… persuasive as progressively tolerant data winds up computerized and bigger quantities of customers express a need to have portable access to their health records. It is an electronic form of a patient's paper record. EHRs offer the upside of making data about patient consideration accessible, in a … of EHRs can be relied upon to increment drastically in the coming months and years. Meaningful use criteria direct how qualified suppliers and medical clinics must utilize EHRs innovation, while accreditation measures indicate what abilities that EHR must have so as to help significant use (Murphy & ……
Gagnon, D., Simonyan, E.K., Ghandour, G., Godin, M., Labrecque, M., Ouimet, M.R. (2016). Factors influencing electronic health record adoption by physicians: A multilevel analysis, Int J Inform Manage, 36, pp. 258-270.
Hasanain, H. (2014). Cooper Solutions to overcome technical and social barriers to electronic health records implementation in Saudi public and private hospitals, J Health Inform Dev Ctries, pp. 46-63.
Kierkegaard, P. (2019). Electronic health record: Wiring Europe\\\\'s healthcare: Computer Law & Security Review. 27 (5): 503–515.
Murphys, E.V., & Yale, J. (2014). Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success. Biol Med; 87, pp. 187–97.
Clinical Decision Support and Electronic Health records
Information technology has revolutionized nearly every aspect of life, from how people recreate to how they work. This is no less true … the law figures into this issue with respect to HIPAA, privacy/confidentiality and security issues; and how patient safety, the nursing role and electronic medical records are impacted.
Clinical Informatics Concepts in the 21st Century
Controlling the flow of information to promote efficiency, security, and safety is the number … to use a computer or how to obtain information; it is also about how to appraise information and assess its value. Keeping complete records for the purpose of electronic medical records (EMR) databases is also part of the concept because of need for continuity of care, which necessarily depends upon continuity of information (Kleib … patient has a history of hypertension, the clinical decision support system can be engaged to……
Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical alarms in intensive care units: Perceived obstacles of alarm management and alarm fatigue in nurses. Healthcare informatics research, 22(1), 46-53.
Effken, J., Weaver, C., Cochran, K., Androwich, I., & O’Brien, A. (2016). Toward a central repository for sharing nursing informatics’ best practices. CIN: Computers, Informatics, Nursing, 34(6), 245-246.
Elsayed, W. A., Hussein, F. M., & Othman, W. N. (2017). Relation between nursing informatics competency and nurses’ attitude toward evidence-based practice among qualified nurses at Mansoura Oncology Center. International Journal of Nursing Didactics, 7(6), 26-33.
Drolet, B. C., Marwaha, J. S., Hyatt, B., Blazar, P. E., & Lifchez, S. D. (2017). Electronic communication of protected health information: privacy, security, and HIPAA compliance. The Journal of hand surgery, 42(6), 411-416.
Haupeltshofer, A., Egerer, V., & Seeling, S. (2020). Promoting health literacy: What potential does nursing informatics offer to support older adults in the use of technology? A scoping review. Health Informatics Journal, 1460458220933417.
Kharbanda, E. O., Asche, S. E., Sinaiko, A. R., Ekstrom, H. L., Nordin, J. D., Sherwood, N. E., & O’Connor, P. (2018). Clinical decision support for recognition and management of hypertension: a randomized trial. Pediatrics, 141(2).
Khezri, H., & Abdekhoda, M. (2019). Assessing nurses’ informatics competency and identifying its related factors. Journal of Research in Nursing, 24(7), 529-538.
Kleib, M., & Nagle, L. (2018). Factors associated with Canadian nurses\\\\\\\\\\\\' informatics competency. CIN: Computers, Informatics, Nursing, 36(8), 406-415.
Managing medical records and the Implementation of Tools and Safeguards Required within HIS
Few practices are more important in managing health information systems than managing … and the Implementation of Tools and Safeguards Required within HIS
Few practices are more important in managing health information systems than managing medical records, safeguarding patients’ medical history, and ensuring that all end users of medical information technology are approved and trained. Some of the biggest factors in security breaches are end users themselves (Rhee, Kim & Ryu, 2009). … used to accommodate security needs for the HIS, the information tools and safeguards required to protect it, the security needed for electronic health records, an applicable code of ethics, and proposals for training staff.
HIS Programming Language and Relational Databases to Accommodate the Task
As Prince (2013) ……
Campbell, R. J. (2004). Database Design: What HIM Professionals Need to Know.
