Premium Essay

Ehr in Home Health

In: Computers and Technology

Submitted By Njreid04
Words 4413
Pages 18
Electronic Health and Medical Record

in Home Health

Nathaniel J. Reid

University of Wisconsin – Milwaukee

HCA: 700

Abstract

The purpose of this paper is to examine the electronic health record (EHR) and electronic medical record (EMR) in the home health setting in the United States. “EHR” and “EMR” are often used interchangeably. However, this paper will discuss the differences between an EHR and an EMR. It will cover the benefits and disadvantages of the EMR in the home health setting. This paper will also cover the potential costs associated with the use of the EMR in the home health setting. Finally, the paper will discuss the Technology Acceptance Model (TAM) of an EMR in home health.

Outline

I. Introduction

a. Purpose

b. Explanation of terms

II. Background

a. Home Health Care

i. What is it

ii. History

iii. How it is changing

b. Health Informatics in Home Healthcare

i. History of informatics in HHC

ii. Current use of informatics in HHC

iii. Benefits of informatics in HHC

III. Comparison of EMR/EHR

a. Definitions

b. Settings used

c. Differences

d. Similarities

IV. Implementation of the EMR in Home Health

a. Feasibility

b. Cost

c. Equipment

d. Staff Acceptance

V. Conclusion

a. Summary of benefits/disadvantages

b. Cost

c. Implementation

d. Recommendation for implementation for EHR/EMR in Home Health

Electronic Health and Medical Records in Home Health

Introduction

Healthcare policy and practice increasingly focuses on the aging baby boomer population and their elderly parents. There is a continual shift by this population to look…...

Similar Documents

Free Essay

Continum of Care Home Health Ppt

...Health Care Utilization John Q Scenario John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call to find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation. (University of Phoenix, 2012). Based on the above scenario, John Q. needs to see a doctor to keep from becoming a victim of a heart attack. There are many factors involved with John Q. using health care services. He has a low income, receives Medicare, no local physician available, limited transportation, and yet he has a need to see a doctor. These factors are described as predisposing, enabling, need, mutable, or immutable. The immutable factors cannot be changed, whereas the mutable factors could change. How dose one change them is the question? This question is important because the changes need to be made so that everyone can have access to health care no matter what area they live in. One of the major factors affecting John Q’s......

Words: 1312 - Pages: 6

Premium Essay

Ehr Paper

...Electronic Health Records (EHR) | | Technology & Society | | EHR Electronic Health Records (EHR) is an official health record for an individual that is shared among multiple agencies and facilities. Digitized health information systems are expected to improve efficiency and quality of care and, ultimately, reduce costs. EHR’s contains Contact information, Information about visits to health care professionals, Allergies, Insurance information, Family history, Immunization status, Information about any conditions or diseases, A list of medications, Records of hospitalization, and Information about any surgeries or procedures performed. (Rouse, 2011) (Holt, 2003) There are a wide variety of benefits that comes along with EHR’s such as there are essential to increasing the quality of health care and improving patient safety. The benefits range from information integration to increased efficiency of clinical processes. These benefits impact physicians, patients and the medical community as a whole. For patients EHR care providers the information they need to ensure that their patients receive the most appropriate, timely and efficient medical care possible, which will reduces medical errors and duplication of services. These tools include drug information, patient history, clinical guidelines and screening recommendations. EHRs increase screening and preventive care and reduce complications, including drug errors. (Rouse, 2011) (Holt, 2003) Physician and......

Words: 1600 - Pages: 7

Free Essay

Home Health

...hospital setting or SNF because it is their “space”. I also enjoyed the lack of chaos and gossip which has been noted at the majority of nurses stations in any location. The true value was to see how important it is to be well prepared for each home visit. The necessary knowledge, skills, documentation, and medical supplies as it pertains to a specific client. Principles learned were the importance of verification of current doctor’s orders for treatment, prescribed medications, and follow up visits required. Observations for client safety included, placement of furniture, unobstructed floor space for walking, medical equipment, cleanliness, proper food storage, compliance with medications and instructions. The practice of proper hand hygiene before and after the visit, client assessment, teaching and education. Proper documentation of the visit was written in detail and a copy provided to the client. The following factors may be considered in all areas of nursing care in any setting: level of self-care, ability for activities of daily living; level of nursing care needed; prognosis; education needs; mental status; level of compliance with instructions from healthcare professionals. Ways in which the nurse adapted care to the home setting are briefly stated in the following: Changing a Foley catheter on a male client, setting up a sterile field while kneeling on the floor as the client was sitting at the edge of the bed; setting up an IV without an IV pole or pump using a...

