Medical Record College Essays Samples For Students

This study aims to answer the research question “How can we identify, effectively manage, and communicate realistic expectations associated with perceived benefits and challenges derived from a newly-installed electronic medical record (EMR).” The most appropriate means for data collection for this research is the survey, and the method for data analysis is the chi-square statistic.

Sample

The survey method was utilized to collect primary data from the health-care industry population. These are individuals who are involved in the healthcare industry. The sample comes from two kinds of respondents; the industry participants and the non-industry participants. A total of 50 individuals answered ...

Paper health records

Paper health records involve the use of papers and files to collect and store patient data and information in the healthcare institutions. For many decades, the paper-based records have worked effectively for healthcare institutions. This implies that using them would not affect the operations of the healthcare institutions since they have proven to be efficient and effective within the healthcare system . Paper health records can be very effectively if safely and carefully managed and stored. However, they may have the disadvantage of making the operations of the healthcare institutions slow. They are advantageous in that they help the institutions ...

Electronic Medical Record (EMR) and Electronic Health Records (EHR) definitions are confused a lot. Electronic Medical Record is an application environment that comprises of clinical data repository, clinical decision support, pharmacy, computerized provider order entry, and clinical documentation applications. It contains the patients’ electronic medical records in inpatient and outpatient environments. Healthcare practitioners also use it to record, monitor, and manage the health care delivery within a medical Centre. All the data in the Electronic Medical Record is the legal record of patient experience in that medical facility. The information is the property of the medical facility (Gabriel, Furukawa, Jones, King, & ...

The criterion required in the Medicare participation conditions is the provision of a medical record service that caters for the patients’ medical record. In this policy, the health information is put in electronic documents in the Apex Patient folder. There is a standard policy record information protection which is set to protect record information confidentiality. It provides safeguards for its destruction. These are similar with the Willow Bend Policy which provides safeguards to protect their document against destruction. The Willow Bend Policy maintains the converted paper health records into electronic health records maintained in an area that is safe and secure. ...

Disinclination of some health care organizations to apply Electronic Medicinal Records

EMRs (Electronic Medical Records) are the information systems of medical that are electronic and they gather, store, and show the information of the patient. Even though there are a lot of favorable effects of the usage of EMR in the activities of medicine but, still the rate of implementation related to the above system is low and it also encounters opposition from the medical doctor (Clayton, 2005).
One of the main barriers associated with the application of (Electronic Medical Records) is the financial issue as such issue is considered as the main factor for different doctors. The main questions ...

Introduction

Change is a perpetual in today’s fast paced world. What is modern today becomes obsolete tomorrow. New technologies mean a change in the way on thinks, learns and gets his information or uses it. Any organization may feel the challenges brought about by those new technologies and why they need to implement them within their culture. Any change within or outside an institution is sure to incite mixed reception and perception among its members and clients. The essay applies a change theory to an organizational-based on Kotter’s change model and plans a change process. The change process ...

Introduction

It is always important to have a well-prepared public health workforce with the ability to prevent, respond, and rapidly recover from the public health threats as a measure of protecting the national health. The new emphases towards funding for the public health facilities have been able to heighten expectations regarding the health systems and their preparedness for handling emergency cases. Public health departments have been able to make recommendable progress since 2001, subject to demonstrate the CDC’s state preparedness reports (Clements, 2009). However, the state and local public health departments continue encountering multiple challenges that include the ever-evolving ...

Write a policy and procedure for determining eligibility for charity care.

Departments: Billing and Insurance
Purpose of policy: This policy will determine who meets the requirements for charity care.
Procedure:
Patient makes an appointment.
Evaluate the patient’s information to prove he/she cannot be able to afford the medication.
Ensure that the medication does not exceed $150.
Have the patient sign an agreement that any payments over the limit of the charity will be paid in full by the patient.
Have the patient understand and commit him/herself in writing that the cost of transport or any other cost related to the treatment that need to be acquired from outside the ...

Introduction

It goes without saying that during the last decades a great number of countries face a growing number of diseases, which noticeably affect our planet’s population. The main danger is posed by the previously unknown viruses or mutated forms of familiar diseases. Obviously, treating such serious illnesses require highly qualified staff, modern equipment and implementing of information technologies in healthcare projects. Fulfilling of all these conditions on a regular basis in health care organizations will surely make diagnostics and treatment of a great number of illnesses safer and faster, reducing medical errors.
Considering all these reasons, in the ...

