Resistance To EHR Paper

Hence, EHR 's are inherently complex amalgamations of diverse subsystems targeted toward varied users. The stakeholders are the users and must have a role in implementing any IT or EHR system into its work flow. An EHR can be customized to accommodate any environment depending on the level of expertise of the vendor and how long they have been in the business of creating an optimum system that 's customized to fit the organizations needs. For the most part, EHR 's must be designed for efficient, error free use. Ideally, an EHR is a system that encompass all the subsystems that make a hospital meet "meaningful use" criteria to acquire incentives for adopting EHR into practice. In the next five years, EHR adoption will no longer be a luxury, it will be a "MUST". EHR 's and other health information technology will be a necessity to practice medicine (econsultant.com, 2010). Rather than purchase several standalone systems, it would behoove one , in my opinion , to purchase an EHR that would satisfy all the needs of the stakeholders, the physician , nurses and other hospital staff and all parties involved in the tertiary practice too. Although LWMS 's budget is not large enough to accommodate the full cost of implementing an EHR,

EHRs can positively influence workplace efficiency and communication and improve productivity with better access to and organization of patient data (McGinn, et al., 2011). EHRs can improve operational efficiency by providing the capability of sharing of information within the practice. Additionally, health information can be shared with external health care organizations provided the proper interoperability infrastructure is in place. Physicians can access patient information anytime and anywhere the system is enabled, enhancing patient safety as well as quality and continuity of care, particularly for physicians on call or working at multiple sites. They also can have access to drug recalls or other alerts provided through the EHR.

In efforts to reform the United States healthcare system and create a nationally unified data exchange system the federal government has established an incentive program to eligible professionals and hospitals. The federal government has turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116).

Adoption of EHR can derive a great amount of benefits in clinical outcomes such as patient safety and quality of care. Qualtiy of care can be measured with different dimensions such as patient safety, effectiveness, and efficiency. Patient safety is defined as ‘avoiding injuries to patients from the care that is intended to help them’(Menachemi and Collum, 2011, p. 49). Often times, lack of time can contribute to omission of asking patients important questions such as drug allergy information and confirming important patient identifiers such as addresses/phone numbers. Improvement of medication error is a well-noted benefit of EHR as seen in numerous researches. According to a study, researchers found that a CPOE system was contributory in reducing serious medication errors by 55% in the hospital setting (Bates, 1998). Many other studies have reported similar findings in patient safety improvement. When e-prescribing is used, prescriptions can be checked for any drug interactions with

Muhammed H. (2015) conducted a study to determine the relationship between EHRs and patient safety. According to the researcher, EHRs are healthcare applications that digitize patient information and clinical workflows. It may be considered as a data repository that stores patient data, and assists providers by providing reference information and recommendations for care. Furthermore it enables providers to electronically place orders and consolidate clinical notes across hospital departments. The results showed that about 70% of hospitals in PA adopted advanced EHRs since 2012 and there has been a 27% decline in patient safety events

Use of EHR (electronic health records) in United States has increased in past years and have gained widespread use in the country. The use of EHR-Electronic Health Records or EMR-Electronic Medical Records and the systems that support them have gained standardized collection of health information and data for patient and healthcare providers. Because of these technologies, healthcare providers now have information about their patients at their fingertips, which has led to better and more accurate care. There are debates on using EHR. According to Mushtaq (2015), one of the most common debate is the use of EHR compliance and the value of these technologies that surround them (Mushtaq, 2015). Providers wonder if EHR use is useful and what is to be gained for the HCP-Healthcare provider. In regards to such debates and ongoing conversations, it is important to understand the definition of meaningful use and whether these technologies have resulted in meaningful use. According to Burchell (2016), The government developed the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which incorporates the meaningful use program (Burchell, 2016). The program has goals that tell us how to use the meaningful use with EMR or EHR. It helps HCP and organizations alike attain, use and keep goals like patient and clinical outcomes, individual patient autonomy, and increased transparency for providers. When these goals are attained and kept it will greatly

Giving the facts from the Real-World Case by purchasing the same EHR system as Community Hospital, physicians have confidence that they will have better control of care over their patients. In addition, they will be able to write orders, advise medications and also have the capability to get into the providers EHR systems while covering in other specific areas of the hospital. For this reason, some pros of the EHR consist of better patient care, better-quality care coordination, upgraded diagnostics and patient outcomes and the applying of a computerized physician order entry; this allows in the decrease of transcript mistakes related to poor writing on behalf of the physicians for either procedures or prescriptions. (HealthIT, 2015) Regrettably, there is also a downside, as not all areas of the hospital, such as the Physical Therapy unit, Nurse’s station and Nutrition department are ready to engage with the new technology.

