Meaningful Use for Nurses: Implications and Recommendations Sheena Eisen H. Adrados Chamberlain College of Nursing Meaningful Use for Nurses: Implications and Recommendations Over the past decade, virtually every major industry invested heavily in computerization. The heath care industry was no exception to the rise in the use of technology. These technologies are starting to allow health care practitioners to offer faster, and more efficient patient care than ever before. No doubt this is the right direction we expect health care to follow. Health information technology (HIT) is revolutionizing the way we interact with health-related data. One example of this is the obvious rise in …show more content…
Meaningful use sets specific objectives that eligible professionals or hospitals must achieve to qualify for the incentives. Incentives will be offered until 2015. Grants for training centers for the personnel required to support the HIT infrastructure were established. Implications of Meaningful Use Core Criteria The stage 1 of the meaningful use includes thirteen core criteria and ten menu set objectives. The first core criteria is the computerized provider order entry (CPOE). CPOE entails the provider’s use of computer assistance to directly enter medication orders from a computer or mobile device. The use of CPOE and the electronic prescription process is a technology that has been found to be helpful in preventing medication prescribing errors in several ways (Mominah & Househ, 2013). Having an accurate electronic patient medication profile will help prescribers and pharmacists review the medication history easily and consequently alert the pharmacist to communicate with the prescriber in case any unexplained change in the prescribed medication to the patient and then conforming the change with the prescriber. Applying CPOE technology reduces medication errors. The problem list is a key part of the electronic health record. It lists the patient’s most important health problems and gives the practitioner key information to determine the best treatment plan. Accurate patient problem lists
An error can cost the hospital hundreds of thousands of dollars. Utilizing technology to prevent errors will result in cost savings to the hospital. Implementing CPOE will not only save in prevention of medication errors but also in the decreased time spent in order verification due to illegible handwriting.
CPOE systems have been proven to decrease medication errors and promote patient safety effectively. A study (Patent Safety Primer, 2014) suggested that 90% of medication errors occurred during the ordering or transcribing stages, and a systematic literature review shows that CPOE was able to reduce those errors by 48% compared to paper-based orders ( Radley, Wasserman & Bradshaw, et al. 2013). CPOE systems are effective in reducing medication errors by eliminating problems related to hand writing,
Step 5: Achieve meaningful use stage 1: Computerized physician order entry (CPOE) for medication orders. (2015, March 11). HealthIT.gov. Retrieved from
Meaningful used is defined as the set of standards by the Centers for Medicare and Medicaid Services (CMS) incentive programs that governs the use of the electronic health record (EHR) and allows eligible providers and hospitals to earn incentive payments by meeting specific criteria (Baker, 2013, p. 607). This paper will provide an overview of the Meaningful Use program and an analysis of the implications for nurses, nursing, national health policy, patient outcomes and population health associated with the collection and use of Meaningful Use core criteria. This paper will include an overview of Meaningful Use, Analysis, Meaningful Use recommendations and Conclusion.
The health care industry is one of the most dynamic and delicate industries in the U.S. having experienced healthy and substantial changes for the last thirty years most of which have aimed to improve health care management and services delivery to the patients. The changes have enabled the integration of technology into the industry such as in the area of informatics, science and research and payment services and clinical treatments. The health care sector has introduced various changes to address disease and health care management such as the Modernization Act of 2003, the Patient Protection Act and Affordable Act, which aim at improving health provision and most
Within the article, “Best Practices for Problem Lists in an EHR”, the authors discuss benefits, challenges, and an overview of good practices for EHRs. One thing that stood out to me while reading this article was how it described problem lists as a “table of contents.” The list is dated, ordered, has treatments, and can be edited. This helped the reader understand the proper uses of problem lists as well as gave them an idea of what the lists do for patients and providers. The problem lists usually include diagnoses, abnormal signs, social or mental problems, allergies, and other immediate issues of the patient. Some of the benefits of problem lists include having all of the patient’s data in one spot, easy access, and the fact that it can
In today’s healthcare industry, medical professionals when providing the best patient care, must commit to continued learning and performance improvement. Medical professionals must stay current with the new trends in healthcare while decreasing costs. Evidence based medicine is key in providing care to patients, and medical professionals utilize this evidence in designing the best plans of treatment. In today’s rapidly changing medical industry, physicians, nurses and all medical personnel need to stay current with the new trends available for the best outcomes in patient care. There are numerous problems that currently face healthcare, increased costs, medical errors, accidents and infections. The medical industries recognize these problems and are making real changes to correct them. Information technology is one solution that can help have a positive impact on patient care, while decreasing errors, costs and infections. To provide safe care there must be a joint effort and innovative solutions when sharing information and developing clinical expertise.