Words: 1316 - Pages: 6

Premium Essay

Home Health Review

...Review of Home Health Nursing Home healthcare is a general term that represents a wide range of community-based services to support someone that is recovering from an acute situation or services needed by clients with ongoing chronic conditions. The skills and duties of home health nurses vary, but all have one thing in common and that is to make it possible for clients to remain at home and in some cases, have more independence and control. In the process, home health also provides caregivers and clients with a chance to participate in the plan of care. Inpatient Care versus Home Healthcare The main difference between receiving care through home health and a traditional inpatient care is the location. Traditional inpatient care is done in the confines and security of the hospital while home healthcare is done in the comfort of the client’s home setting. Inpatient nurses can provide round the clock care and have the advantage of being acquainted with the client’s overall acuity; nursing care is based by importance of nursing diagnoses. While adapting to the patient’s home setting, home health nurses must provide care by adjusting to the client’s routine. Home health nurses work alone in the field with support resources available from a central office (Ellenbecker, Samia, Cushman, & Alster, 2007, p. 301). In an inpatient setting, care is usually provided by nurses and other practitioners whereas with home health, family members and aids are trained regarding the client’s...

Words: 925 - Pages: 4

Premium Essay

Home Health Patient Tracking Sheet

...Home Health Patient Tracking Sheet Gregg Moore Western Governors University Home Health Patient Tracking Sheet Field Name | Field Type(OASIS-C Data, n.d.) | Field Size(OASIS-C Data, n.d.) | Definition(OASIS-C Data, n.d.) | Allowable Values/ Edits(OASIS-C Data, n.d.) | CMS Certification # | Number | 6 | Specifies the agency’s Centers for Medicare and Medicaid Services (CMS) certification number (CCN/Medicare provider number). | | If the HHA has a CMS Certification number, it must be entered in this field. Otherwise enter spaces. | Branch State | Text | 2 | Specifies the State where the agency branch office is located. | | Branch ID # | Text | 10 | Specifies the branch identification code, as assigned by CMS. The identifier consists of 10 digits – the State code as the first two digits, followed by Q (upper case), followed by the last four digits of the current Medicare provider number, ending with the three-digit CMS-assigned branch number. | If the assessment was performed by an HHA which has no branches or by a subunit which has no branches, then M0016_BRANCH_ID must contain the following: "N " (N followed by 9 spaces). This indicates that the assessment was completed by an HHA or subunit which has no branches. | National Provider Identifier | Number | 10 | Identifies the physician who will sign the Plan of Care | Leave blank (spaces) if a referring physician National Provider ID (NPI) is not applicable. | Patient ID # | Number | 20 |......

Words: 1593 - Pages: 7

Premium Essay

Long Term Care vs Home Health Care

...Long Term Care Facility vs. Home Health Care Nursing Karen Waite Eng/102 July, 2014 Will mom or loved one receive better care at home or in a nursing home? This is a hard choice to make, but which is the best? In this paper, it examines the efficiency of home care programs, assisted living and long-term care programs. It examines the care and cost of the different programs with respect. The decision of whether or not to place an aging parent (or a loved one) into a long-term care facility, or to try and to keep them in their own home or yours is one that many American families are facing each day. Factors in dealing with this decision are too numerous to count, but we will address a few of them in the following paper, like the financial aspects, psychosocial, and meeting the overall needs of our ever aging parents or ill loved one. Taking care of your loved one is a full time job in most cases. Long-term care facilities are a traditional approach to caring for the elderly or chronically ill members of society. These facilities are set up in a couple of different ways to provide specialized care depending on a person’s need. In some cases, mom may not need a great deal of care with her daily living, but may need help with fixing food or remembering to take her medication. So, the first point of our discussion is assisted living facilities. These are apartment type communities that specialize in assisting seniors who may have a problem accomplishing their normal......

Words: 1806 - Pages: 8

Premium Essay

Home Health Communicaation

...THERAPY IN HOME HEALTH CARE: PHT 7975. DR. SCOTT S. HARP, PT, PhD, DPT. JUNE 8, 2014 TABLE OF CONTENT Cover page.......................................................................................................................................1 Table of content...............................................................................................................................2 Types of communication in home health........................................................................................3 Comparing communication in acute care setting vs. home health..................................................4 Challenges physical therapy/physical therapy assistant team need to overcome in home health...............................................................................................................................................4 Timeframes for initial telephone contact and assessment visit.......................................................6 Communication challenges between different types of provider during transition of care............7 Documentation comparism between home health and acute care setting......................................8 Reason for documentation differences between home health and acute care setting.....................9 References.....................................................................................................................................10 TYPES OF COMMUNICATION IN HOME......

