Electronic Health Records Essay

Implementing a advancedfound electronic wellness records (EHR) organization to replace manual records is an extremely conglomerate task. EHRs use complex algorithms to exchange persevering selective information among different physicians and departments such as a pharmacy and laboratory. EHRs be becoming popular because employees and patients offer access records anytime and anywhere. Patient drug alerts are excessively part of the formation to warn emergency room and intensive care nurses about electromotive force drug reactions. A needs sound judgement is a systematic surgical operation to determine what components are required for EHR implementation to prevent failure of the passing costly investment. Although EHR systems start out been shown to dramatically reduce human error, proper assessment before undergoing the implementation crop is critical or errors and costs could real ontogeny.An EHR assessment moldiness be completed before the software packages stoma ch be selected to ensure it is conformed perfectly to the specialized needs of the hospital. According to the calcium Medical Association the assessment has two steps 1.) Readiness legal opinion and 2.) Work Flow Analysis (Ginsberg et al., n.d.). The assessment should be done by a seasoned group of engineers, physicians, lab workers, billing staff, pharmacists, and nurses to collaborate so that each department cast ups patient safety and efficient care. The assessment should complicate a web-based demonstration that allows all stakeholders to identify gaps that would hinder their job responsibilities. once the needs assessment has been done and vendors chosen as potential suppliers, the ingenuity assessment should begin. One of the most important data to collect is monetary resources. Are more physicians going to be hired that will increase provision costs? Can the organization truly afford the new-fangled investment and ongoing computer support? Space considerations are also critical to evaluate because most closets are too small for the new EHR platforms that be possessed of huge servers. High-speed internet capabilities are a essential for EHR data exchange between stakeholders. Moreover, are existing medical records plotted to be thinned to put the data into the new system? If so, data needs to be destroyed according to HIPP protocol to protect patient confidentiality.The work flow analysis portion of the needs assessment looks at step-by-step procedures. Examples are scheduling, diagnostic tests, and reviewing tests, prescribing medication, clinical notes, and billing data (Ginsberg et al., n.d.). separate data to be analyzed for the EHR system should be medical level forms, lists of current medications vital signs, insurance, and referrals. The flow of steps in this planning process involves network upgrades, expanding server room space, a Medicare fraud plan, selection of ternion EHR vendors, visiting other hospitals using the systems, n egotiating, and finally select the model that is trump suited to all stakeholders.A 10-year study done by the Canada wellness Info way about who should be consulted during adoption of an EHR system looked at 29 key stakeholders involved in establishing policy (Rozenblum et al., 2001). They found that stakeholders should be consulted from a bottom-up, clinical needs approach first because they will be the heaviest users of the system. This means physicians, nurses, certified nursing assistants, billers, lab workers, and pharmacy employees need to have signifi flush toilett input into selecting what aspects are most important. The number one campaign for implementation failure is inadequate involvement of line-worker clinicians (Rozenblum et al., 2001).Therefore, the informatics team must work very closely with these stakeholders. Other critical stakeholders to consult are the finance department to ensure how much funding is available. Patients are also important stakeholders becaus e no one wants their health information linked to a huge system that is insecure and prone to hacking confidential medical records. policy makers at the executive organizational and governmental level also have powerful sway over which EHR is chosen. Lack of collaboration among these diverse groups can delay implementation of the system for decades.Appropriate needs assessment provides applicable feedback to upper management. This helps these higher-ups make wise decisions based on financial resources, training needs for staff, vendor choice, and whether or not EHR is even necessary (Hartzler et al, 2013). speeding management is also provided with the ability to analyze which employees should have access to the system (or what parts of the system) to complete their designated tasks. Gaps between wants and needs can also be identified so that valuable resources are analyzed in cost-benefit analysis. learning needs or additional hiring of employees can also be judge to preven t glitches in the system due to human error. EHR systems can increase profit margins and protect patients from human error if assessed closely prior to purchase and implementation.ReferencesGinsberg, D. (n.d.). Successful preparation and implementation of an electronic health records system. Best Practices A guide for improving the efficiency and quality of your practice. Retrieved December 26, 2014 at https//www.cmanet.org/files/pdf/ehr/best-practices-7.pdf. Hartzler, A. et al. (2013). Stakeholder escort A key component of integrating genomic information into electronic health records. Genetics in Medicine, 15, 792-801. Rozenblum, R. (2001). A qualitative study of Canadas friendship with the implementation of electronic health information technology. CMAJ, 183(5), E281-E288.