Case Study: Electronic Medical Records

Improved Essays
Electronic Medical Records (EMRs) are constantly evolving and beneficial to healthcare. Dryden Family Medicine (DFM) has operated for a number of decades without the use of EMRs and it has grown into a challenge that they intended on fixing. Through the use of EMR, the practice has had an increase in revenue, an increase in employee satisfaction and incentives from federal and private insurers. This case study focuses on the stages of implementing a EMR and how it is used to benefit DFM.
Pay-for-Performance
“Pay-for-Performance” or a form of an incentive payment is done when practices have the ability to meet their quality targets based on periodic data (Tan, Payton, & Tan, 2010, p. 366). This is done by monitoring disease management
…show more content…
With the use of the EMR, the practice not only qualifies for incentives from their disease management programs, but they also would not have an increase in revenue, employee satisfaction, and patient satisfaction. According to the text, DFM had an increase in revenue by 11% in the first year after the EMR implementation and a 20% increase the following year (Tan, Payton, & Tan, 2010, p. 367). With the use of the EMR, employees spent less time on retrieving data and charts, writing prescriptions, providing referrals, etc. Not only did this cut down on staff job responsibilities, but it provided the patients with more interaction with their physicians leading to less hospitalizations and reducing the burden of …show more content…
Some of the differences would be that lack of resources or upfront costs associated with an EMR. Being a small practices typically doesn’t provide them with many resources, so implementing EMRs is costly initially and IT staff or personnel would have to be hired in order to teach others how to use the EMR. These costs can add up quickly and at times reduce revenue for many practices. Due to the lack of funds, the vendor might not be the best choice for the practice. This can not only cause a lack in security or comfortability in their services, but create more responsibility for staff. In my opinion, there would be less of an incentive, due to the fact that smaller practices service less people. The whole reason for incentives is to reward healthcare providers who use EMRs that have a high probability in reaching their quality targets for a large amount of people. Although there is a high probability that some health plans for incentives for efficiency, there are a number of factors that influence the presence or lack thereof

Related Documents

  • Improved Essays

    EHR systems have been around for decades, but really gained national support in 2009. EHRs are electronic records of a patient's charts that include personal information, demographics, medical history, progress notes, medications currently taking and more. If a health center was not equipped with an EHR system then paper records were still kept and stored in the clinic. The American Recovery and Reinvestment Act of 2009 focus its attention on the short comings of archaic recordkeeping procedures and an incentive program was put in place to expand the use of…

    • 366 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Summary Of Hi Kimberley

    • 135 Words
    • 1 Pages

    Hi Kimberley, I enjoyed reading your thorough discussion post related to electronic health records as they related to small and rural hospitals (Adler-Milstein et al., 2015). To elaborate your point regarding the current state of the electronic health record, EHR, in the United States, network capabilities are often not consistent in the outreach clinics. Personally, I am amazed at the lack of capabilities some of the specialist outreach clinics encounter because of network capabilities. Your post reminded me of a recent specialist whose patients were unable to use a credit card for payment because of the inadequate network capability. References Adler-Milstein, J., DesRoches, C. M., Kravolec, P., Foster, G., Worzala, C., Charles, D., ...…

    • 135 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    During every year that the eligible healthcare professional participates in the program they must demonstrate Meaningful Use of a certified electronic health record. To receive this incentive, the provider must document the percentage of visits, diagnoses, prescriptions, immunizations, and other pertinent health information electronically; use the EHR clinical support tools; share patient information; and report quality measures and public health information (Booth, K. A., Whicker, L. G., & Wyman, T. D. 2014). In addition to a financial incentive, other benefits of complying with Meaningful Use guidelines include a reduction in medical errors, improved availability of patient records and data, reminders and alerts, clinical decisions, and e-prescribing/refill automation (Aumula, N., & Sanelli, P. 2012, July…

    • 755 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The physicians need to be trained on the essential skills that they may need so that they can use the EHR without any challenges. In the absence of skills, the EHR implementation will be impacted to a big extent. When the physicians lack skills, they are going to pose a staff resistance to implement EHR because they feel threatened. However, if physicians are well trained, they will actively support the implementation. It will also be easy to maintain EHR in the physician desk.…

    • 551 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    The Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009 was established to promote electronic medical record (EMR) adoption and electronic health information exchange. Furthermore, incentives and penalties were fixed to invoke health organizations to install EMR programs and achieve meaningful use standards set forth by the Center for Medicare and Medicaid Services (CMS). Overall, the HITECH Act and Meaningful use standards were created to improve quality of care, patient safety, and public health. In order to verify the outcome we will investigate the effects of computerized physician order entry (CPOE), computerized decision support systems (CDDSs), use of statistical reports, and health information…

