The passing of the Hi-Tech Act in conjunction with the Affordable Care Act (ACA) created a platform that has allowed for electronic medical records and health information system to become some of the defining factors for high quality service in health care. Both of these act have been key in pushing the standards of health care to the next level of high quality care. Before their passing, there was little to no reason for to health organizations to make such a costly switch to something that, at the time seemed, not worth the investment. Kaiser Permanente as long since been a big name in pushing the boundaries for health information. The truth of the matter was that both the Hi-Tech Act and the ACA did not have a hand in Kaiser’s decision …show more content…
For Kaiser, the implementation process began with their budding HealthConnect system in 2004. For a majority of health providers, key staff member can be the part of the organization holding back a health system roll out. In a point of care communication evaluation by the Spyglass Consulting Group found that 83 percent of physicians expressed difficulties trying to use EHRs and clinical support tools (Malkary, n.d.). Mr. Valli said that Kaiser was an exception this common problem in healthcare. He credits Kaiser’s successful use of change management strategies to help move things along. In a HIMSS article by Claire McCarthy, the Director of Organizational Effectiveness for Kaiser, she talks more about the actual thinking and application of Kaiser’s change management strategies. She breaks it down into three steps. First is understanding what change management is for the organization and informing staff (Change Management 101 - Getting Started, 2011). Secondly is ensuring the leaders of the organization are held responsible for facilitating the staff and the outcomes they produce (Change Management 101 - Getting Started, 2011). Lastly, is to engage the stake holders and establish a clear reinforcement plan for bring the change into fruition (Change Management 101 - Getting Started, 2011). Another key aspect Kaiser Employees to help with the transitions into EMRs and health systems is they have teachers for their systems which is what Mr. Valli does. These courses help nurses and physicians alike learn parts of Kaiser expansive health information system with the help of an instructor. One other large issue Kaiser faced was their first system was a Clinical Information System (CIS) developed by IBM. However, the initial implementation was rocky and did not work out (Smelcer, 2009). This first bad implementation lead to a 400 million dollar lose to Kaiser according to
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“Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient’s vital medical information electronically—improving the speed, quality, safety and cost of patient care” (HealthIT, 2014). Health Information exchange is becoming important in the communication between providers to provide the best care possible to patients. Every state along with their hospitals has their own way of exchanging information between each other. South Carolina’s health information exchange is called “SCHIEx” (AHIMA, 2010). “SCHIEx provides a state-level information infrastructure for connecting local healthcare providers and other stakeholders” (AHIMA,
Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
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.
My role as a patient advisor with Kaiser Permanente began in 2010 after the birth of my daughter. I was induced and spent 6 days in the hospital and during that time my family and I experienced wide fluctuations in the level of care and communication provided by the various healthcare professionals attending to us. At the end of my stay, I shared my observations and perception of the labor & delivery and postpartum hospital experience with the department administrator and ombudsman. Upon providing my feedback I was impressed with the reception I received. My input was welcomed and embraced.
Today, the skyrocketing number of health care providers that enter the industry in both public and private organizations create a highly competitive market. For this reason, it is necessary for every provider to become competitive to attract customers and overcome the competitors in order to survive in the industry. However, the role of competition is still much debated since the pieces of evidence are mixed and contested (Goddard, 2015). The Kaiser Permanente is one of the healthcare providers that is standing still in the current competitive market since its establishment in 1945. It is established by industrialist and physician named Henry Kaiser and Sidney Garfield, respectively.
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
Throughout the past decades, many acts have been passed in support of health information technology and the adaptation of such technology. Two of those acts, the HIPAA (health insurance portability and accountability) Act and the HITECH (Health Information Technology for Economic and Clinical Health) Act, focus on protecting patient health information and utilizing health information technology. Although these acts bring about many positive changes within the healthcare industry, there are some downsides regarding the implementation of these acts, as there are with many acts that are passed. Both of these acts provide security to patient health information, however, the HITECH Act contributes more to the utilization of the electronic health
The focus of this paper will be geared toward the impact that the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Health Information Technology have on the cost of health care. The regulations connected to HIPAA have an impact on cost through enforcement, noncompliance, and implementation. HIPAA is a vital tool in the protection of PHI of patients and the improvement of the Medicare and Medicaid programs (Cleverly). Trying to contribute to the improvement of Medicare alone can be a daunting and expensive task alone, but to add the addition of protecting the health records of millions of patients adds to the rising cost. Health Information Technology (HIT), aids in the enforcement of HIPAA and helps with billing patients accurately for services that they have received (Wizemann).
In order to make sure the VA is providing the best care to veterans and their families the Department of Veterans Affairs (VA) has a performance and accountability report (PAR). PAR provides results on VA’s progress towards providing America’s Veterans with the best in benefits and health care. The goal of this report is to show how well the VA has done in providing care as well as forward-thinking strategies that are used in order to achieve and maintain excellence. Another plan that is in place to provide the best care is the VA FY 2014-2020 Strategic Plan. This plan uses past successful programs to promote further improvements in quality, customer service, preparedness, and management systems.
A further problem associated with the costs of Obamacare is the enormous overhead which the production, maintenance, and general administration of the program requires. As Dan Mangan points out, the overhead costs associated with the development and implementation run upwards of $270 billion. In developing this point, Mangan writes, “The overhead cost [of Obamacare] equals a whopping 22.5 percent of the estimated $2.76 trillion in all federal government spending for the Affordable Care Act programs during that time . . . In contrast, the federal government’s traditional Medicare program has an overhead of just 2 percent” (Mangan, 2015). To a considerable extent, the massively large overhead that has historically come to be associated with Obamacare comes from the
(September 30, 2013) - The Department of Health and Human Services (HHS) published amended rules applicable to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 in January 2013. As explained by the Secretary of HHS, healthcare has experienced significant changes since HIPAA was enacted in 1996. The implementation of electronic medical records is just one of those changes. The new HIPAA regulations are designed to provide patients with better privacy protection, and additional rights not included in the original HIPAA rules.
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
Introduction The scope of the nursing practice is changing with the improvement of technology. Computer and information technology is just as important to nurses as their stethoscopes, so implementing and using Medical Information Technology (MEDITECH) an Electronic Health Records (EHR) is vital in improving patient care. The importance and knowledge of the possibilities and limitations of EHR systems is brought up throughout this paper. Chilton Hospital and Fairmont General Hospital review their possibilities and limitations about using MEDITECH.
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.
Health information exchange or HIE allows doctors, nurses, pharmacists, and other health care providers and patients to access vital medical information. It also allows them to share medical information securely and electronically. HIE improves the speed, quality, safety, and the cost of patient care. For many years patient's files were stored using paper methods, transferring them by mail, fax or transferred it by hand to every appointment. Changing to electronic file improves the completeness of patient's medical records.