A State's use of the electronic medical record: a means to address Arkansas' health care responsibilities to her children - promoting access to cost-effective care

1998 ◽  
Vol 15 (3/4/5) ◽  
pp. 458 ◽  
Author(s):  
E. Greer Gay
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Cost Effective ◽  
Effective Care

Electronic Medical Record: A Balancing Act of Patient Safety Privacy Health Care Delivery

2014 ◽  
Vol 348 (3) ◽  
pp. 238-243 ◽  
Author(s):  
Sriharsha Gummadi ◽  
Nadine Housri ◽  
Teresa A. Zimmers ◽  
Leonidas G. Koniaris
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Care Delivery ◽  
Care Delivery

scholarly journals Electronic medical record in cardiology: a 10-year Italian experience

2015 ◽  
Vol 61 (4) ◽  
pp. 317-323
Author(s):  
Clara Carpeggiani ◽  
Alberto Macerata ◽  
Maria Aurora Morales
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
System Integration ◽  
Health Care Quality ◽  
Care Center ◽  
Health Care Organization ◽  
Tertiary Care ◽  
Care Quality ◽  
Care Organization

SummaryObjectives:the aim of this study was to report a ten years experience in the electronic medical record (EMR) use. An estimated 80% of healthcare transactions are still paper-based.Methods:an EMR system was built at the end of 1998 in an Italian tertiary care center to achieve total integration among different human and instrumental sources, eliminating paper-based medical records. Physicians and nurses who used EMR system reported their opinions. In particular the hospital activity supported electronically, regarding 4,911 adult patients hospitalized in the 2004- 2008 period, was examined.Results:the final EMR product integrated multimedia document (text, images, signals). EMR presented for the most part advantages and was well adopted by the personnel. Appropriateness evaluation was also possible for some procedures. Some disadvantages were encountered, such as start-up costs, long time required to learn how to use the tool, little to no standardization between systems and the EMR technology.Conclusion:the EMR is a strategic goal for clinical system integration to allow a better health care quality. The advantages of the EMR overcome the disadvantages, yielding a positive return on investment to health care organization.

scholarly journals Nurses’ perceptions about and confidence in using an electronic medical record system

2017 ◽  
Vol 27 (2) ◽  
pp. 110-117 ◽  
Author(s):  
Ahmad H Abu Raddaha
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Survey Design ◽  
Electronic Medical Record System ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Record System ◽  
Cross Sectional ◽  
Nurses Perceptions

Introduction: Nurses are among the largest potential users of electronic medical record (EMR) systems in health care settings. Yet little is known about their perceptions and confidence toward using such systems. This study explored nurses’ perceptions toward and confidence in using the EMR system. Predictors for confidence status in using the system among nurses were postulated. Methods: A cross-sectional survey design was used. A sample of 169 nurses were recruited from a general governmental university hospital in Muscat, Oman. Results: Most of study participants did not have prior experience with EMR systems elsewhere. About half (52.1%) perceived that they were confident in using the system. A logistic regression model showed nurses who (a) had six or more years of experience in using the system, (b) perceived that their suggestions regarding improving the system were taken into consideration by the system managing team, (c) perceived that the changes introduced in the system were important to their work, and (d) perceived that the information retrieved through the system was updated, to be more likely confident in using the system. Discussion: When customizing the EMR system, the informatics team that manages the system is invited to more consider suggestions for improvement that are raised by nurses. More training on the system is suggested to increase confidence among nurses who had little experience in using the system. In order to enhance the preparation of future nurses with contemporary technology-driven health care practices, nursing schools officials are encouraged to include general computer information technology training into nursing curricula.

scholarly journals Coordination of care increases the quality of care and reduces costs