    • 1471 Words
    • 6 Pages
    Great Essays
  • Great Essays

    The cost reductions are established by emphasizing preventive care to minimize the need for more expensive reactive care. Pay-for-performance (P4P) models accomplish The American Academy…

    • 1109 Words
    • 5 Pages
    Great Essays
  • Great Essays

    Care Management Fees (CMF): Based on risk scores for attributed beneficiaries, practice receives average per beneficiary per month (PBPM) on a quarterly basis. 2. Performance Based Incentive Payment: Paid prospectively on an annual basis; must meet quality and utilization metrics to keep incentive payment. The payment is based on A) utilization metrics obtained by HEDIS standards, and B) clinical quality/patient experience performance obtained by Consumer Assessment of Healthcare Providers and Systems (CAPHS) survey. 3.…

    • 977 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    Movement to adopt electronic health records (EHRs) The federal government would like to see a vast movement toward adopting Electronic Health Records (EHRs) by 2015. This is evident by the incentive programs that are included in the 2009 HITECH Act. Along with this act, the regulations set forth by the Centers for Medicare and Medicaid Services (CMS) provide for a reduction of Medicare payments to providers who neglect to adopt EHR by the beginning of 2015. This mandate poses considerable challenges for the small clinic.…

    • 413 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Patients trust health care professionals and providers protect their medical information. Developments in technology allow for easier utilization and access to health records through electronic portals for patients and physicians. Laws such as the Health Information Accountability Act sets standards that health care providers must follow to ensure patient privacy. The purpose of this paper is to describe the Electronic Health Record (EHR) mandate and discuss how the Cleveland Clinic has implemented the EHR. In addition to explaining how meaningful use and what the Health Information Accountability Act (HIPAA) is and how violating the law can threatens patient confidentiality.…

    • 977 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    With EMR, it allow clinicans to tract date over time, easily identify which patients are due for screening and checkup, and monitor and improve overall quality of care within the practice (Garrett & Sediman, 2011). Personal Health Record is basically a collection of information about a patient health. This record allow patient to have access to their own health record and print it out…

    • 554 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Pros And Cons Of EHR

    • 689 Words
    • 3 Pages

    EHR can bridge the gaps between multiple health care providers of a single patient. Bridging that gap could improve care exponentially. Often when a patients is referred to a specialist, the patients is responsible for the cost of duplicate diagnostic testing or lengthy wait times for medical records to deliver hard copies. With EHRs the specialist could view the previous test results on the computer and have the ability to read the notes from the primary care physician instead of relying on the patient to remember what was said to them or to bring the hardcopy themselves. In that scenario alone the patient did not have to spend money on extra scans or waste time and communication between the two doctors could potentially be seamless (Steward…

    • 689 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Pros And Cons Of Ehrs

    • 1173 Words
    • 5 Pages

    In today’s world, many hospitals, physicians, and organizations are using the Electronic Health Records (EHRs) instead of paper charts to record patient information. The purpose of EHRs is to document and record the patient’s overall health information such as their medical history, treatment plans, diagnosis, and medications, etc. There are advantages and disadvantages of using EHRs instead of paper records, here are a few known pros and cons for us to better understand the adoption of EHRs. One advantage of EHRs is to make patient information available faster to the physicians and organizations which tremendously boosts the decision making process in patient care, health care management, and in health care policy.…

    • 1173 Words
    • 5 Pages
    Superior Essays
  • Great Essays

    Advantages Of HITECH

    • 1266 Words
    • 6 Pages

    Stage 2 and Stage 3 had been pushed back to allow physicians and facilities time to overcome certain barriers associated with developing an EHR that meets the requirements for meaningful use. One barrier that exists is that physicians needed better training on the upgraded EHR systems. It was discovered that additional training would help counter the loss in productivity that physicians felt when transitioning to electronic health records. Another large barrier has been designing and the utilization of patient portals. Unless providers take an active role in educating their patients about the use of patient portals they will not be utilized to their fullest potential.…

    • 1266 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Here Comes the EHR: Digital way to manage your health records privately, safely and efficiently The Electronic Medical Record is much more of a digital medical record, which works like the paper medical records but much more practical and safe, in as all medical and clinical data from laboratory tests to the patient's medical history, the medical requirements for health spending. But what is it and how does a digital medical record? What data does it contain?…

    • 499 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    As of 2010 the majority of private and public payers have committed themselves to having their provider payments incorporate both quality of care and efficiency. (www.ajmc.com) In the United States, according to the article written in PubMed, “a number of communities are adopting a managed care approach to caring for the low-income and uninsured individuals”. These communities have a system that is studying their health and tracking their wellness programs of those communities. This will greatly improve and create a design to help ensure access to primary and preventative care for the low-income group.…

    • 1227 Words
    • 5 Pages
    Improved Essays