For centuries nurses have been documenting the day to day activities and interventions of their patients. A well-crafted nurses note is a work of art, not only conveying the important information regarding their patient’s health status and response to treatment but also setting a tone and telling “the patient story.” Recent changes to the way nurses document has had a negative impact on the ability to tell a cohesive story. Nearly every hospital has now implemented an Electronic Health Record … [Read more...] about Are Nurse’s Notes Becoming a Lost Art?
Electronic health record
The Ebola situation has many in the United States at panic levels. We’ve already had several patients with Ebola on U.S. soil. We’ve already already had a death caused by Ebola. The media is spreading panic and is doing a terrible job at informing the public of any real facts. Mistakes have been made in this Ebola epidemic. For example, the hospital that released the Ebola patient stated the they did so because of a problem related to an EHR, but they later recanted. While I didn’t see it … [Read more...] about Ebola Facts and Checklist for Healthcare Providers (and Everyone Else)
Guest Blogger: Jenna As technological advancements continue to transform healthcare into an information-rich industry, CDS (Clinical Decision Support) systems are leveraging the digital process to provide a seamless infrastructure and flow of information. The systems are becoming the means of better collaboration between the healthcare provider and the patients. Facilities using CDS platforms in their approach are able to provide better prescription, diagnosis and treatment because of being … [Read more...] about Top 4 Clinical Decision Support Platforms Of 2013
Meaningful Use has pushed healthcare organizations to jump on the bandwagon and implement robust electronic medical records. This is an excellent push towards completely digitizing a patient’s medical record and allowing information to easily accessible, shared, and oh, yes, meaningful. However, there will always be information that needs to be part a medical record but it can’t fit into discrete data. Whether this is a patient’s insurance card, or past records that the patient only has on … [Read more...] about Network Scanning Makes Electronic Medical Records Work
Many nurses, doctors, and other healthcare professionals have to use a electronic health record systems. They often face the task of documenting on patient’s medical records begrudgingly and don’t appreciate the technology they are using. They feel that this time spent documenting could better bet spent with the patients. What many of them don’t realize is that the resentment they hold for for EMR (electronic medical records) can actually cause them to spend less time with their patient’s. It’s … [Read more...] about 3 Tips to Increase Staff Engagement in EHR Software and Increase Patient Satisfaction
Many healthcare professionals who are less technical may hear the term health information exchange, but not be clear on what they are exactly. Technology education for nurses has always been several lacking, unfortunately. It's one of the reasons I wrote The Nerdy Nurse's Guide to Technology. In this article, we'll answer the question "what is a health information exchange?" Health Information Exchange Definition A Health Information Exchange (also known as HIE). The portion of the rap where … [Read more...] about What is a Health Information Exchange (HIE)?
Recently I had the honor of speaking at the MEDITECH Nurse Leader and Home Health Conference. For those of you who are not already familiar, MEDITECH is a leading provider of hospital-based EMRs (Electronic Medical Records). They offer cost-effective solutions to assist healthcare organizations with providing collaborative care across the continuum and meeting the requirements of ARRA and Meaningful Use. One of MEDITECH’s latest offers is a patient portal that is automated and tablet ready … [Read more...] about MEDITECH Nurse Leader and Home Health Conference
Many people do not realize there are differences between an electronic medical record (EMR), electronic health record (EHR), and a personal health record (PHR). I myself am guilty of often using the terms EHR and EMR interchangeably. There are, however, some defining differences that set these health and medical records apart. Wikipedia has this to say about the topic: The terms EHR, EPR (electronic patient record) and EMR (electronic medical record) are often used interchangeably, although … [Read more...] about Differences Between EMR, EHR, and PHR
Hospitals and healthcare providers every start shaking in their boots when they think of social media and healthcare. They freak out about the possibility of a HIPAA violation. But the fear that is struck in many of their hearts is really unneeded. There are 18 patient identifiers that are off limits when it comes to blogging and things of the like. Omit These 18 Identifiers When Blogging About Patient Care 1. Names; 2. All geographical subdivisions smaller than a State, including street … [Read more...] about 18 Patient Identifiers HIPAA Defines as Off Limits
The New York Times has has an article about Epic’s EMR system titled Digitizing Health Records, Before It Was Cool. Epic is only one of many large EMR vendors who produce software to manage patient medical records and other data related to the overall business and function of healthcare organizations. A few others worth mentioning are Allscripts, Meditech, Cerner, I.B.M., McKesson, Siemens and GE Healthcare. They all have their benefits and drawbacks. Most of them have similar challenges when … [Read more...] about Electronic Medical Records: Huge Profits to Be Made in the Push for Meaningful Use
Meaningful use is a buzzword in healthcare these days. Most healthcare providers have heard of it. A few know that it has to do with documentation and electronic charting. But even fewer actually know what meaningful use is and how it is touching every part of the care we provide. One aspect of meaningful use which will greatly improve patient care is the continuity of care document. What is a Continuity of Care Document? Continuity of care documents (CCD) is a standard in electronic … [Read more...] about Meaningful Use and the Continuity of Care Document