Healthcare Costs
Electronic Records Healthcare

As a member of the committee charged with designing an EHR at the facility, it is important to note that the new EHR process must not interfere with the nursing staff's ability to deliver safe, cost-effective care for their patients. The system would have to offer a method of comparing a patient's data from previous, current and past events. The system would also have to be able to adapt and support a continuous ongoing record of the patient's education and learning response from this facility and other encounters or visits. The system should be able to eliminate the need to constantly acquire baseline demographics data every time the patient visits this or any other facility. Access to the patient's data should be universal and seamless for the nursing staff that need access and who also have the proper credentials. The nurses also need the EHR system to…...

Information Technology Trends: Electronic Healthcare ecords
Today, consumers in the United States enjoy a modern healthcare system that has benefited from numerous innovations in medical technology, including the introduction of electronic healthcare records in recent years. Electronic healthcare records facilitate timely access to critical patient information and provide a highly cost effective approach to healthcare management. To determine the facts, this paper reviews the literature to identify how this emerging innovative technology is impacting the healthcare industry in general and how its application can create value for healthcare providers in particular. Finally, a summary of the research and important findings concerning electronic healthcare records and their implications for the healthcare industry are presented in the conclusion.

eview and Analysis

According to the definition provided by Albert (2013), electronic healthcare records (EH) are digitized versions of a patient's medical history that are "maintained by the provider over time, and may include all key…...

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References

Albert, J. A. (2013, Spring). Once byten, twice shy: Preservation and production of electronic healthcare records. The Review of Litigation, 32(2), 395-401.

Hsiao, C. J. & Hing, M. (2014, January). Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001-2013. Centers for Disease Control NCHS Data Brief. Retrieved from   / databriefs/db143.htm.http://www.cdc.gov/nchs/data 

Penoyer, D. A. & Cortelyou-Ward, K. H. (2014, March/April). Use of electronic health record documentation by healthcare workers in an acute care hospital system. Journal of Healthcare Management, 59(2), 130-135.

Healthcare Tech
For most industries, the advancement and implementation of technology is moving at a fairly quick pace. However, healthcare has been and remains one of the exceptions and outliers to this trend. There is some debate as to why this is the case. However, there are also some clear clues and signs that indicate why precisely this has and continues to happen. The reasons for this lagging implementation and adoption of technology will be explained in this report. The reasons run the gamut from compliance hurdles to uneven adoption practices and change management miscues. While advancements in technology and the related practice is certainly the future for effective healthcare technology management, there are some kinks that need to be worked out to put it lightly.

Analysis

A major reason that technology adoption in the healthcare sector is slow is resistance from the personnel within that sector. Indeed, even when there is a…...

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References

England, I. (2017). Information technology adoption in health care: when organisations and technology collide. - PubMed - NCBI. Ncbi.nlm.nih.gov. Retrieved 29 April 2017, from  https://www.ncbi.nlm.nih.gov/pubmed/11186051 

Kandel, I. (2017). The Slow Pace of Technology Adoption in Healthcare Explained. HIPAA

Journal. Retrieved 29 April 2017, from  http://www.hipaajournal.com/the-slow-pace-of-technology-adoption-in-healthcare-explained-8261/

" (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 by The Royal Society entitled: "Digital Healthcare: The…...

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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

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 using…...

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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

Health Information System
Promoting Action Design esearch to create value in healthcare through IT

ecently there has been varying proof showing that health IT reduces costs while improving the standard of care offered. The same factors that had caused delays in reaping benefits from IT investment made in other sectors (i.e. time consuming procedural change) are also very common within the healthcare sector. Due to the current transitive nature of the Healthcare sector, new IT investment is likely not going to provide maximum value unless this new investment is backed up with a total reform of healthcare delivery. The overall ability of healthcare IT value researchers to add value to practice will be severely limited as a result of the traditional ex-post approach to measuring IT and the fact that government spurs significant investment. It may be risky to generalize or compare results from traditional IT value research with those from healthcare…...

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References

Fichman, R., Kohli, R., & Krishnan, R. (2011). The role of information systems in healthcare: Current research and future trends. Information Systems Research, 22(3), 419-428.

Goh, J.M., Gao, G., & Agarwal, R. (n.d.). Evolving work routines: Adaptive routinization of information technology in healthcare. Information Systems Research, 22(3), 565-585.

Hoffnagel, E., Woods, D., & Leveson, N. (2006). Resilience engineering: Concepts and precepts. Abingdon: GBR: Ashgate Publishing.

Jones, S., Heaton, P., Riudin, R., & Schneider, E. (2012). Unraveling the IT productivity paradox lessons for health care. The New England Journal of Medicine, 366(24), 2243-2245.

Healthcare Landscape
It has been highly publicized that the healthcare industry in general is quickly evolving on many different levels that include technological progress, administrative efficiencies, as well as the regulatory and political environment. One of the considerations that should be on the forefront of a series of reforms should be how to create value and improve quality in what could be considered an incredibly dynamic healthcare industry. Many of the competencies that are involved in adapting to the new environment are largely multidisciplinary and include some of the best practices from strategic management, financial management, project management, and human resources as well as several others fields. For example, many of technologies have offered new levels of treatment that were previously thought unimaginable. However, at the same time, there are massive levels of inequality present in the system and there are many individuals who are still basically excluded from receiving basic…...

