The Health care industry, just like the banking and business sector, is rapidly implementing digital applications that seek to improve patient experiences, health outcomes, lower costs, and alleviate clinician burnout. The digital transformation within the health care sector seeks to apply digital health interventions utilizing applications like wearable technologies, mobile devices, improved network connectivity, cloud computing, Artificial Intelligence, and even automation to patient care.
However, there are numerous challenges health care organizations must consider when implementing any digital health strategy. After reviewing the links, videos, and cases presented describe some of the challenges, risks, and benefits related to technology use and digital health technology adoption within health care. Why would privacy, cybersecurity, interoperability, and misinformation be major concerns?
WELCOME TO WEEK 2! HS420-ADVANCED HEALTH INFORMATICS OCTOBER 27, 2022 WHAT’S HAPPENING THIS WEEK? ASSIGNMENT TWO You are the director of a medium sized health care facility. You have been tasked with developing a proposal for the facility that moves the organization into a digital capacity that meets the AHRQ’s “ Health Learning System” requirements. Part 1: Introduce and explain “Health Learning Systems.” Part 2: Present research and ideas related to techniques that can be utilized to transition the facility into a “Smart Hospital” within 10 years. Be sure to address the following: 1.Workforce 2.Technology 3.Informatics and Analytics Include three references and follow APA guidelines. AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) LEARNING HEALTH SYSTEM – AHRQ (2019) Have leaders who are committed to a culture of continuous learning and improvement. Systematically gather and apply evidence in real-time to guide care. Employ IT methods to share new evidence with clinicians to improve decision-making. Promote the inclusion of patients as vital members of the learning team. Capture and analyze data and care experiences to improve care. Continually assess outcomes refine processes and training to create a feedback cycle for learning and improvement. SMART HOSPITALS https://online.regiscollege.edu/blog/smart-hospitals/ SMART HOSPITALS https://online.regiscollege.edu/blog/smart-hospitals/ SMART HOSPITALS https://online.regiscollege.edu/blog/smart-hospitals/ SMART HOSPITALS https://online.regiscollege.edu/blog/smart-hospitals/ SMART HOSPITALS https://online.regiscollege.edu/blog/smart-hospitals/ SMART HOSPITALS https://online.regiscollege.edu/blog/smart-hospitals/ SMART HOSPITALS https://online.regiscollege.edu/blog/smart-hospitals/ GRADING RUBRIC GRADING RUBRIC GRADING RUBRIC CHAPTER 3: THE ELECTRONIC HEALTH RECORD WHY ELECTRONIC HEALTH RECORDS (EHRS)? A little warm up: https://youtu.be/UMiPW831b1o THE ELECTRONIC HEALTH RECORD Objectives: Review the evolution in the development of the electronic health record Articulate the issues surrounding the deployment and implementation of the electronic health record Compare the differences in electronic health record systems THE ELECTRONIC HEALTH RECORD Objectives continued…: Describe HITECH funding Compare the advantages and disadvantages of the electronic health record Consider the current status and documented outcomes of EHR utilization INTRODUCTION AND DEFINITIONS Electronic MEDICAL record (EMR): digital version of the paper medical record within a healthcare facility or hospital where a patient is receiving care Electronic HEALTH record (EHR): broader data set containing information from the entire healthcare team which follows the patient across different care settings. Personal health record: similar to the EHR, but is the property of the patient. It can include information entered by the patient and is entirely managed by the patient. WHAT EXACTLY IS INCLUDED IN ELECTRONIC RECORDS? Past medical history Problem list Medication list Allergies Notes from care providers Vital signs Results and images Scanned documents HOW DO I ACCESS MY RECORD? Patient Portal vs. PHR: shared record with your doctor through a portal where a personal health record includes information that can be entered/maintained by you/the patient. What information is shared? Varies across organizations and can depend on the software vendor. Proxies: access can be established for others to maintain/access your records through a portal if you are unable to or for minor patients through proxies. ANOTHER CONSIDERATION… The patient/family perspective https://www.youtube.com/watch ?v=msBYOYYeHPw ADVANTAGES OF EHRS: FOR HEALTHCARE PROVIDERS Providing accurate, up-to-date, and complete information about patients at the point of care Enabling quick access to patient records for more coordinated, efficient care Securely sharing electronic information with patients and other clinicians Helping providers more effectively diagnose patients, reduce medical errors, and provide safer care Improving patient and provider interaction and communication, as well as health care convenience Enabling safer,more reliable prescribing Helping promote legible, complete documentation and accurate, streamlined coding and billing Enhancing privacy and security of patient data Helping providers improve productivity and work-life balance Enabling providers to improve efficiency and meet their business goals