IMPLANTING AN ELECTONIC HEALTH ECOD CHIP INTO U.S. CITIZENS
The purpose assignment investigate safeguards apply ethical principles health care technology.
Imagine having all your medical records with you at all times, thus reducing the issues that arise of patient safety and identification when one visits a health facility. With the use of an Electronic Health ecord (EH), this would become a reality for every U.S. Citizen. The EH is a collection of a patient's health information that is acquired over several visits to a health facility. It has all the patients' progress notes, medications, problems, laboratory data, past medical history and radiology reports. For this to be achieved, one would need to be implanted with a chip or a adio Frequency Identification Device (FID) that would contain their health information. When one visits a health facility, the health care providers would scan the chip and all the patient's health information would be…...
mlaReferences
Haifley, K.A., & Hecht, S. (2012). Functionality of implanted microchips following magnetic resonance imaging. [Article]. Journal of the American Veterinary Medical Association, 240(5), 577-579.
Levi, M., & Wall, D.S. (2004). Technologies, Security, and Privacy in the Post-9/11 European Information Society. Journal of Law and Society, 31(2), 194-220.
Nisbet, N. (2004). Resisting Surveillance: Identity and Implantable Microchips. Leonardo, 37(3), 211-214.
Peslak, A.R. (2005). An Ethical Exploration of Privacy and Radio Frequency Identification. Journal of Business Ethics, 59(4), 327-345.
New Electronic Health ecords System
Nurse Facilitator preparing a team on implementation of new electronic health records system
Electronic health record systems are a compilation of health information details of the individual patients stored in digital systems (Greenhalgh, 2005). The records are shared across the different health care institutions. The sharing of this information occurs via the network connections, where the internet facilitates this connection.
An electronic health system includes information of patients, such as the identity and contact information of the patient (Greenhalgh, 2005). The system contains details about the patients visiting the healthcare facilities, whether a patient has allergies or any conditions. Information of the insurance of the person and general family health history, the immunization status, a list of medications administered, records of being hospitalized and information of any surgeries performed on the individual.
The health of our population is a very crucial area of success to the economy of…...
mlaReferences
Greenhalgh, T. (2005). Diffusion of innovations in health service organisations: A systematic literature review. Malden, Mass: Blackwell.
Lehmann, H.P. (2006). Aspects of electronic health record systems. New York: Springer.
Rogers, E.M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press.
Electronic Health ecord (EH)
Bearing the everyday evolution of the technology used in hospitals and the Healthcare sector in general, there is need to understand the concept of EH. This paper undertakes to divulge what EH is, the components, the advantages that it brings to the Healthcare department in general as well as the complications or loopholes that may come with it and suggestions on how this system can be used safely without exposing the patients to undue dangers and exposure of private details.
The Electronic Health ecord (EH) can be referred to as a longitudinal electronic record about the health of patients that is gathered by the number of turns that the patient visits a healthcare facility. The information that is included in the EH is vital pieces of information that can help in the handling of the patient in any part of the state. The information include medications, patient demographics,…...
mlaReferences
Conrad Artio, (2011). Advantages of Electronic Health Record System. Retrieved November 23,
2011 from http://ezinearticles.com/?Advantages-of-Electronic-Health-Record-System&id=2720601
Dick, Richard S., Steen, Elaine B. And Detmer, Don E. (2011). The Computer-Based Patient
Record: An Essential Technology for Health Care, Revised Edition. Retrieved November 22, 2011 from (Pp67).http://books.nap.edu/books/0309055326/html/index.html .
Predicting the Future of Medical Health ecords
Predict the form and function of medical health records in 2030 (provide specific example to support your response).
