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 that are mainly faced by the medical doctors include whether the implementation, as well as the running cost of EMR system, is reasonable and whether the doctors can pick up a budgetary advantage from such system (Boonstra & Broekhuis, 2010).
The system of EMR contains complex software and hardware as it is an automated system. According to different physicians, this system also has some technical issues which must be developed. For medical doctor’s work an easy workflow is essential and unfortunately, the EMR system slow down the workflow of a physician; because extra time is needed to choose, apply, and understand the use of EMR system. Therefore, the output might be reduced and the amount of work might possibly be greater than before.
Moreover, in the field of medicine, the doctors do not work alone and try to cooperate with various parties like subsidizers, patients, vendors, managers, staff members, and insurance firms. The process of decision-making over the implementation of Electonic Medical Record by medical doctors is also influenced by such parties and might affect the patient and physician’s relation (Boonstra & Broekhuis, 2010).
The Influence of HIPPA on the Medical Records of Patients
In every medicinal organization, the privacy of the patient is considered as the topmost priority. All the health care’s arenas are affected by the HIPAA as its aim is to safeguard the private medicinal info from the inappropriate revelation as well as to make sure that the patients are aware of their medicinal histories. There are a lot of changes that are mandated by such widespread legislation.
(Sign-in) sheets in the offices of doctors might no longer approach the explanation behind the appointment. The passwords must be put into the computers in order to protect the information of every patient as the information of the patient cannot be viewed by the public easily. The details such as a name of the patient, appointments, medical upkeep type, and the descriptions of the medicinal situations must not be discussed by the workers of health-care (Leydig, 2003).
Benefits & Drawbacks of HITECH Adoption for the Professionals of Healthcare
Adoption of wellbeing IT in the US is exceptionally adjustable, and the country is well behind the advancement that is made in different nations. Perceiving the hidden potential encompassing fitness IT to enhance the delivery as well as the quality of human services, HITECH Act is passed by congress as a major aspect of ARRA to advance the selection of wellbeing Information Technology (Moreno, Peikes & Krilla, 2010). The HITECH Act’s provisions are particularly made in order to provide the practical support as well as assistance to the providers, create connectivity towards the community of public well-being in emergencies, provide assurance regarding training of the workforce, and allow arrangement plus coordination inside and amongst nations ("HITECH Programs for Health IT Adoption | Policy Researchers & Implementers | HealthIT.gov", 2017). Therefore, it enables the professionals to access the medicinal record of their patients anyplace or anytime. On the other hand, one of the possible disadvantages of HITECH Act is the danger of infringement of patient’s privacy that is considered as an expanding concern toward patients because of the expanding measure of wellbeing data exchanged through electronic means (Menachemi & Collum,2011).
The medical staff must implement the strategy of hiring qualified professionals of Information Technology so as to alleviate the drawback. Such professionals will observe all the activities on the site and also check the weaknesses that might take place in their system.
The Workflow Procedure in the Organizations related to Healthcare
The word workflow is defined as the way by which the procedures act together when any organization offers care to their patients. Following are the processes that are used by the clinic when there is a requirement of filling-up a medicinal prescription.
The request of refilling a prescription comes through the fax.
The clerk who is associated with the records of the patients goes and receive that prescription from the (fax machine). After that, the chart of the patient is drawn by him/her (Kushinka, 2011).
Then the request regarding the refill is placed by the clerk in the chart of the patient by using a paperpin and then the chart is placed in a tray (office of the medicinal assistant).
At times, it is also needed to call the pharmacy or the patient, before that chart might be received by the doctor.
The chart, as well as the request, will be viewed by the particular doctor and then he might give his/her acceptance that whether the prescription must be refilled or not. Another way is that the doctor looked at the document for his/her own consent and then the medicinal associate receive that chart again (Kushinka, 2011).
After that, the decision of the doctor is communicated to the patient as well as the pharmacy by the medical associate as everything is documented into the medicinal chart by him/her.
At the end, the medical chart is returned to the clerk of medical history (Kushinka, 2011).
The Impact of main initiatives on the Standards of Healthcare Information
The ability of health care workers towards obtaining the information rapidly on a health of patient, care of health as well as their possible cures, and to share such information with various providers (who cares for the patients )in an appropriate way is important to the provision of patient-centered, effective, safe, and coordinated care of health.
Most of the inadequacy that provides deprived value in the sector related to health are because of the unreachable information, knowledge, and data. NHII (National Health Information Infrastructure), a regulatory initiative of a healthcare for the creation of heath IT structure, delivers the knowledge as well as the connectivity management that is vital towards overcoming such deficiencies (Detmer, 2003). Therefore, by developing NHII, there will be an impact of initiatives on the (health-care) information standards for patient safety, concealment, and privacy. One of the chief purposes of the above standardized initiative remains to advance the well-being plus care quality as it improves the safety of the patients, protect and monitor the health of public, improve the care quality, share the decision sustenance in an effective manner, understand the costs of health-care, and informed the consumers (health-care) in a better way.
Benefits of Applying an Information Technology (IT) system in a Healthcare Organization
The industry of health-care is actually facing an incredible change because of the computerization of the patient’s care which causes a great influence on the organizations of Information Technology. The whole structure is used to manage the coordination among the professionals of health-care and their patients that are developing in a dramatic way and it might also impact the system by which a hospital does its business. The health-care organizations can differ due to the EMRs that are used by them. Some of the organizations use only one Electronic Medical Record system in order to provide care to their patients, however, the other organizations use this system from various vendors and it creates a number of advantages related to the risks of patient safety as well as costs (Payne, Fellner, Dugowson, Liebovitz & Fletcher, 2012).
Instead if using a document organizer as well as a clasp board for storing the information of patients, various healing centers as well as health centers must use the Electronic Medical Records (EMRs) system in order to save their patient’s history and to keep their information up to date. This system enables recovery, storage, and alteration of patient’s information in an electronic way that allow the departments in the health centers (associations) to work together when they provide care to the patients.In the hospitals as well as care centers, such federally supported EMR systems in the US might change many applications that are used by radiology workers, administration of the hospital, and physicians ("Healthcare Industry Computer Network Systems | NETSCOUT", 2017). The department of Information Technology is pressurized to support plus implement the EMR systems that might allow clinics as well as hospitals to take the benefits of stimulus cash and inducement programs.
The departments of radiology are excluding the outdated film-based tools and introducing PACS (Picture Archiving and Communication Systems) to collect, show, and transfer large digital pictures in an electronic way to any organization or department that might need those pictures ("Healthcare Industry Computer Network Systems | NETSCOUT", 2017). Remote hosting services and SaaS (software as a service) are also used in various clinics in order to support the systems, instead of, facing its expenditure.
In the services provided to humans portability seems to be inclining in an upward position, as the tablet gadgets are being utilized by the specialists next to the bedside to get to CPOE (the systems of Electronic Physician Instruction Entry). Such orders remain communicated towards the medicinal staff over the system (network) in various departments like radiology, so as to give the instructions regarding the treatment of a particular patient ("Healthcare Industry Computer Network Systems | NETSCOUT", 2017). The pictures are being captured first, then are put away plus they are made available for examination by the specialist.
The use of telemedicine will be increased in the industry of healthcare as the technology will get more advance over the following two decades. New cures are also being established that are mainly based on the hereditary tests.
References
Boonstra, A., & Broekhuis, M. (2010). Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. BMC health services research, 10(1), 231.
Clayton, P. D. (2005). Obstacles to the Implementation and Acceptance of Electronic Medical Record Systems. Building a Better Delivery System: A New Engineering/Health Care Partnership, 199.
Detmer, D. E. (2003). Building the national health information infrastructure for personal health, health care services, public health, and research. BMC medical informatics and decision making, 3(1), 1.
Healthcare Industry Computer Network Systems | NETSCOUT. (2017). Enterprise.netscout.com. Retrieved 22 January 2017, from http://enterprise.netscout.com/expertise/industry/healthcare
HITECH Programs for Health IT Adoption | Policy Researchers & Implementers | HealthIT.gov. (2017). Healthit.gov. Retrieved 22 January 2017, from https://www.healthit.gov/policy-researchers-implementers/health-it-adoption-programs
Kushinka, S. A. (2011). Workflow Analysis: EHR Deployment Techniques.
Leydig, K. (2003). HIPAA legislation has wide-reaching impact for patients. The Record, of Washington University in St. Louis.
Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Risk Manag Healthc Policy, 4, 47-55.
Moreno, L., Peikes, D. N., & Krilla, A. (2010). Necessary But Not Sufficient: The HITECH Act and health information technology's potential to build medical homes. Washington, DC: Agency for Healthcare Research and Quality, US Department of Health and Human Services.
Payne, T., Fellner, J., Dugowson, C., Liebovitz, D., & Fletcher, G. (2012). Use of more than one electronic medical record system within a single health care organization. Appl Clin Inform, 3(4), 462-474.
