Unit 3 Assignment 1
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5016
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Health Science
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Feb 20, 2024
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pptx
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ANALYSIS OF ELECTRONIC HEALTH RECORDS SYSTEM
LATISHA FOWLER
MHA 5016
TABLE OF CONTENT Introduction
Merit Based Incentive Payment Systems
Current Health Information Technology
Meaningful Use
Upgrades & Improvements Recommendati
ons Conclusion
INTRODUCTION An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-
centered records that make information available instantly and securely to authorized users. While an EHR does contain the medical and treatment histories of patients, an EHR system is built to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care. EHRs are a vital part of health IT
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WHAT CAN EHR DO?
Electronic Health Systems (EHR) can improve the ability to reduce and prevent medical errors which will ultimately result in better clinical and patient care outcomes.
Contain a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results
Allow access to evidence-based tools that providers can use to make decisions about a patient’s care.
Automate and streamline provider workflow.
EHR gathers information about specific population that the organization serves and allows for a closer look at what diseases most of the population is suffering from and common risk factors that are affecting its surrounding community in which it serves.
IMPORTANCE OF ELECTRONIC HEALTH RECORD SYSTEM
Storage, management and transmission of data: Data can be accessed by patient and professionals for clinical, administrative and patient specific purposes.
Decision Support: Mobile and online support for providing access to diagnostic and treatment recommendations.
Facilitating care from a distance: Provides communication remotely as telemedicine, telehealth and telecare
MERIT- BASED INCENTIVE PAYMENT SYSTEM (MIPS)
The Merit-Based Incentive Payment System (MIPS) is the program that will determine Medicare payment adjustments.
Utilizing a composite exhibition score, qualified clinicians (ECs) may get an installment reward, an installment punishment, or no installment change
Comprised of four components 1.
Quality of care 2.
Cost 3.
EHR interoperability 4.
Improvement in activities (Yeung, 2016)
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INDEPENDENCE MEDICAL CENTER’S CURRENT HEALTH INFORMATION TECHNOLOGY (HIT)
The current EHR system in place at Independence Medical Center is called Opus.
There is no system within the center that meets the incentive guidelines for meaningful use.
Due to the system not working efficiently this leads to many medical misinformation.
MEANINGFUL USE (MU)
The “meaningful use” criteria five initiatives
•
Improve quality, safety and efficiency and reduce health disparities.
•
Engage patients and families.
•
Improve care coordination.
•
Improve population and public health.
•
Ensure adequate privacy and security protections for personal health information (Murphy,2010)
CONT.:
Stage 1. Meaningful use was launched in 2011 and involves facilities adopting an EHR system, entering patient data and being able to share it securely.
Stage 2. Meaningful use was adopted in 2014 to introduce new objectives and measures. It requires providers to expand its current EHR capabilities to expanded patient base.
Stage 3. Meaningful use aims to simplify the use of EHR systems.
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UPGRADES & IMPROVEMENTS
Issues With Current EHR
Departments Affected Not compatible with other departments systems
Pharmacy, Laboratory, Radiology
Unable to keep track of medication administration and dispensary
Pharmacy
Physician’s orders do not always transfer into the systems resulting in duplication of orders and charges
All Departments
Test results not transferred into the system Administrative Department Charts are incomplete and inaccurate All Departments Improved connection and coordination for improved transitions, medication management, follow-up care, decreased inefficiencies in form completions, and of course, interoperability.
RECOMMENDATIONS
Upgrade the existing EHR systems that will work more effectively and efficiently such as EPIC
Epic was founded in 1979 by Judy Faulkner and is currently used by more than 250 healthcare organizations nationwide. (Day, 2016; Becker’s Healthcare, 2014)
Epic has computerized physician order entry, electronic filing and dispensing of RX.
Epic has interoperability with data sharing functions.
EPIC there is no need for paper the EHR system eliminates duplicate charts.
EPIC adjust insurance claims to individual requirements from each insurance company to allow adequate completion of claims and processing.
EPIC will allow Independence Medical Center to be compliant in all the stages of MU guidelines.
CONCLUSION
The upgrade to EPIC would have a significant positive impact on Independence Medical Center, it will improve the coordination of care and patient outcome while also reducing liability risks enabling an efficient organization. All of the benefits that an effective EHR system eventually leads to cost savings which would be beneficial to its stakeholders and it will also increase the incentives received for following the guidelines and compliances.
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REFERENCES
Day, J. A. (2016). Why Epic | Johns Hopkins Medicine. Retrieved from https://www.hopkinsmedicine.
org/epic/why_epic/index.html
Mejia, S. M. (2018).
Strategies rural hospital leaders use to implement electronic health record
Murphy, J. (2010). Nursing informatics. The journey to meaningful use of electronic health records.
Yeung, L. R. (2016). Implementation of MIPS and APMs: Provider compliance consideration in the new world of physician payment reform.
Journal of Health Care Compliance, 18
(2), 5.