Annotated Bibliography on Meaningful Use and the Electronic Health Record
Jennifer J. Carrillo RN
August 7, 2016 Annotated Bibliography on Meaningful Use and the Electronic Health Record
In 2004 President Bush addressed the need for healthcare reform through the electronic health record. President Obama further expanded this notion and attached financial incentives to hospitals and providers who became meaningful users of the electronic health record. Hospitals and providers had to sustain certain quality outcomes and measures. Currently, if quality outcomes are not obtained hospitals and providers are penalized. What is the sole purpose of meaningful use? Patient outcomes will improve and care will …show more content…
The following statement best surmises meaningful use: “meaningful use suggests that better healthcare does not come solely from the adoption of technology itself, but through interoperability or the exchange and use of health information to best inform clinical decisions at the point of care”. (Martin et al. (2011) pg. 52. Para. 2) The Omaha System remains statistically superior to other interface terminologies of the electronic health record. The efficacy of the Omaha system has been heavily researched and covers numerous types of patients in various types of settings. The authors, well credentialed and academic, thoroughly describe the Omaha system and its benefits for meaningful use achievement. I found it extremely fascinating that the authors referenced the author of resource 1. This article was well written but was more cumbersome and tedious to navigate through compared to other resource …show more content…
The resources above expanded on knowledge concerning the definition, evolution, proposed outcomes, research and the technology of meaningful use of the electronic health record. Nursing administrators, staff nurses, and nursing informaticists all perform an essential role in achieving meaningful use of the electronic medical record to improve patient care. Certain authors referenced other authors proving that the health information technology field is indeed a tightknit community. The resources were well written from highly credentialed authors and were, for the most part, easy to comprehend. All of these articles were written for the nursing professional with the exception of resource
The American Reinvestment and Recovery Act laid out the groundwork for a program designed to equip hospitals and medical practices around the country with electronic health record systems by providing financial incentives (p. 245). However, in some markets such as long-term care facilities the transition to electronic system has been slow. Professional nurses whose careers are in long-term care in our nation will play major role in getting electronic health systems into these settings. It will take nurse advocating for these systems and continuation of research showing evidence that supports widespread adaptation of these systems, but nurse united under one cause, best practice can make anything happen.
Health Information Exchange Providers across the U.S. are turning to the Health Information Exchange also known as HIE. HIE provides secure online access to patients charts among a network of providers, hospitals, clinics, doctor’s offices, and pharmacies who join in the exchange, so they can have timely electronic access to records their patients will allow them to share. For patients this means having their medical records available no matter where they go and for providers it means having instant access to life saving information when seconds count
Since many health information infrastructure systems are relatively new, there is still variability in the implementation stages that different organizations have achieved. Additionally, most systems will have more than one capability that provides value, so the relationship between the system’s functionality and the resulting impact to patient care must be analyzed in order to determine the value it provides (Einstein, Juzwishin, Kushniruk, & Nahm, 2011). Value of health information infrastructures can be assessed in many different ways, including whether the technology allows the availability of useful information, how that information is utilized by staff and patients, and its impact on health outcomes. For information to be of value and influence medical decision making, it must be comprehensive, accessible, useful, and valid (Fitterer, Mettler, Rohner, & Winter, 2011).
Electronic health records are essential in allowing physicians to monitor their patients’ health, notice trends, and potentially prevent hospital readmissions, quickly diagnose diseases, and reduce medical errors. This is the first in a series of blog posts where we ask the question “What is Meaningful Use of an EHR?” In this post, we interview a physician at a family practice to learn more about how he is meaningfully using his EHR to coordinate patient care, prevent a hospital readmission and ultimately improve patient health. On the day we spoke, Dr. Frank Maselli of Riverdale Family Practice in the Bronx had just finished seeing 30 patients.
