Evaluation is an integral part of any project. It is key to assessing progress midway in order to correct any mistakes, it is also the surefire method to avoid past pitfalls in a future undertaking. Considering the scenario of evaluating a system after two years, first it must be remembered that there will be crossover, points and factors where both quality and cost will meet. Hence, the possibility for redundancies. There are quite a few features in an EMR from which this assessment can be made they will be mentioned appropriately as we look at how performance and impact can be gauged in quality, cost and patient satisfaction. The last of these patient satisfaction does not have any clear-cut methods or features within an EMR itself to evaluate …show more content…
Features to be evaluated will include: medication features (CPOE, interaction alerts, allergy lists, guidelines and references); laboratory features; diagnosis features (decision support systems, evidence-based guidelines); clinical encounters (provider notes, clinical helps and guidelines); aggregate reports. This category encompasses both quality of care but also “quality of work life” (Wager, Lee, & Glaser, 2009). The latter is measurable using surveys (with targeted and/or open ended questions) of system users on how the EMR has improved or worsened their productivity, satisfaction and so on (Rahimi & Vimarlund, 2007). An optimal system will allow for less medication errors, meaning a better outcome for most patients. These errors arising most of the time from duplication, incorrect dosages for example. Although there are new errors that will appear, results are promising in general (Wager, Lee, & Glaser, 2009). A study had found that such a feature reduced by about half the major errors in medication at the Brigham and Women’s hospital (Wager, Lee, & Glaser, 2009). We will also expect better care through the use of more standard approaches to disease management thanks to a solid Decision Support System (DSS) if it exist in this configuration (Rahimi & Vimarlund, 2007); quicker access to lab results. Accuracy of data entry can be assessed by comparing the quality of physician notes in paper form versus …show more content…
It is related to almost all the features used to evaluate quality, added with billing features, security, and IT infrastructure (which determines part of the maintenance costs). To summarize what will follow, this IT project will require a cost/benefit analysis where investment and maintenance cost will be measured up to any revenue and reduced costs linked to the use of the electronic system, which would then warrant a comparison to a similar time frame using the old paper based system. From the experience of other organizations and many studies, it was found that use of an EMR system generally increases revenue, by dismissing many billing errors, loss of files needed to process a claim or face an insurance related event (Wager, Lee, & Glaser, 2009). There is also reduction of the cost of supplies (paper for example), reduction in employees needed (archivist for example), reduction of wasted resources (elimination of duplicate lab tests, duplicate prescriptions) (Wager, Lee, & Glaser, 2009). The return on investment of an EMR is generally positive, thought differences exist due to maintenance cost of different operating systems and infrastructure. The benefits fall into the categories of: payer-independent, capitated and fee-for-service, and within each category often as much as 30% or more reduction of cost can be identified (Rahimi & Vimarlund,
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They should be hold accountable for any breach in protocols. • Present format for electronic documentation does not allow for comprehensive clinical documentation during follow-up visit. Efforts should be made to upgrade the electronic medical record system to the standard of that expected for a medical center and research institute. This is to allow for proper documentation according to the industrial standard, and easy retrieval of patient’s information for clinical research. There is a need to employ a clinical documentation improvement specialist (CDIS) in this
Since CMS implemented the Physician Quality Reporting Initiative (now known as the Physician Quality Reporting System (PQRS) under the Tax Relief and Health Care Act of 2006 (TRHCA), there have been several changes in participation sanctions, reporting mechanisms and eligibility for incentives and bonuses. During the first two years, the program was technically a temporary, renewable initiative that sought to improve the quality of both delivery and coordination of care. The initiative became permanent when the Medicare Improvement for Patients and Providers Act (MIPPA, 2008) was enacted. The Centers for Medicare and Medicaid Services (CMS) believes the sanction-based initiative will empower consumers and providers to make better informed decisions
There is No One-Size-Fits-All Electronic Medical Records (EMR) Solution Every medical organization has a unique rhythm and workflow patterns. That’s why best-in-class EHR software and PM solutions designed by healthcare professionals, for healthcare professionals offer superior functionality and flexibility to adapt in diverse environments. When physicians, clinicians and facility administrators actively participate in software design and development, the result is an electronic tool that supports efficient, productive administrative task management and improves patient experiences throughout the provider/patient relationship. MediPro Offers Best-Fit EMR Software Solutions Ideally, software features meet practice-specific needs while improving record accuracy, streamlining