“Meaningful use is the set of standards defined by the Centers for Medicare and Medicaid Services (CMS) incentive programs that governs the use of the EHR and allows eligible providers and hospitals to earn incentive payments by meeting certain criteria” (Policy making…,2013). Eligible providers include doctors of medicine, osteopathy, oral surgery, dentists, podiatrists, optometrists, and
In 2009 president Obama signed the Affordable Care Act, which is also known as ObamaCare, into law. ObamaCare is a national health care plan, which its main goal is to reform the American health care system so that every citizen would be insured by the year 2014. Healthcare providers are overwhelmed by the amount of patients they visit everyday due to the shortage of doctors we are having. One article from New York Times estimated that by the year 2025, America would be in shortage of 100,000 primary care physicians, based on the amount of doctors graduating and an increase demand of healthcare. Having said this, the atmospheric state in the
The findings suggested positive impact of CPOE systems in reducing or eliminating disadvantages of manual prescription. Implementation of CPOE systems has improved medication error rates attributed to prescribing (Armada et al., 2014; Helmons et al., 2009; Roberts et
The hospital should consider implementing “electronic prescribing through “computerized provider order entry systems” ( Radley, Wasserman, Olsho, Shoemaker, Spranca, & Bradshaw, 2013, p. 470). This system is an effective way to reduce patient harm associated with medication errors (Radley et al, 2013). In fact, The Institute of Medicine (IOM) recommends the use of the “electronic prescribing (e-prescribing) through a computerized provider order entry (CPOE) system” as an effective method to address such issues (Radley et al, 2013, p. 470). Medication errors are often a result of misinterpreted handwriting or poor handwriting (Radley et al., 2013). The use of electronic prescribing reduces medication errors associated with those reasons (Radley et al., 2013, p. 470). Studies prove CPOE reduces medical errors (Radley et al, 2013, p. 473). However, there were some mediation errors associated with electronic prescribing as the study also pointed out. The study found that users or
In observation, (Fahnestock, McComb, & Deshmukh, 2013) stated "Information technologies are transforming the way healthcare is delivered. Innovations such as computer-based patient records, hospital information systems, computer-based decision support tools, community health information networks and new ways of distributing health information.” (p.3.2). In the sector of delivering healthcare using technology, has made it easier for healthcare professionals to access medical records, digitization of prescriptions and view test results. With the use of high-performance devices being used in the hospital, helps to make the jobs of healthcare professionals a little easier. As well as relieve anxiety from anxious patients that may be awaiting lab results to come back. Therefore, IT devices and services has been and continues to be a tremendous help and game changer for the healthcare system. However, there is still a lot of work to be done to help shape and reform the healthcare
In 2009 the HITECH Act was authorized with the reason to enhance wellbeing for Americans; however fulfilling the necessities of the Act possibly decreases the nature of the consideration given to the patient because of the expanded weights certain medical professional financing, including concedes and credits; money related motivations through Medicaid and Medicare; quality, well being and security; models; and monetary motivating forces to social insurance experts and healing centers. The medical providers and or professionals must utilize Electronic Health Record (EHR) Technology and conform to Meaningful Use. At first, medical personnel were and are adjusted for taking part in Meaningful Use, on the other hand, a definitive deciding result is medical professionals are punished if the 15 Core Measures for which they authenticate are not met. Despite the fact that the incentive of
Patients’ medical information is dispersed among many health provider’s information systems which make it difficult to manage and share health data. Having a patient-centric view in healthcare involves utilizing health information technology (HIT). Effective management and integration of personal health information will help clinicians make well-informed decisions and improve quality outcomes.
Health information technology is information technology applied to health and healthcare. It supports storing, management of electronic health information and secure exchange of health information between physicians, health care, insurance providers, patients and other stakeholders. With the advancements in the healthcare industry and advent of health information technology, it is possible to tailor treatments specific to individual genetic structure, analyze treatment effectiveness beforehand, and researchers study clinical data in real-time to learn what works (Personalized Medicine). Implementation of health information technology creates a situation where treatments are better targeted, save money and time by identifying therapies likely to be effective for particular people.