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by Steve Kessinger
"Optimizing patient outcomes through interdisciplinary medication management" is our pharmacy department's purpose. Let me elaborate on our recent transition to fulfill that objective.
The implementation of an electronic medical record (EMR) system has profoundly affected efforts to improve medication safety and advance pharmacy practice. Perhaps the most noteworthy endeavor has been the implementation of computerized physician order management (CPOM) functionality. Prior to this project, copies of hand-written medication orders were scanned to the pharmacy department for manual transcription into a patient's medication profile.
Pharmacists spend most of their time reviewing and transcribing handwritten information into electronic data. Once a day, a paper copy of the medication administration record (MAR) was printed on the nursing unit. Nurses manually recorded doses administered and made hand-written changes to this medical record document as the medical staff made drug therapy changes during the day.
by Dan Bowman, FierceHealthIT
What's holding the industry back from achieving interoperability? One reason is that it lacks the "wow factor," says Marc Probst. The CIO of Salt Lake City-based Intermountain Healthcare, who talked exclusively with FierceHealthIT at the College of Healthcare Information Management Executives' CIO forum in Orlando, Fla., this week, said interoperability takes vision and patience.
"Inherently, standards aren't very sexy," Probst (pictured) said. "If we said we were going to spend $35 billion to put standards in place, it probably wouldn't have gotten the same lift as putting $35 billion into new EHRs. The political cycle is four years and you want to be able to show something" in that time.
Probst added that while it's good to hear federal government officials talk more about standards, such efforts are akin to taking an ice pick to a glacier. "I don't think we're getting the lift that we really need as a country, but at least the conversation is shifting in that direction."
Probst also shared his thoughts on Meaningful Use and ICD-10--with which many of his fellow CIOs are struggling. Click here to read the rest of this exclusive interview.
The concept of patient experience is not the latest healthcare fad. It encompasses and directly influences the scope of public policy globally. It can be found at the foundation of clinical protocol, and it remains, as acknowledged in various research studies, a top priority in healthcare.
This may challenge the face some wish to put on patient experience, which is it is solely about customer service or simply satisfaction. That view comes from a healthcare world grounded in the ideas of segmentation and process control. The separation of expertise or role is not, in and of itself, a problem. It becomes an issue when it gets in the way of our central focus to provide the best outcomes for patients.
by Dan Bowman, FierceHealthIT
Judy Murphy (pictured) can't help but get excited when talking about the potential of population health management.
"Now that information is all electronic, we have unbelievable capabilities of being able to pull amalgamated data together to understand what kinds of care works and what doesn't," Murphy, deputy National Coordinator for programs and policy at ONC, tells FierceHealthIT in an exclusive interview.
"We also have the capability to fairly quickly iterate those results back into practice. It's an exciting time, and I think we're really just in the early stages of that journey."
At a HIMSS pre-conference symposium on Sunday, Feb. 23 geared toward rural providers, Murphy will deliver a keynote address on technology's role in delivering care in such settings.
To hear what Murphy has to say about other areas of focus for the conference, as well as her thoughts on data analytics and accountable care, which also is the topic of discussion at our executive breakfast on Wednesday, Feb. 26, read the full interview at FierceHealthIT.
Since last month's blog post, things only worsened. My sister, whose experience of care I wrote about, passed away Jan. 15, less than a month after her cancer diagnosis.
In some ways it was like two people died. My mother not only lost her daughter but also now faces the reality that after a decade of living with her daughter in Florida, she has to move to North Carolina. My wife and I spent our time in Florida grieving for my sister while starting to pack up mom for a move to an independent living residence not far from us.
I work in both the hospital and the long-term care/aging space. And I know a fair amount of what it takes to be a family caregiver--Heck, Forbes cited me in an article about turning caregiving from a burden into an opportunity.
Well, I thought I knew.
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