Electronic Health Records Adoption Challenges

Hello this is Sierra Pollard and this is the electronic health records,

adoption challenges assignment for um HCM 5 70 Healthcare information systems.

Professor Dr L. Green media

and this is with Colorado State University Global campus

introduction.

Electronic health records Also HR have changed the

way health organizations document clinical encounters and findings.

HR facilitates electronic capture and reporting of patient health history,

problem list treatment and outcomes.

It allows clinicians to document clinical findings,

progress notes and other patient information.

That quote is from our textbook Wagner Lee Glasser page 68.

Um With the HR garden are the days that involved tedious handwritten notes

into a paper chart that only one person could view at one time.

And often this chart was misplaced or misread due to handwriting or copying issues.

E. H. R. S. Have eased the clinical workflow through real time access to patients.

Complete medical records including history diagnosis, medication

imaging allergies,

lab results and multidisciplinary team members documentation as

with any change especially one involving technology.

There are numerous barriers through reviewing literature commonly

stated barriers to HR our cost of implementation,

staff, resistance training or lack thereof

data privacy concerns, lack of usability and incorruptibility

moving on to the HR capabilities.

So electronic health records are

electronically capturing and storing patient data

and again allowing clinicians providers to enter orders directly into it

and supplies data and information to providers and patients upon request

patient portals are secure websites where a

patient can access their medical records,

complete forms, online requests and schedule appointments,

request medication refills, pay bills and communicate with their medical team.

This has been a major

update that is continuing to be updated in regards to how

much patients can access their own personal electronic health record.

In past it used to have to be through requests in 5-7 business days.

Now they have most of this information at the tip of their fingertips.

Mhm.

Yeah.

C. P. O. E.

Or computerized provider order entry replaces the handwritten or verbal orders

and prescriptions allowing clinicians to enter orders directly into the HR.

Which then becomes immediately available for the nurse

or pharmacist to dispense or enact the order.

This also allows for prescriptions or durable medical equipment orders

to be directly sent to a patient's preferred pharmacy CPO.

He has built in safety nets that will alert clinicians

of allergies or medication interactions that a patient may have

that a clinician will then have to acknowledge or override

the alerts them to change to a more suitable medication.

Mhm.

Lab and imaging is a major feature also in the electronic health care system.

It shows real time results of imaging that's been done in the health

system and will allow access to those at later dates as well.

The same with labs,

patients and their providers have immediate access to

lab information once that is input into the system

and with healthcare and labs rapidly changing

and treatment plans based on those changes.

This is critical as sometimes those phone calls about lab alerts are missed.

Mhm.

And also just the multi disciplinary teams ability to

document and chart in the electronic health record.

This would include nursing staff, basic bedside information, pharmacy,

lab technicians, physical and occupational therapy, nutrition,

case management and environmental services. All of these

team members are able to document and see what is happening with the patient to

get a real true big picture of the care that is needed and being provided,

moving on to meaningful use and macro.

So macro is the Medicare access in chip,

which chip stands for Children's Health

Insurance program reauthorization reauthorization Act.

Macro aims at reforming healthcare delivery associated with health

coverage that is paid for by the federal government.

It specifically addresses how physicians are

reimbursed for services provided to patients.

There are currently over 300 quality measures that are broken into specific

Specialty ones in regards to each other and advancing care information.

There are five measures security risk analysis, e prescribing,

providing patient access,

sending summary of care, accessing summary of care.

And these measures must be met to continue

to receive reimbursement from Medicare and chip programs.

Macro also takes into account the merit based incentive payment systems.

Also MIPS,

which requires doctors and healthcare organizations

organizations to have and utilize up

to date age are systems that meet MIPS quality reporting guidelines.

So again, all those things that we previously discussed in the HR capabilities,

specifically the e prescribing and the patient access to information are

the major things that mackerel required with electronic health records.

Legacy systems are the electronic health records that are either replaced

or majorly updated but are still running in the background.

As discussed, reviewing the Medicare access and chip reauthorization Act.

Healthcare systems are required to update and

replace as needed their health information system

to meet the government requirements so they

can continue to build and receive payment.

The process of updating is lengthy and difficult.

As the legacy systems were built for the hospital specific needs,

automation is not involved in these legacy systems,

but the new systems do support it.

The costs associated with pulling data over to updated systems is high,

but system administrators are hopeful that the new systems

automation will decrease main power needs in the future,

barriers to adoption for the electronic health records.

Um The mandated requirement of updated and broadly used electronic

health records face many barriers during implementation and adoption.

While phrs are widely seen as positive,

productive and enhancing healthcare tools,

some users are resistant to the change.

Main themes found in barriers to adoption.

Our distrust in the system lack of autonomy, issues with usability,

alert fatigue and training support,

lack of autonomy was seen as a broad um lee

stated one saying user state that they felt distrust with the

use of this technology as they have been providing care

and decision making without the use of the technology prior.

Therefore the idea of the system directing orders,

discredit them and their knowledge.

So this would be in play when alerts are popping up asking do you want to do this?

Issues with usability?

That's probably the most cited one is that they were created for a wide user base.

Therefore not being specific for actual clinicians needs extra work,

unnecessary work and no transference to their work are valid concerns

alert fatigue users are concerned about not only

the distractions that continuing in cumulative click boxes,

but also the constant pop ups regarding contraindications.

These constant contraindications have users clicking

ignore are okay and moving on,

not reading the alert issue.

And lastly training support training concerns were

across all user professions and ages.

While some groups may pick up on new technology faster,

one size does not fit all training needs to be adapted to all needs of the users

recommendations.

So this is a multi tiered approach for recommendations.

Key one would be addressing all the concerns that were really stated as um,

the adoption barriers.

So the lack of autonomy, the

um usability alert fatigue in the training support.

So

identifying the key players who will be utilizing this technology

and asking for their opinion and what they would like

to see as long as that is meeting what the government

mandated standard is and then letting them have a say

in what they want to see with these adoptions and adaptations

providing continuing support, not just when the rollout happens,

but also having support that's accessible

while

users using it at any point in the use of the HR technology that are willing to work

with people multiple times maybe with the reasoning understanding

and also providing adaption as needed to it.

And the clear reasoning as to why this new

HR adoption implementation is occurring a lot of times.

Clinicians are stated feeling that they are just being

thrust upon extra workloads expected to learn this without the

healthcare management system letting them know that this is being done because

the government is requiring that this is what we have seen.

These are the success stories. These are the positive outcomes of

this type of update. These are the health and lives that are being saved.

Also,

the data tracking is a huge thing to and being able to show this

is the data that we're doing and how we're going to improve stuff.

Mhm.

Two

In conclusion,

electronic health records will continue to be adapted and updated

based on technology changes medical advances and government oversight.

Oftentimes rollouts of these updates and changes are forced upon an

already burdened health care system team

without explanation or adequate training.

Working with staff members to ensure they understand the reason and use of

technology will assist in the adoption of HR use interrupted ability and usability

and here are my references. Thank you so much

Electronic Health Records Adoption Challenges

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