With the advent of digital databases used to store vast amounts of medical information, health histories, and vital statistics for millions of patients across America, a concept known on the local level as electronic medical recordkeeping (EM), and collectively forming the electronic health record (EH), the delivery of healthcare services has undergone a rapid transformation during the last two decades. The traditional clipboard and paper chart carried by physicians and nurses, which held an often indecipherable maze of pencil-etched recordings made throughout a patient's stay, has since been replaced in many modern healthcare facilities by the iPad and other handheld computer tablet devices. Banks of unwieldy filing cabinets, each storing hundreds of individual patient files, have vanished in the private practices and doctor's offices of America's healthcare…...
mlaReferences
Ford, E.W., Menachemi, N., & Phillips, M.T. (2006). Predicting the adoption of electronic health records by physicians: When will health care be paperless?. Journal of the American Medical Informatics Association, 13(1), 106-112. Retrieved from http://jamia.bmj.com/content/13/1/106.abstract
Wall, P.T., Kudtarkar, P., Fusaro, V.A., & Pivoravov, R. (2010). Cloud computing for comparative genomics. BMC Bioinformatics, 11(259), Retrieved from http://www.biomedcentral.com/1471-2105/11/259
Clinical Documentation and the Health Record:
The adoption of computerized records is seen as the most appropriate means of improving the quality of care while decreasing health care costs. However, the main concern is on how to design the most suitable and effective electronic health records that improves the workflow of clinicians. hile clinical documentation is integral in electronic health records and accounts for a considerable portion of physicians' time, its practices have largely been dominated with legal and billing requirements. Through the effective implementation of electronic clinical documentation, it will be possible to not only lessen the rate of medication errors but it will also help in achievement of other benefits. This method of documentation has been characterized with various concerns including whether it can be leveraged to enhance the quality of care without negative impacts on the efficiency of clinicians.
Electronic Health Records can help in lessening diagnostic errors through…...
mlaWorks Cited:
Schiff, Gordon D., and David W. Bates. "Can Electronic Clinical Documentation Help Prevent Diagnostic Errors?" The New England Journal of Medicine 362 (2010): 1066-069. NEJM.org. NEJM.org, 25 Mar. 2010. Web. 11 Feb. 2012. .
The relevance of electronic health records (EHRs) cannot be overstated when it comes to the enhancement of better and safer care for patients. This is more so the case given that they enable quick access to the records of patients, as well as enhance the safe and secure sharing of medical data. However, it is important to note that the efficient implementation of EHRs could be hindered by a number of challenges. It would be prudent to highlight some of the said challenges, based on my experiences with implementing EHRs, and to develop suggestions on how the challenges could be addressed.
One of the key challenges in the implementation of electronic health records is cost. In essence, health information technology is in most cases costly not only in implementation, but also in usage. For instance, some of the key cost centers with regard to EHRs include, but they are not limited…...
However, because they make billing more efficient, the majority of large urban practice groups and hospitals have already made the switch to electronic records, according to Michael R. Costa, attorney and associate at Greenberg Traurig, LLP, in oston, Mass. However, he adds, most of these organizations maintain warehouses where they store paper records that have been transcribed to electronic form. "There is resistance from some about going to a completely electronic format because there are still some questions about privacy," Costa says. "There is definitely still a place for paper-based medical records, but the focus from now on will be on making sure that information can be adequately secured" (Fiske).
Frederick Geilfuss, partner in the health law department of Foley & Lardner, in Milwaukee, Wis. says that while many larger providers have already begun the shift, he has not encountered any institutions that have made a complete transition -- an…...
mlaBibliography
Ball, Marion, Carla Smith and Richard Bakalar. "Personal Health Records: Empowering Consumers." Journal of Healthcare Information Management (2007): 76-83.
Brenner, Bill. "Secure Electronic Medical Records: Fact or Fiction?" 3 March 2009. The Standard. 10 April 2009 .
Bright, Beckey. "Benefits of Electronic Health Records." 29 November 2007. The Wall Street Journal. 10 April 2009 http://hfs.illinois.gov/assets/ilhie_112907.pdf
Byers, Jay. "Medical Records Scanning: Convert your paper-based patient records into electronic records." December 2008. EMR Services of Canada. 9 April 2009 .
