Electronic Health Records Essay

Health Care continues to undergo fundamental change. Legislation such as the affordable care act has created a much higher percentage of insured citizens. Patent legislation is now allowing for much more competition for popular drugs. Generic drugs in particularly which are cheaper for consumers and much more profitable for producers are now eroding the market share of popular products. Even the use of cloud computing is changing the way care is administered within a facility. Even with these innovations, facilities still struggle with bloated cost structures, inefficient behavior, and lack of staffing. MGH is not different in this regard. It suffers from a large influx of patients with the inability to provide timely care. Below is a description of the issues combined with possible real world solutions.

Describe the current process and identify the specific areas that slow the process.

The current process has is inadequate primarily due to staffing issues related to PATA. First, only 65% of patients are actually seen during their scheduled appointment time. Of those, many of them have waited nearly 4 hours to simply see the doctor. This congestion is exacerbated, as guidelines are not clear for when an examination is even needed. The specific areas that slow down the process consist of redundant information gathering. In many instances, patients have to repeat the same process over within the same visit. Paperwork and questionnaires are done multiple times, even though they ask the same questions.

In also appears that the overall staff is overloaded with patients. Thankfully, MGH is world renowned for its quality of care and medical expertise. Many patients are willing to travel long distances to simply utilize this high level of medical care. Unfortunately, staffing or the facility itself is not adequately addressing the influx of patients. Currently 34,000 surgeries are preformed each year. However, MGH only has 52 operating rooms. As a result, coordination between all stakeholders is very difficult due primarily to time constraints, inefficient systems, and lack of available space within the facility. For example, incomplete or missing work-ups often delay the start of surgery. With surgery being delayed, other patients are then forced to wait. The bottleneck continues as the facility only has 52 rooms, all of which are in use. These delays contribute to roughly 57,000 minutes of lost productivity a year.

The charge nurse also appears to slow the process down. It appears that the charge nurse manually keeps track to patients and assigns them on a first come first serve basis. However, because the inputs are manually done as oppose to electronic, errors can occur. Specifically, the charge nurse can simply forget to the assign the patient. As a result, two provides could work with the same patient thus creating inefficiencies. In addition, the system relied heavily on provides informing the nurse when they were available to see a patient. Without proper communication, providers may go do other tasks, purposefully not inform the charge nurse, or simply forget to do so.

Describe whether the proposed options in the case make sense and could any of them be a solution.

Many of the proposed solutions to the case make sense. In particular, the solution regarding electronic medical records would make the largest impact on revenue, customer service and efficiencies (Roukema, 2006). Although the initial start up, training, and implementation costs are high; an electronic medical records system would reduce many of the causes of inefficiencies within the facility. Namely, electronic records and transfers would allow patients to complete needed paperwork at home prior to their arrival in the facility. In addition, RN’s would be able to review this information prior to the patient’s arrival. Currently, an RN spends 27 minutes reviewing past medical history. They spend another 11 minutes providing assessments and explaining procedures. The average patient is spending nearly 2 hours in the facility. Assuming that an RN can review the medical records prior to the patient’s arrival, nearly 25% of the patients wait time would be reduced.

I believe the electronic system could be a solution as it has implications for the entire facility as oppose to simply one particular aspect. The other solutions, such as expanding the facility and increasing hours are viable but not as impactful as the electronic system. With expansion, the facility will constantly need expansion as the general population continues to grow. In addition, the baby-boomers are nearly retirement, which will also require a constant influx of expansion at the facility. Although this expansion, at some point will be warranted, it does not address the fundamental problem of inefficient activity. Of all the solutions, the electronic medical records solution gets to the root of the problem with a simply and effective solutions.

Based on your analysis, make specific recommendations on how the current process could be modified to increase capacity.

The simple solution would be to add more rooms. Although this is simply, it is not the most practical as the activities of the firm are not efficient. Therefore in addition to adding more rooms, I would eliminate the charge nurse role altogether. I would also call for the immediately implementation of electronic medical records. Implementation of an EHR system, for example, would expedite processing times, increase efficiencies, and improve customer service. For example, the nursing assessment form and anesthesia consent form are required by law and must be completed by an RN and an MD, respectively. Through electronic means, the RN or MD can complete these forms prior to the patient’s arrival.

Conclusion

In conclusion, the solutions presented above are mainly derived from technology. MGH and PATA should heavily utilize technology to make their operations more efficient. As the case noted, simply expanding operations or hiring more people is not an option. Instead, the facility must become smarter with how it uses its time. The solutions presented above to just that. The elimination of the charge nurse, clear guidelines on when to see a patient, the use of electronic records, and having patients pre-fill out any necessary documents all increase inefficiencies. This will ultimately reduce costs; increase customer service, and work place moral.

References

1) Roukema, J.; Los, RK; Bleeker, SE; Van Ginneken, AM; Van Der Lei, J; Moll, HA (2006). “Paper vs. Computer: Feasibility of an Electronic Medical Record in General Pediatrics.” Pediatrics 117 (1): 15-21


Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently
 

Online Academic Help With Different Subjects

Literature

Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.

Finance

Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!

Psychology

While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.

Engineering

Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.

Nursing

In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.

Sociology

Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.

Business

We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!

Statistics

We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.

Law

Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment  Help Service Works

1.      Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2.      Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3.      Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4.      Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essaysmile and order essay PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

order custom essay paper