Download Electronic Health Record Functions and Strategies for Integration in Acute Care Setting and more Thesis Business Accounting in PDF only on Docsity! 1 C802 ELP 1 – ELP Task 1: EHR Functions Western Governors University C802: Foundations in Healthcare Information Management I. A. List four electronic health record (EHR) functions needed by clinical end-users in the acute care setting. And, describe how each function may be used: 1. Results Management Systems – This function allows for laboratory and diagnostic order(s) and/or results to be trended. In addition, it can also provide other critical information such as the administration of medication, the patient’s vital signs, and etc. 2. Point-of-Care – This function provides information regarding the patient’s history and physical examination, the nurse’s and/or provider’s assessment(s), subsequent visit(s), consultation(s), and etc. 3. Clinical Decision Support Systems – This function analyzes the information within the patient’s medical record. Based on the data, it can assist the provider with a clinical diagnosis/es and treatment plan, provide reminder(s) and/or alert(s) of preventive screenings, and potential adverse drug reactions. 4. Medication Management Systems – This function includes the CPOE (computerized physician order entry), the eMAR (electronic medication administration record), and the BC-MAR (bar code medication administration record). It specifically focuses on each individual patient, assessing the appropriateness, effectiveness, safety, and adherence to the medication. It also has the ability to coordinate medication management among the provider(s) involved in the treatment of care for the patient. It not only can include the 2 provider(s) in the patient’s medication management, but it also can incorporate the patient, the caregiver(s), and the pharmacist(s). B. Discuss one strategy that might be used when introducing new technology to enable it to integrate with old technology in the acute care setting: 1. Amatayakul (2017) provides three strategies that are used when implementing new technology. These strategies allow for the new technology to integrate with the existing technological system. The three different type of strategies are: best-of-breed strategy, best-of-fit strategy, and dual-core strategy. Of the three strategies, the dual-core strategy is deemed as being the most comprehensive. This strategy combines the best-of-breed and the best-of-fit strategies. It allows the facility to maintain the existing systems that are already working well for them. The downside with using this strategy is the facility will be using two different vendors. For example, one vendor will be used to maintain the financial and/or administrative aspects for the facility. And, the second vendor will be used to maintain the operational and/or clinical functions for the facility (pp. 72-73). C. List three EHR functions needed by clinical end-users in the outpatient setting. And, explain how each EHR function is used: 1. Patient Data Capture Functions – This function captures and records information regarding the patient such as demographics, medical history, medication history, vital signs, allergy information, and calculates the patient’s BMI. Additionally, the patient data function can store the patient’s clinical documentation (i.e. progress notes, physical examinations, assessments, and plan of care). It even has the capability to receive the results of diagnostic studies, receive external clinical documentation, and display any advance directives the patient may have on file. 2. Patient Data Management Functions – This function manages the patient’s problem list, medication list, allergy and/or adverse reaction list. It also has the ability to customize
