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C 791 / C791 TASK 1 GRADED A+ (Western Governors University)

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C 791 / C791 TASK 1 GRADED A+ (Western Governors University) / C 791 / C791 TASK 1 GRADED A+ (Western Governors University)

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  • February 11, 2022
  • 17
  • 2021/2022
  • Exam (elaborations)
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C791 Task 1 1




Advanced Information Management and the Application of Technology

Task 1

Melinda Fernandez

Western Governors University

,C791 Task 1 2


C791 Task 1

Advantages and Disadvantages

Health information systems (HIS) are technology-based platforms for the storage and

legitimate dissemination of patient medical charts and records. They are on the opposite end of

the spectrum from the old style of paper charts and hand-written care notes. There can be

advantages and disadvantages for any HIS.

Some examples of advantages of any HIS begin with more reliable prescribing and health

history reconciliation. That is to say, with a computerized medical record it becomes easier and

more reliable to verify the medications patients are currently taking and conditions they are being

treated for. Cross referencing medications to determine any incompatibilities becomes easier as

well with medication contraindications and interactions built into the software. Another

advantage of an HIS is that is allows for real-time, up-to-date information on patients. Charting

at the bedside allows the provider the opportunity to input assessments immediately as they

happen. When the next user or provider looks at the electronic chart, that assessment is in the

record and available to be viewed. Real-time information can be crucial and even life-saving.

Some ambulance services around the country have the ability to transmit the 12-lead EKG of a

patient to the receiving hospital and decrease the wait time to cardiac intervention for a patient

having a heart attack (ems1.com, 2017). With an HIS, practices can be streamlined, therefore

reducing the overall cost of providing care, and increasing revenues (ahima.org, 2018).

Some disadvantages to an HER are technical glitches, time training staff for a new

implementation and cost. Technical problems can be found with any electronic device or

program, but the same glitches in an HIS can have some more severe implications. Delays in

accessing an electronic patient chart can potentially delay treatment because the medical provider

, C791 Task 1 3


is unable to view the patient’s record, including any lab results, radiology images or therapy

notes. Training staff to use a newly implemented HIS takes time, effort and cost. There needs to

be time invested in training the trainers, then training the staff. And then there is cost. Aside from

the staffing cost associated with the extensive training involved in an HIS implementation, the

start-up costs alone can be astronomical. They include the cost for the software, any equipment

updates, and the cost to convert all of the existing paper charts into electronic medical records.

This is not including any annual maintenance charges for the software and technical support. A

recent study of HIS implementations found that a typical multi-physician practice can expect to

spend approximately $162,000 for an HIS implementation alone

(medicaleconomics.modernmedicine.com, 2012). The same study found that a similar practice

could lose a significant revenue because they could only see about half their usual number of

patients due to staff needing extra time to learn their way around the computer software

(medicaleconomics.modernmedicine.com, 2014).

Usability

It is important that providers who take care of patients be able to easily use an HIS to

document. Clinicians and medical providers have the advantage of drop-down boxes for chart

input. Depending on the HIS system, drop down boxes can have static choices (those that are

unable to be changed), or free-text boxes, so the end user can input a unique response. This kind

of documentation creates a uniform way of charting, easily understood by any end user who

needs to review it. A disadvantage to drop-down boxes is when there are limited choices and

none fit what the clinician is trying to say in their charting. Another disadvantage is when the

predetermined questions in the chart are not asking what the clinician wants to answer. The

clinician ends up needing to create a narrative note, which is just the opposite of what the HIS is

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