MTM is used to describe the broad range of health care services provided by pharmacists. These services include comprehensive medication reviews, medication reconciliation, drug use review, the ordering and review of lab tests, immunizations, drug dosage adjustments, and identification of gaps in care. Integrated systems of care, such as accountable care organizations (ACOs), already view MTM as essential to care delivery and to meeting ACO quality and cost targets. Such organizations also are heavily invested in HIT, including e-prescribing and EHRs. MTM can improve medication adherence and patient outcomes among patients suffering from chronic diseases, thus cutting costs and improving the quality of care and patient
Six months after the introduction of medication aides, error rates were as follows: RN (2.75%), LPN (7.25%) and medication aides (6.06%) with a mean error rate of 6.6%” Randolph & Scott-Calwiezell (2010) as cited in Budden (2011). While errors remain, the objective of reducing inaccuracies among primary nursing staff was achieved by
Preventable medical mistakes cause approximately 200,000 deaths around the United States each year. (1) More than 1,000,000 Americans are negatively impacted by medication errors each year caused by inadvertent mistakes in the prescription filling process. With 4 out of 5 adults taking at least 1 medication daily and 1 out of 4 adults taking 5 or more medications daily nationwide, errors like these cost healthcare industry billions of dollars per year. Health information technology were developed to transform healthcare services, the way they are provided and compensated. Electronic prescribing (e-prescribing) becomes an internal part of that transformation process, which can be confirmed from annual Surescripts’ National Progress Report.
The registered nurse (RN) is reviewing orders and completing the medication reconciliation (Med Rec) in the electronic Medical Record (EMR). Med Rec is a process for double checking medications, where the RN verifies that the details of the medications written on the provider's orders match those recorded in the medication administration record (MAR) used by the nurse. During the Med Rec process, several alarms/alerts go off. Does the use of EMR guarantee error-free patient care? If yes, why?
Electronic prescribing allows the medical practitioner to send a patient's prescription electronically to the pharmacy. This allows providers instant access to a patient's eligibility and medication history. An electronic device allows the medical practitioner to quickly review a patient's other prescriptions and conditions, flagging the physician if the dosage is incorrect or if there are any contraindications to prescribing that specific drug. For instance, suppose Physician A prescribes Ibuprofen 800mg to a patient on Thursday due to a migraine. The same patient presents to Physician B at the same practice the next day with wrist pain seeking more painkillers.
Medication errors can be very dangerous for the ones taking the wrong medicines or doses; therefore, safety measures must be in place. Administering them must be done with an understanding and focus. One missed check could have a staff member giving a resident the wrong set of pills. Some interventions to help prevent the medication error from occurring is to first report errors. When errors are reported, the main cause is to try and never let the error occur again.
I am able to document and share with patients and staff data such as lab results in real time. The Medication Administration Record helps me record and dispense medication in a correct and timely manner. The MAR also helps me provide patient education using references that are specific to that medication. I am able to access the information as I am talking with patients and provide copies of that information to patients for future use. I enjoy using the Cerner EMR program because it helps me provide information using different technologies to improve patient care and safety at the bedside.
The patients experience within the hospital is collected from a survey done randomly among patients. Each hospital must have at least 300 survey responses per year. After collecting the data, the data is submitted to the survey data warehouse, where it is analyzed and adjusted to truly reflect the hospital’s conditions. The Centers for Medicare and Medicaid Services along with the Agency for healthcare research standardize the survey results with the hospital consumer assessment of healthcare providers and systems survey. This survey has only thirty-two questions which are analyzed each year.
Medication errors are preventable adverse events and costly to patients, insurance companies and health care organizations (Institute of Medicine, 2006). It is estimated that for every adverse drug event that occurs in a hospital, adds over 8,000 to the hospital stay (Institute of Medicine, 2006). One of the essential components in reducing medication error is a collaborative partnership with the patient and healthcare providers to facilitate communication. Patient education regarding risks, side effects, drug interactions and contraindications must be thoroughly reviewed with the patient (Institute of Medicine, 2006). The use of technology for prescribing, dispensing and to obtain detailed information regarding