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Himt 310 Health Care Information Assessment Answers

Students will identify a health care system utilizing the CERNER EMR, interview the health informatics nurse/manager and discuss the pros/cons, and ethical/HIPAA issues of the system.

Answer

Introduction of the technology

The whole world is experiencing the technological advancement and in healthcare services it has brought multiple changes making it more improved and faster. Various software and other databases are being used widely in healthcare industries and one of them is Cerner Electronic Medical Report (EMR). It is an integrated database and it works in providing comprehensive set of capabilities to the healthcare professionals as well as the patients (Boonstra, Versluis & Vos, 2014). It allows to electronically capturing, storing and accessing health related information of patients in both ambulatory and acute care setting. An interview with Ms. Sophia Adams who is an Informatics Manager of Tyne Hospital of NHS Foundation Trust at Newcastle, disclosed the facts associated with the Cerner EMR, which is being widely used in the healthcare industries of Oklahoma. The following paper describes the result of the interview.   

Pros and cons of the technology

Some pros of using the technology can be said that it provides the real-time access to the clinical information and result of the patients. The technology also allows the healthcare organization in meeting the requirements of The Joint Commission regarding patients’ confidentiality. It also allows accessing the patients’ information from anywhere and at anytime securely. Therefore various key benefits are there like it will improve the patient care as the health practitioner will be able to focus on the overall health of the patients. At the same time it also improves the efficiency of the work by placing updated information which helps the care team to take fast as well as effective decisions (Taylor, Ledford, Palmer & Abel, 2014).  In short, it offers some advanced analytic packages to the clients that help them in making predictive analysis and it also allows strategic consulting for a value-based patient care.

This technology has some disadvantages too. The main cons of Cerner EMR are, to perform an action there is a requirement for too many clicks and a good knowledge of the user is also necessary in order to handle this. It is a thorough solution and so getting complete knowledge takes time. Many times, while using the software, there is a need to re-organize the sequence of the pages which is quite problematic for the users. Also, the software is not self-explanatory. Sometimes, enhancement of the software is very much time-consuming. Again, after the updating of the software, it often tends to work slowly and during any emergency, it creates issues for the users.   

Application and cost of this technology

Cerner EMR software is used by many healthcare organizations to provide real-time care as well as patient-centred care.  Learning the actual pricing or cost of EMR is quite difficult as it varies according to the providers. One time fees of this software can vary between $2000 and $5000 as per the provider. Again, as per the number of records, the cost of the software varies (Wright, Burns, Mason & Pickford, 2018). After buying the software there is a requirement for in-person training. This training requires some additional cost. There might be end-user training, group or departmental training, video based self training etc. Therefore, apart from the installation cost in the purpose of training there will be more expenses. According to the duration of the training session, the cost varies. Cost of support is also an important factor and so there will be subscription cost too.

Implication Impact of the technology

Implication of the software into the working practice of any healthcare organization creates huge impact. It affects the overall working as well as record-keeping pattern of the organization. Cerner EMR improves the efficiency by reducing the time of record keeping and it also allows users to access health information of the patient which is highly effective in the healthcare settings before taking any clinical decision. However, the cost of implementation is an issue and various other issues also associated with the usage of the software while working.

Ethical issues with it

The interview with the Informatics Manager also revealed that ethical issues are also associated with the implementation of Cerner EMR into the clinical settings of healthcare organizations. Inappropriate third-party access to the private and confidential data of the patients can be a threat (Cushman, Froomkin, Cava, Abril & Goodman, 2010). Therefore, data security might be an ethical issue of EMR (Ozair, Jamshed, Sharma & Aggarwal, 2015). Implementation of the software also required federal and legal consent also. Data inaccuracy is another concern of it as a large amount of data is saved and while entering data with “cut and paste” policy, many errors can occur (Sulmasy, López, Horwitch & American College of Physicians Ethics, Professionalism and Human Rights Committee, 2017). Educating the staffs on this might create ethical issues after the implementation of the software into the clinical settings of any healthcare organization.

References

Boonstra, A., Versluis, A., & Vos, J. F. (2014). Implementing electronic health records in hospitals: a systematic literature review. BMC health services research, 14(1), 370.

Cushman, R., Froomkin, A. M., Cava, A., Abril, P., & Goodman, K. W. (2010). Ethical, legal and social issues for personal health records and applications. Journal of biomedical informatics, 43(5), S51-S55.

Koppel, R., & Lehmann, C. U. (2014). Implications of an emerging EHR monoculture for hospitals and healthcare systems. Journal of the American Medical Informatics Association, 22(2), 465-471.

Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health records: a general overview. Perspectives in clinical research, 6(2), 73.

Sulmasy, L. S., López, A. M., Horwitch, C. A., & American College of Physicians Ethics, Professionalism and Human Rights Committee. (2017). Ethical implications of the electronic health record: In the service of the patient. Journal of General Internal Medicine, 32(8), 935-939.

Taylor, S. P., Ledford, R., Palmer, V., & Abel, E. (2014). We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. BMJ Qual Saf, 23(7), 584-588.

Wright, S., Burns, P., Mason, R., & Pickford, D. (2018). Estimating the cost of capital for implementation of price controls by UK Regulators. Retrieved from https://www.bbk.ac.uk/ems/faculty/wright/wrightburnsmasonpickford2018.pdf


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