Record means any document or other sources of
information complied, recorded of stored in a written form or on film, or by
electronic processes, or in any other manner by other means, State Record Act
(2002). Health records’ keeping is the documentation and reservation of
relevant health status and outcome of treatment of every patient who has in
contact with health care provider at a particular point in time. Health records
is the documentation of the outpatient or inpatient, made to preserve
information in medical, scientific planning research and legal values, health
records can also be defined as an orderly written document encompassing the
patient identification data, health history, physical examination findings,
laboratory reports, diagnosis, treatment and surgical procedures (Babatunde,
2008).
information complied, recorded of stored in a written form or on film, or by
electronic processes, or in any other manner by other means, State Record Act
(2002). Health records’ keeping is the documentation and reservation of
relevant health status and outcome of treatment of every patient who has in
contact with health care provider at a particular point in time. Health records
is the documentation of the outpatient or inpatient, made to preserve
information in medical, scientific planning research and legal values, health
records can also be defined as an orderly written document encompassing the
patient identification data, health history, physical examination findings,
laboratory reports, diagnosis, treatment and surgical procedures (Babatunde,
2008).
It is necessary for all the member of health care team to record all the
findings on every patient as they render health services to him/her in one
capacity or the other. Health records keeping enables hospitals to store and
achieve detailed patient information to be used by health care provider, and
sometimes, patient during a patient’s hospitalization. Over time and across
care setting, embedded clinical decision support and other tools have the
potential to help clinician’s provider safer and more effective care than is
possible by relying on memory and paper based system. In addition, health
records can help health care industry monitor, improve and report data on
health care quality and safety. The Centres for Medicare and Medical Services
(CMS) calls “health records, the next step are continued progress of health
care.
Despite the utility of electronic health records, hospitals
were morally slow to adopt them. American hospital had a comprehensive EHR
system, meaning that the system performed 24 specific function and was used in
all clinical units. Another 7.6% of hospital had an EHR in use in at least one
clinical unit, (AHA; 2009) 70 accelerate widespread adoption and use of EHR,
the health information technology for economic and clinical health (HITECH) Act,
part of the American recovery and established incentives payments from the
medical and Medicare programs for hospital demonstrating that they are making
meaningful use of an EHR system to improve patient care. The office of the
national coordinator for health information technology (ONIC) promulgated
criteria for the meaningful use of EHRs, which includes several specific
applications on the tools to improve safety and quality. Hospital meeting the
criteria can apply for payment, meaningful use insensitive payment appear to be
promoting adoption, possible in accountable care organization. AHA hospital
found that the number of hospital just over half of all community and federal
hospital have. Earned meaningful use payment for having purchased, or for having
a contract to purchase on EHR (AHA;
2011). As of march 2012, payment to eligible hospital totalled in access of and
3 billion eighty five percent of hospital surveyed reported that they planned
to take advantage of meaningful use payment by 2015. Using somewhat different
criteria, 41 percent of hospital were thought to be well positioned to meet
meaningful use standard as September, 2011 up from 25 present in February, 2011
this report discuses the experienced of home hospital that are early adopter
and pioneering users of EHRs. While it is not possible to generalized from this
small sample examples are intended to provide useful lessons and insight for
other hospital, including those that are considering EHR adoption, ramping up
their EHR to met meaningful use criteria or tailoring their EHR to promote
health care quality and safety. The report may also provide insight for one
hospital noted that potential file, patient in particular, in order to better
coordinate care for those who have complex conditioned and may have trouble
keeping track of their own clinical information.
were morally slow to adopt them. American hospital had a comprehensive EHR
system, meaning that the system performed 24 specific function and was used in
all clinical units. Another 7.6% of hospital had an EHR in use in at least one
clinical unit, (AHA; 2009) 70 accelerate widespread adoption and use of EHR,
the health information technology for economic and clinical health (HITECH) Act,
part of the American recovery and established incentives payments from the
medical and Medicare programs for hospital demonstrating that they are making
meaningful use of an EHR system to improve patient care. The office of the
national coordinator for health information technology (ONIC) promulgated
criteria for the meaningful use of EHRs, which includes several specific
applications on the tools to improve safety and quality. Hospital meeting the
criteria can apply for payment, meaningful use insensitive payment appear to be
promoting adoption, possible in accountable care organization. AHA hospital
found that the number of hospital just over half of all community and federal
hospital have. Earned meaningful use payment for having purchased, or for having
a contract to purchase on EHR (AHA;
2011). As of march 2012, payment to eligible hospital totalled in access of and
3 billion eighty five percent of hospital surveyed reported that they planned
to take advantage of meaningful use payment by 2015. Using somewhat different
criteria, 41 percent of hospital were thought to be well positioned to meet
meaningful use standard as September, 2011 up from 25 present in February, 2011
this report discuses the experienced of home hospital that are early adopter
and pioneering users of EHRs. While it is not possible to generalized from this
small sample examples are intended to provide useful lessons and insight for
other hospital, including those that are considering EHR adoption, ramping up
their EHR to met meaningful use criteria or tailoring their EHR to promote
health care quality and safety. The report may also provide insight for one
hospital noted that potential file, patient in particular, in order to better
coordinate care for those who have complex conditioned and may have trouble
keeping track of their own clinical information.
Two of the larger systems described improved
efficiency as one factor but not the primary impetus behind their investment
(the main driver most improve quality and integration) one muliti hospital
system expressed a preference for standardizing care across all hospital.
efficiency as one factor but not the primary impetus behind their investment
(the main driver most improve quality and integration) one muliti hospital
system expressed a preference for standardizing care across all hospital.
A few of the hospitals switching from internally built
HER system or early model of single functionality of EHR (e.g. Radiology-only
to comprehensive, commercial model during the study period, while others
converted from paper process directly to comprehensive, commercial product.
Those that previously had a home ground of EHR lifted improvement in the
commercial options as factor in decision to make integrated plat form for both
inpatient and outpatient care.
HER system or early model of single functionality of EHR (e.g. Radiology-only
to comprehensive, commercial model during the study period, while others
converted from paper process directly to comprehensive, commercial product.
Those that previously had a home ground of EHR lifted improvement in the
commercial options as factor in decision to make integrated plat form for both
inpatient and outpatient care.
