An Analysis: Redesigning Jobs For Expanded Him Functions In an article written by Elizabeth Layman (PhD, RHIA, CCS, FAHIMA, East Carolina University), an investigation is made into changing the workplace, because of the implementation of electronic health records and the constant change in the healthcare delivery system (Elizabeth Layman, n.d.). Understanding that working hard is a short-term solution, the article focuses on changing the work environment to be smarter. To accomplish this requires that there be a redesigning of work and jobs, however this presents a substantial investment of time from the health information managers (HIM). Mrs. Lehman presents an examination of this topic and prescribes steps to address these new realities. Additionally, the author presents the correlation between a department goals and the work generated. She understands that for employees a job consists of tasks, duties, assignments, and responsibilities (Elizabeth Layman, n.d.). In order to align the goals of the department and organization, four actions must occur. Ms. Lehman presents that first there must be a re-examination of the business and the systems of an organization or department (Re-engineering), which includes the mission, structure, and policies. Secondly, in order to increase organizational efficiency and cost-effectiveness, there has to be a change in the composition of functional units and reporting lines (Restructuring). Next, the health information managers need to
The purpose of this paper is to review and summarize the literature on the pros and cons of electronic health record systems. This paper describes the many benefits of electronic health record systems, which include but are not limited to, less paperwork, increased quality of care, financial incentives, and increased efficiency and productivity. Organizational outcomes and societal benefits are also addressed. Despite the tremendous amount of benefits, studies in the literature highlight potential disadvantages of electronic health record systems. These disadvantages include privacy and security concerns, identity theft, data loss, financial issues, and changes in workflow, involving a temporary loss of productivity. Preventative measures that can be taken are addressed as well. Overall, people believe that the benefits of electronic health records can be realized when they are used correctly, and proper measures are taken to reduce any potential drawbacks.
Healthcare organizations aspiring to achieve the Triple Aim must create a model that will work for their organization and the populations they serve. In the case study, all three organizations took diverse approaches to conquer Triple Aim objectives. The IHI is working closely with pilot organizations to create a basic model that is transferrable to all healthcare organizations. Until a model is created, the IHI recommends a change process that includes the following four guiding principles: identification of target populations; definition of system aims and measures; development of a portfolio of project work that is sufficiently strong to move system-level results, and rapid testing and scale up that is adapted to local needs and
Advances in modern technology surrounds us in our day to day lives, allowing conveniences and efficiency at our fingertips. Great strides have been made over the years with technology, and the healthcare industry along with many other industries have adopted this new way of functioning; electronically. The effects of technology have come to the forefront in where our government has acknowledged the benefits and opportunities. “The promise of Health Information Technology for improving quality and safety of health care while reducing costs has caught the eye of policy makers and other leaders in health care” (Hersh, 2006). It deeply affects how we connect, interact, and communicate internally and externally, but also gives us a sense of control on how we engage ourselves to the innovative software and systems.
We all know that it can be very hard and difficult to get use to change, mostly when a single person has become accustomed to doing the medical records the old fashion regular way. Nonetheless, there has been new technology keep arriving and it’s making the medical record so much easier with the innovations of today world. So the management must make changes to compose and motivate their employees so that they can be gladly fine of the new technology (Robbins, 2011). Healthcare are starting to use electronic medical records for different services across the health care world, although the change is not
It has only been within the last five years that health information management (HIM) has experienced exponential changes, due to the healthcare reform. The electronic health record (EHR) is connected to health information exchanges and other systems of interoperability. The timely completion of charts, coding and release of information (ROI) has become much more efficient with the electronic record. Traditional HIM functions will just be transformed and will always be an integral part of successful patient care. Professionals must be flexible and willing to adapt and even generate change. As Health Information Technology continues to evolve, so will the roles
Organizational teams must adjust physician practices and reshape either the inpatient, outpatient or emergency care process because of the constant involvement of nurses, pharmacists, physicians and ancillary staff. Since the CPOE system is one of the most complex and challenging features of the healthcare information technology (HIT), it may involve an increase in the time spent by physicians in order to time spent on order to overcome this barrier. This especially applies to the improvement of patient care and satisfaction because of the exceptional performance of care healthcare providers and physicians provide. The implementation of executive leadership within their organization can become very beneficial to Larry and Emma as the organizational leaders. I believe that there are two major responsibilities that the MSMC must acknowledge. These are ensuring that the implementation of a complete functional EMR becomes successful and that theirs a smooth transition when improving the health information technology system, which may include telemedicine, e-health records, and the exchange of patient information. These are the advancements I would implement if I was in Sarah’s position because it would ensure that their organization would be able to sustain quality care. In effect, this would help the accessibility patient data and increase their