There are certainly diverse reviews from staff and practitioners alike on the advantages and challenges of electronic health records (EHR). The transition from paper to EHR is involved and perplexing. There are many incentives, both from a financial and production perspective, but the route to implementation of an EHR system can be daunting to a hospital or practice group. Both staff and patients can be effected, both positively and negatively. As you stated in your post, physicians will not be obligated to wait for patient charts or outside records and reports. A physician can simply log in and all the information is readily available to him. But many physicians, staff and patients have become cumbersome. The transition to EHR has required

The EHR article explains the progress and the adaption of rates of EHR systems over the years. The article states there has been a slow participation in the EHR incentive program, but there has been a shown continue increase in implementation in provider settings of EHR in 2014. As for Physician and Hospital, there has not been a fast implementation. Many of these facilities are at only stage one of the meaningful use in 2014 about one out of five hospitals and only 38% of hospitals is at the second stage of meaningful use. There have been gains in the implementation of new EHR systems in 2014 there was a 75% adoption rate in 2014 compared to 61% in 2013 for hospitals and for physicians 62% plan to participate in the EHR

As our world gets radically transformed by digital technology, EHRs leverage the digital potential to transform healthcare delivery. The benefits of EHRs are numerous. Amongst the many benefits, some relevant to this discussion include: reducing costs e.g. by minimizing duplication of tests, improving integrated care and coordination amongst various healthcare professionals, improving patient engagement, and allowing free flow of information for it to be available at any time anywhere within the country. These benefits are unfortunately not fully realized in Canada and some of the factors hindering that are:

The rapid development of technology is directly impacting the design and direction of the EHR. As medical devices are smaller and more user friendly, patients are being involved in reporting and this will be incorporated into the EHR. In addition to technological changes, EHRs have evolved in relation to consumer needs. Originally the EHRs were focused

Federal stimulus money spurred the purchase and installation of health information technology (HIT) within our American healthcare system (Dashboard.healthit.gov, 2017). This technology has secured its place in our society by providing many benefits to patients and healthcare practitioners. However, health information technology (HIT) also has the potential to negatively impact patient care. This paper will talk about how EHR affects patient care and what can we do as future practitioners to help.

In 2009 the American Recovery and Reinvestment Act which led to the significant investment of $30 billion in health information technology. The RRA provided financial incentives for hospitals, and physicians to use EHR systems in 2014, 83% of physicians use some form of EHRs, and 76% of hospitals have an EHR setup. Even with a basic EHR system a hospital or physician can create an autonomy of service that the patient can take comfort in that they are receiving the highest quality and tailor made health care experience. Noting the physicians and hospitals with EHR Patients feel as though they play an even larger role in determining their need for care but the outcome of the care they receive. If care is given to a patient at a specialized care facility and can, travel to a hospital for a separate issue communication should be seen by both facilities ensuring the patient is not receiving duplicate treatment. Patients who have EHR interface have a more satisfying experience at about 82% (source, 2016). With the open lines of communication, a real collaborative relationship can develop

Clinical outcomes includes improvement in quality care, decrease in medication errors and other improvements in patient level measures that defines the appropriateness of care. Organization outcome measures financial and operational performance and satisfaction among clinicians and patients who use EHRs. Finally, societal outcomes includes improvement in research and achieving population health. EHR improves clinical outcome by providing quality and safest care to the patients. EHR with CDS tool allow the increased use of evidence based clinical guidelines and effective care. EHR use can improve patient care, a study was conducted to assess the clinical benefits of physician reported EHR. The study resulted that, most physicians using EHR enhanced overall patient care (78%), helped them to access the patients chart remotely (81%) and gave potential medication error alert (65%) and critical lab values (62%)(King, Patel, Jamoom, & Furukawa, 2013). Organizational and societal outcome includes increased revenue, improved regulatory compliance, averted costs, better capability to conduct research, and improved job satisfaction among physicians (Menachemi & Collum,

Level III evidence suggests that most clinicians that are exposed to a new EHR system must adapt to make accommodations for this new system by leaving their comfortable old system for a new unknown one (McAlearney et al.,2015). The reason that adapting to a new EHR system is very difficult for some physicians is because they apply their old comfortable methods to a new changed system instead of taking an effort to adapt to that new system with a new method that is more appropriate. Some clinicians get so frustrated with trying to adapt that they either retire early, move to other hospitals, misuse the EHR system, or just quit entirely. This process of adapting to the new system and getting comfortable with it requires change, which is naturally