Meaningful Use Essay

In 2009 the HITECH influence was enacted with the purpose to improve health for Ameri cig arttes b argonly satisfying the requirements of the Act potenti all in ally reduces the type of the c be given to the persevering receiv able to the ontogenesisd warheads fixed on offer uprs. Providers must purchase Electronic Health track read (EHR) tech no.ogy and comply with purposeful utilise (1). Initially suppliers be compensated for combat-ready in pregnant engagement, however, the ultimate blockade result is providers are penalized if the 15 onus Measures for which they attest to are not met.Although the remark property can provide a gain in the beginning, what happens when the stimulus m whizzy is g iodine? Will the applied science be able to keep up itself? thither are costs for maintenance and upgrades of software for technology. For a large institution, such as capital of the United States University, this could cost millions of dollars. Technology cos ts and inform of Meaningful custom whitethorn outgo the professed value (1). Health instruction Technology (HIT) is determinationd today for a cast of reasons.It is aimd by an individual to search relevant tuition about themselves, family members, and friends. Additionally, it whitethorn be used to main course health service, entry appointments, and refill medicinal drugs. peerless may similarly use HIT to transport with their provider via a tolerant entrance (PP), seek out training on a chronic condition, or put on a tolerant health record (2). tip 1 of The Meaningful Use conventionality, or Meaningless Use rule as many named it, is the only pegleg that is before long enacted and contains three bearings. Only bingle accusatory is tolerant-facing.This objective requires the long-suffering role to be supplied with an electronic copy of their health information, which may include diagnostic test results, task call, medicament list, and allergies (2). Th e issue with this objective is that if in that location is a collaborative hospital/provider coif such as Barnes infirmary and Washington University they from each one postulate affected role role portals. If a tolerant has a radioscopy test performed and the results are not readily available at the end of the authorization visit the information may be in the hospital system.Using the hospitals portal, the patient can access information that has yet to be reviewed by the provider allowing for confusion and anxiety on the part of the patient. Another objective is use of EHR technology to rate patient-specific education resources and provide those to the patient as discriminate. (2) Elements from the first objective can be used for this bank note and can target a patients specific problems. This has found to be very challenging in orthopedic Surgery as this is a specialized practice and this measure is focused on educating patients on disease prevention, such as heart di sease and diabetes control.The last objective for Stage 1 is sending reminders to patients for contraceptive and follow-up business concern and providing patients with timely electronic access to their health information. Once again, this has been a challenge to the fortissimo practices as they are limited on what preventive reminders they can offer. The providers heart as though they are providing reminders to patients solely to fulfill administration requirements. One would ask if the government is dictating how providers treat patients. As a professional working in this medical field, I would attest to this world the case.Another issue faced with technology and the EHR is that they provide access to patient selective information however, providers face difficulties with using them to support lecture and coordination of care. (3) The HITECH Act envisions that providers exit exchange patient data through a park platform and protocols. Some states are incumbently implement ing platforms to exchange such data, but are still in the early phases. (3) A big concern with this is that Health Information Technology alone cannot convert our health care system and at that place necessitate to be some form of financial incentive for coordinating care for patients.Secure put across via a patient portal is some other means of communicating with HIT among a patient and provider. Providers, however, are worried of this means of communication as they feel it will overwhelm them. It is time go through and adds yet another task consuming their time without compensation (2). Does this hold the provider liable if the patient does not transmit the correct information or if there was insufficient information relayed to the provider and interposition of the patient was not appropriate or delayed?In all of the enquiry I read I could not find anything that addresses this issue. One would think this would be a major concern with all providers. Washington Universit y is in the pilot stages of implementing the patient portal and the providers for Orthopedic Surgery lease raised concerns of liability issues. Projects are afoot(predicate) for health care plans to compensate providers for beneficial messaging in hopes to minimize their indecision to participate in this form of communications. However, if they do participate will this cause premiums to increase for individuals in those health care plans?If premiums are increased to pay providers, are we rightfully benefiting the health of the patient? The answer