MHA-FPX5062 Assessment 3

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Capella University *

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5062

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Health Science

Date

Dec 6, 2023

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docx

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Uploaded by bschulstad927

1 HIM System Interfacing and Interoperability Beth Doeden Capella University MHA-FPX5062 Healthcare Delivery Health Informatics July 23, 2023

2 Introduction We will be reviewing if the health system should work to interface all health information systems and their recent acquisitions to have all sites on the same software. For safety and efficiency reasons, it is essential to have real-time, accurate, and comprehensive information to provide the best patient care. Analysis Different areas in the health system use different health information systems suited to their specific needs. We have met with critical stakeholders to discuss the current state, potential risks, needs, and gaps. Speaking with the vice president of medical services, the EHR currently in use does not support their maternal and fetal medicine clinic or the emergency department. They were also concerned about the EHR not keeping the meaningful use certification and how the upcoming changes to meaningful use stage 3 were extracted and reported from the EHR. Behavioral health uses its system as well as the EHR. In addition, they need to work out of federal programs to report infectious disease information, medication monitoring, and child welfare. The behavioral health system and EHR currently integrate, but the federal programs still need to, which results in staff having to document in multiple areas. The lack of integration also results in places like social services not receiving real-time information about patients' discharge from the department. Internal medicine utilizes the lab and imaging systems and EHR mainly. For lab and imaging, they are using those systems for tracking and scheduling purposes. The information is supposed to be in the EHR, but they need to believe that the information is making it to the EHR as it should. They also have issues ordering medications on order sets they can access for other

3 hospitals. Not all hospitals have the same drugs, labs, or imaging procedures, but the order sets presented have orders for all areas, resulting in many cancellations and orders. The cancer center utilizes the lab and imaging systems. They also have a specialized module within the EHR that captures all the information for the care of cancer patients. The only ask is to have all the information they need in one place rather than look in several places. The imaging department utilizes both the EHR and PACs. The EHR tracks what imaging procedures are complete and which are still outstanding. A request of the department, specifically radiologists, is to attach a patient photo to their images and scans to provide a more personal touch to their work with the patients. They cannot interact with patients like the techs, so this is a way they could add a more human factor. They would also like their dictated note recordings attached to the imaging reports. The pharmacy works with a pharmacy system, the EHR, and the formulary. The pharmacy system tracks the fill and refill process for medication, and the formulary tracks what is in stock. There is a vast gap between the ordering and filling process between clinical staff and the pharmacy. Often information needs to be included, such as allergies or contraindications. Clinical staff can bypass this information which is a safety issue. Duplicative documentation also poses a safety issue, and condensing systems help reduce that risk significantly. Information systems are entirely onboard with an interface engine as the interfaces currently in place work but are resource intensive. With the engine, complete real-time data can be quickly and easily transmitted. The only drawbacks are the cost, space, network, storage, and cooling system.

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