Many e-Rx systems offer various useful features such as allergy checks, drug-drug interactions, disease-drug interactions, and many others although they may not be as comprehensive as full EHRs. Also, this project will only involve prescriptions incoming from non-VA providers. Outbound prescriptions from VA providers to outside pharmacies will be excluded since a majority of Veterans prefers obtaining prescriptions at the VA as the costs of obtaining their medications at the VA tend to be much lower than those at other…
This program provides the least disruptive path to EHR and a fully optimized interface and integrated practice workflow. Some of the key features are prescription writing, clinical reporting, built-in protocols and reminders including health maintenance choice of data entry methods, and single screen progress note entry. This EMR and PM is server based so this program would be optimal for an office with lots of memory space available. Lytec MD combines the PM features and the certified EHR that has helped thousands improve quality of care for their patients as well as increase financial performance. Some key features for this particular software is prescription writing, allergy checking, protocols and reminders, as well as your choice of data entry methods.…
"For everywhere we look, there is work to be done. The state of our economy calls for action: bold and swift. And we will act not only to create new jobs but to lay a new foundation for growth. We will build the roads and bridges, the electric grids and digital lines that feed our commerce and bind us together. We will restore science to its rightful place and wield technology's wonders to raise health care's quality and lower its costs” (President Barrack Obama, Inaugural Address, 2009).…
Meaningful use has greatly impacted healthcare interoperability by implementing certified electronic health records (EHR). With EHR put into act we are now able to view real time information of patients medical history, past and current medications, immunization dates, any diagnoses or allergies, as well as testing and lab reports. It contains all complete and accurate information to give providers access to evidence based tools when making decisions of a patients care. Some EHRs now allow patients to access web portals to view their own health records and even email their doctors. A major contribution to why meaningful use has helped healthcare interoperability is the fact that electronic health records can be accessible to authorized staff…
Technology plays a vital role in healthcare to improve patient safety and quality. Information and technology can aid clinicians in making the right diagnosis, and re-evaluate care by making effective use of information. One good example of that and the facility I am doing my practicum at uses a tool called Electronic Health Record (EHR). “The electronic health record (EHR) is a documentation tool that yields data useful in enhancing patient safety, evaluating care quality, maximizing efficiency, and measuring staffing needs” (Lavin, Harper, & Barr, 2015). The facility also constantly working on improving their EHR system.…
Clinical documentation improvement (CDI) is to ensure that clinical documents reflect the scope of services provided to a patient. Clinical documentation is the core to of every patient encounter. Health information management (HIM) professionals are recognizing the need for detailed clinical data for diagnostic and procedural coding, research, and patient safety. Facilities are improving clinical documentation by implementing programs. According to AHIMA (2015) these programs were developed to teach health care professionals what were not taught in medical schools concerning organization of healthcare records and completing documents in a timely manner.…
Electronic Medication Administration Records Affect on Patient Safety In today’s society it is excepted to receive exemplary quality care when admitted to a healthcare facility. This means that the patient is to receive safe and effective care from the nurse and interdisciplinary health care team, with the goal of obtaining positive patient outcomes. These goals can be partially obtained with the use of the advancements in information technology. Information technology has the potential to increase patient safety, improve continuity of care, and change the way healthcare is delivered (Moreland, Gallagher, Bena, Morrison, & Albert, 2012).…
Gradually implementing components of the electronic health record will decrease the level of anxiety and uncertainty associated with change. Incremental change is supported by allowing ample time for adjustment. One example of this is supported by executing the go live process of the electronic health record in stages. It would be beneficial for a healthcare organization to transition lab requisitions and lab results electronically before moving to electronic health record documentation. After all staff becomes proficient with this process, electronic physician order entry would be beneficial to employ.…
The primary purpose of this position is to improve the quality and efficiency of health care services by seamlessly integrating clinical and information processes. Health informatics program analysts are responsible and accountable for training and supporting all clinical staff to understand electronic documentation software systems. They work in partnership with personnel to provide expert and comprehensive clinical knowledge and technical support. Health informatics program analysts must possess the skills and knowledge needed to effectively improve all aspects of the health care data tracking and analysis. They must also be very familiar with electronic health records and…
Electronic Medication Administration Record and Patient Safety One of the reason medication related deaths occur are due to medication errors (Karen, 2011, p. 1). In fact, within the United States, approximately 7,000 people die each year due to medication errors (Karen, 2011, p. 1). According to Karen (2011) 1.3 million medication errors occur yearly, which relates to several injuries and approximately one death a day related to medication errors in the Unites States (Karen, 2011, p. 1). One major cause of medication errors can be explained using the medication administration process (Mccomas, 2014, p.590). When a health care provider is responsible to administer a medication, there are approximately 50 to 100 steps involved in this process…
Technology Informatics Over the years, hospitals have worked hard to decrease the amount of post-discharge medication errors. According to Allison et al. (2015), electronic medication reconciliation is a system created to help medication inconsistencies. These electronic medication reconciliation handouts are now part of Joint Commission on Accreditation standard requirements.…
A qualified EHR not only keeps a record of a patient's medications or allergies, it also automatically checks for problems whenever a new medication is prescribed and alerts the clinician to potential conflicts (Health It, 2016). During my clinical experience, I had the chance to document patient care and assessments. Documenting these notes are important communication tools utilized by nurses. Health care professionals rely on each others electronic documentation to improve a patient's plan of care. Using the bar code to scan the patient's hospital identification bracelet and medications help prevent medication errors.…
One of the disadvantages of HIPAA was the over causticness in making sure information was not mishandled; which can create a disturbance in medical emergencies and time lagging when sharing vital information. HIPAA also increased the number of paper work, labor and time and cost. In order to correct this many health organizations outsourced the task of medical information to a growing industry of companies who help comply with HIPAA laws. As stated before standardization of information was a goal under HIPAA and play a connecting role with electronic health records (EHR). One of the ways to address the disadvantages of HIPAA was the use of EHR easing the use, storing, processing and sharing of medical records, however implementing this change is a challenge of its own.…
According to Darzi (2014), the introduction of records sharing schemes is already transforming the medical landscape by reducing errors and improving care. Electronic health records are crucial because ACO’s mange the health of the patient, thus requiring patient care records on every patient in the system. Health information technology provides clinicians with accurate and complete information about a patient’s health and reduces the amount of paperwork for patient and physicians. Additionally, electronic records are an essential part of data recording for the physicians to see the past history of each patient. This would allow the health care staff to take data from all the sources and use it specifically to track and manage the patients.…
For inpatient care organizations, proper and accurate clinical documentation has always been important. In today’s shifting healthcare landscape, with the implementation of the prospective payment system, coded data has taken on a greater significance and became a mechanism for reimbursement, quality measure reporting, and profiling has become even more of a strategic imperative than perhaps ever before. Documentation is essential for patient care, not because only it validates the care given, but can enable the sharing of key data between care providers, which optimizes the healthcare claim and reimbursement. The clinical documentation improvement (CDI) focuses on improving the quality of clinical documentation regardless of its impact on…