Reducing costs through decreased paperwork, improved safety, reduced duplication of testing, and improved health. ADVANTAGES OF EHRS FOR PATIENTS Can reduce paperwork for patients. Get your information into the hands of people who need it. Help your doctors coordinate your care and protect your safety. Reduce unnecessary tests and procedures. Give you direct access to your records. WHO NEEDS ACCESS TO THE EHR? EHR COMPONENTS Integrated applications EHR concept overview Clinical documentation Supports meaningful use https://library.ahima.org/doc?oid=63392#.YiP_zXrMJPY EHR: CORE FUNCTIONALITY Health information and data Results management Order entry/management Decision support Electronic communication and connectivity Patient support Administrative processes and reporting Reporting and population health EHR CLINICAL FUNCTIONALITY Health information and data Patient demographic information Patient problem list Patient medication lists Clinical notes Minimum data set Notes including medical history and follow-up notes EHR CLINICAL FUNCTIONALITY Results management Viewing lab results Viewing imaging results Electronic images are returned EHR CLINICAL FUNCTIONALITY Order entry management Computerized orders for prescriptions Computerized orders for labs Computerized orders for radiology Orders sent electronically for prescriptions Orders sent electronically for labs Orders sent electronically for radiology EHR CLINICAL FUNCTIONALITY Decision Support Warnings of drug interactions or contraindications are returned Out of range lab levels are highlighted Reminders for guideline-based interventions and screenings Access to online clinical guidelines EHR CLINICAL FUNCTIONALITY Electronic communications and connectivity Electronic health information exchange (eHIE) Access to shared patient histories Continuity of Care Document (CCD) EHR CLINICAL FUNCTIONALITY Patient support Patient portal to EHR E-mail communication with clinicians EHR CLINICAL FUNCTIONALITY Administrative processes Scheduling/appointments Billing Inventory EHR CLINICAL FUNCTIONALITY Reporting and population health management Disease reports Disease registries Quality measured and improvement reports Patient safety Immunization information exchange INPATIENT EHRS Components Financial and administrative applications Clinical systems CPOE Electronic medical administration records (EMAR) Clinical data repositories Clinical decision support Document imaging Picture archiving and communication system (PACS) AMBULATORY EHRS Practice management systems (PMS’s) Complete versus modular Certified EHRs HITECH Meaningful Use COMPARISON Inpatient EHR Ambulatory EHR Hospitals commonly use inpatient EHRs to manage health records and streamline day-to-day workflows. Ambulatory EHRs offer help to outpatient care facilities and smaller practices. Inpatient EHR systems offer an interoperable architecture for hospitals to seamlessly integrate and exchange patient information across departments. These are simpler than inpatient EHRs as they allow physicians to track a patient’s medical record and long-term care without interacting with the complex web of hospital departments. LONG TERM CARE EHRS Minimum Data Set (MDS) Electronic functionality limited Potential processing changes Benefits to Long Term Care environment BEHAVIORAL HEALTHCARE EHRS Inpatient or ambulatory ENTERPRISE EHRS Patient health over time Enterprise integration PRIMARY AND SECONDARY USES OF EHR SYSTEM Primary Uses Secondary Uses Patient care delivery Education Patient care management Regulation Patient care support processes Research Financial and other Public health policy and administrative processes homeland security Patient self-management Policy support HIMSS ADOPTION MODEL Stage 0: Hospital has not installed all 3 key ancillary systems (laboratory, pharmacy, and radiology) Stage 1: All 3 major ancillary clinical systems installed Stage 2: Major ancillary systems feed data to a clinical data repository (CDR) Stage 3: Nursing/clinical documentation implemented and integrated with CDR for at least one inpatient service Stage 4: CPOE added to nursing and CDR environment with 2nd level of clinical decision support capabilities Stage 5: Closed loop medication administration with bar coded unit dose medications environment fully implemented Stage 6: Full physician documentation with structured templates and discrete data implemented for at least one inpatient care service area Stage 7: Hospital no longer uses paper charts to delivery and manage care and has mixture of discrete data, documented images, and medical images within its EMR environment KNOWLEDGE CHECK Systems designed to facilitate the management of the activities of various clinical departments and to provide electronic charge capture and results reporting: a. Decision Support Systems b. Picture Archiving and Communication Systems c. Clinical Information Systems ANSWER Systems designed to facilitate the management of the activities of various clinical departments and to provide electronic charge capture and results reporting: a. Decision Support Systems b. Picture Archiving and Communication Systems c. Clinical Information Systems HAVE A GREAT WEEK! Reach out with any questions! patricia,coffey@purdueglobal.eduOrder an Essay Now & Get These Features For Free:
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