Electronic Health ecords (EH)
Description: The legislation
Over the past fifty years, Electronic Health ecords or EHs have quickly transformed just like all other technologies in computing. The pace of these transformations has seen more acceleration since the promulgation of the Health Information Technology for Economic and Health Act, or HITECH, in January 2009. This was a $30 billion attempt to transform the delivery of healthcare in the United States through greater application of EH technology. EH incentive program stipulations, and insistence on meaningful use, have largely assisted in creating more homogeneity in the primary functions of EH. This uniformity of design has been spreading across systems much more rapidly than could otherwise have been envisaged. However, technological advancements do not solely determine the direction of innovations in EH. The pace and type of change is impacted by other factors such as "Accountable Care" programs and organizations, business drivers and legal…...
mlaReferences
Freymann Fontenot, S. (2013). The Affordable Care Act and Electronic Health Care Records: Does today's technology support the vision of a paperless health care system? Physician Executive, 39(6), 72-76.
Friedman, D., Parrish, R., & Ross, D. (2013). Electronic Health Records and U.S. Public Health: Current Realities and Future Promise. American Journal of Public Health, 103(9), 1560-1567.
HealthIT.gov. (2014, September 25). Health IT Legislation and Regulations. Retrieved June 2, 2015, from http://www.healthit.gov/policy-researchers-implementers/health-it-legislation-and-regulations
Menachemi, N., & Collum, T.H. (2011). Benefits and drawbacks of electronic health record systems. Risk Management and Healthcare Policy, 4, 47 -- 55. doi:10.2147/RMHP.S12985
electronic health record-Keeping (EHs)
According to Jensen, Jensen & Brunak (2012)'s article entitled "Mining electronic health records: Towards better research applications and clinical care," scientists have a potentially invaluable source of information at their fingertips that can improve human health -- the data yielding by analyzing the electronic records of patients. "Mining of electronic health records (EHs) has the potential for establishing new patient-stratification principles and for revealing unknown disease correlation" (Jensen, Jensen & Brunak 2012). One of the most common complaints about clinical trials is their limited nature: their accuracy may be compromised by relatively small numbers, limited demographic profiles of participants, and the difficulties of longitudinal analysis, all of which EHs can potentially remedy.
The downside of using EHs is that it involves using "scattered" and "heterogeneous" data not specifically designed for the purposes of research (Jensen, Jensen & Brunak 2012). Still, using such information is still vitally important,…...
mlaReferences
Gardner, Elizabeth. (2013). The healthcare approach to big data. Health Data Management, 21
(3).
Jensen, Peter B., Jensen, Peter & Brunak, Soren. (2012). Mining electronic health records:
Towards better research applications and clinical care. Nature Reviews Genetics, 13, 395-
Electronic Health ecords
Adoption of electronic health records, commonly referred to as EH in short, provides a significant chance for secondary application of clinical data for clinical research purposes. For instance, because individual genetic variants do not have a strong correlation to complicated illnesses, the need for genome-wide associations studies increases if significant results are to be realized (Kohli & Tan, 2016). This paper conducts HE evaluation through four measures linked to HE on care quality, optimization of software and the work flow designs.
The ole of EH
EH systems are support tools for clinicians and have the potential to decrease the strain that the clinician is often subjected to in terms of memorizing and cognition. They also have the advantage of efficiency. They enhance the effectiveness of care and improve coordination. Patient centered equitable and timely provision of quality healthcare requires tools that can help to organize and provide information display…...
mlaReferences
Armijo, D., Mcdonnell, C. & Werner, K. (2009). Electronic Health Record Usability: Evaluation and Use Case Framework. AHRQ Publication No. 09(10)-0091-1-EF. Rockville, MD: Agency for Healthcare Research and Quality.
Cresswell, K. M., Worth, A., & Sheikh, A. (2010). Actor-network theory and its role in understanding the implementation of information technology developments in healthcare. BMC Medical Informatics & Decision-Making, 10(1), 67-77. doi:10.1186/1472-6947-10-67
Herndon, J. H., Hwang, R., & Bozic, K. H. (2007). Healthcare technology and technology assessment. European Spine Journal, 16(8), 1293 -- 1302. Doi.10.1007/s00586-007-0369-z
Kohli, R., & Tan, S. S. (2016). ELECTRONIC HEALTH RECORDS: HOW CAN IS RESEARCHERS CONTRIBUTE TO TRANSFORMING HEALTHCARE? MIS Quarterly, 40(3), 553-574.
