Records for Addressing Overweight and Obesity in Primary Care (Massachusetts). Retrieved September 25, 2017, from  https://healthit.ahrq.gov/ahrq-funded-projects/use-electronic-health-records-addressing-overweight-and-obesity-primary-care 
Wood et al. (2012, May 28). An Electronic Health Record-Enabled Obesity Database. BMC Medical Informatics and Decision Making, 12(45). Retrieved from  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508953/ 
 

Electronic Health Record
Words: 657 Length: 2 Pages Document Type: Article Review Paper #: 3748359
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large number of changes in the healthcare industry, largely due to globalization and technological improvements. Much of the change has been the result of the cost of healthcare and its continual rise. For example, in 1990 the average cost of care per person was $2,800, in 2000 it was $4,700 and then in 2010 close to $8,000. One way to reduce these costs and improve efficiency is to allow healthcare professionals to spend more time with their patients rather than filling out redundant paperwork, to increase information accuracy, and to provide a way for medical professionals in Emergency Rooms or other health care facilities to have access to critical patient information. his can be accomplished through the use of Electronic Medical Record Systems, or ERM systems.

Diabetes is a group of metabolic diseases that surround the body's ability to produce and use sugars and efficiently process those sugars. Globally, there…

The conclusions reached seemed robust and showed that the use of EHRs, particularly in the primary care system improves both the process of care and outcomes. This suggests that organizations should immediately implement EHR systems so that decision support, patient care, timing of appointments and efficiency of recording of data and tracking medications and treatment options is actually far more efficient in both monetary and patient centered outcomes. Certainly, room for improvement exists, and as EHRs become more sophisticated, it stands to reason that efficiencies, outcomes and improvements in decision support will also become expected by stakeholders.

REFERENCE

Herrin, J., et al. (2012). The Effectiveness of Implementing and Electronic Health Record on Diabetes Care and Outcomes. Health Services Research, 47(4), 1522-40. doi:10.1111/j.l475-6773-2011-01370.x

Electronic Medical Records Interoperability
Words: 613 Length: 2 Pages Document Type: Term Paper Paper #: 24598244
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Interoperability of Electronic Medical ecords

Electronic Health ecords (EHs) are patient-management tools that have been created in the health sector to help coordinate patient care. These tools or system focuses on capturing patient-generated health information from outside the clinical setting and incorporating it into the patient's medical history. Electronic health records were developed to help improve patient care through sharing patient information seamlessly. However, for EHs to have the ability to share patient information seamlessly, an interoperable health information technology environment should be established. This essentially means that an interoperable health IT environment is mandatory for electronic health records to be effective.

What is Interoperability?

Interoperability is a term used to refer to the level with which devices and systems can share data and interpret it (Healthcare Information and Management Systems Society, 2013). This means that two devices or systems are considered interoperable when they exchange data seamlessly and eventually…

References

Healthcare Information and Management Systems Society. (2013). What is Interoperability? Retrieved November 7, 2016, from  http://www.himss.org/library/interoperability-standards/what-is-interoperability 

Schiller, D. (2015, November 30). EHRs and Healthcare Interoperability: The Challenges, Complexities, Opportunities and Reality. Retrieved November 7, 2016, from  http://www.healthcareitnews.com/blog/ehrs-healthcare-interoperability-challenges-complexities-opportunities-reality 

Stroupe, M.P. (2011, May). What is EHR Interoperability and Why Should I Care? Retrieved November 7, 2016, from http://www.nethealth.com/wp-content/uploads/2013/11/What-is-EHR-Interoperability.pdf

Government Created a Committee an Electronic Health
Words: 985 Length: 3 Pages Document Type: Essay Paper #: 3030372
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Government Created a Committee

An electronic health record is a digital record of a patient's health information generated from every medical visit a patient makes. This information includes the patient's medical history, demographics, known drug allergies, progress notes, follow up visits, medications, vital signs, immunizations, laboratory data and radiological reports. The EH automates and streamlines a clinician's workflow. (Himss, 2009)

Due to the multiple advantages of an EH, health care agencies have been aiming to push up this technology. In 2004, the FDA approved of an implantable EH microchip into patients. Each microchip has a specific code which is identified through sensors. The device is implanted under the skin, in the back of the arm, requiring a twenty minute procedure, without needing the use of sutures. ("Fda approves computer," 2004)

According to the Center for Disease Control and Prevention, deaths due to preventable medical errors rank as the fifth most…

References

CDC. (2011, October 24). Deaths and mortality. Retrieved from  http://www.cdc.gov/nchs/fastats/deaths.htm 

Fda approves computer chip for humans. (2004, October 13). Retrieved from  http://www.msnbc.msn.com/id/6237364/ns/health-health_care/t/fda-approves-computer-chip-humans/ 

Himss. (2009, September 2). Implanet using ibm software to protect patients in the event of medical device recalls. Retrieved from  http://www.healthcareitnews.com/press-release/implanet-using-ibm-software-protect-patients-event-medical-device-recalls 

Prutchi, D. (2011, December 30). Verimed's human-implantable verichip patient rfid. Retrieved from  http://www.implantable-device.com/2011/12/30/verimeds-human-implantable-verichip-patient-rfid/

Health Care Situation Medical Error Due to
Words: 2468 Length: 6 Pages Document Type: Essay Paper #: 27484220
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Health Care Situation: Medical Error Due to Doctors' Bad Handwriting

Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company.

