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Chapter 1, pg. 36: Are Electronic Medical Records a Cure for Health Care






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Case Summary
Healthcare is a major topic in the media, and how it affecting people all over the country.
The government has implemented laws and policies to ensure that individuals can
receive the proper medical attention, and has made healthcare affordable for American
that are not able to pay out of pocket for services provided. This action by the
government has caused a surplus in patients seen by healthcare providers, which in
return has increase the paperwork associated with business practices. As a result,
providers are implementing systems such as Electronic Medical Records to ensure that
patient records are accurate and accessible for multiple providers for proper diagnosis.
Electronic Medical Records (EMR) systems are systems that provide “information about
one’s life-long health condition and health care behavior which are on the basis of
electric management. The records contained in the system have been constructed to
take the place of paper medical records as the main information sources in medical
care” (Chen, Wang, & Zhang, 2010). As in any system, developers must understand
how to integrate information to ensure that the system in capable function properly, and
providing users with information requested by incorporating business intelligence into
the implementation process. Business Intelligence (BI) enables developers to clearly
state what is needed throughout the entire organization, and simplifies the
implementation process during implementation deployment and administration.
Implementing and integrating EMR systems is costly, but it is necessary for healthcare
providers to adopt systems as this to ensure accuracy, errorless information.
What management, organization, and technology factors are responsible for the
difficulties in building electronic medical records systems? Explain your answer

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As technology rapidly emerges, businesses are required to adopt new practices to
maintain and streamline processes. Electronic medical records systems have surfaced
to eliminate inefficiency, errors and cut enormous spending. Organizations must
strategically implement and interact with agencies outside of its walls to integrate EMR
systems into it infrastructure. Healthcare management, insurance agencies, the
government and technology advances have all played a major role in the delay of the
creation of a global EMR system.
The Government’s involvement in the implementation of EMR system is critical. In 2009,
$19 billion was granted through the American Recovery and Reinvestment Act of 2009
to encourage doctors and hospitals to install and use electronic health records (EHR’s)
which is a fundamental component of EMR systems (MacKinnon & Wasserman, 2009).
Without government funding, it would be merely impossible for organizations to
implement and adopt ERM systems. Expensive systems are usually frowned upon by
organizations, for that reason the government must intervene to ensure improved speed
and accuracy of data sharing, reporting, and planning.
Healthcare providers are becoming overbooked and the paperwork is overwhelming.
Adopting technology is necessary in the healthcare profession to handle daily
workloads. The cost of implementing systems to fit the needs of the organization is the
leading factor that causes providers to resist the integration and incorporation of EMR
systems. IT developers are also high involved in the implementation of systems for
hospitals and healthcare providers. Investing in the EMR system is costly, but the failure
to implement EMR systems is often contributed to developers ignoring stakeholders’
needs in the hospital (Su, Fulcher, Win, Chiu, & Chiu, 2008).
2.) What stages of system building will be the most difficult when creating electronic
medical record systems? Explain your answer
With advances in technology, organization must continually upgrade current systems to
ensure that the system’s capabilities are functional. One of the most difficult stages in

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the implementing of EMR system is the sharing of information between different
systems. One of the essential purposes of an EMR system is to collaborate and store
patient information that can be accessed by multiple providers. Utilizing what is known
as an electronic patient records system or (ERP) is an electronic structure for the
maintenance of information about the health condition and the care received by
someone all his/her life (Vilar & Boudoux, 2002) . Some institutions that implement
systems using ERP could actually face problems due to HIPPA laws when making
information available to other sources.
Being able to provide information nationally could cause major problems for
organizations utilizing as well. Providers have issues with privacy with information be
easily accessible. Protection of information is vital, and developer must be able to
control access and information that is provided through EMR systems. Christa Teston in
her article, Investigating usability and “meaningful use” of electronic medical records, “A
wide-ranging survey of healthcare providers and patients resulted in negative attitudes
from a rather substantial minority of participants about the secondary use of de-
identified health information” (Teston, 2012).
3.) Describe the application of business process management to the design of an
electronic medical record system
Within an EMR system, careful database management is needed to store relative and
historical information. EMR systems implementations “require a significant investment in
money and time, as well as process change and training, all of which carry a great deal
of risk for the organization” (MacKinnon & Wasserman, 2009).
The implementation of any system requires strategic planning and proactive
approaches to management, and business processes. There are design-related issues
that many developers struggle with during the implementation process such as privacy,
efficiency, accounting, and noise from data (Teston, 2012). EMR sharing system unified
data structure enables the complete exchange of medical information within the hospital
encompassed by a particular region. The organizational structure of hospitals can be

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Very useful material for studying!