EH Assessment and Evaluation to Support Healthcare Outcome Objectives
The outcome-related goals that the tertiary care hospital seeks to achieve include the following: 1) Strengthen adult admissions screening at intake for pain, depression, and adverse health behaviors such as smoking, excess alcohol intake, and body mass index (BMI) greater than 30; 2) implement comprehensive geriatric assessment for all adults 65 years of age and over who are hospitalized for more than seven days or readmitted within less than three days following discharge; and 3) promote care team performance. The electronic health record (EH) is the default system for adult admissions, and it includes documentation standards and structures such as SOAP and checklists. Hospital staff are provided periodic guidelines through educational venues or through referral to the electronic policy and procedure manual. Given this information, the data elements that should be included in the EH assessment and evaluation screens are as follows:
If…...
mlaReferences
Lowry, S.Z., Quinn, M.T., Ramaiah, M., Schumacher, Gibbons, M.C., Patterson, E.S., North, R., Zhang, J., and Abbott, P. (2012, February 21). NISTIR 7804: Technical evaluation, testing and evaluation of the usability of electronic health records. Retrieved from http://www.emrandhipaa.com/emr-and-hipaa/2013/10/22/turf-an-ehr-usability-assessment-tool/
Technology in Healthcare: Electronic Health ecords and Clinical Decision SupportToday, health information technologies are serving a critical role in promoting optimal clinical outcomes and advancing healthcare in a rapidly changing world (van Velzen et al., 2023). Indeed, these technologies are instrumental in facilitating seamless transdisciplinary communication among healthcare providers, streamlining patient data management, and fostering data-driven decision-making. The purpose of this paper is to provide a brief description of the process used for selecting an information system solution and why is it important for nurses to be a part of the process. In addition, an evaluation concerning the types of health information technology that are currently used in my current organization and a discussion about the respective pros and cons of the software are followed by a summary of the research and key findings in the conclusion.eview and DiscussionProcess used for selecting an information system solutionAlthough the process used by…...
mlaReferencesElectronic health records. (2023). Office of the National Coordinator for Health Information Technology. Retrieved from C. S., Adams, S. A., Davis, J. E., Gephart, S. M., & Donevant, S. B. (2023). Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Applied Nursing Research, 73, 151724.Jimenez-Zambrano, A., Ritger, C., Rebull, M., Wiens, M. O., Kabajaasi, O., Jaramillo-Bustamante, J. C., Argent, A. C., Kissoon, N., Schlapbach, L. J., Sorce, L. R., Watson, R. S., Dorsey Holliman, B., Sanchez-Pinto, L. N., & Bennett, T. D. (2023). Clinical decision support tools for pediatric sepsis in resource-poor settings: an international qualitative study. BMJ Open, 13(10), e074458.Khan, A. R., Rosenthal, C. D., Ternes, K., Sing, R. F., & Sachdev, G. (2022). Time Spent by Intensive Care Unit Nurses on the Electronic Health Record. Critical Care Nurse, 42(5), 44–50.Stephen, R. J., Lucey, K., Carroll, M. S., Hoge, J., Maciorowski, K., Jones, R. C., O’Connell, M., Schwab, C., Rojas, J., & Sanchez Pinto, L. N. (2023). Sepsis Prediction in Hospitalized Children: Clinical Decision Support Design and Deployment. Hospital Pediatrics, 13(9), 751–759. Susanto, A. P., Lyell, D., Widyantoro, B., Berkovsky, S., & Magrabi, F. (2023). Effects of machine learning-based clinical decision support systems on decision-making, care delivery, and patient outcomes: a scoping review. Journal of the American Medical Informatics Association, 30(12), 2050–2063.van Velzen, M., de Graaf-Waar, H. I., Ubert, T., van der Willigen, R. F., Muilwijk, L., Schmitt, M. A., Scheper, M. C., & van Meeteren, N. L. U. (2023). 21st century (clinical) decision support in nursing and allied healthcare. Developing a learning health system: a reasoned design of a theoretical framework. BMC Medical Informatics & Decision Making, 23(1), 1–11.https://www.healthit.gov/faq/what-electronic-health-record-ehr .Harmon,
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…...
mlaThe 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
Adoption Of the EH Technology Systems
In a contemporary health environment, nurses have long been using the computer technology to achieve the health outcomes such as the laboratory tests, however, the EH (electronic health records) has become a revolutionary innovative technology for the enhancement of the healthcare system. It is very critical for nurses to understand their roles as an agent of changes and influence other to change the tradition way of doing things. My role as a nursing facilitator of a small hospital in New York is to prepare the implementation plan of a new EH system for the hospital. While the decision has been finalized for the implementation of the EH, nevertheless, there is still a resistance from the nurses of the hospital.
