Health information technology (health IT) makes it possible for health care providers to better manage patient care through secure use and sharing of health information. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people’s health information.
Share the EHR platform that your practice uses and discuss the challenges and barriers to electronic charting. Why have we moved from paper charting to EHR’s? What is meant by meaningful use regulations and why is this important to know when documenting in the EHR?
Please support your work with at least three evidence based practice resources that are less than 5 years old.
Written Paper (Microsoft Word doc): minimum 2000 words using 6th edition APA formatting
Please review the grading rubric under Course Resources in the Grading Rubric section.
|Total available points =||25|
|Content Rubric||Introductory – Not submitted or largely incomplete. Work may indicate very little if any comprehension of content.||Emergent – Work shows some comprehension but errors indicating miscomprehension may be present.||Practiced – Work indicates overall progress toward comprehension. Minor errors may present.||Proficient/Mastered – Work is complete and indicates full comprehension of content.||Score||Weight||Final Score|
|0 – 1.9||2 – 2.9||3 – 3.9||4|
|Description/Identification||Description of EMR used in current clinical setting in is missing or incomplete. Does not provides references.||Describes EMR used in current clinical setting in is lacking detail regarding name of system, description of the functions and cost if available. Does not provides references.||Describes EMR used in current clinical setting in detail including name of system, description of the functions and cost if available. Does not provides references.||Describes EMR used in current clinical setting in detail including name of system, description of the functions and cost if available. Provides references.||4||20%||0.80|
|Advantages/Challenges/Barriers||Discussion of the challenges, barriers and advantages of the EMR used in current clinical setting is missing or incomplete.||Discussion of the challenges, barriers and advantages of the EMR used in current clinical setting is lacking detail, examples and references.||Provides a through discussion of the challenges, barriers and advantages of the EMR used in current clinical setting, and provides one example and reference.||Provides a through discussion of the challenges, barriers and advantages of the EMR used in current clinical setting, and provides multiple examples and references to support examples.||4||20%||0.80|
|Analyze transition to EMR||Discussion and analysis of reasons healthcare systems moving from paper charting to EMRs is missing or incomplete.||Discusses and analyzes reasons healthcare systems are moving from paper charting to EMRs, but lacks detail, examples, and references.||Discusses and analyzes the reasons healthcare systems have moved from paper charting to EMRs, provides one example regarding reasons for transfer and reference to support example.||Discusses and analyzes the reasons healthcare systems have moved from paper charting to EMRs, provides multiple examples regarding reasons for transfer and references to support examples.||4||20%||0.80|
|Meaningful use regulations||Outline of meaningful use regulations is missing or incomplete.||Outline of meaningful use regulations is lacking detail, examples and references.||Provides thorough outline of meaningful use regulations with one reference.||Provides thorough outline of meaningful use regulations with multiple references.||4||20%||0.80|
|Incorporation of EMR||Outline of meaningful use incorporation in EMR documentation is missing or incomplete.||Outline of meaningful use importance to EMR documentation is lacking detail, examples and references.||Outlines why meaningful use is important to EMR documentation, provides one example and reference to support example.||Outlines why meaningful use is important to EMR documentation, provides multiple examples and references to support examples.||4||20%||0.80|
|(Do Not Change criteria below)||Content Score||25|
|Writing Deduction Rubric (everyone starts with 4’s = no deductions)||Introductory||Emergent||Practiced||Proficient/Mastered||Score||Weight||Final Score|
|Grammar & Punctuation||The overall meaning of the paper is difficult to understand. Sentence structure, subject verb agreement errors, missing prepositions, and missing punctuation make finding meaning difficult.||Several confusing sentences, or 1 to 2 confusing paragraphs make understanding parts of the paper difficult, but the overall paper meaning is clear. Many subject verb agreement errors, run-on sentences, etc. cause confusion.||A few confusing sentences make it difficult to understand a small portion of the paper. However, the overall meaning of a paragraph and the paper are intact. There may be a few subject verb agreement errors or some missing punctuation.||There are one or two confusing sentences, but the overall sentence and paragraph meanings are clear. There are a few minor punctuation errors such as comma splices or run-on sentences.||4||35%||1.40|
|Spelling||The many misspelled words and incorrect words choices significantly interfere with the readability.||Many typos, misspelled words, or the use of incorrect words making understanding difficult in a few places.||Some misspelled words or the misuse of words such as confusing then/than. However, intent is still clear.||A few misspelled words normally caught by spellcheckers are present but do not significantly interfere with the overall readability of the paper.||4||35%||1.40|
|Order of Ideas & Length Requirement||Paper has some good information or research, but it does not follow assignment directions and is lacking in overall organization and content.||The order of information is confusing in several places and this organization interferes with the meaning or intent of the paper. However, the paper has a generally discernible purpose and follows assignment directions overall.||The order of information is confusing in a few places and the lack of organization interferes with the meaning or intent of the paper in a minor way.||The overall order of the information is clear and contributes to the meaning of assignment. There is one paragraph or a sentence or two that are out of place or other minor organizational issues. A few sentences may be long and hard to understand. Meets length requirements.||4||20%||0.80|
|APA||There is some attempt at APA formatting and citing. There are one or more missing parts such as the cover page or references list. Citation information may be missing. Citation mistakes make authorship unclear.||This is an attempt use APA formatting and citing. There are both in-text citations and reference listings. Citation information may be missing or incorrect (i.e. Websites listed as in-text or reference citations). There is an attempt to cite all outside sources in at least one place. Authorship is generally clear.||There is an overall attempt at APA formatting and citation style. All sources appear to have some form of citation both in the text and on a reference list. There are some formatting and citation errors. Citations generally make authorship clear.||There is a strong attempt to cite all sources using APA style. Minor paper formatting errors such as a misplaced running head or margins may occur. Minor in-text citation errors such as a missing page number or a misplaced date may occur. Quotation marks and citations make authorship clear.||4||10%||0.40|