I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into patients' medical records carries very dramatic risks for all above-mentioned interest bearers. It can result in severe health danger for the patient and - in extreme situations - even cause a patient's death. Doctors' bad penmanship has long been seen a problem within organized medicine and the patient safety movement. Three American Medical Association (AMA) policies dating back to 1992, urge doctors to "improve the legibility of handwritten orders for medications" and review all orders for accuracy and…

References

Berwick, Donald M. & Winickoff, David E. (1996). The truth about doctors' handwriting: a prospective study. BMJ Vol. 313 (21-28 December 1996). 1657-1658. www.bmj.com/content/313/7072/1657.full, accessed 21 August 2011.

Bruner, Anne & Kasdan, Morton.L. Handwriting Errors: Harmful, Wasteful and Preventable.

1-4. www.kyma.org/uploads/file/.../Harmful_wasteful_and_preventable.pdfSimilar, accessed 22 August 2011.

Gallant, Al. (22 November 2009). For a secure electronic health record implementation, user authentication is key. 1-2). searchhealthit.techtarget.com/.../User-authentication-is-critical-for-pl.., accessed 24 August 2011.

Health Information Technology Benefits
Words: 662 Length: 2 Pages Document Type: Essay Paper #: 39765717
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Health Information Technology (HIT) is technology that is used to help make health care easier for all stakeholders—both patients and care providers. Examples of HIT include electronic health records, personal health records, e-prescribing, and online communities. HIT allows information to be communicated, stored and shared among people in the industry, whether they are patients providing care givers with access to information or care givers sharing information with other care givers. HIT allows and enables the easy transfer of medical and health information in a way that substantially and significantly reduces the amount of time and energy that would conventionally be spent in transferring, recording, storing or sharing information.
HIT can impact all aspects of health care because information is needed every time a treatment is needed, a diagnosis is made, a prescription is given—information has to be recorded, stored and shared accordingly. The easier it is for information to be…

Healthcare How Technology Has Changed
Words: 3010 Length: 11 Pages Document Type: Thesis Paper #: 63441729
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" (2004, p.159) Activities have included:

(1) Development and promotion of industry-wide standards;

(2) Funding of research for investigation of the impact of IT on quality;

(3) Provision of incentives that provide encouragement of investment in IT;

(4) Giving grants to investors in IT; and (5) Development of strategies to improve the flow of information across providers. (Report to Congress, June, 2004, p.159)

Stated additionally in the Report to Congress is that there are multiple functions that must be considered when purchase IT and hundreds of applications that various vendors offer. The various IT applications are stated to be within three categories including those of:

(1) Administrative and financial systems that facilitate billing, accounting and other administrative tasks;

(2) Clinical systems that facilitate or provide input into the care process; and (3) Infrastructure that supports both the administrative and clinical applications. (Report to Congress, June 2004, p.160)

The work published…

BIBLIOGRAPHY

BC Medical Association. Getting IT Right: Patient Centered Information Technology [discussion paper]. Vancouver: BCMA. 2004:39-40.

Blum E. Paperless medical record not all it's cracked up to be AMNews; 17 February 2003. Online available at: www.ama-assn.org/sci-pubs/amnews/pick_03/bica0217.htm

Brookstone A, Braziller C. Engaging physicians in the use of electronic medical records. Electronic Healthcare 2003;2:23-27.

Brookstone, Alan. 2004. Electronic Medical Records: Creating the Environment for Change. BCMJ, Vol. 46, No. 5 June 2004. Online available at:  http://www.bcmj.org/electronic-medical-records-creating-environment-change

Nursing Health Care Informatics

"…At the beginning of the 21st century, nursing informatics has become a part of our professional activities…[and has] advanced the field of nursing by bridging the gap from nursing as an art to nursing as a science…" (Saba, 2001, 177).

Nursing Health Care informatics relate to and address technology and other cutting edge issues of great interest in the healthcare field. According to the AMIA, Nursing Informatics is the "…science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide." New and relevant knowledge presented in the genre of informatics helps to empower nurses and other healthcare practitioners to deliver the most effective patient-center care possible. This paper presents several informatics in the belief that applying healthcare technologies and practices that are genuinely progressive and helpful to today's nurse is…

Works Cited

AMIA (2009) Working Group Nursing Informatics. Retrieved March 9, 2014, from  http://www.amia.org .