The objective of this paper is to use the five qualities of the oger (2003) model for the implementation of the new system.
Application of the oger's Model
oger's…...
mlaReference
Evans, S. & Stemple, C. (2008). Electronic Health Records and the Value of Health IT. Journal of Managed Care Pharmacy JMCP. 14 (6):S16-S18.
Lee, T. (2004). Nurses' adoption of technology: Application of Rogers' Innovation-diffusion Model. Applied Nursing Research. 17(4): 231-238.
Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press.
Electronic Medical ecords (E-SIHI) in King Khalid University Hospital on Patient Safety
The objective of this study is to demonstrate the impact of e-SIHI (Electronic Medical ecords) on patients with regards to their security and safety. The King Khalid University Hospital has implemented the e-SIHI since May 2015 for all departments. Two weeks after the implementation, QMD (Quality Management Department) conducted an audit to measure a compliance for the system and ascertain whether the e-SIHI can improve health and safety of patients. However, the QMD found that there are many areas requiring improvement in the system. The paper discusses the methodology used to evaluate the system to ascertain whether e-SIHI is beneficial to the patient.
esearch Methodology
The research methodology reveals research design discussing the method of data collection, sample population, sample size, and project tool.
Study Design: The team audits the e-SIHI using a checklist to verify whether the EHs are up-to-date,…...
mlaReference
AlAswad, A.M. (2015). Issues Concerning the Adoption and Usage of Electronic Medical Records in Ministry of Health Hospitals in Saudi Arabia. School of Health and Related Research (ScHARR) the University of Sheffield.
Bowman, S. (2013). Impact of Electronic Health Record Systems on Information Integrity: Quality and Safety Implications. Perspectives in Health Information Management, 10.
Jang, J., Yu, S. H., Kim, C., Moon, Y. et al. (2013). "The effects of an electronic medical record on the completeness of documentation in the anesthesia record, International journal of medical informatics, 82(8):702-707.
Kazley, A. S. & Ozcan, Y. A. (2009). Electronic medical record use and efficiency: A DEA and windows analysis of hospitals, Socio-economic planning sciences, 43(3): 209-216.
Health informatics, also known as healthcare informatics or biomedical informatics, refers to a discipline that is a hybrid of science and engineering and involves the application of informatics fields to medicine. There are number of different topics that fall under the healthcare informatics umbrella, though the creation of electronic health records for patients is probably the most widely used application.
Essay Titles and Essay topics for Health Informatics
Tallying the Tests: How Monitoring COVID-19 Test Results Has Helped Track the Pandemic in the U.S. and Abroad
Vaccine Records and Privacy Concerns: How Do State....
1. The importance of data governance in healthcare IT systems.
2. The role of data governance in ensuring patient privacy and confidentiality in health IT.
3. Challenges and solutions in implementing effective data governance strategies in healthcare organizations.
4. The impact of data governance on improving healthcare outcomes and patient care.
5. The role of data governance in ensuring data quality and integrity in health IT systems.
6. Ethical considerations in data governance for health IT data.
7. The role of data governance in facilitating interoperability and data sharing in healthcare.
8. The impact of data governance on healthcare analytics and predictive modeling.
9. Strategies for building a....
1. The impact of the Affordable Care Act (Obamacare) on access to healthcare in the United States
2. The effectiveness of Medicare and Medicaid in providing affordable healthcare to low-income and elderly populations
3. The future of universal healthcare in the United States
4. The role of pharmaceutical companies in rising healthcare costs
5. The importance of mental health coverage in healthcare policies
6. The debate over the privatization of healthcare services
7. The impact of electronic health records on patient care and privacy
8. The implications of genetic testing and personalized medicine on healthcare policy
9. The role of preventative care and public health initiatives in reducing....
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