Health Informatics Discussion Board

The  Health care industry, just like the banking and business sector, is rapidly implementing digital applications that seek to improve patient experiences, health outcomes, lower costs, and alleviate clinician burnout. The digital transformation within the health care sector seeks to apply digital health interventions utilizing applications like wearable technologies, mobile devices, improved network connectivity, cloud computing, Artificial Intelligence, and even automation to patient care.

However, there are numerous challenges health care organizations must consider when implementing any digital health strategy. After reviewing the links, videos, and cases presented describe some of the challenges, risks, and benefits related to technology use and digital health technology adoption within health care. Why would privacy, cybersecurity, interoperability, and misinformation be major concerns?

WELCOME TO WEEK 2!
HS420-ADVANCED HEALTH INFORMATICS
OCTOBER 27, 2022
WHAT’S HAPPENING THIS WEEK?
ASSIGNMENT TWO
You are the director of a medium sized health care facility. You have been tasked
with developing a proposal for the facility that moves the organization into a
digital capacity that meets the AHRQ’s “ Health Learning System” requirements.
Part 1: Introduce and explain “Health Learning Systems.”
Part 2: Present research and ideas related to techniques that can be utilized to
transition the facility into a “Smart Hospital” within 10 years. Be sure to address
the following:
1.Workforce
2.Technology
3.Informatics and Analytics
Include three references and follow APA guidelines.
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ)
LEARNING HEALTH SYSTEM – AHRQ (2019)
 Have leaders who are committed to a culture of
continuous learning and improvement.
 Systematically gather and apply evidence in real-time
to guide care.
 Employ IT methods to share new evidence with
clinicians to improve decision-making.
 Promote the inclusion of patients as vital members of
the learning team.
 Capture and analyze data and care experiences to
improve care.
 Continually assess outcomes refine processes and
training to create a feedback cycle for learning and
improvement.
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
GRADING RUBRIC
GRADING RUBRIC
GRADING RUBRIC
CHAPTER 3: THE ELECTRONIC HEALTH RECORD
WHY ELECTRONIC HEALTH RECORDS (EHRS)?
 A little warm up:

