The regulation and demand for providers to implement electronic health records (EHR) has created a technological venue for improved communication of patient health outcomes and needs (“2015 Environmental Scan”, 2014). However, EHR data exchange capabilities remain lacking across provider channels. One of the benefits of technology is the opportunity for health organizations to streamline payment options (“2015 Environmental Scan”, 2014). Organizations also have the possibility of informing marketing strategies through technology by generating customized, interactive websites which provide consumers the option of online appointment scheduling, provider information, patient forms, and supplemental education materials (Rooney,
Yes, the evolution of technology from Stone Age to Metal, and now to Electronic or Computer age is one thing constant in our civilization. Changes happened daily so with our technology. In the healthcare world, from handwritten notes and typed reports to computer-based patient records, now the adoption of much newer term, the Electronic Health Record or EHR is now become widely accepted. In the healthcare set-up, prior to EHR, the paper chart and recordings are two basic needs when you need to store information of patients in a healthcare setting. Doctors need to dictate his/her diagnosis and other orders to somebody who have the skills in writing faster or using stenography (we have that during our high school days).
INTRODUCTION The patient-practitioner relationship has undergone several changes in the past decades. It has moved from a paternalistic relationship, in which the practitioner acted as a guardian and made the decisions on behalf of the patient, to a deliberative relationship in which the patient is more autonomous, informed, empowered and involved in decisions regarding his healthcare.  Recently, there has been an increasing interest and research in shared decision making (SDM), which is one of the pillars of patient-centred care.  Research suggests that engaging patients in healthcare decisions makes a significant and permanent difference to healthcare outcomes.  This paper attempts to explore and understand what constitutes the
Throughout this paper, the reader will be able to better understand what telemedicine is and the influences it creates onto those who live in rural and urban areas. As more physicians are turning to electronic communication for their job, it is important to educate everyone on the positives and negatives that telemedicine brings to the health care community. This paper explains how physicians are using telemedicine, how it has influenced lives by minimizing the length of stay in hospitals and minimizing the amount that patients are spending to meet with physicians. After analyzing the influences that telemedicine creates, the author identifies the weakness that telemedicine has in regards to a patient-physician relationship, how physicians
Background and purpose Healthcare is changing. We are shifting from treating disease towards managing daily functioning and disease in light of patients’ values, choices and decisions (1,2). This requires not only a different therapy approach, but also a new method to assess the impact of the disease and treatment on a person’s life. To date, physical therapists can use patient-reported outcome measures (PROMs) to determine the impact of a disease (and its treatment) on their life (3). However, these instruments are often very generic and often lack information regarding the ICF component personal factors.
Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care. The knowledge that I have attained now and my background in patient navigation will help me as a future oncology nurse practitioner, to manage the complex needs of cancer survivorship. I will be able to support my patient’s transition into their new way of life as effective transition management can translate into less hospitalization, lower health care cost and less physical, emotional, spiritual, social and financial stress to patients and their support system. Hope comes in many forms other than with the cure, it comes with control, relief, comfort; to a dying patient, it could mean living another day with their loved ones and
If I had of looked up and saw the sign before medication administration this whole situation could have been avoided. There are often important things that are all around us in nursing. While it is important to focus on the patient, the surrounding environment can also provide critical clues for proper treatment of the patient. Despite the possible severe consequences of this situation, I think overall it taught me many valuable lessons that I have now incorporated to my nursing practice. I try to ask more questions about the implications of a diagnosis to a specific patient.
Mayra, Indeed the influx of barcoding technology in healthcare industry has made a valuable contribution and leverage the much lagging heath care industry into the main stream and has provided the needed much technological breakthroughs in terms of information interchangeability . Barcodes are important in tracking what medicines a patient has been assigned to take. In a hectic, paper-based environment, it is possible for nurses to administer the wrong medicines (Snyder et al., 2012). Barcodes make these kinds of mistakes less probable. Barcodes are important for nurses in terms of helping nurses improve the manner in which they deliver care (Welton & Halloran, 2005).
Pain Management and the post-surgery healing processes are a difficult area to study based on the personal nature of how each individual patient deals with and visualizes their own pain and recovery. Still, nursing researchers and practitioners are constantly looking for methods to improve or augment current pain management practices within contemporary nursing practice. In more contemporary pain management strategies, there is often a tendency to over rely on pharmaceutical medications. Pain is experienced by patients
However, other opinions argue that experienced clinicians leverage a range of strategies, including some that are more intuitive. Although founded on assimilated and amassed clinical practice wisdom, including an intuitive approach is difficult to locate within prudent, traditional models (Jasper, Mooney, & Rosser, 2013). Nursing judgment is defined as deciding on which data to collected, constructing an interpretation of the data, arriving at a diagnosis, and identifying the right actions to take which involves problem solving, decision making, and critical thinking. Since this is an informatics project, data was a driving force throughout the project. Taking the data identified, looking at patterns and gaps, developing the rationale for why the patterns and gaps exist and how to address each of them, followed up by executing solutions by weighing past experiences, current literature and evidenced based practice, and nursing standards of practice supported the achievements of this group.
EHRs enables physicians to access patient information anywhere from devices such as smartphones, laptops, and tablets. This can lead to increased risk of patient data being given into the wrong hands. Providers need to be cautious and make sure that patients are receiving information via email or text message
The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012).
Security should always be required when accessing patient records. Data use agreements and connections between HIE organizations are also a concern with health information exchange. “The types of healthcare partners that are needed is a challenge when determining the trading area needed for a viable HIE” (PHII, 2005). Although there are challenges, there are opportunities with implementing a health information exchange system. One opportunity is HIE can improve reporting to public health and in return improve the health of the community.
Diabetes being one of the chronic conditions with a lot of comobidties is of interest in this discussion. It is a major of cause of heart disease and stroke among adults in the United States. Also, coupled with lower extremity amputations, blindness and kidney failure. Comprehensive models of care such as the original chronic care model advocate for evidence- based health care system changes that meet the needs of growing numbers of people who have chronic disease. CCM was initiated to provide patients with self- management skills and tracking systems.
("Medicare", 2015). The third payment plan varies and is dependent on the plan that they are using. Because the medical industry works to become more and more accurate in all medical terms, it is necessary for patients being just as accurate when applying (2015). This way, clients will get just the health plan they need. Another prominent health plan is Medicaid.