An, J.Y., Hayman, L.L., Panniers, T., and Carty, B. (2007). Theory Development in Nursing

And Healthcare Informatics. A Model explaining and Predicting Information and Communication Technology Acceptance by Healthcare Consumers. Advances in Nursing Science, 30(3), E37-E49.

Cipriano, P.F. (2011). The Future of Nursing and Health IT. Nursing Economics, 29(5).

Healthcare Informatics
Words: 1146 Length: 3 Pages Document Type: Essay Paper #: 28976937
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Patient portals, electronic medical records, and personal monitoring devices are three of the most revolutionary technologies in the healthcare sector. Each of these technologies presents patients with the potential to empower themselves, taking control of their own healthcare outcomes, and taking part in their overall healthcare goals. These technologies also streamline healthcare administration and minimize medication and billing errors. However, each of these technologies is also constrained by a range of issues related to accessibility, with potent socioeconomic class disparities evident. Security and standardization of healthcare technologies are also proving problematic. Patient portals, electronic medical records, and personal monitoring devices are all technologies that have the potential to radically improve the quality of healthcare and patient outcomes, as well as improve overall patient experiences. Because of their abundant benefits, these technologies need to be embraced and promoted through effective public health policies. Otherwise, disparities will continue to threaten to exacerbate…

Healthcare Advocacy Team & Technology
Words: 2602 Length: 8 Pages Document Type: Term Paper Paper #: 17378209
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The healthcare industry has widely adopted IT solutions in the development and maintenance of information systems for this sector. These information system applications will go a long way in boosting medical care goals by reducing costs significantly, increasing efficiency in the process and achieving a zero error. With this, client satisfaction will be realized. At the core of this is the electronic medical records (EHR) which is representative of all the health information of an individual that is available in a database and can be shared across healthcare service providers (Rouse, 2016). Also integral to this system are two components; mobile health (mHealth) and telehealth (telemedicine). Though the two are interconnected, they have a slight difference. Telehealth includes home monitoring of health conditions through desktops, laptops and other online material (Terry, 2016), while mobile health is restricted to mobile devices.

Considering the impact of electronic medical records (EHR), it is…

Health Care Reform for Medicare
Words: 958 Length: 3 Pages Document Type: Essay Paper #: 17860547
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Medicare Health Care eform

The Medicare is an American health program that is administered by the federal government and serves as a health insurance for people aged 65 years and above. The Medicare is also designed for people with disabilities and people diagnosed with the renal disease. (Davis, Cathy, & Stuart, 2013). The Medicare is currently being funded by the premiums, payroll tax, surtax from general revenue. In 2015, over 55 million American enrolled for the Medicare services where 46 million people are people aged 65 years and above and 9 million are young people. On the average, Medicare covers half of the health costs and the enrollees are to cover the remaining costs through a separate insurance, supplemental insurance, or out-of-pocket. Since the inception of the Medicare, the cost of funding the program continues to increase, and the rising costs of funding are becoming unbearable both for the current…

Reference

Blum, J. (2011). Improving Quality, Lowering Costs: The Role of Health Care Delivery System. Center for Medicare Management.

Davis, K. Cathy, S. & Stuart, G. (2013). Medicare Essential: An Option to Promote Better

Care and Curb Spending Growth, Health Affairs 32, no. 5: 901 -- 9.

Golberstein, E. Kayo, W. Yulei, H. et al. (2013). Supplemental Coverage Associated with More Rapid Spending Growth for Medicare Beneficiaries, Health Affairs, 32, no. 5. 873 -- 81.

Healthcare Drawbacks That Exist Within the Structure
Words: 537 Length: 2 Pages Document Type: Essay Paper #: 91094003
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Healthcare

Drawbacks that exist within the structure of healthcare institutions include the lack of universal implementation of the electronic health records, and the lack of consistency in service quality and delivery. Moreover, there are different systems for different classifications of patients depending on their insurance coverage. For instance, seniors on Medicare use different products and services within the system and may be processed differently at different institutions. The nature of healthcare insurance is also overly complicated. Because each state also has different rules, regulations, and healthcare issues, there is a potential for service disruptions and inconsistencies. Patients living in more than one state or who travel often will frequently encounter the inconveniences of the American health care system.

Not all healthcare institutions have the same structure, but many hospitals and other large healthcare organizations are structured similarly. Lack of consistency in healthcare is especially apparent among the elder population, which…

Healthcare Challenges in the United States
Words: 3684 Length: 12 Pages Document Type: Essay Paper #: 72763895
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The Greatest Challenge to US Healthcare
The role is played by the government
The role played by the government in healthcare is a divisive issue. Many healthcare organizations executives do support the idea of extending healthcare coverage to the uninsured, however, who this is implemented is the cause of concern. There are numerous changes that are taking place in the healthcare industry and the government needs to catch up quickly. Policy development is the role of government and there is a need to ensure that there are timely and applicable policies in place to govern the provision of healthcare services to the masses. As it stands, healthcare is moving from fee-for-service to value outcomes and there should be policies in place to support this advanced move. Providers have been moving towards value-driven care and the government policies should be able to mirror this movement. While not all providers will be…

Hand Held Devices and PDA's in American Health Care
Words: 1901 Length: 6 Pages Document Type: Research Paper Paper #: 69554357
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Healthcare

Hand-held devices and portable digital assistants (PDAs) are being integrated into the health care setting in the United States. It is important to understand which devices are being used, how they are being used, what they are being used for, and why. Understanding the role that hand-held devices and other portable electronics play in health care can help to inform organizational policy, and help health care administrators better implement electronic medical records.