Perspectives in Health Information Management 2004, 1:6 (August 4, 2004). Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_024637.hcsp?dDocName=bok1_024637
Crossler, R. E., & Posey, C. (2017). Robbing Peter to Pay Paul: Surrendering Privacy for Security's Sake in an Identity Ecosystem. Journal of The Association for Information Systems, 18(7), 487-515.
Donovan, F. (2018). Judge Gives Final OK to $115M Anthem Data Breach Settlement. Retrieved from https://healthitsecurity.com/news/judge-gives-final-ok-to-115m-anthem-data-breach-settlement
HealthIT.gov. (2018). Health Information Privacy, Security, and Your EHR. Retrieved from https://www.healthit.gov/providers-professionals/ehr-privacy-security
The IMIA Code of Ethics for Health Information Professionals. (n.d.). Retrieved from http://www.imia medinfo.org/new2/pubdocs/Ethics_Eng.pdf
Jackson, R. (2018). Pulling strings. Retrieved from https://iaonline.theiia.org/2018/Pages/Pulling-Strings.aspx
Prince, B. (2013). Programming Languages Susceptible to Specific Security Flaws: Report. Eweek, 12. Retrieved from https://www.eweek.com/security/programming-languages-susceptible-to-specific-security-flaws-report
… of the health information system
Advanced practice nurses (two)
? Designing of well-being assessments
? Personalized interventions
? Providing feedback on electronic health records, mobile app, and web portal
Specialty expertise in various areas of clinical medicine
Provides clinical information and feedback needed by the IT specialist ……
Abouzhar, C. & Boerma, T. (2009, August). Health information systems: The foundations of public health. Bulletin of the World Health Organization, 83(8), 578-583.
Cresswell, K. & Aziz, S. (2013, May). Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review. International Journal of Medical Informatics, 87(5), 73-86.
Drazen, E. L. (2006, February). Maximizing the benefits of health care information systems. Journal of Medical Systems, 10(1), 51-56.
Kruse, C. S. & Smith, D. (2017, July). Security techniques for the electronic health records. Journal of Medical Systems, 41(8), 127.
Kumar, V. (2011). Impact of health information systems on organizational health communication and behavior. The Internet Journal of Allied Health Sciences and Practice, 9(2), 37-44.
McGrail, K. M. & Black, C. (2009, August). Access to data in health information systems. Bulletin of the World Health Organization, 83(8), 563-569.
Murphy, M. L. (2019, March). Mastering accounting for business combinations: Mergers and acquisitions present challenges that finance can overcome by staying involved with the deal and preparing in advance of the closing. Journal of Accountancy, 227(3), 24-27.
NAHQ code of ethics for healthcare quality. (2019). National Association for Healthcare Quality. Retrieved from https://nahq.org/about/code-of-ethics .
… the globe continue to stick to a pen-and-paper system, including those in developed nations such as America. This is an obstacle on the medical science path as well as gives rise to regression due to the waste caused by it. Besides patients paying the price through adverse … be highly dangerous if the patient requires complex or emergency treatment.
Hence, this paper holds that the sole means of addressing the above-mentioned medical problems is through the utilization of more, advanced technology for delivering an all-inclusive healthcare experience to allow diverse entities participating in the healthcare … technology articles and associated nomological networks that encompass systems promoting the healthcare goal, including CDSS (clinical decision support systems), EHR/ EMR (electronic health/ medical records), CPOE (computerized physician order entry), PCHR (personally-controlled health record which can be accessed by patients as well as their doctors in different ways), ……
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Med J, 38(12), 1173–1180.
Amit, M. (2019, January 28). 5 Problems Which Healthcare Technology Can Solve for a Healthier World. Retrieved from Net Solutions: https://www.netsolutions.com/insights/5-healthcare-problems-which-digital-technologies-can-solve-for-a-fit-and-healthy-world/
DeSanctis, G., & Poole, M. S. (1994). Capturing the Complexity in Advanced Technology Use: Adaptive Structuration Theory. Organization Science, 5(2), 121-147.
Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR Med Inform, 6(2).
Halamka, J., Mandl, K., & Tang, P. (2008). Early Experiences with Personal Health Records. Journal of the American Medical Informatics Association, 15(1), 1-7.
IOM. (1999). To Err is Human: Building a Safer Health System. National Academy of Sciences.