Interestingly, the findings from the review of literature shed light to the challenges nurses encounter with the implementation of electronic health records and identify areas for improvement that could be made in an effort to achieve the goals of the HITECH act. Based on the review of literature, overall, the electronic health record is seen as a positive aspect to assisting nurses in providing positive outcomes for patients. However, challenges still exist with the daily utilization of the EHR, with communication among healthcare providers and interdisciplinary teams. These challenges present nurses with great difficulty as they attempt to provide care to their patients. Because some nurses continue to struggle with utilizing the electronic
In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR
Most people don’t think to worry or wonder where all of their information goes when they visit the doctor’s office, or how the doctor knew things about them from several years ago. They don’t ask the question especially when they go to a new doctor who knows the same thing about them that they’ve never talked about. Electronic Health Records, also known as EHR’s, are becoming some of the most important parts of medical offices around the country and are advancing more and more each day. Ever since the 80’s, EHR’s were being designed and formed, but not until 2009, when the HITECH Act came out, did they start becoming of key importance to the health care market. As they keep growing more and more each day, EHR’s are becoming vital to patient health.
Electronic Health Records and Patient Confidentiality Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or
Introduction Since 1928, the American Health Information Management Association (AHIMA) has been at the forefront in improving healthcare information management. Health Information Management (HIM) is the practice of the acquirement, storage, and protection of crucial information concerning patients’ health and other personal data. Widespread computerization has introduced Electronic Health Records (EHRs), which has continued to replace the traditional paper-based records. AHIMA’s History and Mission
6.Current Status of EHR ,Issues and its Future Implementations for its Expansion EHR is an integral segment of the transition to computerized documentation. The digital wave should be embraced to upgrade the healthcare disparities of Americans. To address the future of health care in the 21st century, the employment of electronic health records is crucial and will lead to preferred element outcomes for the patients. As technology continues to improve into the health care realm, the EHR will explode and advance capability of customer services .The transition must yield successful outcomes that may easily accomplished by invoking better medication choice for the providers using EHRs.
LaTour, K., Maki, S., & Oachs, P. (Eds.). (2013). Health information management: Concepts, principles, and practice (4th ed.). Chicago, IL: AHIMA. ISBN-13:
The ROI of EHRs article breaks down the importance of Electronic health records. Healthcare leaders need to have an open-mind about electronic health records to gain a better organized system. Health organizations spend billions trying to find a working system instead of changing to the electronic health records system. Most organizations are making their IT department play bigger role working along with physicians to make electronic health records a key component of healthcare facilities making EHRs an effective program. Electronic Health Records are important to improving the quality of care provided, being able to find a patients history of care at a click of a button.
EHR has its advantages and disadvantages of implementing new technology in the health care system, EHR can help improve collaboration, communication, performance, and decrease added work. The author believes that the incentives that the government is providing for physicians and hospitals to adopt electronic health records system will help improve accessibility to patient data, improve preventative health, and provide a collaboration from both patients and health professionals to increase patient ’s outcomes of their overall
The statement of American Nursing Informatics Association (ANIA) is to promote patient safety through the use of evidence based practice and electronic health records (EHR) (Addressing the Safety, 2017). Collaboration between multiple disciplines, including quality, risk management and informatics, will ensure an EHR safety program is developed and that it is standardized and easy to for health care personnel to use and submit patient safety events. Once an event is submitted, the ANIA recommends proper protocol is in place to investigate the events and that a follow up is completed with the original submitter (Addressing the Safety, 2017). This author’s committee will evaluate the success of this HIS to above standard monthly.
This paper will illustrate how Hennepin County (HC) utilize monitor and maintain EHR records for the following business lines hospital, outpatient clinics, health, social and human service. Data sharing of EHR has allowed the organization to successfully provide care coordination for the population we serve. As healthcare evolves and service delivery continues to influence healthcare, it is essential that each business lines work together and collaborate to effectively access EHR within the Epic system. EHR systems, data bases, web portals are critical for a healthcare provider remain compliant with federal regulations. I am an HC employee, and my organization is unique, because we own and operate Hennepin County Medical Center (HCMC) and