ELECTRONIC DOCUMENTATION, HEALTH RECORD PRATICE AND HEALTH RESEARCH
USER'S INSTRUCTIONS: The project work you are about to view is on "electronic documentation, health record practice and health research". Please, sit back and study the below research material carefully. This project topic (electronic documentation, health record practice and health research) have complete 5(five) Chapters. The complete Project Material/writeup include: Abstract + Introduction + etc + Literature Review + methodology + etc + Conclusion + Recommendation + References/Bibliography.Our aim of providing this "electronic documentation, health record practice and health research" project research material is to reduce the stress of moving from one school library to another all in the name of searching for "electronic documentation, health record practice and health research" research materials. We are not encouraging any form of plagiarism. This service is legal because, all institutions permit their students to read previous projects, books, articles or papers while developing their own works.
TITLE PAGE
ELECTRONIC DOCUMENTATION, HEALTH RECORD PRATICE AND HEALTH RESEARCH
BY
---
EE/H2013/01430
DEPARTMENT OF ----
SCHOOL OF ---
INSTITUTE OF ---
DECEMBER,2018
APPROVAL PAGE
This is to certify that the research work, "electronic documentation, health record practice and health research" by ---, Reg. No. EE/H2007/01430 submitted in partial fulfillment of the requirement award of a Higher National Diploma on --- has been approved.
By
--- . ---
Supervisor Head of Department.
Signature………………. Signature……………….
……………………………….
---
External Invigilator
DEDICATION
This project is dedicated to Almighty God for his protection, kindness, strength over my life throughout the period and also to my --- for his financial support and moral care towards me.Also to my mentor --- for her academic advice she often gives to me. May Almighty God shield them from the peril of this world and bless their entire endeavour Amen.
ACKNOWLEDGEMENT
The successful completion of this project work could not have been a reality without the encouragement of my --- and other people. My immensely appreciation goes to my humble and able supervisor mr. --- for his kindness in supervising this project.
My warmest gratitude goes to my parents for their moral, spiritual and financial support throughout my study in this institution.
My appreciation goes to some of my lecturers among whom are Mr. ---, and Dr. ---. I also recognize the support of some of the staff of --- among whom are: The General Manager, Deputy General manager, the internal Auditor Mr. --- and the ---. Finally, my appreciation goes to my elder sister ---, my lovely friends mercy ---, ---, --- and many others who were quite helpful.
PROJECT DESCRIPTION: This work "electronic documentation, health record practice and health research" research material is a complete and well researched project material strictly for academic purposes, which has been approved by different Lecturers from different higher institutions. We made Preliminary pages, Abstract and Chapter one of "electronic documentation, health record practice and health research" visible for everyone, then the complete material on "electronic documentation, health record practice and health research" is to be ordered for. Happy viewing!!!
Electronic documentation, health records and health research offer a valuable resource to improve health surveillance and evaluation as well as informing clinical decision making. They have been introduced in many different settings, including low- and middle-income countries, yet little is known of the progress and effectiveness of similar information systems within FMC Asaba. This study examines the implementation of Electronic documentation, health records and health research systems for use at a population health level in FMC Asaba, in Delta state, Nigeria and to identify their current role within public health, key success factors, and potential barriers in implementation. A systematic search process was implemented. Five databases were searched with MeSH key terms and Boolean phrases. Articles selected for this review were based on hospital provider electronic records with a component of implementation, utilisation, or evaluation for health systems or at least beyond direct patient care. A proposed analytic framework considered three interactive components: the content, the process, and the context. In this work, Thirty-two articles were included in the review. Evidence suggests that benefits are significant but identifying and addressing potential challenges are critical for success. A comprehensive preparation process is necessary to implement an effective and flexible system. Electronic documentation, health records and health research implemented for public health can allow the identification of disease patterns, seasonality, and global trends as well as risks to vulnerable populations. Addressing implementation challenges will facilitate the development and efficacy of public health initiatives in FMC Asaba to identify current health needs and mitigate future risks.
