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Soumi answered on
May 05 2021
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CONDUCTION OF ELECTRONIC HEALTH RECORD POLICY REGULATION IN RHODE ISLAND
Student Name Here
Walden University
Abstract
The objective of this paper is to identify the potential ba
iers in implementing the EHR system in the Rhode Island and reason out the poor outcome of the system in the care settings where it is implemented. It has been observed that in small settings where research is done on the system may have shown the remarkable outcome but its practical implementation is not equal to the research-based result. This happens due to many issues in implementing the system and lack of use of advanced version. Levied of fines may force the care settings to install system in all the places but use of basic system did not show any expected change. Following paper identifies the option to overcome the issues and give possible recommendation.
CONDUCTION OF ELECTRONIC HEALTH RECORD POLICY REGULATION IN RHODE ISLAND
Although Electronic health record (EHR) helps in providing quality care to the patients, yet Rhode Island failed to regulate the proper implementation of the technology. Rhode Island was among the last states of USA, which has adopted implementation of EHR system after the passing of legislation. One of the key components of the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 is implement the use of EHR in the hospitals (Charles, Ga
iel and Searcy, 2015).
As suggested by Cooper, Baier, Morphis, Viner-Brown and Gardner (2014), HITECH authorized the incentive payments for the Medicare and Medicaid hospitals using EHR. Continuous increase in incentives and levied of higher penalties forced the hospitals and physicians to implement the EHR system. This results in adoption of basic EHR in all the settings until 2019. Some of the care settings managed to implement the advanced EHR system in their care settings. Basic EHR has not shown the result as expected. This outcome is under the influence of many factor, poor implementation is one of them.
Background
Despite EHR seems new technology, which found resistance in its implementation nation-wide, yet it is a very old technology, which has been used under different names in many care settings. The invention of the EHR system took place in mid-1960 by Lockheed under the name clinical information system. In 1970s, federal government start using this technology. From 1980s, efforts are made to implement the technology in medical system. In 1991, institute of medicine, after conduction of the research on usage and implementation of the technology, successfully conclude that technology is useful in medical system. Since 2004, EHR get recognition nation wise for successful result and debate was developed on introducing the technology in medical practice. In 2009, under the HITECH act, it was made mandatory to implement the technology in system (Collen and Ball, 2015). Until 2014, all the states of USA had successfully achieved the implementation of the technology in healthcare system.
As mentioned by Gordon, Baier and Gardner (2015), there is acceleration in use of electronic heath record in Rhode Island since the law passed. In year 2014, comparison to the nation, Rhode Island alone had high rate of implementation of the system. As mentioned by Rajkomar et al. (2018), electronic health record also known as electronic medical record is a digital version of the patients’ paper chart. It runs real-time. EHR is a patient-centered record, which makes the information available within span of few seconds.
The information is secured to the authorized users only. EHR contains medical and treatment history of the patients. As suggested by Miotto, Kidd and Dudley (2016), has high standard, which goes far beyond the standard clinical data collected from the offices. It contains very detailed information of patient and allows user to provide evidence-based care to the patients. the key feature of the system is that health information managed and created by one authorized user is accessible to another authorized user to more than one healthcare systems such as pharmacies, laboratories, emergency facilities and workplace clinic.
EHR when implemented properly results in prevention of medical e
ors and improved patient-centered care. Technology can only be successful if users are properly trained about the working of the technology. Despite being support by Medicaid and Medicare, not all hospitals are successful in implementing advanced EHR in their settings due to high cost rate. Private care settings considered it waste of money and poor funding by the government restricted government hospitals to implement advanced EHR system.
Landscape
EHR has shown the remarkable results in its implementation in healthcare system but there are many issues related to it, which acts as ba
ier in proper functioning of the technology. It has been observed that theoretical outcome of the result in small care settings show remarkable results, when implemented in large care settings for practical use, it has lower outcomes. Issues occur at technical level, ethical levels, legal level and economical levels.
Benefits of EHR
As suggested by Randhawa (2019), care settings where EHR system is implemented properly has shown the remarkable results. EHR system have been introduced in ambulance. This helps in improving the treatment given to the patients by paramedics. Complete history when available at the time of giving first aid, the unconscious patient who was unable to give their condition to paramedics can be treated well. For example, if a person met with an accident and undergoing treatment for HIV,...