Future Trends and Effects of EHR Angelene Sears HCIS/265 September 28, 2014 Lucinda Shipley Future Trends and Effects of EHR Electronic health records are enhancing patient overall health care across the country today. We have a system that allows doctors, hospitals, and all health care providers to communicate securely and warehouse patient records. So if you’re at home or in another state, get ill or wounded, the information about your medical state is available to medical providers attending you. Hospitals and physician that utilize digital systems see many benefits of EHR’s over paper records, and this exchange of health information means providing better quality of patient care. New technologies are continuously in advancement
The growth of managed care and payment mechanisms employed by insurers and other payers in an attempt to control the rate of health care spending has also had a major impact on health care utilization. Efforts by employers to increase managed care enrollment, as well as major Medicare and Medicaid cost containment efforts such as the Prospective Payment System for hospitals and the Resource Based Relative Value Scale for physician payment, created incentives to shift sites where services are provided. Clinical documentation in the health record is critical to the patient, the physician, and the healthcare organization. Hospitals, in particular, have become more dependent on physician (provider) documentation in order to comply with the Centers for Medicare and Medicaid Services (CMS) regulations regarding quality and reimbursement. Place of service affects your reimbursement: Facility, non-facility designations make a difference In 2008, the Office of Inspector General (OIG) for the department of Health and Human Services intends to focus on Place of Service errors for services submitted by physicians.
With values in service excellence, quality and safety, growth and profitability, and staff achievement, it’s important to remain knowledgeable of the national trends in healthcare as it may have a larger impact in how Trinity may deliver healthcare to the orthopedic, cardiovascular, and cancer centers. Another large trend seen in healthcare is the shift from fee-for-service model to a fee-for-value based system. In the current fee-for-service system reimburses providers for healthcare, where physicians and healthcare professionals have incentives to provide more for the patient in the form of tests ordered and procedures made. The fee-for-value system works on an equation of quality over cost over time, which provides patients with safe, appropriate, and effective care with enduring results at reasonable costs. (Binder, 2014).
This paper will address the foundational frameworks of QI, the various stakeholders’ definition of quality, the various roles of clinicians and patients in QI. This paper will also address why quality management is needed in health care industry, accrediting and regulatory organizations involved in QI. The Foundational Frameworks of QI The foundational framework of QI is a continuous process that focuses on multiple relationships such as implementing improvements and improvements in processes. Some areas that organizations may concentrate their improvement efforts on are the reduction of medication errors, reduction of emergency room wait times or clinical measures such as breast cancer screenings or HIV testing. Walter Shewhart developed the Plan, Do, Study Act cycle used as the basis for planning and direction performance improvement efforts (Ransom, Joshi, Nash, & Ransom, 2008).
It has both centralized and decentralized structures. The health care delivery system is unique providing services, such as caregivers, hospitals, laboratories, and pharmacies. It is an all-rounder in the health care industry that plays different positions ranging from delivering health care to providing health care treatment. The organization is operated by health care professionals, business professionals, construction workers, and customer service experts. Kaiser Permanente has “universal commitment improving the health and wellness of the members, patients, colleagues, and communities” (Kaiser Permanente, 2012).
They provide open architectures, protocols and technologies and an online platform for users to share their insights and experiences. Sensors, actuators and other communication devices work in tandem to provide relevant information from the ‘physical world’ as well as databases and other platforms in the ‘Cyber World’. This information is further analysed intuitively and presented to the user in user-centred, visually appealing design. Users are encouraged to share information through award programmes and incentives so that health care providers can have a complete view of the status of the patient’s health care and provide treatments accordingly. This will drive health care organisations towards research and innovation and become benefit focused organisations that provide effective treatment methods.
His implementation has begun to change the forces of healthcare on all forefronts. Each year the PPACA will dish out he ACA will distribute various goals that will assist in the expansion of healthcare services under Medicare and Medicaid, the reduction of spending in relation to healthcare as well as assistance to decrease healthcare spending for American citizens for medical coverage. Other objectives under the ACA are to influence disease prevention, support electronic medical records (EMR), accomplish long-term proficiency, and focus on patient safety and the quality of care (Rivers & Rivers, 2012). It is the duty of healthcare providers to encourage and concentrate on quality of care within the PPACA
The health care system has developed significantly in the way it operates, and is constantly changing with time, to achieve the best outcomes for both the HCP and the patient. Conducting research is fundamental, as it provides nurses/paramedics with an increasingly sound evidence base, from which they are able to adapt to and better their practice (Burns & Grove, 2007). Research is a systematic enquiry, which utilises disciplined methods to be able to solve problems and answer questions (Polit & Beck, 2008). Evidence-based practice in health care relates to the process in which the practitioner, utilising the research, obtains empirical evidence regarding the effectiveness of the range of options, and then determines the relevance
A Vision for the Future Melanie Reynolds NUR/391 June 13, 2011 Patricia DeBruin Health Care and Nursing Today The health care system today is facing many challenges and opening many doors for opportunity and growth that will directly influence the nursing profession and more important the delivery of patient care. The expanding roles of nurses, the influence of evidenced-based practice, the importance of research and the trends in health care are directing the nursing profession toward a powerful evolution into a future of opportunity. The days of Florence Nightingale have long passed, but the example that she set for attending to the needs of patients is emerging to a higher standard today. Healthcare today is demanding nurses to keep up with and transform the nursing practice to meet the demands emerging today in health care. Influence of Evidence-Based Practice Evidence-based practice developed to facilitate a higher quality of care and the best patient outcomes.
CHANGING NATURE OF WORK In the last 100 years there have been an enormous amount of changes in the working environment. At the turn of the last century a portion the population were unable to read or write This did not stop them from being employed as they were trained on the job and became skilled workers. In this day and age if people are illiterate they are virtually unemployable. The nature of work has changed in keeping with the change of our civilisation. In the 1980’s who would have thought of having personal computers or being able to log on the Internet.