Nut1 Task 2

Topics: Health care provider, Electronic medical record, Health care Pages: 9 (3250 words) Published: August 22, 2013
NUT1 Task 2
Western Governors University

NUT1 Task 2
EMR , Electronic Medical Records, refers to paperless, digital and computerized systems to maintain patient data, increase efficiency, reduce documentation errors and increase direct patient care. Although these types of systems have been around for more than twenty years, new technology is producing systems that are interchangeable with physicians and hospitals across the country, or are “inter-operable”. With access to this new technology, efficient patient care is only a “click away”. Important information, such as Blood type, prescribed medications, medical conditions, allergies and medical history can be shared with doctors at any facility where the patient needs care. An EHR or electronic health record is an EMR that goes beyond the patient’s medical record to encompass information shared between providers and other health organizations including laboratories and imaging facilities. (Garrett & Seidman, 2011)

Increase in Quality of Care
Nurses are the largest group of healthcare information technology users. Nurses are aware that the electronic management systems can enhance the quality of care a patient receives. Electronic medical records can make practice guidelines available at the bedside and better organize patient information such as medical history, current medications and test results. Any authorized healthcare professional can access the patient’s records quickly. There is no need to search through a huge file looking for laboratory results, which is time consuming and can be frustrating. Healthcare providers get real-time information on their patients and this is valuable in any emergent situation. Real-time information is also important when discharging a patient. Nurses, physicians and technicians who are “on-call” can have remote access to their patient’s medical information allowing for providers at the bedside to begin treatments quickly. EMR’s can provide alerts and reminders of when tests are due. They are helpful in improving care outside the facility through disease tracking systems that can identify potential problems. These tracking systems can also remind providers of upcoming vaccinations, pap smears, and mammograms which assist providers in managing their patients who have complex or chronic diseases. EMR can reduce or eliminate treatment, procedure and medication errors. No longer will a nurse try to decipher a doctor’s illegible handwriting on an order. Electronic prescriptions and orders are safer for the patient because spelling errors no longer occur. The system can alert a health care provider of medication allergies, drug interactions and dangerous medication reactions with the click of a mouse. While EMR offers great promise in increasing Quality of Care, there are pitfalls. As nurses have observed, proper training of the healthcare team is essential to Quality of Care. Extensive training is mandatory. To fully integrate an EMR system requires time and attention. Successful implementation of an EMR is the first step to proficient use. Proper training can help nurses contribute and use their proficiency to deliver the best bedside care to their patient.

Active Nursing Involvement
Nurses are critical members of the healthcare team. Nurses need to be involved from the very beginning of the process of adopting EMR for private offices or EHR programs for hospital-wide use. The nurse’s perspective on the current workflow and workflow inefficiencies can help determine the specific EMR/EHR needs of the organization. Nurses should be consulted on the use of work-stations versus hand-held devices such as iPads, laptops or tablets. Experienced nurses can assist in choosing a program that will improve efficiency within the organization. Nurses need to be involved in the training programs for the new EMR. Super-users should be identified and be thoroughly trained so they can be a resource to the nursing and...

References: An EHR Primer. (2013). Retrieved from www.emrindustry.com/an-ehr-primer/
CIO Consortium
Can HIT Lower Costs and Improve Quality? (2005). Retrieved from http://www.rand.org/content/dam/rand/pubs/research_briefs/2005/RAND_RB9136.pdf
EMR Price comparisons
Everything you need to know about paid vs free EMR software : Practice Fusion. (2013). Retrieved from www.medicalrecords.com/mrcbase/emr/practice-fusion-practice-fusion-ehr
Garrett, P., & Seidman, J
Horvath, B. (2009). Pros and Cons of Thin Clients with an EMR. Retrieved from www.emrandhipaa.com/emr-and-hipaa/2009/08/13/pros-and-cons-of-thin-clients-with-an-emr/
Johnson, C
Mehrota, S. (2013). Everything you need to know about EHR and EMR costs. Retrieved from www.medicalrecords.com/ehr-and-emr-costs
NextGen Hardware
Pollack, P. J. (2011). Pros and cons of cloud based or web based EMR systems. Retrieved from www.kevinmd.com/blog/2011/05/pros-cons-cloud-based-web-based-emr-systems.html
Silverman, R
US Dept. of Health and Human Services. (2003). Summary of the HIPAA Privacy rule. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/privacysummary.pdf
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