Abbreviations
EHR: |
Electronic health record |
ICT: |
Information and communication technology |
HIC: |
High-income country |
LMIC: |
Low- and middle-income country. |
TABLE OF CONTENTS
COVER PAGE
TITLE PAGE
APPROVAL PAGE
DEDICATION
ACKNOWELDGEMENT
ABSTRACT
CHAPTER ONE
1.0 INTRODUCTION
1.1 BACKGROUND OF THE STUDY
- PROBLEM STATEMENT
- AIM OF THE STUDY
- OBJECTIVE OF THE STUDY
- SIGNIFICANCE OF THE STUDY
- PURPOSE OF THE STUDY
- LIMITATION OF THE STUDY
- BENEFIT OF THE STUDY
- RESEARCH QUESTION
- DEFINITION OF TERMS
CHAPTER TWO
LITERATURE REVIEW
- OVERVIEW OF THE STUDY
- DEFINITION OF THE STUDY
- HISTORY OF ELECTRONIC HEALTH RECORDS
- CLINICAL AND ADMINISTRATIVE NEED FOR AN HER
- ELECTRONIC HEALTH RECORDS APPLICATIONS REVIEW
- REVIEW OF HEALTHCARE EHR STANDARDS
- REVIEW OF EHR SOFTWARE
- HARDWARE AND NETWORKING
CHAPTER THREE
3.0 RESEARCH METHODOLOGY
- INTRODUCTION
- ETHICAL APPROVAL
- STUDY AREA
- RESEACH DESIGN
- ANALYTICAL FRAMEWORK
- SEARCH STRATEGY
- SEARCH OUTCOMES
CHAPTER FOUR
4.0 RESULT AND DISCUSSION
4.1 RESULT
4.2 DISCUSSION
CHAPTER FIVE
- CONCLUSION
- RECOMMENDATION AND FUTURE WORK
- REFERENCES
CHAPTER ONE
1.0 INTRODUCTION
1.1 BACKGROUND OF THE STUDY
Electronic documentation, Health Records and health research are collectively called Electronic Medical Records (EMR’s).The implementation of Electronic documentation, health records and health research in medical practice has seen a significant increase in recent years. Electronic documentation, health records and health research systems present a valuable opportunity to improve health surveillance and evaluate service provision potentially leading to improvements in the management and the promotion of public health [1]. Findings suggest that most clinicians use the information available to examine the overall condition of the patient and inform clinical decision making and for shared communication across patient care teams [2]. By June 2013, three-quarters of office-based physicians in the United States had incorporated Electronic documentation, health records and health research into their practices [3]. The purchase and implementation of Electronic documentation, health records and health research systems are a significant investment of resources but the effectiveness of the approach also depends on the physicians’ willingness to adopt the new technology into everyday practices [4].
Primary clinical care and population health have complementary goals of improving the health of patients and communities but seldom create effective partnerships to increase the wellness of both the patient and populations [5–7]. Changing healthcare goals require flexible systems. In the current financial climate, it may be argued that population health requires the proactive application of strategies and interventions to defined groups of individuals to improve the health of those individuals at the lowest cost [8]. Researchers have been using Electronic documentation, health records and health research systems to gather rich data in areas such as heart disease, smoking, and the delivery of preventative services [9, 10]. Electronic documentation, health records and health research have allowed for the tracking and consolidation of vaccination programmes, enabling improved design and sustainability of effective immunisation strategies [11]. For most healthcare providers, Electronic documentation, health records and health research provide easy access to patient information, and although the value of Electronic documentation, health records and health research in clinical settings is not to be underestimated, the technological requirements for health information are ever-changing [12]. For example, in the United States, the introduction of the Patient Protection and Affordable Care Act (ACA) was predicted to radically change the functions of health departments, requiring new developments in health technology in an effort to track those changes and potentially creating competitive pressures [13]. Data sharing—in keeping pace with policy changes—brings a new level of complexity. A recent international comparative study of the use of Electronic documentation, health records and health research for research found that the procedures for information governance, levels of adoption, and required time and ease of obtaining consent varied significantly across the countries [14]. Existing systems for collecting and analysing data frequently lack coordination and effective interconnectedness within the departmental and hospital systems, creating challenges in the analysis and interpretation of patient outcomes, particularly as it pertains to a specific population or community [15–17]. The ability to provide effective and preventative care management will require a more sophisticated and expansive level of data collection on selected populations that currently outstrips the capacity of most healthcare organizations [18].
However, the gap between medical demands and supply also varies significantly between high- and low- and middle-income countries (HIC; LMIC) [17]. The challenge facing public health practitioners is that as Electronic documentation, health records and health research systems progress, the gap between high- and low- and middle-income countries widens, increasing the risk that the most vulnerable populations are left further behind in the provision of effective healthcare and public health strategies. While developed countries such as the United States and United Kingdom have led the way in the implementation of Electronic documentation, health records and health research, less is known of the progress and effectiveness of similar information systems within FMC Asaba, Delta state Nigeria. Understanding the progress that has been made and the processes by which Electronic documentation, health records and health research is adapted to different settings in FMC Asaba allows practitioners an opportunity to learn valuable lessons and implement effective systems to promote and improve individual and community health.
Therefore, this review examines the implementation of Electronic documentation, health records and health research systems for use at a population health level in FMC Asaba and to identify their current role within public health, key success factors, and potential barriers in implementation.
