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[answered] Abstract An electronic health record is an automated way of


?What i have on my presentation my instructor said was incorrect. ?Could you write out or attach the audio part to the presentation for me. This is the last thing i need to pass the class an im so nervous. I have attached the presentation and the paper for notes?

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    2. The focus of this presentation is the accuracy and effectiveness of the information presented. Production value (e.g., costly video effects) does not add to your grade, although the presentation should be professional in tone and content.
    3. The presentation should be 10-15 minutes in length and cover every section of the written document. It shouldnot, however, consist of reading the document into an audio-visual format.
    4. The presentation offers the opportunity to impart significant insights, a particular rationale for aspects of the proposal, or any other consideration that may be of value to the reviewing authority.
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      2. Insight
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      1. Reflects a valid biblical perspective (Use a biblical perspective. However, a Bible verse is not required.)
      2. Reflects sound moral, ethical, and service to society considerations
    5. Intrinsic Qualities
      1. Vision
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Abstract

 

An electronic health record is an automated way of storing patient information within a database.

 

This method of storage allows the medical records of all patients in the database to be shared

 

through a controlled network of medical institutions. The records are in digital format; they

 

require to be coded to protect the patient?s information. The EHRs contain a comprehensive

 

outlook of the patients in the database. The records help at ensuring quality management,

 

providing evidence when making decisions, and reporting the outcome. Medical institutions that

 

have integrated this mode of data storage increase safety in the organizations' practices. The

 

report evaluates the case for EHRs as a way to improve healthcare in the country.

 

Problem Description

 

AT& T organization is a very busy public hospital whose primary business is to offer orthopedic

 

services. Due to a large number of customers visiting the hospital every day, the medical records

 

for all the patients continue to pile, as the medical information is being filed manually. Because

 

of this, the Front Office Receptionist continues to have a hard time and cumbersome to open the

 

different folders carrying patients' the files. Being as hard as that, it implies that the delivery of

 

the services in the hospital does not occur in a satisfactory manner (Selg & Rihel, 2007). The problem of doing the service delivery manually in the hospital has had far-stretching effects

 

to both the hospital and the clients. For the hospital, the slow service delivery has constantly

 

jeopardized the customer relations aspect of the organization. The manual input of data is timeconsuming; when a client visits the hospital and takes the whole day waiting for the staff to

 

retrieve his or her files and go through the records, next time, he or she will opt to a different hospital. For the clients, on the other hand, someone with a critical health condition may not be

 

saved just because his or her medical records are lost. Therefore, the absence of efficient medical

 

coding can worsen the terms of the patient. The problem resulting from the lack of medical coding system in the hospital mainly affects the

 

Front Office Receptionist. The front office receptionist is the person who is responsible for the

 

production of the medical information for the different clients getting into the hospital. There are a lot of consequences if the problem is ignored. By ignoring the problem, it is very

 

likely that the service delivery in the hospital will continue to be slow. The amount of work for

 

the front office receptionist will continue to increase, and become too much for him or her. As a

 

result, the receptionist will strain each day, trying to serve all the clients. The working status and

 

workload for the receptionist need to be improved/reduced. The hospital will generate less than

 

the expected income. Also, there is reduced financial profits as the manual system of storing

 

patients? details will not serve the clients at a proper rate (Heerkens, 2002). Voice of the Customer Analysis or Market Analysis is also evident as far as this problem is

 

concerned. With the absence of the medical coding equipment in the hospital, the customers

 

continue to complain that they do not receive the services in a satisfactory manner. Some

 

complain that their records occasionally get lost. Others say that they have to queue for long hours before they can be attended to, while other still complain of their medical documents

 

which have been torn or soiled. Literature Support

 

From the Journal of Revenue and Pricing Management, it is evident that the implementation of

 

electronic health management would promote the growth of private medical institutions. Private

 

physicians would provide better quality healthcare to the patients. Record keeping would become

 

efficient, and the entity would minimize the losses incurred due to reimbursement coding

 

(Kumar & Bauer 123). It is also evident that the cost associated with an implementation of EHRs

 

is small compared with the benefits that can be derived from them (Kumar & Bauer 123).

