The researcher of this paper aims to evaluate and present electronic medical records: the actual implementation process. The paper tells that the successful EMRS implementation involved more than just choosing a vendor and signing a contract…
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The paper tells that it is unlikely to find the process of implementing an EMR to be easy because the process has to be able to address everything expected of it from workflow, and software and hardware selection and installing to training of staff. It therefore required the simplification and streamlining of the implementation process through a number of processes. The implementation team had to develop various simultaneous implementation tasks. These included facility modification, installation of hardware, developing a backup system, software configuration, training, entering old data, work-flow analysis and redesign, dealing with paper and training. A work schedule was drawn for the handling the tasks as well as a deadline for each. One of the important jobs was to understand how work was accomplished in the old system and this was achieved by analyzing all functions of each of the tasks involved. The team evaluated the existing work process, pointing out opportunities for improved efficacy and coming up with workflows that could be implemented with the tools available in the EMR. After this, the team developed a transition plan. Plans for essential changes in the workflow that will lead to the best utilization of the EMR were also developed at the monthly meetings between the office and the medical staff. With the work-flow redesign complete, the facilities required were identified and tested for their functionality before making installations. To avoid spending a lot of money on renovations, the team ensured the EMR system fitted into the existing infrastructural plans. Having developing a good picture of how the staff and patients will be aligned with the EMR system, it was now possible to identify where to put the new EMR equipment. To end the use of paper records, the hospital availed computers and printers in every essential workstation for staff to check or enter data and print materials for patients. After the locations of the hardware were decided, the hospital installed additional network and electrical wiring where necessary. They also installed other relevant support facilities in each workstation like desk drawer for forms, a pull-out writing surface and a pull-out tray for the keyboard. Hardware selection and installation The choice of hardware for the servers and network were made according to the vendor’s requirements and latest recommendations. Hardwired desktop computers were selected for use at the workstations. With the hardware selections made, the team set up a miniature, off-site test installation of the workstation, server, scanners and printers. The equipments were transferred to the various stations for installation. With the help of technicians, the various components of the system were stationed and the necessary software installed by computer scientists and system experts. Test runs were done on the hardware and on the entire system as a whole and bugs and emerging problems appropriately fixed. Considering that some members of staff had little knowledge in relation to computer and computer systems, a training room was set for the purpose of their training. Software configuration Software from different vendors have different configuration requirements. However, security, templates and laboratory data management are common considerations for all EMR products. In order to limit access to various parts of the records to various users, every EMR user was only allowed gain access to the various areas of the record chart and functions within that the location/area necessary for their duties. The main objective was to restrict access to all users for functions that presented obvious risks for accidental or intentional integrity of the chart like deletion of progress notes. A few high-level users were
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From the case study, it is noted that he process of implementing a new technology such as the EMR system demands careful planning and implementation. In order for the technology to b successfully implemented, the various stakeholders should be involved. Furthermore, the objectives of the project must be established well before the technology is implemented.
There are many benefits that arise from the application of technology in recording and storing patient information, but the rate of adoption is still low. A 2008 survey carried out in U.S. hospitals indicated that less than 10% hospitals had incorporated a fully functional Electronic Medical Record (EMR).
One of these improvements is the health information technology, particularly the employment of electronic medical records in healthcare institutions. According to Elekwachi (2008), electronic health records (EHR) pertains to the broad term for the patient records, whereas, electronic medical records (EMR) pertains to records operating within an organization.
The method was tiresome, inefficient and prone to many human errors because secretaries ended up inputting wrong information about a patient. The healthcare industry had to develop a solution to such problems in order to ensure patients receive quality services.
Lundstrom defines falsification of medical records as documenting medications and treatments as being given when in reality they are not. Falsification of medical records involves altering the dates in medical records to cover up unprofessional acts. According to Lundstrom, there are cases where health practitioners make inaccurate entries into a patient’s medical records.
Continuous monitoring of electronic medical records realization is a technique to address the extent of compliance with the requirements of a standard EHR technology. Monitoring helps address various impacts on information systems arising from the changes in the software, hardware, firmware, and/ or the operational environment.
Effective management of an organizational change requires brilliant considerations before actual implementation is rolled out so as to sustain its success. Electronic medical system especially being in a correction facility is considered to be of high significance and, therefore employees’ attention must be drawn through its implementation process as a way of enabling them to have faster adaptation.
After a full research what emerges were that records were given a low precedence. The department lacked the consciousness of the significance of satisfactory quality record keeping. Their was a penchant of treating records as an individual
In this paper, a number of methodological procedures that were engaged in by the researcher are presented. There is the presentation of research design, which defines the research strategy used by the researcher in the data collection process. The selected research design is extensively justified by giving reasons.
“The integration of electronic health records (EHR) has become a major organizational change objective in health care because of its promise of major improvements from paper records” (Boswell, 2011, p. 138). Some of the main benefits observed by
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