1. Microbiology DiscussionImagine yourself to be a microbial pathogen, tell us the reason for your choice, and describe in detail the
structures you would like to have in order to live in the habitat of your choosing and the factors needed
to cause infection of a specific organ in humans.
1 page
2. Health Informatics Discussion
The Health care industry, just like the banking and business sector, is rapidly implementing
digital applications that seek to improve patient experiences, health outcomes, lower costs, and
alleviate clinician burnout. The digital transformation within the health care sector seeks to apply
digital health interventions utilizing applications like wearable technologies, mobile devices,
improved network connectivity, cloud computing, Artificial Intelligence, and even automation to
patient care.
However, there are numerous challenges health care organizations must consider when
implementing any digital health strategy. After reviewing the links, videos, and cases presented
describe some of the challenges, risks, and benefits related to technology use and digital health
technology adoption within health care. Why would privacy, cybersecurity, interoperability, and
misinformation be major concerns?
1 page
Class reading rubric for question 2 is attached
WELCOME TO WEEK 2!
HS420-ADVANCED HEALTH INFORMATICS
OCTOBER 27, 2022
WHAT’S HAPPENING THIS WEEK?
ASSIGNMENT TWO
You are the director of a medium sized health care facility. You have been tasked
with developing a proposal for the facility that moves the organization into a
digital capacity that meets the AHRQ’s “ Health Learning System” requirements.
Part 1: Introduce and explain “Health Learning Systems.”
Part 2: Present research and ideas related to techniques that can be utilized to
transition the facility into a “Smart Hospital” within 10 years. Be sure to address
the following:
1.Workforce
2.Technology
3.Informatics and Analytics
Include three references and follow APA guidelines.
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ)
LEARNING HEALTH SYSTEM – AHRQ (2019)
Have leaders who are committed to a culture of
continuous learning and improvement.
Systematically gather and apply evidence in real-time
to guide care.
Employ IT methods to share new evidence with
clinicians to improve decision-making.
Promote the inclusion of patients as vital members of
the learning team.
Capture and analyze data and care experiences to
improve care.
Continually assess outcomes refine processes and
training to create a feedback cycle for learning and
improvement.
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
SMART HOSPITALS
https://online.regiscollege.edu/blog/smart-hospitals/
GRADING RUBRIC
GRADING RUBRIC
GRADING RUBRIC
CHAPTER 3: THE ELECTRONIC HEALTH RECORD
WHY ELECTRONIC HEALTH RECORDS (EHRS)?
A little warm up:
THE ELECTRONIC HEALTH RECORD
Objectives:
Review the evolution in the
development of the electronic
health record
Articulate the issues surrounding
the deployment and
implementation of the electronic
health record
Compare the differences in
electronic health record systems
THE ELECTRONIC HEALTH RECORD
Objectives continued…:
Describe HITECH funding
Compare the advantages and
disadvantages of the electronic health
record
Consider the current status and
documented outcomes of EHR
utilization
INTRODUCTION AND DEFINITIONS
Electronic MEDICAL record (EMR): digital version of the paper medical record
within a healthcare facility or hospital where a patient is receiving care
Electronic HEALTH record (EHR): broader data set containing information
from the entire healthcare team which follows the patient across different care
settings.
Personal health record: similar to the EHR, but is the property of the patient. It
can include information entered by the patient and is entirely managed by the
patient.
WHAT EXACTLY IS INCLUDED IN ELECTRONIC RECORDS?
Past medical history
Problem list
Medication list
Allergies
Notes from care providers
Vital signs
Results and images
Scanned documents
HOW DO I ACCESS MY RECORD?
Patient Portal vs. PHR: shared record with your doctor through a portal where a
personal health record includes information that can be entered/maintained by
you/the patient.
What information is shared? Varies across organizations and can depend on the
software vendor.
Proxies: access can be established for others to maintain/access your records
through a portal if you are unable to or for minor patients through proxies.
ANOTHER CONSIDERATION…
The patient/family perspective
https://www.youtube.com/watch
?v=msBYOYYeHPw
ADVANTAGES OF EHRS: FOR HEALTHCARE PROVIDERS
Providing accurate, up-to-date, and complete information about patients at the point of care
Enabling quick access to patient records for more coordinated, efficient care
Securely sharing electronic information with patients and other clinicians
Helping providers more effectively diagnose patients, reduce medical errors, and provide safer care
Improving patient and provider interaction and communication, as well as health care convenience
Enabling safer,more reliable prescribing
Helping promote legible, complete documentation and accurate, streamlined coding and billing
Enhancing privacy and security of patient data
Helping providers improve productivity and work-life balance
Enabling providers to improve efficiency and meet their business goals
Reducing costs through decreased paperwork, improved safety, reduced duplication of testing, and improved
health.
ADVANTAGES OF EHRS FOR PATIENTS
Can reduce paperwork for patients.