History of use

The first documented PDA was the Newton MessagePad, issued by Apple in 1993. It was described as being "revolutionary" (Wiggins, 2004, p. 5). Palm, Inc. developed the next big handheld device: the Palm Pilot, in 1996. By the late 1990s, PDAs were equipped for Internet access, and memory capacity and other features improved with each product release. Microsoft also entered the portable electronic devices marketplace in the 1990s. The devices were not yet being…

References

Alerndar, H. & Ersoy, C. (2010). Wireless sensor networks for healthcare. Computer Networks 54(15): 2688-2710.

Fornell, D. (2008). PDAs bring hand-held solutions to healthcare. Acuity Care Technology. Retrieved online:  http://www.soti.net/PDF/PDAsBringHandHeldSolutionsToHealthcare_Article.pdf 

Garritty, C. & El Emam, K. (2006). Who's using PDAs? Journal of Medical Internet Research 8(2).

Huang, V.W. (n.d.). PDAs in medicine. Power Point Presentation Retrieved online:  https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&ved=0CF4QFjAB&url=http%3A%2F%2Fwww.cs.princeton.edu%2Fcourses%2Farchive%2Fspr02%2Fcs495%2Fpda.ppt&ei=xxqAUsq_NtTFqQG25IHwAQ&usg=AFQjCNE4Wf4YrX7slTbcdYJwxujV3rwgog&sig2=Uee9rvdDYwY0uYM33n1ZBg&bvm=bv.56146854,d.aWM

Successful Implementation of Electronic Health
Words: 580 Length: 2 Pages Document Type: Essay Paper #: 69141364
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From personal experience it is clear that including the healthcare professionals' feedback in each of the five phases of the SDLC model leads to systems that better align to patient's needs and streamline information delivery and knowledge management. Personal experiences have provided a unique glimpse of how powerful this dynamics is when done well with full inclusion of stakeholders. In the majority of instances however stakeholders are often ignored or only provided what the healthcare systems can deliver with little if any customization or configuration (Buntin, Burke, oaglin, Blumenthal, 2011). This is because customization and configuration is expensive and time-consulting to complete and is one of the leading causes of nurses being ignored during each phase of the SDLC model (Buntin, Burke, oaglin, Blumenthal, 2011). When this occurs a system fails to align to an organization and a significant amount of time and money are wasted.

In the first phase…

Healthcare organizations that define their Health Information Technology (HIT) initiatives and plans from the perspective of the internal customer or user of the system first have significantly greater levels of system adoption, process improvements, greater impact on positive patient outcomes as well (Buntin, Burke, Hoaglin, Blumenthal, 2011). From personal experience it is clear that including the healthcare professionals' feedback in each of the five phases of the SDLC model leads to systems that better align to patient's needs and streamline information delivery and knowledge management. Personal experiences have provided a unique glimpse of how powerful this dynamics is when done well with full inclusion of stakeholders. In the majority of instances however stakeholders are often ignored or only provided what the healthcare systems can deliver with little if any customization or configuration (Buntin, Burke, Hoaglin, Blumenthal, 2011). This is because customization and configuration is expensive and time-consulting to complete and is one of the leading causes of nurses being ignored during each phase of the SDLC model (Buntin, Burke, Hoaglin, Blumenthal, 2011). When this occurs a system fails to align to an organization and a significant amount of time and money are wasted.

In the first phase of the SDLC Model, which is Requirements Analysis, is when a systems' functional specifications are defined and the system development frameworks are designed (Moore, Nolan, Gillard, 2006). When nurses aren't involved in this process, the entire foundation of a system will be incomplete and often based only on assumptions about what is needed; the system designers won't actually know what the requirements are because they haven't involved healthcare professionals. The rationalization sit hat inviting too much feedback from nurses will drive up customization costs (Buntin, Burke, Hoaglin, Blumenthal, 2011). In fact the opposite is true. Building the functional requirements and specifications of nursing professionals into requirements ensures each succeeding stage of the SDLC-driven development stays consistent.

The second stage of the SDLC model, which is design, is critical for ensuring a high degree of system adoption in that

Clinical Integration Healthcare
Words: 3527 Length: 11 Pages Document Type: Essay Paper #: 71289994
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Healthcare: Clinical Integration

Item Page

What is clinical integration

History of clinical integration

Goals of clinical integration

Importance of clinical integration

Health reform

New payment models

IT advancement

Barriers to clinical integration

Legal barriers

Lack of practitioner alignment

Lack of interoperability

How to achieve success in clinical integration

Incentive alignment

Knowledge alignment

Behavioral alignment

The future of health care systems

Physician acquisitions vs. clinical integration

HIEs -- solution to clinical integration?

Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the manner of health care delivery in the U.S.; and that anything less would only alter the system's edges - with little or no substantial effect on cost-control, innovation-promotion, effectiveness of reward incentive schemes, coordination and coverage (AHA, 2010). Clinical integration has been found to be crucial to the change needed for the achievement of the aforementioned goals (AHA, 2010). Despite…

References

AHA. Clinical Integration -- the Key to Real Reform. Trend Watch. Retrieved from [HIDDEN]

Athena Health. (2014). History of the Clinical Integration Model. Athena Health. Retrieved from https://www.athenahealth.com/knowledge-hub/clinical-integration/clinical-integration-model.php

eHealth Initiative. (2012). The Rise of the Private Health Information Exchange and Changing Role of Public Exchanges. eHealth Initiative. Retrieved from [HIDDEN]

Fridsma, D. (2013). Interoperability Vs Health Information Exchange: Setting the Record Straight. Health IT Buzz. Retrieved from  http://www.healthit.gov/buzz-blog/meaningful-use/interoperability-health-information-exchange-setting-record-straight/

U S Health Care in the New Millennium
Words: 769 Length: 3 Pages Document Type: Term Paper Paper #: 60134884
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Healthcare in the New Millennium

The Future Trends of Healthcare Delivery

The objective of this work is to present a new and improved healthcare delivery system for the new millennium. Future trends in healthcare and how they affect disease management, financial management, technology and the social aspects of health care delivery will be given consideration as well as integration of personal knowledge of the historical, social, ethical, technological and financial aspects of health care service delivery expressed as a vision for health care delivery in the United States.

Never before at any time in history have the challenges for the delivery of healthcare been so great. Neither has history witnessed the rash of serious new diseases emerging on a daily basis. The provision of quality, cost-effective patient care while managing to balance the needs of employees and physicians as well as trustees is a monumental challenge faced by healthcare executives.…

Works Cited

Global Best Practices Among Themes at First Annual World Healthcare Innovations in Technology Congress Presented by the ENBC, PR Newswire 23, June 2004.

Healthcare's Top Business Issues and Responses for 2005 A Capgemini Forecast

Hunter, Derek (2004) New Data on Health Insurance, the Working Poor and the Benefits of Health care Tax Changes WebMemo #492-2004 Apr 12. Online available at  http://www.heritage.org/Research/Healthcare/wm492.cfm 

On the Minds of Americans: The Crisis of Skyrocketing Health Care Costs 2004 Online available at http://www.house.gove/georgemiller/middleclass/middleclass.html

Embracing the Future of Healthcare
Words: 2461 Length: 8 Pages Document Type: Essay Paper #: 91244902
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HEALTHCAE & INFOMATION TECHNOLOGY

The state of healthcare in the United States is very much influenced and improved through the increased use of technology solutions. Whether it be the use of tablets, laptops, electronic healthcare records and some others, the use of technology has become more and more pervasive as the years and decades roll on. However, not everyone is sold on technology being a saving grace and those same people often think that technology solutions being added to healthcare actually do not help or that they make things worse rather than make them better. However, there is a cacophony of evidence that suggests and proves that electronic healthcare records, electronic administration and the use of information technology in a strategic and adept fashion actually makes things better over the long haul. This is true for patients, administrators, healthcare professionals and the wider network of providers that are typically also…

References

Bloomfield, G.S., Hogan, J.W., Keter, A., Holland, T.L., Sang, E., Kimaiyo, S., & Velazquez, E.J. (2014). Blood pressure level impacts risk of death among HIV

seropositive adults in Kenya: a retrospective analysis of electronic health records. BMC Infectious Diseases, 14(1), 1-20. doi:10.1186/1471-2334-14-284

Campbell, M. (2010). Technology in Healthcare: The Wave of the Future.

Ahdbonline.com. Retrieved 24 April 2015, from  http://www.ahdbonline.com/issues/2008/may-2008-vol-1-no-4/350-article-350

Transitioning to Computers and Electronic Medical Records in Healthcare
Words: 685 Length: 2 Pages Document Type: Case Study Paper #: 86620643
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HMS (healthcare management systems) and EMRs (electronic medical records) have been widely praised as significantly adding to patient safety and quality of care. They can permit healthcare institutions to keep more accurate databases on patients, all in one location, and can ensure that a patient’s full medical records are available, even if the patient is not responsive and the patient’s family is not available. Prior treatments, current and past medications, and patient allergies can all be easily accessed with a point and a click. But transitioning to such healthcare systems is not always without issues and often involves a significant investment of time and money.

