Implementing electronic health records improves patient care and safety. The development of the Meaningful Use Program was to initiate a nationwide exchange of health information to improve health outcomes and reduce costs. Benefits of using the electronic health records include; less paperwork for patient and providers, improved quality of care, reduce risk of medical errors, and reduced healthcare costs (Chin & Sakuda, 2012). The adoption and implementation of Meaningful Use of EHRs will improve health outcomes, increase transparency and efficiency, and ability to produce evidence based research to continue to improve patient care and safety at a national level (Chin & Sakuda, 2012). Furthermore, the development of Meaningful Use of EHRs provides a standard and modern approach to improve health information technology nationwide.
Process improvement is a quality management concept that involves the identification of weak areas in order to come up with ways to improve processes at the medical facility. Health care organizations gain from quality management procedures because administrators will be able to identify areas of weakness through compliance audits. Monitoring compliance is part of the quality management is a process of ensuring that health care givers follow procedures to ensure that patients are getting the finest
Unit 513 – Manage Health and Social care practice to ensure positive outcomes for individuals 1.1 (Unit 527 – 1.1) Outcome based practice is an approach designed to achieve desired patient care goals. This involves a combination of teamwork, quality improvement and outcomes being measured. The personalisation document has been introduced into a lot of recent government documentation. A system of care and support tailored to meet the needs of the individual is key, and has replaced the sixe fits all approach previously used. The social model of disability believes this is a better option to the needs-led assessments of the past.
Pay-for-Performance Tarvis T. Edwards HCS/531 November 03, 2014 Rachael Kehoe Pay-for-Performance Even though the effects of pay-for-performance will influence the future of health care in patient care, reimbursement to the healthcare providers will require close monitoring. The physician receives reimbursement for providing quality care and for making quality innovations. Pay-for-performance offers financial incentives to close the gap in healthcare the patients receive and the healthcare the patients could receive. The effect of pay-for-performance for the healthcare providers depends on his or her quality and efficiency of services he or she provides
This is began with piloting a single new process, followed by examining results and responding to what was learned by problem-solving and making adjustments, after which the next PDSA cycle would be initiated. According to Hughes (2008), the majority of quality improvement efforts using PDSA found greater success using a series of small and rapid cycles to achieve the goals for the intervention. The aims of effectiveness and safety are targeted through process-of-care measures, assessing whether providers of health care perform processes that have been demonstrated to achieve the desired aims and avoid those processes that are predisposed toward harm (American Academy Of Physical Medicine And Rehabilitation, 2008). The
A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.
Mitigating Lateral Violence: Design for Change in Practice Stacy Lacaillade Chamberlain College of Nursing NR451 Capstone Course 28 November, 2010 Design for Change in Practice Evidenced based practice (EBP) is an empowering process for improvement in the health care professions. Rosswurm and Larrabee (1999) credit the research studies which used meta - analysis, randomized clinical trials and systematic studies of patient outcomes over the last few decades as having started this shift from the “tradition of intuition – driven practice…to the new paradigm of evidenced based practice” (p.318). However, evidence has encountered a certain amount of difficulty being implemented into practice, thereby necessitating the use of a model when implementing a change based on evidence into practice. This paper will discuss the six steps in the Rosswurm and Larrabee (1999) model for implementing change as they apply to the necessary change of mitigating lateral violence in the nursing work place. Step 1: Assess This step of the change process begins with the identification of a problem.
The NQF published a report depicting the areas which need to be “fixed”. These areas included: improved population health, coordination of care, improved safety, increased efficiency, reduction of racial disparities and patient engagement. This was where the foundation began for Meaningful Use of EMR/EHRs (Electronic Medical/Health Records). From here, the American Recovery and Reinvestment Act (ARRA) added to NQF’s foundation with a focus on “preserving and improving the affordability of health care—and less medically-relevant provisions such as modernizing the nation’s infrastructure, enhancing energy independence, providing tax relief, and expanding educational opportunities.” (Clinic Service, 2011) This next level began in 2009 and since then, more levels have emerged such as HITECH Act- outlines the promotion of Health Information Technology (HIT); testing; funding including grants and loans; monetary incentives via Medicaid and Medicare; quality, safety and
The Electronic Medical Record, Dollars or Sense? Anne Wolfersberger Ball State University Abstract In recent history, it has become increasingly necessary, that facilities, especially inpatient acute care hospitals, implement an electronic medical record. Clinical information technology is recognized by champions of healthcare quality as a means to save lives, improve less than optimal care, and reduce costs (J Healthcare Finance 2004). There are several advantages to adopting the EMR, from reducing preventable adverse drug events to improving drug prescribing. On the patient side it has been shown that patient compliance with medication regimens as well as follow up appointments and preventative care greatly increase with the