Summary: Care Everywhere

Electronic health records can lessen the disintegration of care by refining care coordination. The use of electronic health records will deliver providers with accurate information. This is especially important for those that see multiple specialists, and enable a smooth transition between care settings and receive treatment in emergency

Changes in current health care practices, the aging baby-boomer population, and the higher acuity of patients has created a need for change and adaptability with the health care industry. Kaiser is an organization who has shown the ability to continuously change in order to reduce costs while improving efficient quality patient care. The investment on information technology (IT) advancements such as the implantation of electronic health records (EHRs) and use of a patient portal system is one way the organization has shown readiness to meet the health care needs of patients. KP in collaboration with five other healthcare organizations created a Care Connectivity Consortium, enabling secure electronic retrieval of current

“The Fundamentals of Caring” is a film about Ben, a care-worker who looks after a young boy named Trevor, and the events that proceed through their growing relationship. Ben is a retired writer and his wife is trying to divorce him, likely because of the death of their son, which occurred three years prior. Ben failed to park the car properly, causing the the gear of the car to shift and roll back, killing his son . Elsa, Trevor’s extremely over-protective mother, has hired Ben because of her long hours of work as a bank clerk. Trevor is an eighteen year old boy with Duchenne Muscular Dystrophy, so he is restricted to a wheelchair and requires around the clock care due to his disease. Ben convinces Elsa that Trevor needs to see the world, and since Trevor is obsessed with American roadside attractions, Elsa hesitantly agrees. (citation)While on their way to see the deepest pit in the world, they stop at a diner and meet a young woman named Dot who is twenty-one. During their adventure Trevor and Dot end up having romantic feelings for each other, which leads to a kiss initiated by Dot as she says goodbye and promises to keep in touch. Ben quits as Trevor’s caregiver but the two stay very close friends. The movie ends with Ben finishing his novel about Trevor, while saying that he went to go visit Trevor on his twenty-first birthday, seeing Trevor lying presumably dead on the floor with the caregiver crying next to him. However, Trevor was only faking and the caregiver quit

Cancer is a term used for diseases in which irregular cells divide without any control and have the capability to penetrate and infect normal body tissue through the blood and lymph system. Cancer is the second leading cause of mortality in the United States, exceeded barely by heart disease. According to the CDC Cancer Statistics and Data, there were more than 1.45 million people diagnosed with various kind of cancer between 1999 and 2007 and out of those more than 562,000 people died due to cancer (cdc.gov, 2012). Currently there are more than 200 different types of cancer that have been discovered. Cancer could be

A needs assessment encourages supportive relationships to reduce the risk of abuse and neglect, a demonstration of a needs assessment is as follows: Needs assessment is the key to ensuring that the required range and capacity of services is available and accessible to service users and their families in a local area. A good need assessment process will:

Sophisticated electronic records and computer systems for tracking patient care is another important attribute of Kaiser. Since five years, Kaiser is using the electronic information to identify and evaluate providers’ strengths and weaknesses in order to improve the quality of care (Abelson, 2013). The organization also uses the electronic records to improve its care delivery, e.g. by identifying at-risk patients and establishing alert and reminder systems for quick and timely care

One of the issues with the electronic systems in health care for MU is the ability to retrieve laboratory results during a patient’s visit. In 2013, Hinrichs and Zarcone reveal that over 70% of medical decisions are determined by laboratory results. In 2007, AU Health implemented Cerner Millennium PowerChart that displays clinical data to improve the point of care for patients. With the PowerChart solution, the patient’s information can be easily verified, vital signs can be entered, and family history can be updated. The Affordable Care Act (ACA) signed by President Obama in 2013 places emphasis on expanding insurance coverage of medical care for everyone. As part of the ACA, the improvements in the way these results are exchanged and transmitted will add value to quality, safety, efficiency of health information (Hinrichs & Zarcone, 2013). The transmission and availability of EHR affect how other health professionals send and receive information at the local, state, and national levels.

“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an

Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving

An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The

Healthcare systems are highly complex, fragmented, and use multiple information technology systems and vendors who incorporate different standards resulting in inefficiency, waste, and medical errors (Healthinformatics, 2016). A patient 's medical information often gets trapped in silos, which prevents information from being shared with members of the healthcare community (Healthinformatics, 2016). With increasing healthcare costs, a system needed to be created that would lead to the development and nationwide implementation of an interoperable health information technology system to improve the quality and efficiency of healthcare. Introducing the National Health Information Network (NHIN), this organization can be defined as a set of

The purpose of this paper is to identify and describe two health information and communication technologies (HICTs) and how they aid nurses in supporting safe, quality care, facilitating continuity of care and care coordination, and partnering with patients and families to increase participation in health care. HICT involves electronic creation, storage, exchange, and analysis of health information to advance delivery of health care. Widespread use of HICT within the healthcare industry can achieve the following goals: improve healthcare quality and safety, reduce costs and health disparities, enhance clinical research, and ensure security of patient health information (McGonigle & Mastrian, 2015). Several examples of HICTs include: electronic medical record systems, electronic prescribing, consumer health applications, and telehealth (Agency for Healthcare Research and Quality [AHRQ], 2015). Integration of HICTs in healthcare settings is valuable for all clinicians, but most importantly nurses as they are primary caregivers.

In Defense of Caring What Other People Think You don’t have to look far to find some “inspirational” quote or some listicle about how and why you shouldn’t care what other people think. It’s become so common that it’s become a trite piece of advice that gets passed around to make people feel good.

The best health care systems in the world offer integrated care. Systems like the Mayo Clinic and Geisinger Health System own hospitals and labs and employ all the physicians and nurses a patient is likely to see, so they can easily integrate a patient’s care. In contrast, patients in North Carolina and throughout America typically obtain their care from a variety of independent providers. Health care expenses are paid by a variety of sources including private insurers, employers, the government and patients themselves. But unlike any other state, or even any large geographic area, North Carolina has the capacity to create a “virtually” integrated system, one that can provide the same integrated care but across an entire state. When patients’ transition between providers and health care settings, the result is often poor health outcomes, medical errors and costly duplication of tests and procedures. Through partnerships with other organizations and providers, NCHQA is seeking ways to better coordinate care and address systemic problems that cause dangerous and costly gaps in care. (NCHQA, 2014)

Today, the medical records of most Americans are scattered across multiple clinics and hospitals, possibly across several states.  The task of piecing together a patient's medical history can become quite time-consuming and laborious, as the files first need to be located and then faxed [5].  The possibility of combining medical records into a central medical database would solve many of these problems, as well as bring new benefits.  With a shared medical database, doctors would have vital information about a patient at their fingertips.  Very little time would be lost in looking for a patient's medical records and piecing the data together.