 

Daniel et al.?s article reveal that 77% of the participants interviewed has basic knowledge

 

concerning the use of technology in handling the patient's information (Gaylin et al. 924). The

 

research also shows that a significant percentage (78%) of the patients prefer the use of EHRs

 

(Gaylin et al. 922). Most of the respondents believed that the implementation of EHRs would

 

reduce the cost of medical care. American respondents that believe electronic medical records

 

would lower the cost of medical care constitute 59% of the sample (Gaylin et al. 923). The

 

research shows that most patients prefer the use of electronic medical records (Gaylin et al. 924).

 

Implementation of EHRs has its demerits in that the client?s privacy may be breached if hackers

 

retrieve the user?s information (Jacques 453). The article by Jacques shows the dangers

 

associated with EHRs and the government?s efforts to reduce the risks. The Jacque?s article

 

further designates that the benefits derived from information technology outweigh the demerits

 

(Jacques 454). The survey conducted in the editorial, Annals of Internal Medicine shows that only 14% of the

 

U.S' hospitals implement computerized record keeping with the figure dropping to 3% in all

 

practices (Baron 698). Although the implementation of computerized health records has

 

numerous benefits, its application needs to be enhanced, to realize benefits (Baron 698).

 

The adoption of EHRs will facilitate sharing of medical information across hospitals. Thus, the

 

hospital will be able to track the payment and charges associated with the patient. The mode of

 

treatment used incase of referrals is documented together with the the patient?s medical history.

 

This documentation enables the physicians to use effective methods to treat the patient thus

 

eliminating the redundancy in the treatment offered by the previous treatment. The physicians

 

would benefit from using the EHRs by saving their operational costs.

 

Medical errors that may jeopardize the medical doctor's license can be avoided through

 

computerized maintenance of patient records. Medical mistakes that are prevented through the

 

registers include documented allergies in the patient's records. Some patients may have allergies

 

to some medication, and therefore the need for the records to save the patient's life. For a private

 

physician, the implementation of computerized health records will increase the client base

 

(Kumar & Bauer 123).

 

The physician can improve his record of accomplishment through improved healthcare. It can be

 

compared to advertising ,whereby the patients recommend the medical institutions to their friend.

 

Implementing electronic medical records will allow physicians to make informed health

 

decisions when treating the patient.

 

The cost-benefit approach has been used in the Journal of Revenue and Pricing Management to

 

justify the implementation of EHRs. The costs associated with using the EHRs relate to the maintenance costs, the cost of the hardware and software to be implemented in the institution,

 

and the installation costs. The benefits derived from the system outweigh the costs. The

 

organization will benefit from reduced transcription cost since in the United States, up to $12

 

billion are used annually in transcription of related expenses (Kumar & Bauer 123). The

 

physician can divert the money saved from transcription expenses to enhance the health facility

 

(Kumar & Bauer 123). The physician will handle the revenue loss in the business through

 

reimbursement coding (Kumar & Bauer 123). Reimbursement from government and insurance

 

firms are accurate when EHRs are used. The entity reduces the cost related to using the

 

conventional chart system. The physician in a private medical institution saves on filing space

 

and cost of maintaining the medical records.

 

The second article by Daniel et al. evaluates the public?s opinion towards the use of EHRs

 

(Gaylin et al. 920). The increase in technological advances in other sectors has allowed the

 

public to benefit from efficient services at a reduced cost. Prior studies pertaining technology in

 

the health sector show a low reception to the concept (Gaylin et al. 925). The growth in

 

information technology sector is anticipated to produce better reception due to the increase in

 

awareness. For a private physician, evaluation of patients? wants and providing quality health

 

care should be focused on before implementing changes to the entities operations (Gaylin et al.

