Integration of Focused Assessments and Review of Systems using QCPR Essay

Integration of Focused Assessments and Review of Systems using QCPR - Essay Example A typical QCPR system has an automatic physician order entry, interoperability service packages, barcode medication administration, date report and analysis and integrated medication management. QCPR also has the potential to transform the techniques nurses and physicians in hospitals create, disseminate, store or carry out an inventory of progress notes. This research proposal proposes Focused Assessments and Review of Systems using QCPR in Adult Emergency/ Critical Care Trauma Unit of a major Level 1 Trauma Hospital. Currently, the ED physicians and nursing staff at the hospital are using paper (written) documentation for progress notes. The research will also examine the problems associated with the paper-based progress notes, how QCPR has the potential to improve decision-making processes, as well as ensure a cost effective, time-efficient and quality health care. It will further discusses the methods of information organization in ensuring the documents are safe and accessible i n an organization, the possible methodologies Trauma Hospital can seek in designing classification in documents, the reflective effect the technology would have on the operations of a health institution. It will also examine a possible amethodology for implementation of the technology using cost benefit analysis, business analysis, the project plan, vision and scope and the specifications of the system. The research will analyze the merits and demerits of the QCVR as well as propose automation of other documentations where necessary. In addition to establishing the criteria for electronic progress notes, it will examine their implementation and implications critically. The research will in addition explore the matters such as the role of EDMS to the hospital s, the extent of attention given to them and the deliberate use of the progressive notes to the physicians and nurses. Researchers acknowledge that one of the essential needs of the hospital is the provision of consistent theore tical structure for action. The mere practicality in most hospitals is a problem that has to be dealt with instantly. Key disciplines: health records management, organizational behaviour, performance management, organizational management, management control, patient management. I. Introduction Health care services providers are shifting towards integrating fully functional electronic medical records (EMR) that guarantees improved quality care, information security and improved documentation. However, even as the concept of using EMRs started in the early 1990s, some hospitals are yet to introduce electronic documentation in a number of their information gathering processes such as creating progress reports (Faustine & Austin, 2008). The capacity of the EMR systems to change the health care delivery has been recognized over the past two decades, including its potential to improve decisionmaking processes in the health care institution. A number of benefits include accuracy in medicat ion list, instantly available charts, legible progress notes and prescriptions. However, despite advances in hospital information systems management, the concept of integrating infomration systems technologies has inconsistently been translated into practice in many hospital. II. Objectives Health care systems worldwide are currently faced with pressures to