Health Information Technology Functions
Lisa A. Cerrato, MS, RHIA and Jane Roberts, MS, RHIA
This case study presents a healthcare facility’s journey toward implementation of an electronic health record. It demonstrates the complexity of the process and similarities that exist between paper-based, hybrid, and electronic health records.
Central Community Medical Center (CCMC) is a 600-bed urban hospital located in the downtown of a major metropolitan area. The medical center is one of five hospitals belonging to the Midwest Healthcare systems. The medical center is a full-service teaching hospital with services ranging from medical, surgical, obstetrics, pediatrics, wound care, trauma care, and heart…show more content… Once each form was identified, a barcode was applied to paper forms that would be scanned into the EDMS. The barcode on the forms was needed so forms could be automatically indexed and routed to the correct location within the EDMS. Indexing rules were applied to scanned images and electronically fed documentation. The rules allowed the documentation to be auto-indexed to the correct location within the EDMS. Another task in form redesign was to standardize the location of the barcode on paper forms to be scanned.
The information systems (IS) workgroup used the documentation matrix to assist with the identification of computer interfaces that needed to be in place in order for electronic transmission of the documentation to work properly.
Workflow analysis was also performed on the paper-based HIM procedures to see what processes in the current workflow could be eliminated and what new processes would need to be implemented with the adoption of the electronic health record components. The current workflow was graphically demonstrated in a process flow chart. Several work processes that existed in the paper-based environment were replaced or