Get your information into the hands of people
who need it.
Help your doctors coordinate your care and
protect your safety.
Reduce unnecessary tests and procedures.
Give you direct access to your records.
WHO NEEDS ACCESS TO THE EHR?
EHR COMPONENTS
Integrated applications
EHR concept overview
Clinical documentation
Supports meaningful use
https://library.ahima.org/doc?oid=63392#.YiP_zXrMJPY
EHR: CORE FUNCTIONALITY
Health information and data
Results management
Order entry/management
Decision support
Electronic communication and connectivity
Patient support
Administrative processes and reporting
Reporting and population health
EHR CLINICAL FUNCTIONALITY
Health information and data
Patient demographic information
Patient problem list
Patient medication lists
Clinical notes
Minimum data set
Notes including medical history and follow-up notes
EHR CLINICAL FUNCTIONALITY
Results management
Viewing lab results
Viewing imaging results
Electronic images are returned
EHR CLINICAL FUNCTIONALITY
Order entry management
Computerized orders for prescriptions
Computerized orders for labs
Computerized orders for radiology
Orders sent electronically for prescriptions
Orders sent electronically for labs
Orders sent electronically for radiology
EHR CLINICAL FUNCTIONALITY
Decision Support
Warnings of drug interactions or
contraindications are returned
Out of range lab levels are highlighted
Reminders for guideline-based interventions
and screenings
Access to online clinical guidelines
EHR CLINICAL FUNCTIONALITY
Electronic communications and connectivity
Electronic health information exchange (eHIE)
Access to shared patient histories
Continuity of Care Document (CCD)
EHR CLINICAL FUNCTIONALITY
Patient support
Patient portal to EHR
E-mail communication with clinicians
EHR CLINICAL FUNCTIONALITY
Administrative processes
Scheduling/appointments
Billing
Inventory
EHR CLINICAL FUNCTIONALITY
Reporting and population
health management
Disease reports
Disease registries
Quality measured and
improvement reports
Patient safety
Immunization information
exchange
INPATIENT EHRS
Components
Financial and administrative applications
Clinical systems
CPOE
Electronic medical administration records (EMAR)
Clinical data repositories
Clinical decision support
Document imaging
Picture archiving and communication system (PACS)
AMBULATORY EHRS
Practice management systems (PMS’s)
Complete versus modular
Certified EHRs
HITECH
Meaningful Use
COMPARISON
Inpatient EHR
Ambulatory EHR
Hospitals commonly use inpatient EHRs to
manage health records and streamline day-to-day
workflows.
Ambulatory EHRs offer help to outpatient care
facilities and smaller practices.
Inpatient EHR systems offer an interoperable
architecture for hospitals to seamlessly integrate
and exchange patient information across
departments.
These are simpler than inpatient EHRs as they
allow physicians to track a patient’s medical
record and long-term care without interacting
with the complex web of hospital departments.
LONG TERM CARE EHRS
Minimum Data Set (MDS)
Electronic functionality limited
Potential processing changes
Benefits to Long Term Care environment
BEHAVIORAL HEALTHCARE EHRS
Inpatient or ambulatory
ENTERPRISE EHRS
Patient health over time
Enterprise integration
PRIMARY AND SECONDARY USES OF EHR SYSTEM
Primary Uses
Secondary Uses
Patient care delivery
Education
Patient care management
Regulation
Patient care support processes Research
Financial and other
Public health policy and
administrative processes
homeland security
Patient self-management
Policy support
HIMSS ADOPTION MODEL
Stage 0: Hospital has not installed all 3 key ancillary systems (laboratory, pharmacy, and
radiology)
Stage 1: All 3 major ancillary clinical systems installed
Stage 2: Major ancillary systems feed data to a clinical data repository (CDR)
Stage 3: Nursing/clinical documentation implemented and integrated with CDR for at least
one inpatient service
Stage 4: CPOE added to nursing and CDR environment with 2nd level of clinical decision
support capabilities
Stage 5: Closed loop medication administration with bar coded unit dose medications
environment fully implemented
Stage 6: Full physician documentation with structured templates and discrete data
implemented for at least one inpatient care service area
Stage 7: Hospital no longer uses paper charts to delivery and manage care and has mixture of
discrete data, documented images, and medical images within its EMR environment
KNOWLEDGE CHECK
Systems designed to facilitate the management of the activities of
various clinical departments and to provide electronic charge
capture and results reporting:
a. Decision Support Systems
b. Picture Archiving and Communication Systems
c. Clinical Information Systems
ANSWER
Systems designed to facilitate the management of the activities of
various clinical departments and to provide electronic charge
capture and results reporting:
a. Decision Support Systems
b. Picture Archiving and Communication Systems
c. Clinical Information Systems
HAVE A GREAT WEEK!
Reach out with any questions!
patricia,coffey@purdueglobal.edu