Containing ninety participants, 36% of the respondents were hospital CIOs and I.T. executives, 19% from integrated delivery systems headquarters, 19% from group practices, and 27% from other facilities. Survey results pertained to patient health records, electronic health record (EHR) certification, and other IT issues in healthcare. According to the survey, “81% of respondents said their I.T. budgets will grow, with the most common prediction being growth of 5% to 10%. Implementing electronic health records was the No. 1 software investment priority for the coming year for hospitals, integrated delivery systems and group practices alike.” (CIOs Predict Future Trends, n.d) Interestingly, despite the economy at the time showing signs of a recession, “the vast majority of health care organizations expect their information technology budgets to grow during the next fiscal year, and this growth is driven primarily by a need to improve access to information for clinicians, the survey shows.” (CIOs Predict Future Trends, n.d) This improved access to information can be applied to patients as well, as the push towards cloud storage and record/test results access alleviates the need to wait, call, and require record searches from the physician’s staff. On the subject of streamlining access to the implementation to patient EHRs, 19% of
With the rapid growth in technology, many healthcare organizations have embraced the use of healthcare information technologies. As such, the information technology department has various staffs that perform fundamental roles in the information technology-related activities. It ranges from activities of customizing a software to implementing and maintaining a network to ensure effective system backups. In addition, these healthcare information technologies bring about other
The case study on the Job Redesign for Expanded HIM Functions by Elizabeth Layman was very dense . It was about the implementation of electronic health records and the changes in the health care delivery system and how those changes have altered the work environment of Health Information Services Departments. This study went on to give solutions to those problems , how to implement those changes and the impacts those implementations will have on the employees , individually and on every level. The study described the Four levels of alignment to achieve these departmental and organizational goals. These levels include Re-engineering - which is the process of rethinking the business and systems of the organisation . At this level , upper
The objective of the healthcare worker organization plan is to keep a patient population as healthy as possible, minimizing the need for costly interference such as emergency room visits and hospital stays. This does not only lower the costs, but also redefines healthcare as an action that surrounds far more than sick care. While the plan focuses partially on the higher risk patients who produce the most out of health costs, it thoroughly addresses the preventive and constant care needs of every patient. Because the distribution of health risks change over time, the objective is to change the reasons that make people sick or aggravate their illnesses. Such an approach requires the use of computers. Not only are there insufficient providers
Information and communication technology has been adopted and implemented within various sectors of the economy. This is attributed to the benefits of technology in facilitating organizational activities and processes and its use in meeting the changes which characterize the modern society. The health sector is one of the industries which have significantly implemented technology. The health sector’s technological applications have been achieved within health information systems. The implementation of technology in this sector has resulted into both positive and negative implications on health
My future plans and goals with Health information technology is beyond the means as a coder. My plans are to further my education to Health Information Management and rolling as a current student at Louisiana Tech University. As I obtain my degree in Health Information Management, I hope to gain employment at a local Shreveport facility or at one of our neighboring states. Taking all my knowledge from school and from my employed facility will encourage me to take on a management position. The Manager of Health Information Management is responsible for ensuring accuracy and efficiency in the medical records and transcription departments. The Manager of HIM reviews processes and identifies areas for improvement taking into account user needs.
Successful medical organizations have as their guiding principles a professionally stated purpose which encompasses and details their mission statement, vision statement, values statement, and broad strategic goals. The organizational structure is established on these statements, and the function of each department and the duties of each employee are based upon fulfilling the purpose of these statements. Additionally, these statements must encompass the various aspects of the organization and its stakeholders. As Moore, Ellsworth, and Haufman (2011) purport, “ Any organization planning as though it exists in a vacuum is ignoring factors critical for its survival” (p. 16). Without these guiding principles to serve as a direction for the
These health care organizations have two types of planning to follow, and they are tactical and strategic planning. When tactical planning takes place, there is a short term goal in mind (Society for Human Resource Management, 2102). The course of action for a tactical plan is to achieve a goal within a year or less time period (Society for Human Resource Management, 2102). A tactical plan has a smaller scope and shorter time span than a strategic plan (Society for Human Resource Management, 2102). It takes several tactical plans to achieve the strategic plan (Society for Human Resource Management, 2102). Strategic planning differs from tactical planning, because in strategic plan, the course of action is to achieve goals for the long term (Society for Human Resource Management, 2102). Strategic planning goals are usually wanted to be completed with five years (Society for Human Resource Management, 2102). The organization’s mission statement purpose and direction are reflected upon strategic planning (Society for Human Resource Management, 2102). Top management must view reports on operations, external environments and finances when looking to develop a strategic plan (Society for Human Resource Management, 2102). The development of tactical plans are influenced by strategic plans (Society for Human Resource Management, 2102).
I read an article on job redesign, and the redesign of expanded HIM functions. As we are all aware, there have been several advancements in recent years in technology and healthcare. Together, they can be powerful, and separate they can become old, and outdated. Job classifications also become outdated. The way medical records are filed is not the same as they used to be. The doctor doesn’t come to your room with a big chart binder with all of your medical records anymore, he or she comes in with an iPad or a Computer on a cart. In some situations, there is a computer inside of the room. Even with changes like this, job redesign may be necessary though enrichment and rotation. Below, we will look at some key questions and answers to really learn how some of these principles were applied, and how they can benefit a manager, along with this employees.