First of all, from a staffing point of view, change management is needed to ensure that the transition is effective. One helpful way to view change of any kind within an organization is that of Lewin’s Change Management Model, which suggests that organizations must first…

Nursing Healthcare Business
Words: 5470 Length: 20 Pages Document Type: Literature Review Chapter Paper #: 30995758
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Healthcare

We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).

There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…

References

Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87

Advisory Board Web site. (2004). Available at:  http://www.advisory.com .

Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.

American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.

America and Health Policy Issues
Words: 2406 Length: 6 Pages Document Type: Essay Paper #: 78222777
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Health policy issues are now becoming more contentious throughout the world. The advent of the internet has created a much needed awareness of human rights and liberties. No longer are countries able to fully sheath society from information. A critical component of this information relates directly to health care and the overall well-being of societies constituents. Policy issues relating to health are now becoming paramount to voters and decisions makers. The Affordable Care Act is one of many illustrations that detail the desire for universal healthcare for all. In addition, many countries are mandating a standard health care system for all of their citizens irrespective of socio-economic status. Although costly, it appears that many constituents are willing to pay for the ability to extend healthcare to all. Outside the universal healthcare within individual countries, many are now looking to address worldwide health epidemics. Aspects such as food shortages, proper treatment…

References

1) Bell, B, Thornton, K. (2011). From promise to reality achieving the value of an EHR. Healthcare Financial Management, 65(2),51-56

2) Jamoom, E., Patel, V., King, J., & Furukawa, M. (2012, August). National perceptions of ehr adoption: Barriers, impacts, and federal policies. National conference on health statistics.

3) Rosenberg, Charles E. The Care of Strangers: The Rise of America's Hospital System (1995) history to 1920 table of contents and text search

4) Pollack, A. (2015, September 20). Drug Goes From $13.50 a Tablet to $750, Overnight. Retrieved October 1, 2015, from  http://www.nytimes.com/2015/09/21/business/a-huge-overnight-increase-in-a-drugs-price-raises-protests.html?_r=0

Maryland Health Policy Analysis for Affordable Care Act
Words: 1323 Length: 4 Pages Document Type: Essay Paper #: 89636621
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Health Policy Analysis for Maryland AC (Affordable Care) Act

McLaughlin, & McLaughlin (2014) rank 11 areas of health innovation based on their impact on costs and quality of healthcare delivery. The process improvement is the highest ranking item. However, the authors identify data analytics, disease management, "non-physician delivery alternatives," and "alternative to fee-for service" (McLaughlin, & McLaughlin, 2014 p 335) as other innovation items that can enhance quality and reduce costs. Additionally, the authors point out that innovation in electronic medical records, diagnosis, and pharmaceuticals can also assist with quality and cost.

Objective of this health policy paper is to evaluate the items that can play important role in the health policy process of Maryland's ACA (Affordable Care Act).

Healthcare items for Health Policy Process for in Maryland Affordable Care Act

The ACA (Affordable Care Act) is a federal government legislation focusing on healthcare coverage for small groups and individuals.…

Reference

Abrams, M. Nuzum, R. Mika, S. et al. (2011). Realizing Health Reform's Potential How the Affordable Care Act Will Strengthen Primary Care and Benefit Patients, Providers, and Payers. The Commonwealth Fund.

Chin, W.W. Hamermesh, R.G. Huckman, R.S. et al.(2012). 5 Imperatives Addressing Innovative Challenge. Harvard Business School.

McLaughlin, C.P. & McLaughlin, C.D. (2014). Health Policy Analysis: An Interdisciplinary Approach.(2nd Edition). Burlington, Jones & Bartlett Learning.

Resnik, D.B. (2007). Responsibility for Health: Personal, Social, and Environmental. J Med Ethics. 33(8): 444-445.

Health Organization Case Study
Words: 1525 Length: 5 Pages Document Type: Case Study Paper #: 36805554
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Health Organization Case Study

The mission of Banner Healthcare is to make a difference in the lives of people through excellent patient care. They achieve this by providing leadership for excellence in patient safety and clinical care. Traditionally, healthcare institutions focused on analyzing aggregate performance, questioning causation, monitoring scorecards and identifying gaps. Planning and managing stages at integral to the process of achieving Banner Healthcare's vision. Planning entails the development of standards, rules, and work teams necessary for the work. Concurrent management involves patient-oriented care and coordinated health care. Across the various work teams, care management efforts and the number of people are involved in making clinical improvements across the organization have been gradually increasing.

This occurs regardless of whether they are work groups, system wide teams, strategic initiatives, and special projects. The work is organized under functional teams. Besides the functional teams, initiative work groups and clinical consensus groups…

Reference

Wickramasinghe, N. & Sharma, S.K. (2010). Creating knowledge-based healthcare organizations. Hershey Penns: Idea Group Pub.

Healthcare Reform Review of Literature
Words: 6070 Length: 20 Pages Document Type: Literature Review Paper #: 45810582
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(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.

