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Original Question

please use this information to write a paragraph about the advantages of computerized client electronic health record but with paraphrasing the information (Cost saving) The initial move from paper records is expensive, but a reduction in cost is expected in the long run. Officials estimate that the cost of using paper records in an agency is 25% of total health care costs. In addition to the actual paper and printing costs, there are costs involved in copying, archiving, storing, and retrieval of the records. Under Medicare and Medicaid Reimbursement, Adjusted Hospitals Reimbursement Through Use of Computer Driven MS-DRG System “Increased Access to Customer Information” List H. Customer’s electronic health records may be stored so that they are accessible to all of the customer’s care providers. Electronic records support telehealth, for example, in the case of a fully computerized medical history that includes graphic files (eg, ultrasonography, x-ray scans, and other diagnostic imaging) that can be transmitted and analyzed by professionals hundreds of miles away. The information is immediately available to a variety of users. Your client’s lab test results, posted to the lab, can be accessed from the client’s inpatient unit, by the community health nurse, and from the primary physician’s office once the lab technician enters them into the hospital computer system. Your customers can also access some areas of their electronic health records. For example, the 9 million members of the Kaiser Perma nente can access their immunization records anytime and anywhere. When seeking care outside their health system, clients can carry their entire health history on a flash drive so we achieve comprehensive interoperability “Efficiency and Ease of Use” The potential impact of electronic health records on nursing efficiency is measured by reducing the amount of time you spend doing activities other than direct care of your client (Thompson, Johnston, & Spurr, 2009). Computer-aided graphs can reduce the time you spend planning. This allows you to spend more time with your customer, which can lead to increased customer satisfaction. In a meta-analysis by Poissant et al. (2005), nurses They reduced their time documenting by 24%, an average of about an hour from their time in an 8-hour workday. Although there are some study results showing that computer mapping takes longer for the nurse, the Agency for Health Care Research and Quality reports that there is a reduction of up to 50% in the time it takes to draw the charts. quality screenshot) on m um com downtree and it is ompt fi-state. Anding Abh EHRs also improve the quality of the charts (Moody et al., 2004). Duplication is eliminated, efficiency is increased. This includes eliminating duplication of questions to your client about their history, as their answers about their medical history are available to you from admission. The biggest impact on nursing efficiency is the elimination of duplication when charting. It is like e, but the term g genes. ent’s F scrip paper costs. Notify e filing costs or efficiency is increased because service providers in all agencies have immediate access to client information. Some Canadian provinces and states such as Minnesota are examples of regions with integrated e-health infrastructures, which have been achieved through legislation and funding of a district-wide system. Thompson and colleagues (2009) listed the advantages of HIT that improve nursing efficiency in other ‘later’ ways beyond what is evident in documentation activities, such as medication registration accuracy, automatic medication calculations, automatic downloading of bedside monitoring records, automatic nursing discharge summaries, and so on etc. my tiny decar can d ur dia moneto pigment glove to fuck rope support computer egist (eg, aging) data ndreds computers should be easy to use. Your terminal may be located in the nurses’ station, in the client’s room, or it may be portable wherever you go, including the client’s home or community clinic. When planning, you type in your password/PIN, scan your ID card, or scan your fingerprint. Then you enter the data into the client’s computer file. Some systems use a mouse or stylus to select from a list of standard groups or categories to document customer care information. Many systems have sample charts for your claim, for example, when conducting your receiving interview. The ability to document your care from the client’s bed or home is known as the ‘Point of Care’ and is described in Chapter “Improving Quality of Care and Communication ” Efficiency A comprehensive computer information system is changing the way information flows through the health care delivery system. Communication is faster. After the client enters the acute care hospital, the doctor’s orders entered into the computer are simultaneously transmitted to the pharmacy, laboratory, and nursing unit. HIT can be used to connect Quality of care can be maximized through clinical decision-making electronic ‘prompts’ that remind you to undertake complete care or plan comprehensively. This function also improves the quality of care by promptly reminding you of specific standards of care that may apply to your client. Most electronic customer monitors, such as those that record blood pressure, pulse, and oxygen, record this information directly into the customer’s electronic health record. This saves planning time and eliminates transcription errors. The computer sends you an ‘alert’ notifying you of an increase in the client’s blood pressure or any other abnormalities. Records can be examined over time to determine the percentage of time you provide care that was ‘best practice’. In another example, it would be better if the diabetes client’s insurance company could monitor whether their doctor adequately checks their knowledge of HbA1c levels routinely. Your customer may also &Smit have limited access to their health history, for example, to check their lab test results, immunization records, etc. Participation in central disease registries can give caregivers real-time feedback. For example, participants in the National Cancer Data System can receive electronic “alerts” if “best practice” care has not started within a certain time frame. So if the standard of care for a postoperative lumpectomy client for an early-stage breast cancer diagnosis is to start radiation within a week, the registry will notify the hospital and doctor if it does not. which – which (combi ency reports here tis no body account of recor eve example you have oc ues is also t from when files s ity assu pay in ac = s all tion. tims to esota tifi bet health ng a 009) termino y In NT improves in change accuracy Natick describes nursing kenan mating, ninal identification saves ent ent for home ding hu hart mating nipper Communication between health professionals collaborating with customer care can also be improved through HIT point-of-care access to current use. For example, the Nemeth study (2007) showed that laboratory tests allowed caregivers to discuss changes in care at the time of the visit. For example, it may have instant access to lab results for your blood clotting time, allowing you to call your doctor to change medication levels while at your client’s home “Safety” Moderate security As discussed in Chapter 22, one of the most important reasons for computing is to reduce errors. It forces HITs to standardize nursing terminology, eliminate the use of inappropriate acronyms, and avoid issues of lack of clarity. Errors are prevented because assistance is provided in medication calculations, and in assisting in decision support such as checking medication incompatibilities, allergies, etc. “Aggregated Data ” Computerized systems provide easy access to aggregated (grouped together) information from multiple clients for reporting, disease monitoring, and finding the best nursing care. The audit trail promotes greater accountability. Information collected from a number of records can be analyzed to determine outcomes, for example, the number of postoperative injuries that occurred in your unit. Log access time has also been improved. For example, when using paper files, it took a long time for agency quality assurance audits or by insurance companies to verify reimbursement. Anical 3 You’re This Return by E So Money, and to Inates “Alert” Press In addition to documentation, nurses use HIT systems to identify the contributions nurses make to better outcomes for clients. By integrating data, nurses identify better treatment methods and pass on this new knowledge to colleagues (Gruber, Cummings, Leblanc, & Smith, 2009). It is critical for nursing that nursing terminology becomes an integral part of electronic health records, both to improve communication between nurses, such as when changing shifts, and to allow data mining to describe nursing care. In the past, EHRs did not include nursing terminology (Westra, Delaney, Konicek, & Keenan, 2008). Thus, no data can be aggregated to determine best nursing care practices. Delive plentiful may be able to ecking to ders disease from st. Brac NE even if demon Keepnews, Capitman, and Rosati (2004) assert that a single computer graphing system can be used to obtain reports on client outcome predictions in Home health care. For example, you can easily obtain information that identifies the most effective nursing interventions to identify best practices and identify other interventions that need to change. Incorporating data from multiple clients quickly can speed up identification of negative outcomes. For example, public health agencies analyze information about a disease to generate reasonable information about epidemics such as the spread of influenza around the world. In another example, Kaiser Permanente was able to analyze information from 1.3 million customers receiving Vioxx to determine the potential harm from this drug, removing it from the market

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