THE ELECTRONIC HEALTH RECORD
 Objectives:
 Review the evolution in the
development of the electronic
health record
 Articulate the issues surrounding
the deployment and
implementation of the electronic
health record
 Compare the differences in
electronic health record systems
THE ELECTRONIC HEALTH RECORD
 Objectives continued…:
 Describe HITECH funding
 Compare the advantages and
disadvantages of the electronic health
record
 Consider the current status and
documented outcomes of EHR
utilization
INTRODUCTION AND DEFINITIONS
 Electronic MEDICAL record (EMR): digital version of the paper medical record
within a healthcare facility or hospital where a patient is receiving care
 Electronic HEALTH record (EHR): broader data set containing information
from the entire healthcare team which follows the patient across different care
settings.
 Personal health record: similar to the EHR, but is the property of the patient. It
can include information entered by the patient and is entirely managed by the
patient.
WHAT EXACTLY IS INCLUDED IN ELECTRONIC RECORDS?
 Past medical history
 Problem list
 Medication list
 Allergies
 Notes from care providers
 Vital signs
 Results and images
 Scanned documents
HOW DO I ACCESS MY RECORD?
 Patient Portal vs. PHR: shared record with your doctor through a portal where a
personal health record includes information that can be entered/maintained by
you/the patient.
 What information is shared? Varies across organizations and can depend on the
software vendor.
 Proxies: access can be established for others to maintain/access your records
through a portal if you are unable to or for minor patients through proxies.
ANOTHER CONSIDERATION…
The patient/family perspective
https://www.youtube.com/watch
?v=msBYOYYeHPw
ADVANTAGES OF EHRS: FOR HEALTHCARE PROVIDERS
 Providing accurate, up-to-date, and complete information about patients at the point of care
 Enabling quick access to patient records for more coordinated, efficient care
 Securely sharing electronic information with patients and other clinicians
 Helping providers more effectively diagnose patients, reduce medical errors, and provide safer care
 Improving patient and provider interaction and communication, as well as health care convenience
 Enabling safer,more reliable prescribing
 Helping promote legible, complete documentation and accurate, streamlined coding and billing
 Enhancing privacy and security of patient data
 Helping providers improve productivity and work-life balance
 Enabling providers to improve efficiency and meet their business goals
 Reducing costs through decreased paperwork, improved safety, reduced duplication of testing, and improved
health.
ADVANTAGES OF EHRS FOR PATIENTS
 Can reduce paperwork for patients.
 Get your information into the hands of people
who need it.
 Help your doctors coordinate your care and
protect your safety.
 Reduce unnecessary tests and procedures.
 Give you direct access to your records.
WHO NEEDS ACCESS TO THE EHR?
EHR COMPONENTS
 Integrated applications
 EHR concept overview
 Clinical documentation
 Supports meaningful use
https://library.ahima.org/doc?oid=63392#.YiP_zXrMJPY
EHR: CORE FUNCTIONALITY
 Health information and data
 Results management
 Order entry/management
 Decision support
 Electronic communication and connectivity
 Patient support
 Administrative processes and reporting
 Reporting and population health
EHR CLINICAL FUNCTIONALITY
Health information and data
 Patient demographic information
 Patient problem list
 Patient medication lists
 Clinical notes
 Minimum data set
 Notes including medical history and follow-up notes
EHR CLINICAL FUNCTIONALITY
Results management
 Viewing lab results
 Viewing imaging results
 Electronic images are returned
EHR CLINICAL FUNCTIONALITY
Order entry management
 Computerized orders for prescriptions
 Computerized orders for labs
 Computerized orders for radiology
 Orders sent electronically for prescriptions
 Orders sent electronically for labs
 Orders sent electronically for radiology
EHR CLINICAL FUNCTIONALITY
Decision Support
 Warnings of drug interactions or
contraindications are returned
 Out of range lab levels are highlighted
 Reminders for guideline-based interventions
and screenings
 Access to online clinical guidelines
EHR CLINICAL FUNCTIONALITY
Electronic communications and connectivity
 Electronic health information exchange (eHIE)
 Access to shared patient histories
 Continuity of Care Document (CCD)
EHR CLINICAL FUNCTIONALITY
Patient support
 Patient portal to EHR
 E-mail communication with clinicians
EHR CLINICAL FUNCTIONALITY
Administrative processes
 Scheduling/appointments
 Billing
 Inventory
EHR CLINICAL FUNCTIONALITY
Reporting and population
health management
 Disease reports
 Disease registries
 Quality measured and
improvement reports
 Patient safety
 Immunization information
exchange
INPATIENT EHRS
Components
 Financial and administrative applications
 Clinical systems
 CPOE
 Electronic medical administration records (EMAR)
 Clinical data repositories
 Clinical decision support
 Document imaging
 Picture archiving and communication system (PACS)
AMBULATORY EHRS
 Practice management systems (PMS’s)
 Complete versus modular
 Certified EHRs
 HITECH
 Meaningful Use
COMPARISON
Inpatient EHR
Ambulatory EHR
Hospitals commonly use inpatient EHRs to
manage health records and streamline day-to-day
workflows.
Ambulatory EHRs offer help to outpatient care
facilities and smaller practices.
Inpatient EHR systems offer an interoperable
architecture for hospitals to seamlessly integrate
and exchange patient information across
departments.
These are simpler than inpatient EHRs as they
allow physicians to track a patient’s medical
record and long-term care without interacting
with the complex web of hospital departments.
LONG TERM CARE EHRS
 Minimum Data Set (MDS)
 Electronic functionality limited
 Potential processing changes
 Benefits to Long Term Care environment
BEHAVIORAL HEALTHCARE EHRS
 Inpatient or ambulatory
ENTERPRISE EHRS
 Patient health over time
 Enterprise integration
PRIMARY AND SECONDARY USES OF EHR SYSTEM
Primary Uses
Secondary Uses
Patient care delivery
Education
Patient care management
Regulation
Patient care support processes Research
Financial and other
Public health policy and
administrative processes
homeland security
Patient self-management
Policy support
HIMSS ADOPTION MODEL
Stage 0: Hospital has not installed all 3 key ancillary systems (laboratory, pharmacy, and
radiology)
Stage 1: All 3 major ancillary clinical systems installed
Stage 2: Major ancillary systems feed data to a clinical data repository (CDR)
Stage 3: Nursing/clinical documentation implemented and integrated with CDR for at least
one inpatient service
Stage 4: CPOE added to nursing and CDR environment with 2nd level of clinical decision
support capabilities
Stage 5: Closed loop medication administration with bar coded unit dose medications
environment fully implemented
Stage 6: Full physician documentation with structured templates and discrete data
implemented for at least one inpatient care service area
Stage 7: Hospital no longer uses paper charts to delivery and manage care and has mixture of
discrete data, documented images, and medical images within its EMR environment
KNOWLEDGE CHECK
Systems designed to facilitate the management of the activities of
various clinical departments and to provide electronic charge
capture and results reporting:
a. Decision Support Systems
b. Picture Archiving and Communication Systems
c. Clinical Information Systems
ANSWER
Systems designed to facilitate the management of the activities of
various clinical departments and to provide electronic charge
capture and results reporting:
a. Decision Support Systems
b. Picture Archiving and Communication Systems
c. Clinical Information Systems
HAVE A GREAT WEEK!
Reach out with any questions!
patricia,coffey@purdueglobal.edu

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