Wednesday 19 November 2014



CASE STUDY CHAPTER 1
CASE 3
A New Look at EMR


QUESTION 1
Identify and describe the problem in this case.


First problem is there are likely to be many issues with the sharing of medical data between different system. While the majority of EMR system will satisfy the specified criteria of reporting data electronically to governmental agencies, they may not be able to report the same data to one another, a key requirement for a nationwide system. Many different type of EMR system being developed and implemented right now will be compatible with one another 2015 and beyond. No nation wide software standards for organizing and exchanging medical information have been put in place. This means that if you go to one medical practice for a diagnosis, and then go to another hospital to receive treatment, these provides generally will not be able shared the medical records electronically.


The second problem is that there is a potential conflict of interest for the insurance companies involved in the creation of health record system. Insurers are often accused of seeking ways to avoid or delay paying health care claims. Unfortunately, it is not in their interest to have electronics systems that can process payment to smoothly and efficiently.


QUESTION 2
What people, organization and technology factors are responsible for the difficulties in building electronic medical record system. Explain.

Organization - Answering patient phone calls, examining patients and writing prescriptions will need to incorporate procedures for accessing and updating electronic medical records. Paper-based records will have to be converted into electronic form.

People – training can take-up to 20 hours of a doctor’s time and doctors are extremely time-passed. Doctor may be spending a considerable of time entering the previous medical history to an EMR. EMR needs and require many different kind of skills and people.

Technology – people worried about the security of electronic record s converted from paper to electric, mostly worried about the security of electronic record, the potential for misuse of personal information and inability of physician to access patient records during a power or computer outage.


QUESTION 3
What is the business , political , and social impact of not digitizing medical records (for individual physicians , hospital, insurers ,patients , and the U.S government)?


The business , political , and social impact of not digitizing medical records are that doctors will not be able to have instant access to a patient’s medical records. And without digitizing medical records means that there will be the need for more paperwork. Politically the 2015 goal set by the U.S government would also be impacted. Socially people would expect little error to this EMR system like correct dosages. And by not digitizing medical records has a greater risk of errors.

QUESTION 4
What are the business and social benefits of digitizing medical record keeping?


The business and social benefits of digitizing medical record keeping are when taken from paper and filing them to the EMR patient’s records will be easier accessed. And unlike filling cabinets a computer has extensive memory to store them all. And these medical records accessed by any other facility that is using EMR as well. Patient information can be accessed much easier and that could mean life of death.


QUESTION 5
Are electronic medical record systems a good solution to the problem of rising health care costs in the US? Explain your answer.

Electronic medical records system is a good solution for the problem of rising health care cost in the US. Administrative costs and record keeping costs are 13% of the US. So that, it can health care spending, improving medical record keeping systems has been targeted as a major path to cost savings and even higher health care quality.Then, enter electronic medical record (EMR) systems. Besides that, an electronic medical record system contains all of a persons vital medical data, including personal information, a full medical history, test results, diagnosis, treatments, prescription medications and the effect of those treatments.

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