Community and Health Information Networks – Health System Example

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"Community and Health Information Networks"  is an engrossing example of a paper on the health system. A regional health information organization is a health information exchange organization that consolidates health care to stakeholders within a specific geographical region. RHIO controls health information exchange among stakeholders to improve health care in that region. RHIOs provides a number of benefits to both individuals, health care providers, and the region as a whole. The most significant trends that have supported the implementation of RHIO are decreased health care spending, improved safety, and improved quality of care. In the recent past, health care cost has tremendously risen to the point of out spacing personal income and the country’ s economy.

However, current studies show that, through the use of information technology, there has been an increase in savings from the health sectors. For instance, the United States prospects to achieve an annual saving of between $81 and $162 billion  (Adler-Milstein, Landefeld, & Jha, 2010). Information technology has proved to reduce administrative expenses through cutting down or eliminating manual systems, improved fee collection and reduced spending on unnecessary care. RHIO has improved safety by reducing medical errors.

Research shows that medical errors are the 8th leading cause of death in health centers, studies indicate that between one third and half of the outpatient events are avoidable. The sharing of electronic medical records reduces medical errors and saves lives. Electronic systems allow prescriptions to be filled with greater accuracy and enable efficient verification of proper dosage hence avoiding unnecessary errors. RHIO positively impacts on quality of care that consumers receive  (Adler-Milstein, Landefeld, & Jha, 2010). Studies indicate that the age-adjusted mortality can be lowered by eighteen percent through the use of information technology.

Since the information system provides physicians immediate access to the latest development in patients' history from various health centers, they are able to provide appropriate, timely, and effective treatments. Response The transition from CHIN to RHINO is more beneficial because the rising health care costs pose a significant challenge to our economy, not forgetting the costs and risks posed to health care consumers by medical errors resulting from inadequate health records information. I agree with my classmate that CHIN facilitates the exchange of information on financial, patient management and clinical progress.

This program indeed improves efficiency in health care, health care network and service delivery of healthcare; today CHINS are open to all healthcare-related organizations and eligible professionals. I also agree that RHINO is a health information exchange organization that brings onboard health stakeholders within a geographical area. It governs health information exchanges between health organizations in the region. The activities of RHINO are geared towards improving the quality, increasing safety and efficiency of health care. Patient-Centric Management Systems Computerized physician order entry is an electronic entry process of medical practitioner instructions to facilitate patient treatment under their care.

The orders are communicated to the departments or medical staff responsible for fulfilling them through a computer network. CPOE has numerous advantages such as decreasing delays in completion of the order, provides error checking mechanisms, reduces error, allows order entry at the point of care and simplifies inventory and posting of charges. Research shows that CPOE has yielded a whopping reduction of medical errors by a significant 80%; it also provides the possibility of reducing errors that have potential serious harm by 55%.

Studies show that CPOE improves significantly timely discontinuation of antibacterial by 16.9% in intervention hospitals  (Niazkhani & Pirnejad, 2009). CPOE systems provide automatic dosing alerts, and interaction checking hence enabling the user to avoid dangerous dosages, they also enable the user to avoid unknown dangers resulting from drug interactions. Studies show that the use of CPOE has significantly reduced the length of stay and overall cost of medication. It is also important to note that CPOE significantly changes workflow. I strongly feel that electronic database systems are more efficient due to the fact that paper records are severely limited since as they cannot easily be shared and also they are expensive to copy, transport and store  (Niazkhani & Pirnejad, 2009).

Electronic systems make it possible to rapidly retrieve information and do trend analysis.   Electronic systems improve efficiency and productivity; studies show that 31% of the $2.3 trillion dollars of United States health care bill goes to administration. Electronic database systems reduce these costs significantly. The workflow is also improved due to reduced chart works and manual entry systems. Electronic systems provide quality care and ensure the safety of patients through improved legibility of clinical notes, improved access, reduced duplication, and clinical decision supports.

This is just to mention a few of the numerous benefits that come with electronic systems. Advantages Improved and timely access to patients’ records hence leading to better customer satisfaction through the reduced loss of charts, faster refills, improved delivery of patients’ educational materials. Financial savings, research shows that electronic systems would save up to $44 billion annually in the US. Electronic systems improve patient safety and the quality of care consequently decreasing mortality rates. Disadvantages Electronic systems are very expensive more so the startup cost and networking needed; hence, these financial barriers may slow down the process or hinder it.

Loss of productivity as physicians will have to work at reduced capacity as they adjust with the system. Change in the workflow as everyone in the office changes the routine. I agree with my classmate on the efficiency of electronic systems as they improve care coordination enabling patients to access their records easily. Additionally, I support that they improve the convenience and quality of patient care by providing tools that enable medical practitioners’ to make better decisions.

Also, they help speed up access to patients’ history. I strongly support that the startup cost is very high and also the system is prone to hacking hence exposing the medical information to dangers of being compromised.

References

Adler-Milstein, J., Landefeld, J., & Jha, A. (2010). Characteristics associated with Regional Health Information Organization viability. J Am Med Inform Assoc, 61–65.

Niazkhani, Z., & Pirnejad, H. (2009). The Impact of Computerized Provider Order Entry Systems on Inpatient Clinical Workflow: A Literature Review. J Am Med Inform Assoc, 539–549.

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