please make suggestions to the facility regarding its EHR, based

please make suggestions to the facility regarding its EHR, based on the interview and what was learned. HEALTHCARE INFORMATION SYSTEM​ The facility that was selected is Rio Grande Regional Hospital.​ Background Information​ RGRH has been in operation for more than 40 years, having a Level III NICU, ICU, PICU, Telemetry and Medical Surgical Unit as well as handling Inpatient and Outpatient Surgeries​ The interviewee is V. Chavez, RN BSN who works in the Nursery and NICU department. ​ V. Chavez has been working for this organization for over 22 years. ​ V. Chavez, RN BSN went through the process of paper charting to the implementation of an EHR system. ​ Overview of EHR​ The employees at this company all have been trained with the EHR system during their orientation period. ​ The staff present that is supporting the use of EHR include the director of clinical informatics and the manager of advanced clinical applications. ​ The facility benefits from the use of an EHR by improving the quality of care provided to patients. Improved communication between physicians and nurses and easy access to pertinent patient data. ​ The EHR has also been able to help reduce the amount of medication errors and reduce costs. ​ One of the issues encountered at the facility include receiving proper training on EHR. The need to use two EHR systems for the Womens Department. Electronic Health Record Vendor ​ The electronic health record vendor used throughout the hospital is Meditech and in the women’s department Meditech alongside Centricity Perinatal (CPN) are used. ​ CPN is user friendly when charting it is easy and straight to the point. CPN also allows nurses to do their work and access pertinent patient information. ​ Meditech has a lot of pros it is simple and easy to manage, it can allow users to access all information and see the lab history, history and physical history, physician notes, and radiology reports. ​ The most used functionalities of these two systems include patient records and providing patient education.​ Data Sharing & Health Information Exchange​ Patient data sharing to other healthcare providers is sent via fax when scheduling follow-up appointments. Providers that are on the patient’s case can access the patients records as well. ​ The facility creates a patient portal where patients can access their own healthcare information empowering them to take control of their care. ​ On the patient portal MyHealthOne they can then share their own records to their healthcare providers or request certain records to be sent to the providers via fax.​ Privacy & Security​ Every employee in the organization is assigned their unique 3-4 ID and can create their own password to access Meditech and CPN. ​ Policies are in place to protect patient care information. ​ Only certain roles can access PIH ensuring that it will only be available for the right people to see​ A security concern has been having unauthorized users being able to gain access to PHI by using the badge of a worker. This has been resolved by ensuring users enter their password manually the first time and must change the passwords annually. ​ Evaluation of the Meditech EHR​ Meditech EHR is a comprehensive and efficient EHR system that has been widely used in healthcare facilities and is easy to learn and use. ​ Meditech is known for its dependability, interoperability, and simplicity.​ Meditech facilitates effective communication between healthcare providers by providing convenient access to physician notes, ensuring that all patient care is current with their medical history and treatment plans.​ Meditech’s accurate medication administration system promotes improved patient care and minimizes medication errors.​ Meditech also offers a versatile data entry system that can accommodate various types of information.​ Evaluation of the Meditech EHR Cont. ​ According to reports, Meditech has been experiencing slow performance which may result in delayed access to critical patient information. Additionally, the monthly updates may further hinder efficient patient care.​ Charting on Meditech is not as customizable and without knowing the keyboard shortcuts it makes usability and adaptability difficult. ​ The Meditech system may present a dated appearance and limited functionality that can have a negative effect on the user’s experience and efficiency.​ Charting capabilities can be difficult to use and understand which can lead to gaps in documentation. Further training may be needed.​ Evaluation of CPN System​ Centricity Perinatal (CPN) is a software application designed to offer comprehensive documentation and fetal surveillance specifically tailored for perinatal healthcare.​ This technology enables seamless analysis of fetal monitor strips in near real-time from any location, enhancing efficiency and facilitating communication among healthcare providers.​ Automated alerts for high-risk strips are included, promoting prompt action.​ The CPN platform boasts interfaces for data sharing and interoperability, optimizing patient care management and increasing productivity. ​ Additionally, it features an e-prescribing function to minimize medication prescribing errors and improve patient safety.​ Benefits and Issues Associated with EHR​ Benefits​ Improves patient care by offering a thorough overview of medical history, enhancing decision-making and outcomes, and ensuring precise medicine administration, so decreasing errors.​ Healthcare systems enhance business operations by eliminating administrative tasks such as appointment scheduling and billing. This enables healthcare providers to dedicate more time to patient care while also improving data entry and communication within the healthcare industry.​ EHR systems can enhance connectivity and accessibility by promoting smooth sharing of information across healthcare facilities. It can promote coordinated treatment and enable monitoring and data sharing.​ Issues​ The slow performance and restricted personalization of Meditech can cause delays in accessing crucial information, while electronic health record (EHR) systems may encounter compatibility and downtime problems, which can impact everyday operations.​ Meditech’s outdated charting system and lack of customization options could negatively impact user efficiency and experience, requiring more training to improve understanding and navigation, which may affect early productivity.​ To ensure the safeguarding of sensitive data, it is important to implement strong security measures and strictly comply with rules in order to prevent unauthorized access.​ Key Takeaways from Interview ​ The transition from using paper charts to electronic health records (EHR) has completely transformed the way healthcare information is documented. This change has improved the accuracy, accessibility, and efficiency of healthcare documentation, highlighting the importance of embracing technology in healthcare delivery.​ Rio Grande Regional Hospital provides extensive electronic health record (EHR) training and assistance to all staff members, especially essential personnel, as part of their orientation process. This guarantees that the personnel is adequately trained to proficiently utilize the system, therefore enhancing patient care and minimizing errors which is good to know about the nearby hospitals in our community. ​ Electronic Health Record (EHR) systems improve healthcare communication, facilitate patient data access, and reduce medication errors, resulting in improved patient care and streamlined operations, which benefits both patients and healthcare providers.​ Rio Grande Regional Hospital places its attention on ensuring the security and privacy of patient health information. This is achieved by limiting access to only authorized people, requiring manual entry of passwords, and regularly updating data protection measures to enhance the safeguarding of patient information.​

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