 

921).

 

The public is aware of the merits associated with information technology and its effects on the

 

quality of healthcare. The physician should implement the technology to increase the client base

 

(Gaylin et al. 922). The research was conducted through telephone (Gaylin et al. 923). The

 

research targeted the technologically informed members of the public. The resulting highlight

 

that the public opinion favors information technology (Gaylin et al. 924). The patient's health record contains the patients' personal information accumulated over time.

 

With the implementation of EHRs, the information is stored in the hospitals' network. This

 

exposes the confidential patient information to hackers; the patient is entitled to confidentiality

 

according to the law. Lauren Bair evaluates the challenges associated with EHRs in the third

 

article. The article evaluates the government?s efforts to handle the challenges associated with

 

information technology to make the process safe (Jacques 445).

 

Private physicians risk the client?s private information being retrieved by unauthorized people.

 

This breaches the client?s right to privacy. The US government has implemented many controls

 

to ensure that eradication of the vice without success. Client?s information and EHRs depend on

 

one another to ensure quality healthcare. The patients should understand the risk associated with

 

their privacy and weigh the dangers they may be exposed to in both cases (Jacques 440). EHRs

 

implementation by the private physician should ensure the client understands the information and

 

the benefits (Jacques 441).

 

EHRs are meant to improve healthcare through the evaluation of a patient?s medical history

 

before administering treatment. The medical information may be lengthy and may cost the

 

patient time. The time taken by the physician to go through the medical records may be spent to

 

attend to other patients (Baron 697). The editorial from the Annals of Internal Medicine evaluates

 

the need to implement other systems to complement EHRs (Baron 697).

 

The article evaluates the efficiency of information systems in the medical sector and the

 

organization implementing IT into its operations. The survey of regional health information

 

organization shows the need to improve implementation of computerized records (Baron 698).

 

Solution Description EHRs method of storing patient information will assist the medical institutions to enhance their

 

control over the revenue. Revenue enables organizations to run their business efficiently and

 

effectively. The health sector faces many challenges in its revenue control due to its unique

 

nature. The medical institutions account for their activities, different from other profit oriented

 

sectors (Kumar, Sameer, & Ken Bauer 120).

 

The adoption of EHRs will facilitate sharing of medical information across hospitals. This will

 

enable the hospital to track the payment and charges associated with the patient. The mode of

 

treatment used in case of referrals is documented together with the patient?s medical history. This

 

enables the physicians to use effective methods to treat the patient other than redundancy in the

 

treatment offered by the previous treatment. The physicians would benefit from using the EHRs

 

by saving their operational costs.

 

Medical errors that may jeopardize the physician?s license can be avoided through computerized

 

maintenance of patient records. Medical errors that are prevented through the records involve

 

documented allergies in the patient?s records. Some patients may have allergies to some

 

medication thus; the records may save the patient's life. For a private physician, the

 

implementation of computerized health records will increase the client base (Kumar et. al. 123).

 

The physician can improve his record of accomplishment through improved healthcare. It can be

 

compared to advertising, whereby the patients recommend the medical institutions to their friend.

 

Implementing electronic medical records will allow physicians to make informed health

 

decisions when treating the patient.

 

The cost benefit approach has been used in the journal of revenue and pricing management to

 

justify the implementation of EHRs. The costs associated with using the EHRs relate to the maintenance costs, the cost of the hardware and software to be implemented in the institution,

 

and the installation costs. The benefits derived from the system outweigh the costs. The

 

organization will benefit from reduced transcription cost since in the United States, up to

 

$12billion are used annually in transcription of related expenses. The physician can divert the

 

money saved from transcription costs to enhance the health facility. The doctor will handle the

 

revenue loss in the business through reimbursement coding. Compensation from government and

 

insurance firms are accurate when EHRs are used. The entity reduces the cost related to using the

 

conventional chart system. The physician in a private medical institution saves on filing space

 

and cost of maintaining the medical records.