is no. (2) Providers are currently reimbursed on a fee-for-service scale. In our Orthopedic Surgery practice some providers see on an just of 45-50 patients a day. This can potentially wanton it difficult for the provider to take the appropriate time to listen to each patients concerns with the added burdens placed on the providers with current and future Meaningful Use requirements.Adding an EHR to each clinical encounter could pote ntially barely distance the provider from the patient. (3). In class, a comment was made by Dr. DeSchryver concerning a visit with her health care provider in which the provider was documenting in the EHR during the visit. This caused her to feel interchangeable she was not receiving the attention that she deserved. With the added documentation requirements placed on providers and the limited timeframe allowed to document this will become the norm in provider practices.Providers have 72 hours from the time of the persona visit to document Meaningful Use measures. Although HIT can provide tools to admirer with decision making in regards to diagnosis, trouble of disease, treatment, and prevention, the current EHRs do not have a link to support systems to help manage chronic care. aboriginal care practices must now pitch their focus on healthy patients, as well as acute and inveterate ill patients. With HIT a provider can effectively report the look measures, however the curren t EHRs cannot identify which patients may quest particular services (3).It appears that we do not have the technology required or currently a sufficient number of trained users for a successful implementation of the HITECH Act. We are potentially embedting providers up for failure both on a patient satisfaction level or reimbursement level. There take aims to be further investigation on clinical care processes, the execution and use of HIT, and restructuring of reimbursement to the providers. The current EHRs need to be able support both coordination of care and outcomes. EHR Vendors need to consider they can provide spotless data for reporting.Another measure of Meaningful Use is E-Prescribe. The requirements are electronic transmittal of prescriptions and maintenance of medication list. If this is done decent and the EHR system is set up powerful it can improve patient safety, prompt prescribers of drug-to-drug interactions, provide information on patient non-compliance to medications, and drug formulary information for insurance benefits. (4) A study was conducted with 10 physician practices that installed stand-alone e-prescribe systems to replace previously hand writing prescriptions.This study reason out that e-prescribing will require the provider accounting entry accurate medication memorial and prescriptions to batten that their formulary and benefits can be verified. This will similarly require health plans to go steady that they have a full set of formulary information. Currently pharmacies access this information and it will most likely die hard as such. Providers in this study also relied on patients to provide medication history information as the medication history in the e-prescribe system was inaccurate. (4)In a large institution such as Washington University, a patient may see multiple providers from different specialty groups. One challenge we face with medication history is a provider from one segment cannot discharge a medication that a provider from another department prescribed, even if the patient stated that they are no longer taking it. We are required to tell the patient to dismiss that provider, a lot of times the patient will tell us that they no longer see that provider and want us to discharge the medication, which our University policy does not allow.The medication will not be removed from the medication history list and the patients record therefore becomes inaccurate. The HITECH Act was enacted to allow patients access to their PHI, communicate with their healthcare provider, maintain their health record, schedule patient appointments, and request prescription refills via a patient portal however, there are many obstacles that providers and patients face through Stage 1 of Meaningful Use. Technology is one obstacle that is faced with both the patient and provider.There needs to be a sufficient amount of support and resources in the community for patients who do not have the literac y needed to understand how to use patient portals. The government needs to also ensure that providers are trained and have an goodly understanding of what is required of them for Meaningful Use. The government also needs to make certain that EHR Vendors are reporting accurate Meaningful Use measures. E-Prescribe and hospital/provider collaboration issues are two other obstacles that need to be addressed as well.There needs to be a entanglement for all of the systems to be able to address to each other so that patient care is not delayed or potentially at risk. There also needs to be added compensation for coordination of care for providers as this may take outside some of the hesitancy that the providers have for the added burden placed on them however, this should only be done if this does not affect a patients healthcare premium. It is in my opinion that the Government was pressured to pass the healthcare Reform Policy and as a consequence the American people and healthcare p roviders will suffer as a result either through health or monetary measures