In: Nursing
list and explain the top five elements of the health care system that most need reform.
Five elements of reform:
For patient care and good health care system we need improvement in
record keeping and health IT..some of the elements of a health care
system promoted by leaders still it is to be consider by the way to
make change and crucial..
1,Reform will not succeed unless electronic records
standardize on a common,robust format:
In health care field patient record should be by data
analysis applications to make proper diagnosis,public health
planning and research into new treatment..consumers choosing a
particular hospitals by data about hospita procedures,costs and
patient satisfaction..data-wise physician's are suffered in 1980s
for proper record system for the different department..Now vendors
are taken responsible for both government and the market by
promoting interoperability..federal governement taken responsible
for this data..but this wont't be sufficient. every one must take
responsible for this..
For exchanging patient data we need multi-million dollar
investment..HLT commitee,provides standards for electronic health
records,it deal with new,complicated histroy and formats it make
compatibility among vendors..the direct project and RHEX RESTful
exchange standard helps hospitals exchange for information with
government forces exchange..But we need to extract useful data from
records..
2,Reform will not succeed unless massive amounts of patient
data are collected:
we need the patient data to provide most
effective treatment..but we can not prescribe drug for the patient
without collecting enough data about patients and that drug
reaction..we don't know how the drug will be safe for the
patient..we are tracking their vitals and treatment plans for the
risk population on a daily basis..some institutions follow holistic
approach to health when doctors and hospitals following patient
records they should not add anything more in their data..
3,Reform will not succeed unless patients are in charge of
their records:
doctors are providing their own decision care without
sharing with patient their information..sometimes one drug can
interfere with another it makes patient falls for their followup
plans..any data collected by the patient must be in scribbled
notes..sometimes doctors will not trust patient because medical
record are complicated documents if there is one small error can
make a life at risk..so it is better to bring the patients to team
and educate them..
Genomic information and radiological images can occupy
dozens of gigabytes of space..most of the hospitals are following
cloud .Among1,50,000 medical practitioners only one in four doctors
selecting an EHR for practice fusion..Doctors can treat patients in
asking their history,vital signs and observations of daily
living..US governement stimulate patients empowerment by requiring
doctors to open their records to patients..but some institutions
providing patient log for them..it is important to navigate..
4,Reform will not succeed unless providers conform to
practice guidelines:
Now government is forcing doctors to release information for
patient to choose hospitals and doctors for thier choice.. medicine
is a science and art..patient choice is restricted by insurance
rules,it also make difficulty to determine the procodures
cost..cost structure will benefit patients and tax payers..some
insurers have started new payment mechanisms..
5,Reform will not succeed unless providers and patients can
form partnership:
when we talk about technologies and
articles poor model education,data collection for patients will be
lacking..patient want time to talk with their paroviders for their
needs..data and good record keeping help for efficient resources
and deal with the physician shortage can spread job among other
staff's..Relationship is important for health IT to make efficient
care..because of science empowerment personal connection have
lost..Good records help doctors to know patient well..but
communication is important...