hCare comprises HCA’s company-wide initiatives to establish an Electronic Health Record (EHR) in all affiliated facilities.
For consistency throughout the development of hCare initiatives, HCA has adopted the definition of an EHR established by HIMSS (Healthcare Information Management Systems Society), an international organization that provides global leadership for improving health care through the optimal use of technology.
The HIMSS definition of an EHR reads,
“The Electronic Health Record (EHR) is a secure, real-time, point-of-care, patient-centric information resource for clinicians. The EHR aids clinicians’ decision-making by providing access to patient health record information where and when they need it and by incorporating evidence-based decision support. The EHR automates and streamlines the clinician’s workflow, closing loops in communication and response that result in delays or gaps in care. The EHR also supports the collection of data for uses other than direct clinical care, such as billing, quality management, outcomes reporting, resource planning, and public health disease surveillance and reporting.”
An EMR is the legal record of each patient encounter in hospitals and ambulatory environments. An EMR is the source of data for an EHR, which facilitates sharing of medical information among clinicians and other healthcare providers. An EHR also makes a patient’s information portable among various patient care locations.
For more information on the distinction between an EMR and an EHR, see Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference (link opens a PDF), a HIMSS Analytics white paper.
EHR implementation is an innovative way to improve the safety, quality, effectiveness, and efficiency of the healthcare we provide. An EHR is also the most fundamental support system for optimizing the quality of healthcare and organizational performance. Within HCA, these improvements will add value, drive volume, and provide incentive to payors, employers, and patients to choose HCA when making discriminating healthcare decisions.
hCare will establish an EHR by upgrading HCA’s existing system to the MEDITECH 6.0 platform using MEDITECH’s MAGIC programming language.
hCare will require professionals from information technology and from clinical backgrounds. Both clinical and technical expertise are vital to developing, implementing, and managing the most effective and efficient Electronic Health Record for HCA.
Preferably, anyone wishing to be a part of hCare will have some previous experience with MEDITECH and MEDITECH’s MAGIC programming language. While experience with MEDITECH and MAGIC is a plus, hCare will require professionals with experience in one or more of the following areas:
System Dictionary Building
System / Software Testing
Software Configuration and Programming, specifically in MAGIC
Clinical System Workflow Design
Education and Training
Ad Hoc Reporting, specifically in NPR Reporting
Horizon Patient Folder
Computerized Physician Order entry
Nursing and Nursing Informatics
HIM (Health Information Mgt)
In 2006, executive leadership began to establish EHR milestones at three-year intervals; the first occurred in 2009, and the final two milestones should be reached in 2012 and 2015.
hCare team members are full-time employees and are eligible to receive HCA’s industry-leading benefits package.
In the early phases of the EHR roll-out, most hCare jobs will be based in Nashville, Tennessee. As the project progresses, some travel may be required and some positions may become available at our 163 affiliate hospitals and 105 freestanding surgery centers in 20 states. Job location and travel requirements for specific job can be found in their respective job descriptions.
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