Introduction

Knowledge management in the healthcare domain may be regarded as an integration of formal techniques and methods in order to ease the utilization, dissemination, preservation, development, identification, acquisition and creation of the diverse aspects of the knowledge assets of the healthcare organization (Bordoloi & Islam, 2012). Delivery of excellent healthcare services requires optimal knowledge management and thereby having an established knowledge management process aids to enhance the process performance. Past studies analyzing the importance of knowledge management in healthcare depict that this process is far more complicated in the healthcare domain. This is mainly as a result of diverse perspectives on ...

Discuss the challenges of EMS systems.

EMS stands for Emergency Medical Services. It’s a medical services, which are provided for people, who needs help in emergency situation. Different methods, which are used prior giving medical services: Incident recognition, access 911, dispatch, first Responder, basic life support, advanced life support, transport ground/air, emergency department facilities, specialty care, patient rehabilitation, prevention awareness, public education. This methods run in cycle order, each method has its own goals and objectives.

Describe the challenges of providing EMS services in the rural setting.

The main challenge of providing EMS services in the rural setting is having a challenge reaching the patient, as it’s sometimes hard to reach the patient prior it’s ...

In the USA, the law protects medical records confidentiality. Doctors, medical receptionists and nurses are trained to ascertain that the contents remain top secret. This paper therefore details the rights of patients as regards their medical information. It also shows how to correct or amend a patient’s record. In essence, it sheds light on whether a patient can request restriction on use of his medical information as well as who should own the medical records.

The HIPAA Privacy Rule gives a person the right to his/her medical records. HIPAA Privacy Rule is basically a convention that gives patients the right to access, ...

Introduction

Part I of the organizational change plan focused on the; aims of the EMR project, identified the factors potentiating the need for the EMR system, organizational and individual barriers to the planned change, and the external and internal resources available to support the implementation of the EMR system. The factors influencing the proposed change as well as those influencing the organization’s readiness for the change were also identified. Part I concluded with the application of Kurt lewin’s change model to the change process.

Meanwhile, the change strategies to be utilized in implementing the change as far as ...

Introduction

Management of records is amongst the core functions of any health care institution especially in this era of evidence-based practice which is coupled with an increased demand for demonstration of quality and value in health care by various stakeholders like the government, Medicare and patients. This organizational change plan will focus on the implementation of electronic medical records in a not-for-profit community hospital by examining the need for EMR as well as the organizational and individual barriers to the implementation of EMR in the hospital. Further, it will identify the factors that are likely to influence the planned change and ...

Introduction

The emergency department provides the urgent services to the ill patients. In the emergency department, the doctors provide the enhanced care to the patients when they are in the critical situation. With the advancement in the technology, the health care professionals provide the advanced treatment to the patients in the emergency department (Petrillo-Albarano & Little, 2010). On the other hand, intensive care units are also called ICU. The patients who are in a critical condition are admitted to the ICU. At first, the patients are treated in the emergency department, but if they cannot recover from the emergency department they ...

Personal Health Care

Personal Health Care

Personal Health Record ‘PHR’ is defined as the means through which health records and other information pertaining health of an individual is preserved by him or her [5]. Typically, healthcare information is retained by healthcare representatives such as nurses, doctors and others and not by the patients. This form where the health institutions and representatives are given the role to preserve patient’s information is known as electronic medical record (EMR). In EMR, the healthcare practitioners are mandated to take and research the health record as they have other uses such as billing and placing insurance ...

Nursing is a career in the healthcare sector which focuses on taking care of patients, communities, and families so that they may recover from illnesses and achieve optimal health and a good quality of life. The nursing profession, like any other healthcare profession, is in constant transformation. The profession is continually becoming composite because healthcare provision is transforming from the hospitals to outpatient and primary care settings. For a number of years, nursing care has been developing from the bedside care provision to dedicated members of a medical team (American Nurses Association, 1985). For the effectiveness of a healthcare ...

Abstract

Lately, the health care sector in New Zealand has been facing challenges related to the old-fashioned method used in offering services. In many occasions, it has made it difficult for patients to access affordable health services since many health hospitals lack the technological capacity to handle the increasing numbers of patients with different ailments. Due to this, the relevant agencies have been pushing health service sector, particularly the public health sector, to embrace modern technology so as to address the health crisis in the country. This has seen many health organizations to launch programs geared towards adherence to the ...

Record keeping is a systematic documentation of patient’s history in a particular health care for the purpose of future reference and follow up program. This helps in monitoring patient’s progress in their effort to attaining and restoring their health to normality (Nelson & Staggers, 2013). It also provides a crucial tool for researchers on certain diseases and therefore they can improve services after learning the behavior of certain disease development. These records need to be kept in the safest and secure way possible
There many way of keeping record in hospitals depending on the level of technology available in the ...

Historically, the Electronic Health Records has existed since 1960’s. Notably, Larry Weed realized there was a dire need for a third party to verify the diagnosis issued by physicians independently. The above-mentioned need compelled Weed to invent a Problem Oriented Medical Record that was to assist in medical practice. Reportedly, in 1972, Regenstreif also played a role in the advancement of the EHR. Interestingly, the said institute developed the first medical record system (Carter, 2008). However, the physicians did not embrace the specified technology. Finally, in 1991 the institute of medicine suggested that comes the year 2000; every physician should be using ...

- Introduction
Amayatakul writes that “electronic medical record (EMR) is a digital version of a paper chart that contains all of a patient’s medical history from one practice. An EMR is mostly used by providers for diagnosis and treatment (Amayatakul, 2012, p.19).” This indicates that Electronic medical records will act as a supplement to nurse practitioners in that healthcare service will be efficient, which will be beneficial to both the patient and the staff members (Anderson, 2005, p.123). In addition, a nurse practitioner need electronic medical record as a way of keeping track of the patient’s past records. This will help the ...

Introduction

In healthcare, there are several approaches used in the maintenance of standards and for communication between medical practitioners and insurers. Record keeping and coding make it easier for medical practitioners to maintain uniformity in service delivery and enhance clinical governance. Computers are utilized in the maintenance of electronic records in a manner which is secure, retrievable, editable and which can be used to track and maintain quality of care. Coding is used in the unification of medical language and diagnoses while specialized medical forms are used to collect patient information which is necessary to enable quality care. This paper provides ...

Introduction

Direct patient care is a care that is provided to patients by staff members of a hospital. Technology has improved work done and made it more efficient in giving patient’s records. There are several technologies being used in hospitals in order to serve patients efficiently. This paper will look at two forms of technologies used in direct patient care discussing when they are being used, their value, and lastly, strengths and drawbacks of each technology.

Health care information Technology

Health care Information Technology for patients is the use of electronic medical records whereby information for patients are processed and kept. These records include past ...

Medical chart audits are better than asking health care workers to make an assessment of their own work and report. Chart auditing involves a means of studying performance and can as well be used as a tool for change in medical facilities (Pounder and Holm, 2010). Medical chart audits are also significant in gaining knowledge concerning the population the medical facility serves. Medical audit charts when kept properly can contain important volumes of information. Such pieces of information can be utilized to establish health problems routinely experienced or to determine the relationship between certain factors for example age and particular health ...

Introduction

Medical professionals such as nurses, physiotherapists, and physicians, do not necessarily have to handle patients for them to practice (Chen et al., 2009). There are instances wherein they may be assigned to do administrative tasks such as maintaining and regulating patient records or keeping everyone’s efforts in every hospital or company department well-compensated instead of clinical duties such as handling and treating patients.

The objective of this essay is to discuss my learning experiences, including my observations, thoughts, and insights regarding the performance of the Director of Patient Records and a Medical Records Reviewer and Chart Coder practicing in a ...

1) A mutual consent registry is relevant to obtaining medical information about

A) Party to an adoption.

2) Which one of the following factors would be considered de-identified information?
C. Patient condition: improved breathing with new medication
3) When must a notice of use and disclosure be provided
D) No later than the date of first service delivery.
4. What is a doctor's responsibility if a patient requests restrictions on the use of his or her PHI?

B. The doctor need not comply with the patient's wishes if HIPAA would otherwise permit restrictions

5. Which of the following is an example of demonstrative evidence?

A. Map

6. Which one of the following steps can shield against discovery of an incident report?
...

In the Canadian health care system, the need for accountability and accurate record-keeping is key. With that in mind, an effective electronic medical records system must be implemented; it could mean the difference between life and death. The electronic health record (EHR) is a relatively new science, but an exciting one, and this presentation is meant to state the many advantages of implementing an EHR structure in the Canadian health care system.

EHR Defined

EHR is defined as a systematic database in which all patients and populations have their medical histories and records, providing a comprehensive, universal database that is easy to read, simple, ...