HLT 362 Discussion Technology in Gathering Health Care Information
Topic 5 DQ 2
Discuss ways your organization uses technology to gather patient and health care information, and how this information and data are used to direct patient care and outcomes.
REPLY TO DISCUSSION
My organization uses technology to gather patient and health care information by using an electronic record system. The United States Department of Defense (DoD) has transformed health care delivery by using information technology to automate patient data documentation, leading to improvements in patient safety (Charles, Harmon, & Jordan, 2005). The Composite Health Care System II (CHCS II) is the military’s electronic Computer-based Patient Record, which is an enterprise-wide medical and dental clinical information system that will generate, maintain, and provide secure 24-hour online access to a comprehensive, longitudinal, and legible health record (Harmon, Wah, & Inae, 2003).
How Technology is used
According to Harmon, Wah, & Inae (2003), CHCS II provides three fundamental capabilities: · A seamlessly integrated clinical graphical user interface (GUI) for documenting patient
care by health care professionals at the point of care and for displaying data that may have been derived from diverse external sources [labs, radiology, pathology, wellness alerts]. From the battlefield back to the large tertiary care hospitals and all locations in between, the interface to the military CPR will be the same.
- An enterprise-wide, industry standards-based Clinical Data Repository (CDR) of DoD beneficiary’s life-long medical information. This is the core of the DoD CPR. A proper central database will allow the mining of data for wellness alerts, symptom surveillance, clinical research, and population health improvement.
- Migration Architecture. The integrated clinical GUI will remain the same, but the underlying code base “behind the screens” will be exchanged for newer, more robust, and maintainable products.
Before the Soldier arrives at the units, we are notified by an email manifest of all Service Members (SM) who will come by medivac (aircraft). This information contains the SM demographics and reason for entry. Once the medivac team greets the SM, they are in-processed, and that’s when the SM record is opened. All medical and administrative units have access to this record and are responsible for notating treatment and diagnosis, doctors’ appointments, and the transition plan.
Charles, M. J., Harmon, B. J., & Jordan, P. S. (2005). Improving Patient Safety with the Military Electronic Health Record. In K. Henriksen (Eds.) et. al., Advances in Patient Safety: From Research to Implementation (Volume 3: Implementation Issues). Agency for Healthcare Research and Quality (US). Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK20562/#A3807
Harmon, B. J., Wah, R., & Inae, T. (2003). The Military Health System Computer-based Patient Record. AMIA … Annual Symposium proceedings. AMIA Symposium, 2003, 1068. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1480121/
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In my organization, electronic health records (EHRs) are the most widely used technology to gather patient data and healthcare
information. Electronic health records provide higher quality and safe care to the patients by providing accurate, up-to-date, and complete information about the patients (Evans, 2016). EHRs also help in making better clinical decisions by integrating patient information from multiple sources. With EHR, it is easy to access and share health information with other clinicians and the healthcare team. EHR has shown to reduce medical errors, promote reliable prescribing and help provide legible and complete documentation of the patient’s problems while ensuring the privacy and security of the patient’s data. It also promotes quality of care through optimized access to and adherence to guidelines. Productivity at the workplace improves leading to improved patient care, including efficiency and costs in the long-term (HealthIT.gov).
Patient safety is enhanced through medication alerts, clinical flags, and reminders. The electronic system can better track and report consultation and diagnostic testing which can optimize adherence to guidelines and evidence-based care. Electronic medical records can also be accessed by the patients which can create awareness in the patients’ health and assist health care personnel in shared clinical decision-making (Hoover, 2017).
At my workplace, through the notification system in the EHRs, it is easy to communicate with other colleagues in the healthcare team, identify any early changes in the clinical condition of the patient so that appropriate actions can be taken. EHRs help to keep the track of urinary catheters, central venous catheters and alert for the necessity of continuation. This helps to prevent hospital-acquired infections, decrease the length of hospital stay and reduce expenses to the patients and the organization adding to value-based care and patient safety.
Evans R. S. (2016). Electronic Health Records: Then, Now, and in the Future. Yearbook of medical informatics, Suppl 1(Suppl 1), S48–S61. https://doi.org/10.15265/IYS-2016-s006.
Hoover, R. (2017). Benefits of using an electronic health record. Nursing Critical Care: Volume 12 – Issue 1 – p 9-10 doi: 10.1097/01.CCN.0000508631.93151.8d