Words: 2206 - Pages: 9

Premium Essay

Ehr Implementation

...Health Information Technology (HIT) is becoming increasingly useful and implemented more frequently by health care providers throughout the United States. This technology may include Electronic Health Records (EHR) or Electronic Medical Records (EMR). The shift towards implementing Electronic Health Records has a significant influence on the quality of care provided by health care providers; however, some providers still stick to the basic paper documentation due to skepticism and disregard the benefits to adopting new technologies. Many questions arise when a health care provider is interested in adopting EHR’s, such as why adopt EHR’s? What are the benefits of EHR’s in relation to paper documentation? What steps need to be taken in order to adopt and implement EHR’s? What barriers will be encountered during the decision making process and how will these barriers be addressed? A health practice interested in adopting and implementing an EHR system must establish priorities, identify potential risks and how to avoid or overcome these risks, outweigh the pros and cons, set goals, and adhere to strict guidelines to ensure adopting a successful system. The terms Electronic Health Records (EHR) and Electronic Medical Records (EMR) are often used interchangeably by health care providers when in fact there is a subtle difference between EHRs and EMRs. Electronic Medical Records and Electronic Medical Records are both digital versions of a patient’s medical history and......

Words: 4391 - Pages: 18

Free Essay

Ehr Analysis

...It is important to be familiar with federal and state legislation governing patient medical records. There are several laws designed to protect Americans’ personal health information. Patients have the right to privacy, and they have the right to have the information shared with healthcare providers used with discretion in the patient’s best interest. If you have or are considering a career in health informatics, it is important to be aware of federal and state laws so that Protected Health Information (PHI) remains secure when stored and transmitted by electronic health record systems. Privacy Act of 1974 The Privacy Act of 1974 regulates information collected by the federal government and its agencies. The legislation allows citizens to know what information is collected about them, assure the veracity of that data and obtain copies of the information. The Veterans Health Administration and Indian Health Services are subject to these regulations. Alcohol- and Drug-Abuse Patient Confidentiality The Confidentiality of Alcohol and Drug Abuse Patient Records rule allows for additional privacy in any federally assisted drug- or alcohol-abuse program. Identity, diagnosis and treatment are treated as confidential information. Patient impairment does not excuse release of confidential patient information. Conditions for Coverage of Specialized Services by Suppliers The Conditions for Coverage of Specialized Services by Suppliers is part of Medicare laws that......

Words: 762 - Pages: 4

Free Essay

Home Health and Hospice

...HOME HEALTH and HOSPICE Ruth Whitehead NUR 210 10/27/08 To do home health the nurse must be able to see the big picture. Clients will not always tell the nurse how they feel or if something is not right. The nurse must go into client’s homes and be able to look at the client and the situation and be able to ask the right questions, to find the answers. During my rotation with home health, I got to do a dressing change on a man that had fallen on his porch and his knee had gotten infected. His would had opened and needed a wound vac; at this point it was closed and almost healed. I did a sterile, wet to dry dressing. I assisted the nurse in flushing his PIC line and did a dressing change on that also. I assisted the nurse with her assessments and did vital signs for her. We did see one terminal client, and the biggest thing with her was pain control. I found out what the level of pain was and where it was and when it occurred and if it woke her at night and if her pain regime was adequate for her. The nurse called the pharmacy to get refills and then called the MD when there were no refills available. With every client that we saw teaching was very important part of the visit. We taught about weighing everyday and writing it done, and eating right, taking medications as directed, taking blood sugars everyday and writing it down so the nurse can see how things have been progressing since she had been there last. The nurse collaborates......

Words: 405 - Pages: 2

Free Essay

Invacare Home Health Equipment and Supplies

...Summary…………………………………………………….4 Mission Statement………………………………………………………5 Vision Statement………………………………………………………..6 Company Description..………………………………………………….7 Strength…………………………………………………………………8 Weakness………………………………………………………………..8 Opportunities……………………………………………………………8 Threats…………………………………………………………………..9 Country Overview………………………………………………………10 Products and Services…………………………………………………...11 Financial Analysis………………………………………………………12 Funding…………………………………………………………………13 Future Outlook………………………………………………………….14 Advertisement/Promotion……………………………………………….16 Competition……………………………………………………………..17 Legal Implementation Appendix References EXECUTIVE SUMMARY Invacare Home Heath Equipment and Supply is a promising venture to take into consideration for the St. Petersburg, Russia area. It will provide high-quality health equipment and service to its customers. Invacare will provide a wide array of equipment such as wheelchairs (manual and battery powered), beds (basic-electrically operated beds), respiratory equipment (oxygen, nebulizers), bedside commodes, walkers, and canes. After analyzing the demographics and opportunities in the St. Petersburg areas, it was determined that there is a need for a local healthcare provider. St. Petersburg, through much research, has been determined to be in need of better healthcare accessories. The handicaps of St. Petersburg seem to be overlooked and not giving accessibility to most local venders. By strategically placing Invacare in......

