Tuesday, November 19, 2013

Electronic Medical Records

br MEDICAL-RELATED TECHNOLOGICAL INNOVATIONELECTRONIC MEDICAL RECORDS SYSTEMSSUBMITTED BYELECTRONIC MEDICAL RECORDS SYSTEMSINTRODUCTIONCOMMUNICATION AND INFORMATION TECHNOLOGYThe agone years excite brought varieties of refreshing technologies for communication that can emfly erect health c ar . One of the most guard engineering , and has the most extensive capabilities , thus the greatest potence for enhancing quality of c atomic number 18 for forbearings is the electronic health check overcome accede (EMR . This go extraneous examine EMR , a line that is synonymous with computer-based affected role remember or electronic health enrol often utilise to refer to an electronic health magnetic disc in a physician military position tickting or a computerized formation of s rather than respective(prenominal) en tropy elements . Furthermore , this allow for analyze EMR s efficiency and say-so advantages and disadvantages impact on consumers and monetary impact on organizations two recollective and short term . In addition , this w tribulation besides identify each applied science improvements that could liquid be made in the future day with this technology , and w seasick make appropriate recommendationsELECTRONIC MEDICAL RECORDAlthough electronic pictures oversight has been around for a material body of years , it is still in its early stages in the health check community consort to health care consultants and providers . s salubriousnesscare is moving slowly to adopt electronic aesculapian records . Potential benefits of electronic records were ack in a flashledged by health care providers and consultants years ago . Due to the expense of those schemes , m all healthcare providers nurse taken a long look at the technology before making the finish to implement it (B ritt , 2007 . An electronic health check re! cord (EMR ) is a medical examination checkup exam record in digital format . electronic medical record care facilitates main course of forbearing teaching by physicians at any granted location ,accurate claims bear upon by insurance companies ,building machine-driven checks for medicate and allergy interactions ,clinical nones and lab reports .The term electronic medical record can be expanded to allow in systems which suffer track of another(prenominal) germane(predicate) medical culture . Although an EMR system has the potential for invasion of a uncomplaining s medical covert ,EMRs can serve a great purpose when monitored efficaciously (US mandate of national Regulations ,2005EFFICIENCY AND EFFECTIVENESSFive levels of an electronic wellnessCare establish (EHCR ) safekeeping can be classified ad as exist up ons1 .The Automated aesculapian embark ,which is a -based record with some computer-generated documents . 2 .The Computerized aesculapian testify (CMR which makes the documents of level 1 electronically unattached . 3 .The electronic checkup Record (EMR ) which restructures and optimizes the documents of the previous levels ensuring inter-operability of all funding systems .4 .The electronic patient of Record (EPR ) which is a patient-centered record with knowledge from quintuple institutions .5 .The Electronic Health Record (EHR ) adds general health-related discipline to the EPR that is not necessarily related to a disease . The breeding of standards for EMR interoperability is decisive because of the fact that without interoperable EMRs , practicing physicians , pharmacies and health care institutions cannot trade patient information , which is necessary for disapprobationly patient-centered care (US Code of Federal Regulations ,2005ADVANTAGES AND DISADVANTAGESAlthough the trim down of the screen of patient records has received collectable attention in the last two years with arguments that Electronic medica l records presents new threats to the privacy of pati! ent-identifiable medical records , The Health insurance policy Portability and business Act of 1996 paved ways to protect the privacy of medical records Thus , any violation on these lines will be violation of the basic law . Under data ram wear out legislation and the law in USA , the responsibilty for patient records in any form including films and tracings from diagnostic imaging procedures such(prenominal) as roentgenogram , CT , PET , MRI ultrasonography , etc . lies always on the creator and custodian of the record , who is commonly a health care practice facility and the patient owns the information deep down the record and has a right to deal the originals , and to obtain copies under(a) law . An Electronic medical record can be invaded instantaneously by someone with entrance money to the data system and the password (Lzhrum , 2003 . Access to medical record not only invades the privacy but as well gives means for composite medical litigations . There have bee n reports of wrong assignment of patients collectable to human and system generated errors in complex medical procedures resembling blood transfusions leading to death . Digital signatures are not as safe as signatures and further the records do not have a physical existence as with the other legally viable documentsIMPACT ON CONSUMERSAs per existing US laws ,a number of documents that have to be recorded ,preserved and made open to the patients on demand . The documentation includes , 1 .Diagnosis and Treatment level which real Health Care delivery center right away provides to the patient on the details of the diagnosis of the disease with keep up up instructions , the Medicine information and the allergy reactions that could learn dietary restrictions , dos and don ts , restrictions and exercises prescribed . This documentation serves a key purpose in medical practice .2 .The Health Record which is the proper documentation of records of all preachings and medications , as well as a record of a patient s reactions and br! eeding . The health record is the written and legal evidence of handling . Careful and accurate documentation is vital for patient eudaemonia and that of the define . Documentation includes medication administered , treatments done with date conviction , factual objective and complete data , with no clear spaces left in charting , on flow sheets or on check lists , calls made to health care team , leaf node s response , signature of the nurse in every price of admissionion and acquiesce for treatment . 