Question

This assignment has three parts that should all be completed on one document. For this assignment you will explore the cost-effectiveness of informatics interventions in healthcare. In your role as director of health informatics you are tasked with putting together an executive report that outlines and EHR adoption the effectiveness of EHR.

The detailed assignment requirements are below.

Part I

• Summary of laws and mandates requiring EHR adoption
• EHR & treatment effectiveness and efficiency
  • Be sure to discuss how PHR ties to the EHR.
• EHR Implementation plan
  • Discuss comprehensive plan from vendor selection to maintenance.
• Provide a generic implementation budget.

Answer 1

1. The HITECT Act established ONC inlaw and provides the US Department of health and human services with the authority to establish programs to improve health care quality, safety, and efficiency through the promotion of health IT, including electronic health records and private and secure electronic health information exchange.

Bipartisan 21st Century Cures Act is now implemented by ONC.

Health Insurance Portability and Accountability Act ( HIPAA), the Affordable Care Act and the FDA Safety and Innovation Act.

ONC sets the standards and certification criteria that EHRs must meet to assure health care professional and hospitals that the systems they adopt are capable of performing ceratin functions.The ONC HIT Certification Program also supports the Medicare and Medicaid EHR Incentive Programs. It provide financial incentives for certified EHR technology.

EMR mandate is a provision of a comprehensive bill passed in demand for the conversion of patnet chart to electronic system. One of the mandate is American Recovery and Reinvestment Act.

2.

• It hepls in intutive formatting and enhanced interaction.
• eleminating unnecessary procedures reducing health care expenditures
• Greater co- ordination and data sharing
• No data loss
• Provide patient secific feedback in real time.
• Provide alerts to the doctor to health needs or relevant research
• improved decisions on part of the clinician
• empowers patient self management of chronic diseases
• helps to track prior medical history and treatment of the patient
• collaboration between patient and care.

Benefits in patient care

• provides intelligently filtered clinical knowledge and patient related information
• Clinical decision support often works to ensure that the patient is being treated appropriately
• It helps the patient to keep on tracks of their own personal health information
• provides an educational material to assist in self management of chronic disease
• enables patient to take input from home monitoring devices such as glucometers, blood pressure monitors etc.
• telemedicine allows communication of medical information to remote provider for consultation
• frequency of appointments can be determined by the patient
• reduce cost through cost avoidance

3. PHR

• PHR is simply a collection of information about health
• They grant access to health resources and best medical services
• Can benefit clinicians, also provide the patients the oppurtunity to submit their data to their records
• With the help of them an individual can analyse his / her health profile and identify health threats and improvement oppurtunities.
• It makes easier for clinicians to care for their patients by facilitating continuous communication
• In emergency, they can provide critical information to proper diagnosis or treatment.

EHR

• It helps the nurse to alert about the next dose or cautions about the medication.
• Improved access to medical records
• Decreased time spent in documentation
• increased time of client care
• improved quality of care
• facilitation of data collection for research
• improved communication and decreased potential for error
• creation of lifetime clinical record facilitated by information systems.

4. Implementation plan

• Selection of best system
• Right EHR system
• Technological infrastructure - central processing unit, network, supporting software
• Policies and procedures
• Confidentiality and security setup
• Educational material and training programs for users