2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Renato Peixoto Veras ◽  
João André Cruz Gomes ◽  
Sandro Tadeu Macedo
Keyword(s):  
Health Care ◽  
Service Providers ◽  
International Health ◽  
Cost Effective ◽  
Good Health ◽  
The Elderly ◽  
Coordination Of Care ◽  
Care Model ◽  
Health Care Practices ◽  
Effective Care

Abstract The study addresses a health care model of the elderly practiced by a health care provider in the city of Rio de Janeiro, RJ, Brazil, focusing on the age group of the elderly, population segment in which the greatest misconceptions are identified. The current assistance models did not consider the deep transformations observed in the new epidemiological and demographic reality of the country. Considering that the aging process in Brazil is relatively recent, the article presents a proposal for a contemporary care model, recommended by the most important national and international health agencies as the most suitable for better care, focusing on the promotion, prevention of health care and the coordination of care, in order to avoid excesses, waste and fragmentation. The assistance and financial results of this study display very positive figures and indicate the path to be taken by healthcare companies. The model of remuneration for service providers and the indicators used for the establishment of bonuses are also presented, since they function as an instrument that stimulates and values good health care practices. This text is concerned with a higher quality, more resolutive and cost-effective care model, which is corroborated by the operator’s results presented here.

scholarly journals The Implementation of Electronic Medical Record (EMR) in The Development Health Care System in Indonesia

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Nuke Amalia ◽  
Muh Zul Azhri Rustam ◽  
Anna Rosarini ◽  
Dina Ribka Wijayanti ◽  
Maya Ayu Riestiyowati
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Records ◽  
Health Sector ◽  
Developed Countries ◽  
The United States ◽  
Long Time ◽  
The Cost

The development of information technology is now growing rapidly, including in the health sector. According to WHO, medical record is an important compilation of facts about a patient's life and health. The development of information technology in medical records is the electronic medical record (EMR). Developed countries, such as the United States and Korea have implemented EMR for a long time. In developing countries such as Indonesia, the development of EMR is still in progress because its implementation requires many factors to build a system or replace from manual medical records. Eventually, it is hoped that in the future all health care will use the EMR to resume patient datas from admission to discharge. The purpose of this study is to analyse the implementation and preparation of EMR in health care in Indonesia. This study is a literature review on the implementation and preparation of EMR in health care in Indonesia. The review is dome from 28 literature sources (Google-Scholar database). Total of 8 articles were obtained from 2017 to 2021. The results show that there are benefits after switching to EMR, even though some health care only used EMR in certain units. The highest benefit is reducing the cost of duplicating paper for printing. Also there is still limited human resources and tools for implementing EMR in Indonesia. The implementation of this EMR will enable the improvements of the service quality of the health care itself, especially in Indonesia.

The Fraud and Abuse Statute in an Evolving Health Care Marketplace: Life in the Health Care Speakeasy

1996 ◽  
Vol 22 (2-3) ◽  
pp. 205-231 ◽  
Author(s):  
James F. Blumstein
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Financial Incentives ◽  
Cost Effective ◽  
Payment System ◽  
Health Care Market ◽  
Effective Care ◽  
Use Of Services ◽  
Health Care Payment ◽  
Payment Mechanisms

The health care market, the organizations that deliver health care, and health care payment mechanisms have all changed significantly in recent years and continue to change. In contrast, the so-called antikickback provision of the fraud and abuse statute remains much as it was in 1977, when it was amended into its current general form. By prohibiting financial incentives to induce referrals, the antikickback law counters abuses to the Medicare and Medicaid programs that are likely to proliferate in a cost-based, fee-forservice (FFS) health care market. In a FFS system, financial incentives stimulate increased use of services and often result in overutilization. The antikickback section has significantly less relevance to a capitated health care system in which the payment system itself inhibits overutilization and other costly practices. However, the antikickback section is broad and the regulatory safe harbors promulgated under it are narrow. As a result, practices such as capitation, which encourage cost-effective care and the formation of organizations to provide care on a capitated basis, are poorly insulated from the strictures of the statute.

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