Words: 3137 - Pages: 13

Premium Essay

Home Health Care

...Home Health Care and the Value of the Registered Nurse Home Health Care and the Value of the Registered Nurse The home health care system is one of the fastest growing industries in America. Today, there has been a vast growth of services with approximately 7.6 million clients receiving care from about 83,000 providers (National Association for Home Care and Hospice, 2008, pg 1). This is an increase of 63,000 suppliers since 2004. Factors affecting these figures are; an aging population, rising health care costs, reimbursement plans, advances in technology, and a trend of clients desiring this avenue of care for various health related restrictions. Home health care encompasses the collaborative efforts of various professionals all seeking the common goal of determining the needs of the client and their families. When understanding the importance of the Registered Nurse in the home health care setting, it is beneficial to consider the pros and cons as well as the various functions of the nurse as caregiver, educator, and case manager. Home health care nurses require advanced knowledge and skills, usually at the Baccalaureate level, in the delivery of either generalized or specialized care for the client in this setting. Common areas of concern include cardiac, respiratory, permanent disabilities such as Alzheimer’s and Multiple Sclerosis, hospice, and dialysis to name a few. Nursing in the home care industry has many advantages as compared to nursing in the......

Words: 1249 - Pages: 5

Premium Essay

Home Health Nurses Evaluation

...Home Health Nurses’ Evaluation of Pre-Operative Teaching and Post-Operative Outcomes Ruth E. Harvath Liberty University The Journal of Nursing Education. Abstract A non-experimental, descriptive, quantitative, pilot study was conducted to explore the home health nurses’ perceptions about their patient’s pre-operative and post operative outcomes. Patient education is a major concern among healthcare providers in the surgical and home health settings. Patients’ have distinct levels of understanding, learning styles, and comprehension of materials in which need to be addressed in preparing a patient for surgery. Research has shown that complications can be prevented by efficient pre-operative education. It is suggested that patients and caregivers are given evidence based pre-operative education that meets the needs of the individual patient. The findings from this pilot study suggested that the perceptions of the home health nurses’ were that patient education should be designed to embrace patients at all levels of learning. Keywords: pre-operative, surgical, education, post-operative, outcomes, complication Home Health Nurses’ Evaluation of Pre-Operative Teaching and Post-Operative Outcome Introduction The purpose of this descriptive study was to evaluate the effectiveness of pre-operative education from a post-operative standpoint from home health nurses’ perspectives when caring for post-operative patients Individualized......

Words: 4311 - Pages: 18

Premium Essay

Miracle Home Health Care

...Christopher Castillo-Gonzales Principles of Marketing September 20, 2015 Miracle Home Health Care Many companies around the world tend to be outstanding within their designated markets and/or fields. The success of any company, either public or private, small or giant, tends to be unlimited. Unlimited success is determined by many diverse factors that are ethically created in order to capture the diamonds of success and the peoples’ hearts. One of these local, and yet privileged companies is named Miracle Home Health Care. What has made Miracle Home Health Care very recognizable in Lea County is due to their: outstanding services, the uniqueness of their marketing, their marketing concept that needs improvement and a positive marketing image. Miracle Home Health care is a company that provides high quality care to disabled people in the comfort of their home. This wonderful company opened their doors in Hobbs, NM in 2003, immediately offering their in-home care to disabled people. I have personally known about this company and have met its’ founders since day 1. To be more exact my mother was one of their very first caregivers and started working with them since day 1. Their in-home care is what makes the company stand out due to the simple reason that they are one of the very few companies that offer this kind of service in all of Lea County. Besides in-home care services, Miracle’s clients may also receive aid with their everyday duties such as: medical appointments,...

Words: 654 - Pages: 3

Premium Essay

The Future of Home Health

...1 Running Head: THE FUTURE OF HOME HEALTH The Future of Home Health Mary C. Reed The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5311 Nursing Management in Health Care Stephanee Thurman, MSN, RN August 1, 2012 2 THE FUTURE OF HOME HEALTH The Future of Home Health Home health has been the topic of several news discussions lately. Doctors and nurses are afraid that since Medicare fraud has taken place in so many home health agencies, that Medicare is going to start shutting down a lot of home health agencies so that they have less fraud to watch out for. The studies I have chosen discuss positive outcomes that are related to providing care in the patient’s home. I have worked in home health for four years. In those four years, home health services have been through many changes. After obtaining my Masters of Science in Nursing I plan on continuing to work in home health. I would like to move up to a management position after graduation. Home health is interesting to me and I enjoy working with patients in their home environment. Patients seem to be more motivated in their home setting instead of being in a rehabilitation center or hospital. “In home nursing care, patient care activities focus on enabling patients to assume responsibility for self-monitoring and self-management through teaching, supporting, goal setting, and modeling decision-making” (Or, Valdez,......

Words: 1678 - Pages: 7