377 Search Results for Clinical Documentation and the Health Record The
Clinical Documentation and the Health Record:
The adoption of computerized records is seen as the most appropriate means of improving the quality of care while decreasing health care costs. However, the main concern is on how to design the most suit Continue Reading...
Clinical Documentation Integrity:
In the past few years, the healthcare system has experienced constant battle surges between internal and external customers of clinical information to transform medical data into meaningful and beneficial informatio Continue Reading...
The health record, also known as the medical record, is a systematic documentation of a patient's medical history and care. While the primary purpose of health records is to record details regarding patient care and treatment to provide continuity o Continue Reading...
The other dimension is related but is definitely separate. Some end-users are not only uninformed on how to administer electronic health records, they may actively resist and otherwise undermine the setup and these people need to be identified or e Continue Reading...
The relevance of electronic health records (EHRs) cannot be overstated when it comes to the enhancement of better and safer care for patients. This is more so the case given that they enable quick access to the records of patients, as well as enhance Continue Reading...
However, because they make billing more efficient, the majority of large urban practice groups and hospitals have already made the switch to electronic records, according to Michael R. Costa, attorney and associate at Greenberg Traurig, LLP, in Bost Continue Reading...
Staff must be trained to use Electronic Health Records in a way that optimizes the potential benefits of the new technology, while avoiding sloppy habits that not only reduce effectiveness but are even potentially detrimental to the quality of healt Continue Reading...
EHR Assessment and Evaluation to Support Healthcare Outcome Objectives
The outcome-related goals that the tertiary care hospital seeks to achieve include the following: 1) Strengthen adult admissions screening at intake for pain, depression, and adv Continue Reading...
Technology in Healthcare: Electronic Health Records and Clinical Decision SupportToday, health information technologies are serving a critical role in promoting optimal clinical outcomes and advancing healthcare in a rapidly changing world (van Velze Continue Reading...
Unlike was the case a few decades ago, health care professionals are increasingly embracing mobile devices in clinical practice. In that regard, therefore, the utility of the said devices has been growing in a wide range of functions and settings inc Continue Reading...
Electronic Medical Records (E-SIHI) in King Khalid University Hospital on Patient Safety
The objective of this study is to demonstrate the impact of e-SIHI (Electronic Medical Records) on patients with regards to their security and safety. The King Continue Reading...
Clinical Decision Support Systems:
Decision support systems were first developed and implemented in the corporate world in order to support business management. In the past few years, these support systems have been integrated into health care organ Continue Reading...
Healthcare Administration
Risk Involved in Poor Chart Documentation: An Overview in Total Quality Management
Poor chart documentation in the behavioral health field is a concern for risk management and a critical area for total quality improvement. Continue Reading...
Salary
Employment Opportunities
Clinical coding specialists may work in hospitals, clinics, ambulatory, long-term and mental health care facilities, physicians' offices and government agencies that need coding expertise. (Western Kentucky Univers Continue Reading...
S. Department of Health and Human Services, 2011). Furthermore, subpart C explains the privileges and the protections of confidentiality that is attached to the patient's record along with much exception (U.S. Department of Health and Human Services, Continue Reading...
Since modern medicine can sustain patients with proper medical follow-up for years, it becomes incumbent on the profession to follow the patients and provide them with the knowledge and tracking to insure that they are observing the procedures and Continue Reading...
CIO Briefing: Process of Health Care Information System Selection and Organizational Goals
Process of Selection of Health Care Information System
In order for the organization to begin the selection of a health care information system, it is necess Continue Reading...
Health Information Technology for Economic and Clinical Health Act (HITECH) was enacted as part of the 2009 bailout. The focus of the act is initiating "incentives related to health care information technology…and specific incentives designed Continue Reading...
" (2004, p.159) Activities have included:
(1) Development and promotion of industry-wide standards;
(2) Funding of research for investigation of the impact of IT on quality;
(3) Provision of incentives that provide encouragement of investment in I Continue Reading...
Electronic Health Records
Adoption of electronic health records, commonly referred to as EHR in short, provides a significant chance for secondary application of clinical data for clinical research purposes. For instance, because individual genetic Continue Reading...
for-Profit Business/Consulting
Health Information Technology (HIT) is a term that is used to refer to comprehensive management and control of health information throughout computerized systems and its safe exchange between various stakeholders in th Continue Reading...
A. Identify a current nursing practice within your healthcare setting that requires change.HIS in Nursing practice1. Describe the current nursing practice.HMISs (Health Management Information Systems) are included among the building blocks vital to s Continue Reading...
A1. Advantages and Disadvantages of a System
All health information systems (HIS) come with great advantages and some disadvantages that must be taken in account to keep patients safe. A HIS is a system that captures, retains information, and helps m Continue Reading...
The modern healthcare environment has experienced tremendous changes in the past few decades because of the increased need to enhance patient outcomes and safety. These changes have contributed to the adoption of technology, which has transformed mod Continue Reading...
Clinical Decision Support and Electronic Health Records
Introduction
Information technology has revolutionized nearly every aspect of life, from how people recreate to how they work. This is no less true in the field of health care, where clinical in Continue Reading...
Practice Experience Interviews
Interview with "Jennifer," RN, MPH, director of quality assurance at a Veterans Affairs medical center.
In a telephonic interview with this nursing professional, questions were posed concerning how research is found, Continue Reading...
Healthcare
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized Continue Reading...
Clinical Experience
The American Nurses Association (2008) define nursing informatics as the mixture of computer and information science and nursing towards improving healthcare delivery and patient outcomes. Nursing informatics is a career that has Continue Reading...
Health Care IT
Health Care Information Technology
The days of paper-based records in health care are fading. It is widely believed that the broad adoption of clinical applications such as computerized physician order entry (CPOE) can lead to major Continue Reading...
The importance of uniform terminology, coding and standardization of the data
Uniform terminology, coding, and standardized data entry protocols are necessary for assuring accurate information retrieval. The health informatics componentss need to Continue Reading...
Healthcare Organizational Readiness & Strategy
Healthcare Organization Network
Company Profile
Vanguard operates 25 acute care and three specialty hospitals in urban and suburban areas of Arizona, Illinois, Massachusetts, Michigan, and Texas. Continue Reading...
Clinical Assessment of Learners
Clinical assessment involves the evaluation of technical skills, communication skills, professionalism, knowledge base, and teaching skills, where applicable, of students who are about to enter independent practice. T Continue Reading...
Health Information Technology System
Hospital Information Technology System
Over the years, improvement of service provision within this medical institution has been of massive essence. This has led to the establishment of a number of measures to e Continue Reading...
Lack of accountability, transparency and integrity, ineffectiveness, inefficiency and unresponsiveness to human development remain problematic (UNDP).
Poverty remains endemic in most Gulf States with health care and opportunities for quality educat Continue Reading...
In respects, it could also reduce lawsuit expense when patients want to sue because of the wrong medication is given or harm is done in the process of medication administration.
"We often resist the new way of doing things..." (Thede, 2009, Sept). Continue Reading...
Government Created a Committee
An electronic health record is a digital record of a patient's health information generated from every medical visit a patient makes. This information includes the patient's medical history, demographics, known drug al Continue Reading...
In an acute care setting, such Veterans Affairs, this objective is executed by educating patients about how to maintain a healthy diet and lifestyle after the leave the facility, while in a long-term care setting-such as Cobble Hill-this objective i Continue Reading...
Nursing
Electronic Medical Records, Documentation, and the Role of the Nurse
Efficient use of time is one of the primary methods healthcare professionals use to save lives. When there is very little time available, and decisions have to be made wit Continue Reading...