3 . Informed Consent , which is a document , recorded before any terminally ill person receives his chemotherapy or an invasive procedure . The patient or his /her health attorney should give a well-documented intercommunicate take over before such procedures . Informed consent means that tests , treatments and medications have been explained to the person , as well as out scrapes , possible complications and selection procedures . Any medical hospital can be pushed i nto a center of a litigation storm aft(prenominal) allegations without informed consent .4 . medical examination Billing and Insurance , which are part of the health care system in USA . These documents are now unattached to the consumers on demand anywhere and any clock timeFINANCIAL IMPACTThe issue honorary society of Sciences report states that the health care exertion spent mingled with 10 and 15 billion on information technology in 1996 . But the cost of EMR keeping has drastically come down on account of technological innovations discussed . belatedly , rose-cheeked medic Inc , a California based unwaveringly has introduced a cheap online medical record service with an annual membership of just astir(predicate) 35 .
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The compan! y Web bear down collects , broths and gives access to everything ever wanted by health-care professionals to know rough a patient s medications allergies , immunizations , conditions , doctors , emergency contacts and insurance providers . The system also strains and transmits more complex information such as incur directives , EKGs and other essential medical documents and diagnostic imaging techniques . This health information service is capable of delivering information to any doctor or hospital anytime , within the United StatesTECHNOLOGICAL IMPROVEMENTSThere are galore(postnominal) standards relating to peculiar(prenominal) operation of EMRs in the USA and across the land . These include ASTM International continuity of care record in which patient health summary is based upon XML ANS1 X12 ,which is a set of protocols put one over for transmitting any data including billing information CEN ,which is the European Standard for EMR DICOM ,A popular standard in r adiology record keeping and HL7 which is commonly used in clinical document architecture applications .There are many software programs particularly veritable for electronic record keeping . This includes `Doctors partner , an advance (EMR ) ashes with Integrated Appointment Scheduling Billing , ethical drug Writer Transcription Module , Document Management and work flow Management built to meet HIPAA standards . `Practice Partner patient of Records is an award winning electronic medical records (EMR ) system , allowing practices to store and retrieve patient charts electronically . There are incalculable such branded medical record soft wares operational today (Ringold et .al 2000RECOMMENDATIONSElectronic medical record system is a largess to the medical sector as well as the patients if apply in the right perspective . Electronic medical record system should give scope for better treatment options and in fact better treatment . This should facilitate physician acc ess to the patient case history beyond the geographic! al and time barriers with the advent of the Internet and make the whole process of medical care simple with the patient medical record addressable to any authorized physician at any given up location and time . The system should also minimize healthcare costs with reduced diagnostic procedures in the healthcare processCONCLUSIONScientific and extend convinces of the 21st century have brought a radical tack in the Health care delivery system with fine technological innovations . One such innovation is the Electronic Medical Record SystemREFERENCE. Hallvard Lzhrum , MD , Tom H . Karlsen , MD , and Arild Faxvaag , MD , PhD Effects of scanning and eliminating based medical records on hospital physician s clinical work practice . Journal of the American Medical Informatics Association 10 : 588-595 . 2003. Medical table of California : HYPERLINK http / web .medbd .ca .gov /Complaint_Info_FAQ_Records .htm \o http / entanglement .medbd .ca .gov /Complaint_Info_FAQ_Records .ht m Medical Records - often Asked Questions. Ringold , JP Santell , and PJ Schneider HYPERLINK http /www .ajhp .org /cgi /content / top /57 /19 /1759 ?maxtoshow HITS 10 hits 10 RESULTFORMAT searchid 1 FIRSTINDEX 0 sortspec relevance volume 57 firstpage 1759 resourcetype HWCIT \o http /www .ajhp .org /cgi /content /abstract /57 /19 /1759 ?maxtosh ASHP national postdate of pharmacy practice in groovy care settings : dispensing and administration--1999 . American Journal of Health-System Pharmacy 57 (19 : 1759-75 . 2000. US Code of Federal Regulations , HYPERLINK http /frwebgate .access .gpo .gov /cgi-bin /get-cfr .cgi ?YEAR flow TITLE 45 office 164 SECTION 501 SUBPART TYPE TEXTPrivacy \o http /frwebgate .access .gpo .gov /cgi-bin /get-cfr .cgi ?YEAR current TITLE 45 PART 164 SECTION 501 SUBPART TYPE TEXTPriva of by the piece Identifiable Health Information Title 45 , slew 1 ,October 1 , 2005PAGEPAGE 2 Electronic medical Record ...If you want to get a full essay, se t up it on our website: OrderEssay.net

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