Electronic Records in the Medical World

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TABLE OF CONTENTS

CHAPTER 3: METHODOLOGY1

Research Design1

Data collection1

Research methods2

HIPAA2

Validity2

Significance3

Confidentiality4

Reliability/Dependability4

Ethical Issues5

CHAPTER 4: DISCUSSION6

Physicians description regarding the utility of EMR6

Contribution of EMR towards improved patients healthcare8

Physicians Productivity and EMR10

Electronic patient record and improved patient health10

EMR and relationship between healthcare professionals and patients12

Education of physicians and EMR13

Nurse perceptions of EMR15

Nurse self-efficacy with EMR16

Economic Impact17

Market failure/Imperfect Information19

Clinical Summarization20

Information Duplication in Clinical Notes21

Text Duplication without Redundancy22

EDS Tools and Liability22

Fraud and Clinical Documentation23

REFERENCES24

ANNOTATED BIBLIOGRAPHY27

CHAPTER 3: METHODOLOGY

Research Design

Qualitative research is much more subjective than quantitative research and uses very different methods of collecting information, mainly individual, in-depth interviews and focus groups. The quality of the findings from qualitative research is directly dependent upon the skill, experience and sensitivity of the interviewer or group moderator (Creswell 2005, 27).

This type of research is often less costly than surveys and is extremely effective in acquiring information about peoples' communications needs and their responses to and views about specific communications. It is often the method of choice in instances where quantitative measurement is not required.

Data collection

Written materials — organizational records such as internal reports, annual reports, production records, personnel data, committee reports and minutes of meetings, communications such as emails, letters, notes, publications, such as books, journals, newspapers, advertising copy, government publications of all kinds etc. Non-written materials - television programs, tape recordings, video tapes, films of all types, including documentary, live reporting, interviews, etc. works of art, historical facts etc. These may be carried out on a periodic basis, with frequent regularity or continuously, or ad hoc or one-off occasions. They may also be limited to sector, time, area. It sometimes depends on how you want to use the data whether they should be regarded as primary or secondary data. For example, if you are analyzing a work of art in the form of a painting, you could use it as primary data by looking at the subject, materials and techniques used in the painting, the proportions, etc. particular to that particular painting or artist (Creswell 2005, 27).

Research methods

Along with the collection of material from different sources clinical documents were also collected from a total of 100 patients. Documents were selected from patients' hospital admissions. Every admission, sign-out, progress and discharge summary note from each selected admission was collected. Admissions were only selected if there was at least one of each document type present. We limited our population to the inpatient teaching internal medicine service due to our familiarity with the note-writing practices of the clinicians on the service.

HIPAA

HIPAA is the most significant Federal legislation affecting the U.S. health care industry since the Medicare and Medicaid legislation of 1965. The administrative simplification provisions of Title II of HIPAA were established to create a comprehensive set of rules regulating, among other things, the security of medical information. The report done by HIPAA will also be used in order to understand the importance and role of HIPAA in medical world.

Validity

The validity of data needs to be carefully checked. Classifying the data can help the researcher reach important conclusions ...