Running head: DRYDEN FAMILY MEDICINE 1 Case Study 3: Integrating Electronic Medical Records and Disease Management at Dryden Family Medicine Flore Julia Miezan Dione Rojales Prarthana (Monique) Chib National University 7/ 31/ 14 Abstract This case study is based on the integration of electronic medical records known as EMR. The integration process came from Dryden, New York and was tested by a small medical practice named Dryden Family Medicine. The practice has been known for its outstanding family based services given to their community. The implementation process of EMRs doesn’t come without risks, but with its outstanding paper based medical record keeping that continued to expand as the practice grew left the Dryden Family practice no other choice but to try out something new in hopes for a better outcome. Introduction In order for one to understand the risks involved in the use of electronic medical records one needs to understand the meaning behind what it is. An electronic medical record (EMR) is a paperless, digital and computerized system that helps an organization as well as the ongoing maintenance of data. EMRs are known to increases efficiency and to help reduce documentation (Santiago, A). It is particularly hard for smaller group practices to start the use of EMR because of the risks that come along with the start up. Medical records of all patients which are seen is essential for all practices and should be kept securely to last many
EMR stands for Electronic Medical Records. It is “a paperless, digital and computerized system of maintaining patient data, designed to increase the efficiency and reduce documentation errors by streamlining the process.” (Santiago, n.d., para. 1)
Electronic Medical Records (EMRs) are a digital version of the paper charts in the clinician’s office. An EMR contains the medical and treatment history of the patients in one practice. EMRs have advantages over paper records. For example, EMRs allow clinicians to:
The federal requires the healthcare organizations to adopt and demonstrate the use of electronic medical records (EMR) or the electronic health records (EHR). They contain patient’s medical history and it
The expense of implementing an electronic medical record (EMR) will be one of the most costly expenses a healthcare organization will encounter regardless of the size of the organization. The organization will face many ethical and legal challenges with the implementation of EMR and depending on the size of the organization may experience many organizational issues as well. The Affordable Care Act is pushing for national EMR implementation. In order to accomplish goal, it will be necessary to work through the many ethical, legal, and organizational challenges healthcare systems will face implementing EMR.
The use of Electronic Health Record can be very dangerous to patient care and safety when wrongly document as information stored in the system are considered to be
Electronic medical records can benefit patients in many ways. One major way it can benefit a patient is the efficiency of the records being organized and easy for any practitioner or staff member to read. EMR can lower the risks of
The scenario selected for this evaluation project focuses on the electronic health record. The scenario involves patient documentation, clinical decision support, and performing nursing notes. The project involves evaluation and implementation of EHR. The electronic health record and clinical decision support are not only relevant to my current organization but also are particular interest of mine. The electronic health record has helped to reduce the amount of paper which was a nightmare to maintain with the number of new patients being admitted daily. The electronic health record has also reduced the amount of missed documentation and errors. Any clinician can testify to the wasted time and poor communication among providers that sometimes results because antiquated paper records still predominate in our offices and on the hospital wards (Shortliffe, E. H., Tang, P. C., & Deimer, D. E., 1991). The clinical decision support system has been a great assistance to clinicians. Nurses, health visitors and midwives, as the largest group of healthcare professionals, record and generate most of the information used to maintain and improve patient care (Levy, S., & Heyes, B., 2012). Clinical support systems (CDSS) integrate information (ideally from high-quality research studies) with the
Healthcare is a complex entity that encompasses a variety of specialties necessary toward meeting the needs of patient seeking clinical services. There are multiple communications necessary to efficiently meet patient needs. For many years detailed documentation, progress notes, specialty consults, and physician orders have been hand written. The legibility of this documentation was often illegible, and difficult to decipher, which resulted in clarification orders and often delays. The electronic medical record was introduced approximately 50 years ago with an ultimate goal of compiling healthcare information for immediate and future reference (Keller, 2016). Since the electronic medical records was initially implemented multiple versions have since been created. Successfully implementing the electronic medical record, requires a great deal of research to ensure that the specifications align with the organization’s short and long term goals.
Electronic Medical Records are great for the physician, nurse or other medical staff, but there is some issues with the EMR's as well. By putting your company at risk of identity theft from hackers.
Integrating electronic medical records (EMR) with a healthcare management information system (HMIS) is a significant benefit to any organization. Pay-for-performance is the future of the healthcare market and stimulates changes in practices. Financial and human resources costs are also very high (Rand, 2009). There are also challenges when implementing an EMR which will be discussed as well.
The need to adopt this technology of EMR therefore calls for the employment of specialists I handling the data so as to be sure of the relevance and the safety as well as the accuracy of the data that is stored in the electronic records hence the need for a nurse informatics specialist.
Instead of using paper based records, technology allows physicians to use the electronic medical record (EMR) that improves the quality of programs. By using the EMR, this is not easy nor is it low cost. Physicians’ have to use this method as their daily task. There are some barriers that has been identified with the use of the EMR by the physicians we will discuss. There will be some suggestions made that might can help the policy interventions to overcome the barriers. This will include the support system of work/practice including electronic clinical data exchange, and financial rewards for quality improvement. (Sim, 2004)
After their transitions, healthcare facilities and healthcare administrations sometimes face a couple of obstacles before being fully comfortable. Some of those impediments include respecting patients’ confidentiality while transferring data to the new system, working at a somewhat moderate pace meaning, and not delaying the work process. To not focus on the negative, electronic health records have been known for improving data accessibility. “EHRs, on the other hand, have eliminated the physical transporting, sifting and filing of charts, making data available at all times” (Palma, 2013).
One of the biggest challenges traditionally faced by healthcare providers or clinics is access and management of patient healthcare records. The electronic healthcare record is simply the business record of the health care system, and has comprehensive, real-time patients’ clinical records and history of clinic visits. It supports services coördination, clinical decision making, assessment of the efficacy, viability and quality of care, instruction, exploration, lawful assurance, and accreditation & administrative ways at the clinic level. Patients can also move with their EHRs to other clinics, health care providers, hospitals, nursing homes and specialists. Approved suppliers and staff from
In an attempt to provide excellent primary care for the patients we have to follow through with the demand that providers have all the necessary information that they will need while providing the patient care. It has been proven that there are substantial benefits when using electronic medical records. The benefits include improved quality, safety, and efficiency, as well as access to research, increasing the ability to conduct education. Providing a system that will take all of the clinical information and manipulate it to create a pool of information, can lead to the growth of the organization. This will also create the ability for portable patient and healthcare information providing for a positive patient outcome and a shorter hospital stay.