EHR Interoperability and its challenges
The US Department of Health and Human Services EHRs to be interoperable by the year 2024. This means that authorized practitioners can share data easily, which helps deliver better quality of care. But what is the patients’ take on this?
A recent survey states that around 45% of patients want their doctors to directly exchange their health records. 25% of the patients had to hand-deliver their records to other providers themselves. These findings clearly show that if a patient has multiple doctors, then sharing of patient data becomes a daunting task.
Though recently, the number of organizations adopting EHR has increased, the problem is that these organizations use software that is unable to interface
“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 healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.
Many healthcare organizations had to implement an electronic health records system (EHR) to meet certain guidelines set forth by the government. This was a technology that the clinic implemented years ago to meet the needs of the patient, the requirements of the insurance companies, lean processes, and government regulations. This software helped also look for opportunities to treat our patients better and track data for population health. HG Clinic is investing in a new billing system that will allow them to track patient data better and improved billing process. These are just examples of opportunities that the clinic implemented and are continuously evaluating their current software and equipment and looking for opportunities for
Practice Fusion Electronic Health Record (EHR) System MEA-131 Ms. Slade June 17, 2016 Sharon Liles Practice Fusion Electronic Health Record (EHR) System Technology and the evolution of Electronic Health Records is an improvement to the efficiency and the effectiveness of how healthcare providers record, communicate and process patient information. According to Practice Fusion, “since 2005, the focus of Practice Fusion is expanding the ability to aggregate clinical data and share it meaningfully, by helping to make healthcare better for everyone. To improve clinical decision, support to tracking Meaningful Use, and provide insight that deliver better, safer and more efficient
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
There are distinct advantage to embracing Health IT. Fully integrated EHRs enable rapid adaptation away from a volume-based care delivery model toward an alternative quality-based model. Tracking and improving quality of care with key performance indicators is essential to meet HHS and consumer expectation. Providers and clinicians participating in the CMS Shared Savings Program will find access to clinical intelligence enables efficient reporting and performance monitoring.
Annotated Bibliography on Meaningful Use and the Electronic Health Record Nursing Informatics Jennifer J. Carrillo RN Dr. Morse 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.
You need a system that can keep up with this ever changing world to give the patients the best care possible. There is new procedures, information, diseases, and advances in science on a daily basis and if you don 't have a system that can keep up with all of the changes, you can waste time and money along with the loss of patients. Patients need and deserve the best care possible and it 's up to the doctors to make that happen. Organization is going to be a key component in an EHR system as you need important information and fast in some instances and if you don 't have a well-organized system, it could mean life or death, in some situations.
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
"It's much cheaper to keep people well than it is to treat them when they're sick," he says. "Part of wellness will be monitoring what's specifically important about each patient, like bathroom scales for congestive heart failure patients or glucometers for diabetics that transmit data directly to their EHRs." -John D. Halamka, MD, MS(McBride). That being said the Electronic Health Record or EHR has made monitoring health even easier with the ability for patients to access their records from home, email their doctors among other
Health Information Exchange (HIE) sounds like a lofty concept but it enables health care professionals and patients to securely share and access a patient’s vital medical information electronically. It is the ability to transmit healthcare information across organizations within a healthcare system such as a hospital, a community, state or region. state. In this paper, I will focus on the key concerns of healthcare leaders have about health information exchanges and whether it has helped healthcare in terms of delivery, quality of care and cost savings. Also, whether health information exchanges have become an essential part of the healthcare system and how close is the United States to the goal of nationwide implementation.
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.
Adding more parties to sharing data along with the time it takes to complete a cohesive DURSA agreement can be lengthy and costly. Another challenge of HIE is that HIEs can sometimes be viewed as providing duplicative information or solutions offering patient portals or patient related information directly to the consumer. Health information exchange has three key forms: directed exchange, query-based exchange, and consumer mediated exchange. Directed exchange is the “ability to send and receive secure information electronically between care providers to support coordinated care” Examples of patient information include ancillary test orders and results, patient care summaries, or consultation reports. The encrypted patient information is electronically sent securely between parties with an established relationship.
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