Running head: NUT1:NURSING INFORMATICS:TASK 2 NUT1:Nursing Informatics:Task 2 Western Governors University NUT1:Nursing Informatics:Task 2 Section A Computerized medical record increase quality of care in many ways. First, it is a way that your medical records could be electronically viewed from one doctor to another without the need to wait for transfer of records or the need to copy records and hand carry them to another doctor. Second, they help reduce errors in orders due to the inability to decipher handwriting. Also, if you are in the hospital, your doctor can view your test results and give orders via computer from either his home or office. ( Lee, A. C. 2013).
PFCH would greatly benefit from the use of an ERP system developed for hospitals, such as McKesson ERP Solutions. Systems such as these, which are developed specifically for medical professionals, enable hospital workers to easily access, update, and distribute patient information. ERP systems take the data from all other applications and manages that data, resulting in a streamlined, easy to understand overview, known oftentimes as the dashboard. More detailed information is just as easily accessed by the system and displayed in a series of charts and graphs, as well as other tools used to assist healthcare providers in the diagnoses and treatment of patients. While ERP’s are not necessarily well-designed to handle big data, it is my recommendation that both be used parallel to one another for the most benefit.
Paper charting cannot effectively be used and searched to follow, examine, and or chart numerous clinical processes and medical information. Paper filing also cannot be saved or copied easily off the premises. Doctor’s orders and any corresponding information, such as labs and prescriptions, can be handed out, stored, and looked after more effectively in an electronic medical record system. Electronic medical records can also improve the quality of care for the patient by combining and joining together the patient information that is vital in quality of care. Electronic medical records “provide admitting staff, physicians, and other care giving and business professionals’ appropriate access to common patient data while maintaining privacy requirements” ("Benefits of EMR", 2003, figure 1).
Description and Reason Interoperable electronic health records (EHRs) is the health records structure chosen for this paper. These computer driven formats play and important role in a hospital
Lastly, coding managers need to use strategies to improve coding accuracy and productivity in order for the responsibilities to be carried out adequately. The job description for an inpatient coding position involves a variety of duties for the accuracy and completion of a medical record. The inpatient coder works under minimal supervision. They are only responsible for reviewing all patient records, but they are also responsible for coding the information to be entered into the computer for all inpatient cases. The inpatient coder ensures that the data entered is relevant, indicating the reason that the patient was admitted, which involves the kind of illness and a breakdown of the treatment that was given (Henderson.)
Communication Paper Susan Hall HCS/490 Oct. 10, 2011 Dr.Eboni Green Communication Paper One benefit to the patient with the use of electronic records is that it is effiencient. Electronic medical record is a new way of record keeping, it is the process of moving patient’s records from paper and someone putting the records up and moving them to a computer. Computers are able to store more information, which makes this better for the patient and the doctor, as well as the insurance companies Privacy rule is balanced that it permits disclosure of personal health information needed for patient care and other purposes that are important. The security rules are a series of administrative, physical, and technical safeguards to cover entities
All of the UNMC branches can now share PHI electronically. This saves time versus having to transport paper records, which could take days (Breakthroughs for life). It also saves money by doctors not having to repeat test that have already been completed at another facility. Electronically sending records could help diagnose patients faster by providing the doctor with patient history, improving the overall quality of healthcare. The sharing of electronic health information with the Department of Public Health can also help in the early discovery of disease epidemics.
1. COMPUTERIZED PHYSICIAN ORDER ENTRY DERRICA WRIGHT HCIS/255C Computerized physician order entry is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care. These orders are communicated over a computer network to the medical staff or to the department’s pharmacy, laboratory, or radiology responsible for fulfilling the order. CPOE decreases delay in order completion, reduces errors related to handwriting or transcription, allows order entry at the point of care or off-site, provides error-checking for duplicate or incorrect doses or tests, and simplifies inventory and posting of charges. CPOE is a form of patient management software.
This complex new system has ways of looking up patient history and pharmaceutical information if a drug is not known. Physician orders were now legible and properly sent with the new computerized physician order entry (CPOE). There were issues with the start of the system to locate beds that patients were listed in and how to get labs done from the Lab tech being paged through a paging system. Patient Access Reps, Doctors, and Nurses were now able to use “work station on wheels” (WOW) where portable laptops were used to triage and register a patient rather than the use of
Patient Rights Requirements in Health Information Management Jamie Trun Legal & Reg Issues-Hlth Info Vanda Crossley April 13, 2014 It is known that today, with the growth of computerized health information systems, there is a potential threat to the patients’ confidentiality. Easy and rapid access makes it possible to get any information concerning the patient’s medical records which can cause damage to the patient’s life and psychological state. Some patients are not aware of the fact that the details of their treatment can be put into the database accessible to any physicians, and their staffs only but as well medical laboratories, employees of insurance companies, researchers, public health insurance and