is constantly advancing and improving the way health care is delivered. The goal with a lot of healthcare trends is to make patient health information readily available such as with the electronic health record, patient portal systems, and monitoring devices such as the Apple Watch with technologies capable of performing an EKG. One of the biggest health care trends was the creation of the electronic health record (EHR). The EHR contains patient information from demographics to health issues. The EHR increased the portability of patient health information from facility to facility (HealthIT.gov, 2019). The EHR also helped to make finding patient health information easier on health care workers when looking for focused information instead of having to read through a paper chart (Laureate Education, 2018). Even with the many benefits that the EHR offers some facilities still use paper charting. For example, Catawaba Hospital in Virginia, a state psychiatric facility, still uses paper charting.
One down fall to the EHR is not all EHRs can communicate with each other (Palma, n.d.). This makes it hard for physicians to follow patients throughout their life span unless the patient reports that they had a visit to urgent care or the hospital. For psychiatric visits, patients might not even want their psychiatric records associated with their health records, especially with substance abuse. The electronic record allows physicians to be more detailed to prove the need for a higher level of billing, but this can make documenting time-consuming (Palma, n.d.). HIPAA violations are also a possibility with EHR such as wanting to look into family members’ care.
One potential security risk associated with the EHR would be data breaches. Potential hackers or non-law abiding citizens might seek to gain access to the EHR to gain personal information for identity fraud (IPRO, 2018). This can be prevented by only accessing the EHR on secure networks, and not giving out your user credentials. In 1996 the Health Insurance Portability and Accountability Act was created to protect patient information (HHS.gov, 2013). This law ensures the safety and security of patient information holding those who break the law accountable with fines or jail time.
Benefits to the EHR include portability, accessibility, and improved quality of patient care. The EHR allows access to patient information anywhere in the healthcare facility to those with access. The EHR increases communication throughout the healthcare team allowing notes from the night team to be viewed by the day team increasing patients’ quality of care. The EHR contributes to big data leading to better patient outcomes. A nursing informatics specialist can use this data to create new technology that can be lifesaving.
The EHR continues to be a huge impact in healthcare and nursing practice. This increases communication between nursing staff and allows for a place to document care provided by nurses. It also allows for information to be captured and shared with patients in the form of a patient portal system. This allows patients to be a part of their health care. The EHR was a great starting point for other technologies such as transmitters that sends vital signs from the machine into the EHR.
HealthIT.gov. (2019). What is an Electronic Health Record (EHR)? Retrieved from. https://www.healthit.gov/faq/what-electronic-health-record-ehr
HHS.gov. (2013). Summary of the HIPAA Security Rule. Retrieved from. https://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/index.html
IPRO. (2018). 4 Top EHR Security Concerns and How to Address them. Retrieved from. https://www.ipromedia.us/electronic-health-record-security-concerns/#:~:text=EHR%20is%20particularly%20vulnerable%20to,access%20to%20a%20company’s%20data.
Laureate Education (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.
Palma, G. (n.d.). Electronic Health Records: The Good, the Bad and the Ugly. Becker’s Health IT. Retrieved from. https://www.beckershospitalreview.com/healthcare-information-technology/electronic-health-records-the-good-the-bad-and-the-ugly.html#:~:text=Since%20EHRs%20allow%20for%20easier,accessed%20when%20and%20by%20whom.” 346 https://www.homeworkmarket.com/homework-answers?page=346
Public Health Policy
Using ethical theories and principles in practice and assess whether the following are ethically sound:
April 13, 2020 – House Committee on Ethics. (n.d.). Retrieved from https://ethics.house.gov/sites/ethics.house.gov/files/wysiwyg_uploaded/FINAL%20Guidance%20Regarding%20CARES%20ACT.pdf
“1 – Why are you interested in attending the University of Virginia School of Medicine? What factors will be most important to you in choosing a medical school?
2 – How will you contribute to the diversity of your medical school class and the University of Virginia School of Medicine?
3 – Describe a situation which you found challenging. How did you manage it?” 344 https://www.homeworkmarket.com/homework-answers?page=344