BIS Case Study 4 - Chapter 13
BIS Case Study 4 - Chapter 13
BIS Case Study 4 - Chapter 13
CASE STUDY 4: Are Electronic Medical Records a Cure for Health Care?
(Chapter 13, Pg.546)
1.
the difficulties in building electronic medical record systems? Explain your answer.
Electronic medical systems typically cost around $30,000 to $50,000 per doctor.
The expenditure of overhauling recordkeeping systems represents a significant increase
in the short-term budgets and workloads of smaller health care provides.
Many smaller practices are finding it difficult to afford the costs and time
commitment for upgrading their recordkeeping systems. In 2008, 80 percent of
physicians and 90 percent of hospitals in the United States are still using paper medical
records.
Many issues with sharing of medical data between different systems in different
health care providers. While the majority of EMR systems are likely to satisfy the
specified criteria of reporting data electronically to governmental agencies, they may not
be able to report the same data to one another, a key requirement for a nation-wide
system.
2.
What stages of system building will be the most difficult when creating
3.
What is the business and social impact of not digitizing medical records (to
Confidentiality and security issues are concerns associated with both the paper
health record and the EHR. There has been much discussion about this topic and although
the patient record must be protected, the patient must also remember that the record has
to be accessible to the professionals who use the records to provide medical care. Laws
must not be so stringent as to prohibit access to those with a legitimate right to
information (Young 107). There are several security technologies available that will
help prevent unauthorized access to protected health information. Some of these
technologies include firewalls, passwords and properly designed and monitored audit
trails can enhance user accountability by detecting and recording unauthorized access to
confidential information (Dick, Steen, and Detmer 14). System designs must consider
how individually identifiable medical information will be protected and also meet
regulatory requirements. Whereas stringent security measures should be applied to
protect the confidentiality of patient information, it is also in the patients best interest for
the [EHR] to be accessible for appropriate, legitimate uses by authorized users (Dick,
Steen, and Detmer 15).
Placement of hardware is an issue and decisions regarding the portability of the
equipment must also be considered. Since workflow will change after the implementation
of an EHR, decisions must be made to determine who enters the data and documentation
forms must be revised in order to accommodate the changes.
4.
What are the business and social benefits of digitizing medical recordkeeping?
The benefits of digitizing medical recordkeeping is improve quality of care such
as nurse scan tags for patients and medications to ensure that the correct dosages of
medicines are going to the correct patients. This feature reduces medication errors, which
is one of the most common and costly types of medical errors, and speeds up treatment as
well.
Patient also report that the report that the process of being treated at the Veterans
Affairs (VA) system is effortless compared to paper-based providers because instant
processing of claims and payments are among the benefits of EMR systems.
patients, and two for hospitals that should be addressed by electronic medical
records systems.
Two important information requirements for physicians are demonstrating
meaningful use by the EMR deadline in 2015 and the ability to write at least 40 percent
of their total prescriptions electronically, an EMR system contains patients vital medical
data and a full medical history and cost around $30,000 to $50,000 per doctor for
hospitals requirement.
6.
Diagram the as-is and to-be processes for prescribing a medication for a