The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…

Resources, and Utilization

Health Care Risk Management
Words: 1292 Length: 4 Pages Document Type: Term Paper Paper #: 10420306
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Healthcare Administration

isk Involved in Poor Chart Documentation: An Overview in Total Quality Management

Poor chart documentation in the behavioral health field is a concern for risk management and a critical area for total quality improvement. Poor chart documentation can lead to an audit by accrediting bodies and in severe circumstances lead to discharge. There are many legal ramifications associated with poor chart documentation. This paper will highlight the importance of poor chart documentation, the consequences of poor documentation, and suggest possible tools for resolving documentation errors. The best tool for eliminating chart documentation risk is developing a risk management system appropriate to the health care setting.

Poor chart documentation costs behavioral health providers thousands of dollars in malpractice costs every year. Errors related to chart documentation can be severe; a patient can suffer an untimely death for example. In fact, statistical evidence suggests that each year thousands of patients…

References:

Aron, DC. & Headrick, L.A. (2002). Educating physicians prepared to improve care and safety is no accident: It requires a systematic approach. Quality and Safety in Health Care, 11, 168-173.

Burke, M., Boal, J., & Mitchell, R. (2004). Communicating for better care. American Journal of Nursing. 104(12), 40-47.

American Society of Healthcare Risk Management, American Hospital Association. (2004). The

growing role of the patient safety officer: Implications for risk manager. Chicago: American Hospital Association.

Health Care Law Privacy and
Words: 5626 Length: 15 Pages Document Type: Research Paper Paper #: 3283668
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S. Department of Health and Human Services, 2011). Furthermore, subpart C explains the privileges and the protections of confidentiality that is attached to the patient's record along with much exception (U.S. Department of Health and Human Services, 2011).

The penalty for anyone who breaks confidentiality is imperative. In "November, 23, 2009" was increased to $11,000 (U.S. Department of Health and Human Services, 2011). This goes for anyone in the medical field or has access to this information. A person has to follow HIPAA precisely or face a huge fine. If one thought of this ahead of time, whether or not they own a business, then no issues would arise legally. However, sometimes this does occur, especially for those who want to harm another person, yet in the medical field the goal is not to do this to any individual, regardless, otherwise he or she could face losing their license in…

References

U.S. Department of Health and Human Services Civil Rights. (2011). Your health information privacy rights. Retrieved May 3, 2011, from U.S. Department of Health and Human

Services Civil Rights:

 http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/consumer_rights.pdf .

U.S. Department of Health and Human Services. (2011). Health information privacy. Retrieved May 3, 2011, from U.S. Department of Health and Human Services:

Electronic Certificate of Medical Necessity
Words: 1942 Length: 7 Pages Document Type: Term Paper Paper #: 31829576
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Electronic Certificates of Medical Necessity: A Proposal

Medical billing can now become a relatively painless process for the personal in a medical facility through the electronic filing of certificates of medical necessity (e-CMN). Manually filling out paperwork is very time consuming, and is not very cost effective. However, the technological advancements created in the area of medical billing are very efficient. While many offices now fax the CMN's, the incorporation of e-CMN's into the medical office and billing process, decreases overhead costs, reduces paperwork, and helps substantially with the on-going battle to comply with the ever-changing Medicare requirements. While each of the previous reasons is enticing enough to consider incorporating e-CMN's into the office routine, the increase of revenue is certainly a major benefit and is the direct result of the time reduction with the filing process.

Billy Tauzin, chairman of the U.S. House Committee on Energy and Commerce, clarified…

References

Bachenheimer, C. (2001, Aug. 1). Something out of nothing. Home Care Magazine. Retrieved April 13, 2004 at  http://homecaremag.com/ar/medical_something_nothing/index.htm .

Business Wire. (2004, Feb. 13). American association for homecare and Trac Medical Solution agree on industry wide ecmn solution. ProQuest Document: 545984641 http://gateway.proquest.com/openurl-url_ver=Z39.882004&res_dat=xri:pqd&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&genre=article&rft_txri:pqd:did=000000545984641&svc_dat=xri:pqil:fmt

McClinton, D. (2001). E-CMN's. Home Care Magazine. Retrieved April 13, 2004, at  http://homecaremag.com/ar/medical_ecmns/index.htm .

Healthcare Lobbyists Drugmakers Hospitals and
Words: 1614 Length: 5 Pages Document Type: Research Paper Paper #: 91197596
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Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).

Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…

References

BREAKING: Health care lobby invests in reform summit. (2010). Retrieved March 1, 2010, from Citizens for Responsibility and Ethics in Washington Web site:

 http://www.citizensforethics.org/node/44211 

Eaton, Joe and Pell, M.B. (2010). Lobbyists Swarm Capitol to Influence Health Reform.

Retrieved March 1, 2010, from the Center for Public Integrity Web site:

Healthcare Addressing the Issue of
Words: 8204 Length: 30 Pages Document Type: Term Paper Paper #: 34819035
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Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:

Lack of a common understanding about errors among health care professionals

Physicians generally think of errors as individual that resulted from patient morbidity or mortality.

