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C791 Task 11Advanced Information Management and the Application of TechnologyTask 1Melinda FernandezWestern Governors University
C791 Task 12C791 Task 1Advantages and DisadvantagesHealth information systems (HIS) are technology-based platforms for the storage andlegitimate dissemination of patient medical charts and records. They are on the opposite end ofthe spectrum from the old style of paper charts and hand-written care notes. There can beadvantages and disadvantages for any HIS.Some examples of advantages of any HIS begin with more reliable prescribing and healthhistory reconciliation. That is to say, with a computerized medical record it becomes easier andmore reliable to verify the medications patients are currently taking and conditions they are beingtreated for. Cross referencing medications to determine any incompatibilities becomes easier aswell with medication contraindications and interactions built into the software. Anotheradvantage of an HIS is that is allows for real-time, up-to-date information on patients. Chartingat the bedside allows the provider the opportunity to input assessments immediately as theyhappen. When the next user or provider looks at the electronic chart, that assessment is in therecord 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 apatient to the receiving hospital and decrease the wait time to cardiac intervention for a patienthaving a heart attack (ems1.com, 2017). With an HIS, practices can be streamlined, thereforereducing 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 newimplementation and cost. Technical problems can be found with any electronic device orprogram, but the same glitches in an HIS can have some more severe implications. Delays inaccessing an electronic patient chart can potentially delay treatment because the medical provider
C791 Task 13is unable to view the patient’s record, including any lab results, radiology images or therapynotes. Training staff to use a newly implemented HIS takes time, effort and cost. There needs tobe time invested in training the trainers, then training the staff. And then there is cost. Aside fromthe staffing cost associated with the extensive training involved in an HIS implementation, thestart-up costs alone can be astronomical. They include the cost for the software, any equipmentupdates, 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. Arecent study of HIS implementations found that a typical multi-physician practice can expect tospendapproximately$162,000foranHISimplementationalone(medicaleconomics.modernmedicine.com, 2012). The same study found that a similar practice