Facility penalty or not? - page 2
by BSNbeDONE 2,598 Views | 20 Comments
I think it is absolutely ridiculous that a facility can profess to be paperless when the charts in the rack weigh more than the computer! Does management not realize that they have made things more complex by requiring nurses to... Read More
- 0Quote from HouTxActually, we are a teaching hospital with mainly residents giving orders, under the guidance of the physician, of course. As as such, these gifted and talented people are young and VERY intuned with the world-wide-web. They are loving the computerized physician order module. However, the progress notes are still on the physical chart that is EVER-GROWING. Absolutely EVERYTHING that is on that chart can be found on the computer and some things are ONLY on the computer, like labs, radiology reports, etc. Every shift, we have to complete 3 forms saying that we've done the computer work AND made sure all orders are dated, signed, and faxed for those who refuse to enter them into the computer. Then there is a form in each patient's room that we have to complete every hour, that we have to sometimes ask families and patients to please leave in place. THEN, at the beginning of the shift, she get to carry around a printout of every order and consult, as well as a paper MAR, and a charge sheet on each of our assigned patients. Some of those packets are a combined 20 pages long, depending on how long the patient has been there. Let's not forget the report sheet that we handoff from shift to shift per patient. My little thin, blue closeable clipboard that I often use to protect patient information is USELESS. (I need a backpack for all this stuff!)Are you having to run parallel systems while bringing your EHR up to speed? Although it's a horrible technique, it's not unusual. However, if this is a continuing thing rather than an interim solution --- YIKES.
Health Care Reform legislation in the US (ARRA) requires conversion to electronic health records. Organizations that meet the requirements can get significant $ reimbursed from the Federal gov. But there are specific metrics that have to be met in order to prove that you are achieving the required outcomes. FYI, one of those outcomes has to do with physicians interacting with the EHR to enter their own orders.. srsly. There are a bazillion other goals and metrics that increase each year. Hospitals have to meet them or the $ stops. If this is what the OP's organization is trying to accomplish, they need to fire their project managers. Running two systems (EHR & paper) on an unlimited basis is not accomplishing anything.
We are all having to deal with the same physician issues re: resistance to change. The only thing that makes a difference is leadership. Medical staff execs have to be engaged in order to make it happen. My organization is well on its way...and since we're a Catholic health system, I think we'd know if the Pope was converting, doncha think?
As far as I know, there is no paralleling going on because some floors have less papers and others have more. But BY GOLLY, they have 'em!
- 2Feb 12, '13 by AnonRNCQuote from LYNDAAExcuse me? Your facility allows certain providers to just refuse? Do these providers bring in big-money cases or something? That's insane...and so sad that it all falls to the nurse to clean up the mess.... AND made sure all orders are dated, signed, and faxed for those who refuse to enter them into the computer. ...
- 1Quote from AnonRNCEXACTLY!!!! We have to confirm the orders online, and sign them off on the chart. CONSTANTLY! Somewhere in the process, the order needs to reach the patient. That IS the ultimate goal, or so I thought. The list of adversities of this process goes on. But I think everyone gets the gist of my disgust......Excuse me? Your facility allows certain providers to just refuse? Do these providers bring in big-money cases or something? That's insane...and so sad that it all falls to the nurse to clean up the mess.
- 3Feb 12, '13 by kalevraQuote from Esme12What blasphemy is this!!!! MDs taking their time to use the computer to make an RN's life easier!!!!Maddnesss!!!You sir live in a fantasy!!!! indubitably!!!!If they could get the MD's to become computer literate and savvy....this problem would be solved. They (the MD's) bring in the revenue it's their choice how they want to see/utilize the information for their purposes for rounds.
lolLast edit by kalevra on Feb 12, '13 : Reason: lol