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Works Cited

Dash, P., & Meredith, D. (2010, November). When and how provider competition can improve health care delivery. Retrieved from McKinsey:  http://www.mckinsey.com/insights/health_systems_and_services/when_and_how_provider_competition_can_improve_health_care_delivery 

Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.

Papastavrou, E., Andreou, P., & Vryonides, S. (2014). The hidden ethical element of nursing care rationing. Nursing Ethics, 583-593.

Papastavrou, E., Panayiota, A., Hartini, T., & Anastasios, M. (2014). Linking patient satisfaction with nursing care: the case of care rationing - a correlational study. BCM Nursing, 13-26.

(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…...

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Resources, and Utilization

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 legibility after…...

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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.

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 die or are…...

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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.

Healthcare Challenges
Technology is one of the main drivers of change in healthcare, and it is up to healthcare organizations to join the rest of the world in adopting new technologies to run their industry better. In most industries, something like electronic record keeping has been done for decades and nobody was wringing their hands about it. It is absurd that this is even an issue for healthcare companies. The best thing is to stop talking about this as if it is an "issue" or a "challenge," and just get it done. If you were to design the health care system from scratch, of course everything would be electronic. The development and adoption of these technologies will improve the quality of healthcare immensely, so the only real question is not how will this challenge affect healthcare, but how quickly can healthcare get its act together and join the 21st century. In…...

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References

Kumbroch, D. (2014). Affordable Care Act creates big demand locally for healthcare workers. WHNT. Retrieved November 17, 2014 from  http://whnt.com/2014/09/17/aca-creates-big-demand-for-healthcare-workers/ 

Wister, A. (2009). The aging of the baby boomer generation: Catastrophe or catalyst for improvement? Health Innovation Forum. Retrieved November 17, 2014 from http://www.healthinnovationforum.org/article/the-aging-of-the-baby-boomer-generation-catastrophe-or-catalyst/

A patchwork of laws provided narrow privacy protections for selected health data and certain keepers of that data." (Administrative Simplification in the Health Care Industry) Therefore, new technologies such as relational databases have simplified the data gathering and maintenance processes of all types of healthcare related data like the physician information process. It is not unheard of today for healthcare and insurance providers matching or 'sinking data' on a monthly or quarterly basis because of the availability of better communication capabilities as well as compatible database comparison processes.
Even the doctors themselves have access to providers' systems and databases today. Through automatic telephone systems, business to business Internet portals, and tape or disk delivery processes, all of a physician's personal, office and patient information can be updated easily. In many cases, the entire process including security and confirmation is a completely hands free operation. In other words, without human intervention,…...

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Works Cited

Administrative Simplification in the Health Care Industry. Ed. HIPAA. Health and Human Services. 23 Oct. 2004 http://www.hipaa.com/.

HMO Patients Can Contact Their Doctors Electronically as Blue Shield of California Expands Online Communication Services. Ed. Unknown. October 29, 2003. Relay Health. 23 Oct. 2004  http://www.relayhealth.com/rh/general/news/newsRecent/news49.aspx .

Hoffer, Prescott, and McFadden. Modern Database Management. 7th ed. Add City: Add Publisher, Add Year.

Database

While the study had a number of scientific limitations; the two most significant were: 1) although the response rate of interns that volunteered to participate was 80%, those that did participate may not have been representative; and 2) the case-crossover analysis cannot account for the contribution of within-person factors that may have been co-variables with exposure status.
Evaluation

As a result of the related research, hospitals will be using medical resident interns as a means of making up for the lack of doctors caused by financing concerns. The redistribution of medical interns was expected to be completed before the next residency training year starts July 1, 2005, however, it remains currently underway. The Association of American Medical Colleges has stated that the health care system would be better off if the cap were lifted so hospitals could respond to the needs of their communities, such as adding a new cardiology program…...

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Bibliography

Barger, L., Cade, E., Ayas, N., Cronin, J., Rosner, B., Speizer, F. & Czeisler, C. (2005).

Extended Work Shifts and the Risk of Motor Vehicle Crashes among Interns. NEJM

Cauchon, D. (2004). Medical Miscalculation Creates Doctor Shortage. USA Today,

Croasdale, M. (2004). Residency Slots Reallocated to Relieve Doctor Shortages.

The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.

In conclusion, this article review focused on new Healthcare Delivery Systems which…...

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References

Farnsworth, Chris. "The Truth About Fraud" Washington Monthly 01 May 1997.

Joshua-Amadi, Mabel. "Recommendations: A Study in Motivation: Recruitment and Retention in the NHS" Nursing Management. February (2003).

Soloye, Daniel J. "Privacy and Power: Computer Databases and Metaphors for Information Privacy" Stanford Law Review July (2001).

Telehealth Applications. (2004) "Current Telehealth Applications" Retrieved October 26, 2004, at  http://www.startegis.com/epic/internet/inict-tic.nsf/PrintableE/it07545e.html

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…...

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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: