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EHR System Case Study Essay

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Implementation of an EHR system initially can be frustrating and require time to learn how to use. In this case, Cincinnati Children’s Hospital Medical Center (CCHMC) seems to have gone through such a stage. To begin, not only did they need to learn a new system, but they also had to deal with the increase in patient volume from the H1N1 pandemic. While attempting to compensate for the learning curve and changes with implementation of the EHR, CCHMC added staffing and an overflow clinic in order to deal with the increased patient volumes, lower the length of stay (LOS), and lower the time with providers. Despite their best efforts, LOS and time with providers increased quite a bit with both reaching between 6%-22% longer than before implementation. …show more content…

This illness caused many to panic around the country at the sign of the flu. In turn this created a massive increase in patient volume for CCHMC; more than they were able to handle. Another major problem is lack of familiarization with the EHR system. A solution to this problem could be simply having a familiarization course for nursing staff, and providers before implementation (Boonstra, Versluis, & Vos, 2014). This would undoubtedly allow the staff to become more efficient, and more than likely decreased the amount of time (3 months) it took for the ED to return to optimal timeframes. Another interesting result of the study was that prior to the implementation of the EHR, 10% of patients were referred to the overflow clinic, and during the EHR implementation, only 5% of patients were referred. Somehow the criteria (flu symptoms) for referral to the clinic changed, and less patients were being diverted which certainly did not help with patient

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We want a system that is both functional and affordable. There are many systems out there that look like they would be easy and cheap to maintain but in the end more time and money is spent on software updates and customer service and support. According to the Medscape EHR report 65% of physicians said that EHR systems improve documentation within their facility (Kane, 2014). While physicians say that these systems improve documentation and other clinical factors within their practice, 70% of them say that it decreases their face to face time with the patients (Kane, 2014). This reason is why an easy to use, easy to learn and easy to maintain system is most conducive to our needs.

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Emergency and ambulatory care is one of the largest-volume patient activities, which makes it a key point of the continuum of health services in Canada. To better understand how this component of care is formed and shifting, several databases are managed to provide stakeholders with insight on visits, patient demographics and clinical, administrative and service-specific data associated with day surgery, emergency departments and outpatient clinics. These databases are fundamental components in carrying out the mandate to deliver unbiased, quality, reliable and relevant information to support decision-making and inform health care discussions. One of these core databases is National Ambulatory Care Reporting System (NACRS). The NACRS is a

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Practice Fusion Electronic Health Record (EHR) System MEA-131 Ms. Slade June 17, 2016 Sharon Liles Practice Fusion Electronic Health Record (EHR) System Technology and the evolution of Electronic Health Records is an improvement to the efficiency and the effectiveness of how healthcare providers record, communicate and process patient information. According to Practice Fusion, “since 2005, the focus of Practice Fusion is expanding the ability to aggregate clinical data and share it meaningfully, by helping to make healthcare better for everyone. To improve clinical decision, support to tracking Meaningful Use, and provide insight that deliver better, safer and more efficient

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There are distinct advantage to embracing Health IT. Fully integrated EHRs enable rapid adaptation away from a volume-based care delivery model toward an alternative quality-based model. Tracking and improving quality of care with key performance indicators is essential to meet HHS and consumer expectation. Providers and clinicians participating in the CMS Shared Savings Program will find access to clinical intelligence enables efficient reporting and performance monitoring.

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There have been many instances of unauthorized viewing of medical records. Unauthorized viewing of patient records is a violation HIPAA. The HIPAA Privacy Rule requires that “protected health information should not be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function” (Health and Human Services.gov). The case study in which Joe, a staff member accessed medical information after he was allowed access to the hospital to change lightbulbs and the case study in which the daughter of a nurse accessed medical information as a result of the mother leaving the computer unlocked and unattended, are HIPAA violations (i.e both people accessed the medical information illegally). Joe was tasked with changing a lightbulb, but was curious about a patient he knew on a personal level, his neighbor.

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HCUP is America’s most comprehensive source of hospital data, including information on outpatient, inpatient care, and emergency department visits [6]. Although the databases have limitations in lack of clinical detail such as stage of disease, vital statistics, and laboratory and pharmacy data, as well as the ability to track patients across time and setting varies by state, the defects do not outweigh the merits that HCUP databases have the largest collection of all-payer, uniform, state-based inpatient and ambulatory surgery administrative data in the U.S. [7]. They enable researchers, insurers, policymakers and others to study health care delivery and patient outcomes over time, and at the national, regional, State, and community levels

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In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR

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EHR has its advantages and disadvantages of implementing new technology in the health care system, EHR can help improve collaboration, communication, performance, and decrease added work. The author believes that the incentives that the government is providing for physicians and hospitals to adopt electronic health records system will help improve accessibility to patient data, improve preventative health, and provide a collaboration from both patients and health professionals to increase patient ’s outcomes of their overall

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The ROI of EHRs article breaks down the importance of Electronic health records. Healthcare leaders need to have an open-mind about electronic health records to gain a better organized system. Health organizations spend billions trying to find a working system instead of changing to the electronic health records system. Most organizations are making their IT department play bigger role working along with physicians to make electronic health records a key component of healthcare facilities making EHRs an effective program. Electronic Health Records are important to improving the quality of care provided, being able to find a patients history of care at a click of a button.

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