Singh, H., & Sittig, D. (2016). Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Quality & Safety, 25, 226-232.
Weigel, F., Hall, D. J., & Landrum, W. H. (2009). Human/Technology Adaptation Fit Theory for Healthcare. SAIS 2009 Proceedings.
… they are not limited to; pension and compensation, rehabilitation and employment, loan guaranty, and insurance. In the year 2016, the National Archives and records Administration (2016) released a records management inspection report which was categorical that “the VA records Management Program lacks several basic records management fundamentals.” The relevance of VA records cannot be overstated when it comes to veterans’ benefits government accountability. In that regard, therefore, it would be prudent to implement a robust … be overstated when it comes to veterans’ benefits government accountability. In that regard, therefore, it would be prudent to implement a robust electronic records management system.
B: Fit for the Organization
It is important to note that “the mission of VBA, in partnership with VHA and NCA, … the relevance of accountability, efficiency, and effectiveness in the promotion of veteran wellbeing cannot be overstated. The keeping of meaningful, proper, and accessible records happens……
Aziz, A.A., Mohammad Y., Mokhtar, U.A. & Ambari, D.I. (2017). Establishing Policy for the Implementation of Electronic Document and Records Management System in Public Sector in Malaysia: The Influencing Factors. Advanced Science Letters, 23(11), 10732-10736.
National Archives and Records Administration (2016). Department of Veterans Affairs Records Management Program: Records Management Inspection Report. Retrieved from https://www.archives.gov/files/records-mgmt/pdf/va-2016-inspection.pdf
U.S. Department of Veteran Affairs (2020). About VBA. Retrieved from https://www.benefits.va.gov/BENEFITS/about.a sp
… for minimally invasive treatments, and better monitoring of vital signs and other signs. Moreover, technology is now also being used to consult with medical experts from all over the world remotely. This has led to improved healthcare and has enhanced patent experience.
Furthermore, many mobile applications have … be through reviewing a journal article titled Telemedicine Follow-up After Bariatric Surgery.
For over thirty years, health services researchers, clinicians, and other medical experts have been studying how computers and other advanced telecommunication technologies have been used to enhance health care. One of the most important … a distance between them. In addition to being a way in which health care is delivered, Telemedicine is also a way in which medical experts can share knowledge and experience without having to meet each other. While Telemedicine may sound like a very modern concept or phenomenon, …
In the year 1906, the……
Meyers, A. J., Pontarelli, E., Dutta, S. K., Grinberg, G., & Yenumula, P. R. (2018). Telemedicine Follow-up After Bariatric Surgery. Surgery for Obesity and Related Diseases, 14(11), S168.
Tiago, M. T. B., Tiago, F., Amaral, F. E. B., & Silva, S. (2016). Healthy 3.0: Healthcare digital dimensions. In Reshaping medical practice and care with health information systems (pp. 287-322). IGI Global.
Conklin, T. P. (2002). Health care in the United States: An evolving system. Michigan Family Review, 7(1).
Board on Health Care Services; Institute of Medicine. (2012). \\\\\\\\\\\\"3The Evolution of Telehealth: Where Have We Been and Where Are We Going?\\\\\\\\\\\\" in The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. National Academies Press, Washington (DC).
Sada, A., Asaad, M., Reidt, W. S., Kellogg, T. A., Kendrick, M. L., McKenzie, T. J., & Habermann, E. B. (2019). Are In-Person Post-operative Clinic Visits Necessary to Detect Complications Among Bariatric Surgery Patients?. Obesity Surgery, 1-4.
Krupka, D. C., Sandberg, W. S., & Weeks, W. B. (2012). The impact on hospitals of reducing surgical complications suggests many will need shared savings programs with payers. Health Affairs, 31(11), 2571-2578.
Fasano, P. (2013). Transforming health care: The financial impact of technology, electronic tools, and data mining. John Wiley & Sons.
Burch, S., Gray, D., & Sharp, J. (2017). The power and potential of telehealth what health systems should know: proposed legislation in Congress offers the promise that the nation\\\\\\\\\\\\'s healthcare policy will support the expansion of telehealth, allowing hospitals and health systems to fully realize the benefits of this important emerging approach to care. Healthcare Financial Management, 71(2), 46-50.