Physicians report errors in medical records that have in turn been ignored by researchers.

Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of…

Bibliography

Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000

Patient Safety/Medical Errors Online at the Premiere Inc. page located at:  http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc 

Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.

Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101

Health Care Infrastructure
Words: 434 Length: 1 Pages Document Type: Term Paper Paper #: 40856947
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Health Care Infrastructure

The Cooperative Health Care Clinic made by the Kaiser Foundation Health Plan is an illustration of a pioneering program for healthcare beneficiaries sponsored by a managed care plan. Under this program, the clinic employs a multidisciplinary team to extend care to groups of old aged patients who use the service more often than not and are laid up with chronic conditions. The alternative program comprises of medical care, patient education and health promotion. The measurement of result of the pilot study comprised contentment of the patient and satisfaction of the doctor as also quality and cost of care. (Werner, 1997)

In spite of the achievement of several of the managed care program in taking care for healthcare beneficiaries, some researchers have noted that health plans "might at the maximum be hesitant" regarding investing in care for the patient who is ill for a long period of time.…

References

Garson, Arthur. (1998) "The U.S. Healthcare System 2010: Problems, Principles, and Potential Solutions" American College of Cardiology. Retrieved from  http://www.bcm.edu/pa/speech.htm  Accessed on 16 December, 2004

Werner, Michael J. (1997) "Adapting a Successful Program to Meet New Challenges" American College of Physicians. Public Policy Paper no 2.Retrieved from  http://www.acponline.org/hpp/pospaper/medref.htm  Accessed on 16 December, 2004

Ruchi Tomar Disadvantages of Electronic
Words: 3472 Length: 12 Pages Document Type: Thesis Paper #: 93872950
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None of the findings are not surprising to a lot of experts. Apart from large systems that are integrated, like Kaiser Permanente in California and the Veteran's Administration, a lot of doctor practices are adopting different EMs. Also in so many different situations they do not talk to one another (Sittig & Singh 2012). So, a doctor's record is not necessarily able to get access notes from his regional hospital if different systems were utilized. A lot of doctors in that condition could just re-order a test, instead of going through all of the changes of finding the records from the hospital.

Actually many experts make the point that the true power of digital records come when using a sole, unified system that can be retrieved by altered health sites. With the exclusion of large combined health arrangements, there sometimes can be fragmented EMs. Experts mention that perhaps with the…

Reference:

Cook, P.J., Lawrence, B.A., Ludwig, J., & Miller, T.R. (1999). The medical costs of gunshot injuries in the United States. JAMA, 282(5), 447-54.

Eckman, B.A., Bennett, C.A., Kaufman, J.H., & Tenner, J.W. (2007). Varieties of interoperability in the transformation of the health-care information infrastructure. IBM Systems Journal, 46(1), 19-41.

Heselmans, a., Aertgeerts, B., Donceel, P., Geens, S., Van, d. V., & Ramaekers, D. (2012). Family physicians' perceptions and use of electronic clinical decision support during the first year of implementation. Journal of Medical Systems, 36(6), 3677-3684.

Simons, W.V., Mandl, K.D., & Kohane, I.S. (2005). The PING personally controlled electronic medical record system: Technical architecture. Journal of the American Medical Informatics Association, 12(1), 47-54.

Ethical Issues Surrounding the Adoption of Electronic
Words: 1295 Length: 5 Pages Document Type: Essay Paper #: 55644945
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Ethical Issues Surrounding the Adoption of Electronic Health Records (EHR) by Health Care Organizations and Meaningful Use

The objective of this work in writing is to examine why health care organizations are hesitant to adopt electronic health records (HER) in light of the potential of HER to improve quality, increase access, and reduce costs. This issue will be examined from a legal, financial, and ethical standpoint and in relation to 'meaningful use'.

The use of information technology in the health care field shows a great deal of potential toward improving quality, efficiency, and safety in medical care. (DeRoches, Campbell, and Rao, 2008, paraphrased; Frisse & Holmes, 2007, paraphrased; and Walker, et al., 2005, paraphrased) The American Recovery and Reinvestment Act (ARRA) of 2009 is reflective of the unprecedented interest of the Federal government in the area of bringing about increases in the use of IT in health care for system…

Bibliography

A New Hospital EMR Adoption assessment Tool (2012) HIMSS Analytics. Retrieved from:  http://www.himss.org/content/files/EMR053007.pdf 

American Recovery and Reinvestment Act of 2009. Available athttp://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h1enr.pdf. Accessed 5 August2010.

Daniel, J. And Goldstein, MM (2010) Consumer Consent Options for Electronic Health Information Exchange: Policy Considerations and analysis. 23 Mar 2010.

DesRoches CM, Campbell EG, Rao SR, et al. Electronic health records in ambulatory care -- a national survey of physicians. N Engl J. Med 2008; 359:50 -- 60.