 

The second article by Daniel evaluates the public?s opinion towards the use of EHRs. The

 

increase in technological advances in other sectors, has allowed the public to benefit from

 

efficient services at a reduced cost. Prior studies pertaining technology in the health sector show

 

a low reception to the concept. The growth in information technology sector is anticipated to

 

produce better reception due to the increase in awareness. For a private physician, evaluation of

 

patients? wants and providing quality health care should be focused on before implementing

 

changes to the entities operations (Jennifer, et al. 922).

 

The public is aware of the merits associated with information technology and its effects on the

 

quality of healthcare. The physician should implement the technology to increase the client base.

 

The research was conducted by telephone. The research targeted the technologically informed

 

members of the public. The result highlight that the public opinion favors information

 

technology. From the Journal of revenue and pricing management, it is evident that the implementation of

 

electronic health management would favor the growth of private medical institutions. Private

 

physicians would provide quality healthcare to the patients. Record keeping would become

 

efficient, and the entity would minimize the losses incurred due to reimbursement coding. It is

 

also evident that the cost associated with an implementation of EHRs is low compared from the

 

benefits that can be derived from them (Kumar, et. al. 123).

 

Daniel?s article revels that 77% of the participants interviewed has basic knowledge concerning

 

the use of technology in handling the patient?s information. The research also shows that a large

 

percentage (78%) of the patients prefer the use of EHRs. Most of the respondents believed that

 

the implementation of EHRs would reduce the cost of medical care. American respondents that

 

believe electronic medical records would lower the cost of medical care constitute 59% of the

 

sample. The research shows that most patients prefer the use of electronic medical records

 

(Jennifer, et al. 933).

 

Implementation of EHRs has its demerits in that the client?s privacy is bleached in case hackers

 

retrieve the user?s information. The articles show the dangers associated with EHRs and the

 

government?s efforts to reduce the risks. The article further shows that the benefits derived from

 

information technology outweigh the demerits (Jacques 453).

 

The survey conducted in the editorial, Annals of internal medicine shows that only 14% of the

 

U.S' hospitals implement computerized record keeping with the figure dropping to 3% in all

 

practices. Although the implementation of computerized health records has numerous benefits,

 

its implementation needs to be enhanced, to realize benefits (Baron 698).

 

Implementation Plan How patient database is created

 

Life cycle of electronic health record is made up of three stages; they include the following

 

initiation, acquisition, and consolidation stage.

 

Initiation stage

 

Small, industrial ventures, reacting to predictable pain in diligence, focus on a specific position,

 

for example, patient records and provide it with proprietary software. They try to act in response

 

to distinctive language, makeup, and processes connected to an industry (Petch, 2008). As the

 

responsiveness of their products along with their integrity grows, they influence the

 

understanding they have added serving their established base of clients and apply growing

 

revenues to advance the progress of their product also attempt to extend into the other field of the

 

industry.

 

Acquisition stage

 

As their sales start to legalize the existence of actual need, entrepreneurs draw attention-large

 

firms that seek to take advantage of the materializing market and construct in the lead of their

 

own potentials and product like compatible software, data gathering devices, for example,

 

barcode readers. Acquirers' complexity draw closer when they attempt to integrate different

 

software that was produced using a distinct language, operating systems, as well as hardware

 

platforms (Danabedian & Gilmore, 2003).

 

Consolidation

 

Is the ultimate stage in which successful firms make conclusions on the residuals in the market or

 

leaving it, and in which only some surviving firms develop into standards for the manufacturing. The reason for dividing database creation into three stages is to enhance efficiency; traceability

 

should complications arise, and for security purposes.