… delivery. In that regard, therefore, the authors point out that “patient portals may enhance patient engagement by enabling patients to access their electronic medical records (EMRs) and facilitating secure patient-provider communication” (Dendere, Sade, Burton-Jones, Sllivan, Staib, and Janda, 2019, p. 61).
Owing to the increased implementation of patent ……
Amante, D.J., Hogan, T.P., Pagoto, S.L. & English, T.M. (2014). A Systematic Review of Electronic Portal Usage among Patients with Diabetes. Diabetes Technology & Therapeutics, 16(11), 112-118.
Jackson, S.L., DesRoaches, C.M., Frosch, D.L., Peacock, S., Oster, N.V. & Elmore, J.G. (2018). Will Use of Patient Portals Help to Educate and Communicate With Patients With Diabetes? Patient Educ Couns., 101(5), 956-959.
Ronda, M.C., Dijkhorst-Oei, L., Vos, R.C. & Rutten, G.E. (2018). Diabetes Care Providers’ Opinions and Working Methods after Four Years of Experience with a Diabetes Patient Web Portal; A Survey among Health Care Providers in General Practices and an Outpatient Clinic. BMC Family Practice, 19(94), 79-84.
Sun, R., Korytkowski, M.T., Sereike, S.M., Saul, M.L., Li, D. & Burke, L.E. (2018). Patient Portal Use in Diabetes Management: Literature Review. JMIR Diabetes, 3(4), 41-48.
Dendere, R., Sade, C., Burton-Jones, A., Sullivan, C., Staib, A. & Janda, M. (2019). Patient Portals Facilitating Engagement with Inpatient Electronic Medical Records: A Systematic Review. J Med Internet Res, 21(4), 60-66.
… a change leader should know the benefits of telehealth services, various quality and safety approaches, and measures of reducing health care costs and medical errors. Knowledge on these issues is crucial because it helps team members develop the vision of the telehealth program…[break]…demonstrating what is in for ……
Alenius-Smeds, L., Tishelman, C., Lindqvist, R. Runesdotter, S. & McHugh, M.D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies. Retrieved from http://dx.doi.org/10.1016/j.ijnurstu.2016 (06)005
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager, 27(1), 23-39. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18510142
Hughes, R.G. (2007). "3 Barriers to quality improvement and quality improvement research." Institute of Medicine (IOM). Advancing quality improvement research: Challenges and opportunities: Workshop summary. doi:10.17226/11884.x
Lennox, L., Maher, L., & Reed, J. (2018). Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare. Implementation science: IS, 13(1), 27. doi:10.1186/s13012-017-0707-4
Stetler C.B., Ritchie J.A., Rycroft-Malone J. & Charns M.P. (2014) Leadership for evidence-based practice: strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence Based Nursing 11(4), 219–226.
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
… Memorial Hospital. Efforts to resuscitate Quinlan were unsuccessful and after it became apparent that her comma was irreversible, she was transferred to another medical facility, i.e. St. Clare’s in Danville.
After a while, Quinlan was declared to be in a persistent vegetative state. The condition she was … Quinlan from the ventilator was not supported by her doctors. Here, the judge made a finding that the decision at hand was more medical than judicial. As Rosenthal (2018) further points out, it was also found that any move to disconnect the respirator would in this particular … of privacy, and that Miss Quinlan’s interest in having her life-support systems disconnected exceeded the state’s interest in preserving life, so long as medical authorities saw ”no reasonable possibility” that she would recover” (Karen Ann Quinlan Hospice, 2019). Further, according to Karen Ann Quinlan Hospice (2019), the … designated decision maker. This could……
Drane, J.F. (1994). Clinical Bioethics: Theory and Practice in Medical Ethical Decision-making. New York, NY: Rowman & Littlefield.
Holland, S., Kitzinger, C. & Kitzinger, J. (2014). Death, treatment decisions and the permanent vegetative state: evidence from families and experts. Med Health Care Philos., 17(3), 413-423.
Karen Ann Quinlan Hospice (2019). The Story of Karen Ann Quinlan Made Headlines! Retrieved from https://www.karenannquinlanhospice.org/about/history/
Mizzoni, J. (2011). Ethics: The Basics. Hoboken, NJ: John Wiley & Sons.
Rosenthal, M.S. (2018). Clinical Ethics on Film: A Guide for Medical Educators. New York, NY: Springer.
Singer, P. (2013). A Companion to Ethics. Hoboken, NJ: John Wiley & Sons.
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