QUESTION #3: What existing or new technologies do you think can deliver on these projects?
Healthcare is evolving its communication. For many decades, centuries even, healthcare has relied on paper records to keep track and communicate information. The healthcare is going through a digital evolution based on needs and settings (See Appendix I).
According to the Centers for Medicare and Medicaid Services (CMS), “An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports The EHR automates access to information and has the potential to streamline the clinician's workflow. The EHR also has the ability to support other care-related activities directly or indirectly through various interfaces, including evidence-based decision support, quality management, and outcomes reporting.1”
The expectation is that EHRs are moving healthcare forward and progressing the collaboration between healthcare entities, healthcare professionals as well as patients directly. In do so the healthcare data will be readily available to enhance quality of care and improve the more timely healthcare decisions for all vested parties.
According to CMS here are some examples of what the EHR can help improve:
Reducing the incidence of medical error by improving the accuracy and clarity of medical records1. •
Making the health information available, reducing duplication of tests, reducing delays in treatment, and patients well informed to take better decisions1. •
Reducing medical error by improving the accuracy and clarity of medical records1.
Healthcare is constantly evolving. Currently we all know healthcare reform is a national focus. Healthcare is entrenched and reliant on information and technology as a vital operational component in providing and improving healthcare communication and quality of care outcomes. Healthcare is tapping into the broad range of developed technologies via internet utilization, ‘smart’ devices (i.e. phones), laptops and tablets and even robotic devices. The emphasis is on continuity of information, its most updated accuracy and its communication from one entity as large as an National Organization or agency all the way down to the individual. This health record information will be readily available to the user instantaneously via accessing any devise that can provide the user with the EHR platform (See Appendix II).
According to the HealthIT.gov website, “[t]he Health Information Technology for Economic and Clinical Health (HITECH) Act, a component of the American Recovery and Reinvestment Act of 2009, represents the Nation’s first substantial commitment of Federal resources to support the widespread adoption of EHRs. As of August 2012, 54 percent of the Medicare- and Medicaid-eligible professionals had registered for the meaningful use incentive program.2” Furthermore the HealthIT.gov website states, “[w]hen fully functional and exchangeable, the benefits of EHRs offer far more than a paper record can. EHRs:” 1.
Improve quality and convenience of patient care2
Increase patient participation in their care2
Improve accuracy of diagnoses and health outcomes2
Improve care coordination2
Increase practice efficiencies and cost savings2
Regarding types of EHRs it is best to first look at the specific type of Healthcare setting. Healthcare breaks down in to several silos of specialty from an organizational level. For the purposes of this paper we will break down into 3 sub-settings: 1.
Bibliography: 1. Centers for Medicare and Medicaid Services. (2013) Electronic Health Records. CMS.gov. Retrieved November 27, 2013. http://www.cms.gov/Medicare/E-Health/EHealthRecords/index.html?redirect=/EHealthRecords/
This reference gives an overview of what electronic health records are and examples on how they improve patient care.
2. Health Information Technology. (2013) Benefits of Electronic Health Records (EHRs). HealthIT.gov. Retrieved November 27, 2013. http://www.healthit.gov/providers-professionals/benefits-electronic-health-records-ehrs
This reference gives a snapshot as to why utilization of EHRs by healthcare professionals is beneficial.
3. The Advisory Board Company. (2013, April 1) Four Vendors Duking it out over Hospital EHR Market: Analysis finds split based on setting, need. Advisory.com. Retrieved November 27, 2013 http://www.advisory.com/Daily-Briefing/2013/04/01/Four-vendors-duking-it-out-over-hospital-EHR-market
This reference broke down market share of top EHRs utilized in the healthcare market place based on setting and need.
4. Conn, Joseph (2013, March 27) Tight Battles under way for inpatient EHR Dominance. ModernHealthcare.com: Healthcare Business News. Retrieved November 27, 2013 http://www.modernhealthcare.com/article/20130327/NEWS/303279955/tight-battles-under-way-for-inpatient-ehr-dominance
This reference is for the researching author referenced in the paper regarding his data for market share of EHR software companies.
5. Abelson, Reed (2013, March 20) The Face of Future Healthcare. The New York Times: Business Day. Retrieved November 27, 2013 http://www.nytimes.com/2013/03/21/business/kaiser-permanente-is-seen-as-face-of-future-health-care.html?pagewanted=1&adxnnl=1&adxnnlx=1385625798-nZ1ugOO0uQvV1FSLQ6ZU0A
This reference gives an example of what the US healthcare leaders future is evolving into articulated in the paper. The reference demonstrates an integrated healthcare system that utilizes EHR to improve its ‘real-time’ information and communication for superior healthcare outcomes in its patients.
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