1.2 PROBLEM STATEMENT
The increased transparency, portability, and accessibility acquired by the adoption of electronic medical records may increase the ease with which they can be accessed by healthcare professionals, but also can increase the amount of stolen information by unauthorized persons or unscrupulous users versus paper medical records, as acknowledged by the increased security requirements for electronic medical records included in the Health Information and Accessibility Act and by large-scale breaches in confidential records reported by Electronic documentation, health records and health research users.[Griffin Hospital reports, 2010] Concerns about security contribute to the resistance shown to their adoption.
Handwritten paper medical records may be poorly legible, which can contribute to medical errors. According to Institute of Medicine (1999), Pre-printed forms, standardization of abbreviations and standards for penmanship were encouraged to improve the reliability of paper medical records. Electronic records may help with the standardization of forms, terminology and data input. [Electronic Health Record Error Prevention, 2015] Digitization of forms facilitates the collection of data for epidemiology and clinical studies.[ Health Information Exchanges, 2011] However, standardization may create challenges for local practice. Overall, those with EMRs, that have automated notes and records, order entry, and clinical decision support had fewer complications, lower mortality rates, and lower costs.[ Clinical Information Technologies, 2009]
Electronic documentation, health records and health research can be continuously updated. If the ability to exchange records between different Electronic documentation, health records and health research systems were perfected, it would facilitate the coordination of health care delivery in non-affiliated health care facilities. In addition, data from an electronic system can be used anonymously for statistical reporting in matters such as quality improvement, resource management, and public health communicable disease surveillance. However, it is difficult to remove data from its context.[ Greenhalgh T, 2009]
1.3 AIM OF THE PROJECT
The main aim of this study is to digitalize the health information and research for improving efficiency, quality of care and it defiantly reduces the costs. In other words, this study discusses how clinical information or document are recorded, stored, and accessed on a network which may include multiple medical providers
1.4 OBJECTIVES OF THE STUDY
At the end of this work the following objectives shall be able to achieved, that is, to be able to keep:
- Patient Demographics
- Progress Notes
- Current/Past Medications
- Medical History
- Laboratory Data/Radiology Reports
- An electronic documentation, health records and health research has the ability to share automatically share and update information among different offices and organizations
- Through Electronic documentation, health records and health research systems standardization of medical health service is possible.
1.5 PURPOSE OF THE STUDY
The purposes of this work are:
- To improve quality, safety and efficiency & reduces costs
- With this Systems, physician and health practitioner improves care coordination.
1.6 SCOPE OF THE STUDY
Electronic documentation, health records and health research are electronic versions of patients’ healthcare records. An electronic health record gathers, creates, and stores the health record electronically. The electronic health record has been slow to be adopted by healthcare providers. The federal government has recently passed legislation requiring the use of electronic records or face monetary penalties.
1.7 SIGNIFICANCE OF THE STUDY
This study will improve clinical documentation, quality, healthcare utilization tracking, billing and coding, and make health records portable. The core components of an electronic health record include administrative functions, computerized physician order entry, lab systems, radiology systems, pharmacy systems, and clinical documentation. HL7 is the standard communication protocol technology that an electronic health record utilizes. Implementation of software, hardware, and IT networks are important for a successful electronic health record project.
1.8 BENEFIT OF THE STUDY
The benefits of an electronic documentation, health records and health research include a gain in healthcare efficiencies, large gains in quality and safety, and lower healthcare costs for consumers. This system challenges include costly software packages, system security, patient confidentiality, and unknown future government regulations. Future technologies for electronic health records include bar coding, radio-frequency identification, and speech recognition.
1.9 RESEARCH QUESTION
At the end of this study student involved shall be able to answer these questions:
- What is the definition of an Electronic documentation, health records and health research?
- How does an Electronic documentation, health records and health research differ from the paper record?
- What are the functional components of an Electronic documentation, health records and health research?
- What are the benefits of an Electronic documentation, health records and health research?
- What are the impediments to development and use of an Electronic documentation, health records and health research?
1.10 LIMITATION OF THE STUDY
With all the benefits that Electronic documentation, health records and health research’s bring to healthcare, there remain some challenges that must be addressed and overcome. The first challenge of an Electronic documentation, health records and health research is the immense cost of electronic documentation, health records and health research systems (Gordon, 2012). Electronic documentation, health records and health research systems in large hospitals can run into the $15 million to $30 million range (Hufford, 1999). If a small hospital is not aligned with a larger hospital, the costs can be staggering and eat up a whole year's capital budget (Gordon, 2012).