 

Change Model

 

An electronic health record is a computerized way of storing patient information within a

 

database. This method of storage allows the medical records of all patients in the database to be

 

shared through a controlled network of medical institutions. The records are in digital format;

 

require to be embedded to protect the patient?s information. It is thus inferred that, technology

 

has facilitated many changes around the globe. The changes have affected many industries,

 

including the health sector. Technology facilitates the quality of healthcare and enables reduction

 

in errors affecting the institution's revenue.

 

One of the changes in this case is that the development of electronic health records to do code the

 

medical records of the patients in the hospital will ease the work of front office receptionist in

 

busy hospitals by being able to use the application to achieve accurate and convenient keeping of

 

records. The adoption of this technology by the office receptionist may be slow if the receptionist

 

is not given the necessary training on how to handle the technological innovation. Therefore, for

 

the hospital staff to adjust to this model easily, they have to be trained on how to code the all the

 

manually recorded data into electronic forms, how to interpret the coded data and how to apply

 

the coded medical records in the practical settings.

 

Evaluation

 

The proposed evaluation strategy must comply with the set standards. One of these standards is

 

Comit? Europ?en de Normalization: This standardization is in Europe, and it is set by the

 

European Committee for Standardization, which is the officially competent organization of the European. In the healthcare position, Comit? Europ?en de Normalization standards are

 

recognized for medical strategies, (Harrison & Coussens, 2007). Healthcare service provider also

 

uses European standards, such as the EN ISO 9000 administration standards to confirm their

 

organization. Some healthcare professions are now crucial in European standards the

 

professional necessities for service to patients (Harrison & Coussens Ch, 2007).

 

Health level seven standards: This standard is based in the United States of America. Unlike

 

Comit?, Europ?en de Normalization, Health level seven have different versions. It is dominantly

 

used in North America and Europe. Health level seven specifies several flexible standards,

 

guiding principle, and styles by which different healthcare structures can correspond to each

 

other. Such guiding principles or data standards are a set of regulations that permit information to

 

be forwarded and processed in a systematic and consistent way. These information standards are

 

meant to permit healthcare institutes to share easily clinical information. Hypothetically, this

 

aptitude to exchange information should help to reduce the trend of medical care to be

 

geographically separated and highly variable, (Danabedian & Gilmore, 2003). Health level seven

 

also creates document, conceptual and application standards.

 

Lastly is the American society for testing and materials, which originated from the America

 

Chapter of the International Association for Testing and Materials of 1898. The organization is

 

not profiting based; it offers voluntary services. The American society for testing and materials

 

has six principles, which include standard test method, standard specification, practice,

 

terminology, guide, and standard classification. It is dealing majorly with surgical implant

 

specifications. The role of accreditation bodies is to help in setting national standards: Accreditation is the

 

procedure through which a free and legalized organization certify the quality system and

 

capability of the health institutions on the line of predefined standards. It is carried out on a

 

regular basis to enhance keeping of standards and dependability of outcomes created to sustain

 

clinician reports. These bodies also assist in the development of accreditation programs; they

 

clarify areas to be covered by accreditation standards and identification of customers.

 

Project Plan Rationale

 

Electronics Health Records are sets of software applications planned to improve the cost of

 

safety and patient protection. It offers a graphical user interface, which allows improved entering

 

to essential clinical information, direct entry of data by clinicians and additional users, and

 

clinical decision support tools at the tip of care. The electronic health record is generated within

 

the set up of a hospital or any health institution. It helps in data entry, maintenance, and

 

efficiency in data retrieval. It entails the following information, patient demographics,

 

improvement notes, precedent medical information, tribulations, important signs, immunization,

 

laboratory information, plus radiology information (Petch, 2008). Electronic health record

 

computerizes and rationalizes the doctor?s workflow. Electronics health records have the

 

capacity to create a whole record of a clinical patient encounter and sustaining other care related

 

operations either directly or circuitously through the interface concurrently. The operations can

 

be evidence based pronouncement support, quality administration, as well as outcomes reporting.

 


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