Health facilities and hospitals are continuously trying to improve the delivery of care given to patients, their accountability, efficiencies, time, and reducing costs. A good method of improving quality measures within any healthcare organization is using available resources so that they can achieve greater leverage concerning technology developments and advancements. It is imperative for healthcare organizations to facilitate coordination of patient care across all levels of treatment so that timely efforts and safety are placed at the forefront (Lim, 2017). A significant method of improving care and coordination is via increasing the connectivity capabilities that exists among the multiple clinical systems (p. 9). Thus, a proper integration among these systems should be adhered to so that clinicians can obtain efficient patient information at whatever time they need it. It is also essential for all healthcare organizations to turn their attention to new advanced technology availabilities given that technology enhances the care of delivery and because it is useful towards increasing efficiency, security, workflows, safety, and can help decrease medical mistakes. The study conducted by Jenkins (2017) had objectives that measure the association among advanced electronic medical records and how diabetes quality measures would correlate to bring about positive results for patients. The design of the study used a retrospective audit of PHR as well as a multivariable regression analysis (Jenkins, 2017). The patients used in the study included 10,746 participants among the ages of 18 to 75 that were being seen at a primary care facility location in Cleveland from 2008 to 2009 (p. 423). The results of the study concluded that patients using clinical support systems improved their diabetes outcomes due to the levels of higher engagement that took place concerning them becoming more involved with their health.

Clinical systems are vital elements of achieving better communication and it is essential given that when failures of communication happen, the coordination also fails which can cause potential deaths or health risks for patients (Lim, 2017). Developing excellent coordination skills can help improve the variations and methods of health records whereas electronically, they are created within the system. This also helps productivity because it is much easier to locate and distribute health records of patients as opposed to how it is with the traditional paper methods.

Clinical records allow for easier retrieval and distribution as well as capturing significant details of the patients past and current medical data that clinicians can use to increase the quality of care for patients (McGonigle & Mastrian, 2017).

There have been recent studies regarding applications of personal health records becoming effective for those suffering from diabetes. Within this literature, there are revisions of elements that relate to how diabetics can utilize technology advancements to maintain and control their sugar levels (Jenkins, 2017). The study uses ideas from a clinical specialist that has developed and validated the components of diabetic diseases so that patients can take increased advantages towards recording their data and gaining up-to-date information concerning their health (p. 47). Clinical applications also help those with diabetes to provide accurate and efficient information at the point of care which enables for quicker access to the information presented in the form of data.

Records help patients keep accurate details as well as provides them with opportunities of achieving a better diagnosis regarding their diabetic situations. Clinical applications also provide safer and realistic methods of improving security measures with privacy alerts so that patients can identify if access is authentic or not (Jenkins, 2017). The diabetic health records also ensure that the patients suffering from diabetes achieve better health care, an increase in safety measures are met, as well as efficiency and communication elements for the patients are successful with physicians. The records also help patients understand better healthier choices they can make concerning their health as well as engaging in more physical activity (Jenkins, 2017). Physical activity is essential for those who have diabetes because it helps to improve their nutritional values while avoiding risky lifestyles or behaviors.

Most healthcare facilities are in the process, have already, or are planning to incorporate the new and improved technologies available so that assurance can be made to fill in the gaps that have decreased coordination among facilities. According to Detmer (2018), "care coordination and software is a growing market that is expected to increase by 26% in the year, which is a significant increase from 2015 to 2018" (p. 46). Coordination is essential to be included among the variations of technologies that are available given the different degrees of functions and integration capabilities. This also includes real-time communication processes providing physicians with the abilities to analyses and report the variations to the stakeholders ("HealthIT.gov", 2019). Thus, becoming essential when it is time to address the complex financial issues and operational challenges that arise in the healthcare industry.

It becomes essential for health care systems and facilities to maintain their focus towards reducing costs while also leveraging the available platforms and technology resources so that optimization of workflow is achieved within the clinical setting (McGonigle & Mastrian, 2017). This would help address the challenges in healthcare that is a result of poor coordination and communication. Communication and collaboration help sustain the productivity levels of clinicians so that improvements in safety and care can be achieved, leading to greater satisfaction outcomes concerning patients. Thus, an improvement in readmissions and reimbursements would be made.

When it pertains to personal health records, these are mandated to become available for patients in providing them with better access to their health information records. Thus, encourages that they participate in the decision-making process to that better health outcomes can be achieved which also enables for corrections of errors if they are found within the data. The purpose of the study conducted by Jenkins (2017), provides an analyzes towards the important components of enabling patients to be able to view their records and how providers and patients through collaborations succeed with positive end goals" (p. 47).

According to Healthlt.gov (2019), "personal health records are essential tools for healthcare providers and patients alike because it enables for better results towards corrections that help achieve positive outcomes concerning the data input and output." Personal health records can also present challenges for the patients who aren't understanding towards the usage of it. The providers can become concerned regarding the relevance as patients enter into their portals because it allows for actions to eliminate the critical information that is contained within the records ("Healthit.gov", 2019). Concerns regarding this understanding and the legal liabilities that go along with it are not the time nor cost-effective for providers to achieve proper efficiencies.

Past records were in the traditional paper sense whereas it made it harder to locate information concerning patients, find errors and correct them, as well as hard to transfer to other facilities. However, with advanced and new technology, patients and physicians can find anything they need with one click as well as submits information electronically. In the study conducted by McGonigle & Mastrian (2017), they excluded high-risk bias and those conducted in non-clinical settings. The research analysis was conducted by using both published and non­ published resources and included Medline, Cochrane Database, and Embase as their searching strategy. The study found that the clinical decision support helps provide medical professionals with the necessary information needed that is patient-specific and that is intended to increase positive decision making concerning the outcomes of patient's satisfaction and well-being (McGonigle & Mastrian, 2017). The study also concluded that when facilities use clinical systems it is found effective in changing and prescribing medication errors that have resulted in clinical importance towards treatment outcomes.

In conclusion, clinical systems have greatly benefited the healthcare system while helping to improve safety measures, medication and records errors, as well as patient satisfaction.

Clinical systems help physicians find support when it concerns locating, retrieving, and allocating patient-centered data and enhancing the decision-making process when it concerns diagnosing patients. Clinical systems also provide full access to patients so that they can understand what is going on with their health to take responsibilities towards the future of their health outcomes. There is significance importance when it concerns the personal health records and support data for diabetic patients so that physicians can better treat them and so that they can take charge of their own health such as the lifestyle-changing, they need to make or increase.