The second challenge is, depending on the Electronic documentation, health records and health research system chosen, the Electronic documentation, health records and health research can lead to increased clinician documentation time. Some physicians and nurses are going to be resistant to change and will want to revert back to the old paper based systems (Hufford, 1999). Failure to change clinical processes while implementing an electronic documentation, health records and health research can ruin any efficiency hoped to be gained by the investment.
Other challenges Electronic documentation, health records and health research system face include slow systems, either due to the software or to poor networking speeds, and system crashes that will stop all clinicians from being able to perform their work. Backup and redundancy systems have to be developed.
Electronic documentation, health records and health research system security is a large challenge that has to be addressed. Electronic medical records could become a huge target for hackers as medical records are rich in personal information (Featherly, 2011). Medical identity theft is becoming a bigger problem and the introduction of electronic documentation, health records and health research’s will perpetuate this issue (Featherly, 2011). An electronic documentation, health records and health research security and patient confidentiality are also covered under HIPAA rules and regulations and a whole host of precautions must be under taken to meet these privacy and security laws.
The last major challenge, for electronic documentation, health records and health research’s is the ability to meet the government's meaningful use rules. The meaningful use rules are substantial (Ford, Menachemi, Huerta, Yu, 2010). Stage one meaningful use rules include fourteen core requirements and a choice of five of ten optional measures (Jarousse, 2010). Stage two and stage three meaningful use rules have yet to be published by the federal government. This poses a huge unknown risk for healthcare providers because failure to meet the meaningful use criteria will result in reduced Medicare and Medicaid payments.
1.11 DEFINITION OF TERMS
The following is a list of basic terms you will need to know as you study this work:
- Certification - This relates to a national effort to "certify" various requirements for EHR software. The Certification Commitee for Health Information Technology (CCHIT) is tasked with determining what basic "must have" features EHR systems contain in order to be "certified."
- Electronic Health Record (EHR) - This term refers to computer software that physicians use to track all aspects of patient care. Typically this broader term also encompasses the practice management functions of billing, scheduling, etc.
- Electronic Medical Record (EMR) - This is an older term that is still widely used. It has typically come to mean the actual clinical functions of the software such as drug interaction checking, allergy checking, encounter documentation, and more.
- Integrated EHR - This refers to an electronic documentation, health records and health research that is integrated with practice management software. Typical choices include purchasing a fully integrated product which performs all the functions of practice management software, or a stand-alone electronic documentation, health records and health research which is compatible with an existing practice management system.
- Structured and unstructured data entry - There are several ways of entering data into your electronic documentation, health records and health research as you practice. These include dictating straight into the software (voice recognition), templates, and writing (handwriting recognition).
CHAPTER TWO: The chapter one of this work has been displayed above. The complete chapter two of "electronic documentation, health record practice and health research" is also available. Order full work to download. Chapter two of "electronic documentation, health record practice and health research" consists of the literature review. In this chapter all the related work on "electronic documentation, health record practice and health research" was reviewed.
CHAPTER THREE: The complete chapter three of "electronic documentation, health record practice and health research" is available. Order full work to download. Chapter three of "electronic documentation, health record practice and health research" consists of the methodology. In this chapter all the method used in carrying out this work was discussed.
CHAPTER FOUR: The complete chapter four of "electronic documentation, health record practice and health research" is available. Order full work to download. Chapter four of "electronic documentation, health record practice and health research" consists of all the test conducted during the work and the result gotten after the whole work
CHAPTER FIVE: The complete chapter five of design and construction of a "electronic documentation, health record practice and health research" is available. Order full work to download. Chapter five of "electronic documentation, health record practice and health research" consist of conclusion, recommendation and references.
To "DOWNLOAD" the complete material on this particular topic above click "HERE"
Do you want our Bank Accounts? please click HERE
To view other related topics click HERE
To "SUMMIT" new topic(s), develop a new topic OR you did not see your topic on our site but want to confirm the availiability of your topic click HERE
Do you want us to research your new topic? if yes, click "HERE"
Do you have any question concerning our post/services? click HERE for answers to your questions
For more information contact us through any of the following means:
Mobile No: +2348146561114 or +2347015391124 [Mr. Innocent]
Email address: engr4project@gmail.com
Watsapp No: +2348146561114
COUNTRIES THAT FOUND OUR SERVICES USEFUL
Australia, Botswana, Canada, Europe, Ghana, Ireland, India, Kenya, Liberia, Malaysia, Namibia, New Zealand, Nigeria, Pakistan, Philippines, Singapore, Sierra Leone, South Africa, Uganda, United States, United Kindom, Zambia, Zimbabwe, etc
Support: +234 8146561114 or +2347015391124
Watsapp No: +2348146561114
Email Address: engr4project@gmail.com