Challenges Of Implementing It Health Information Management

Latour, Kathleen and Eichenwald-Maki, eds. (2009). HI300: Information Technology & Systems for Healthcare. Chicago: American Health Information Management Association

The high cost of healthcare continues to rise and many in the United States are optimistic for health information technology to reduce and improve our current situation. Health IT encompasses a broad array of new technologies designed to manage and share health-related information. When properly implemented, these systems can help coordinate patient care, reduce medical errors, and improve administrative efficiency. Therefore, implementing a Regional Health Information Organization (RHIO) will help the National Health Information Network (NHIN) achieve their goals in improving quality of care for the citizens of the United States. Thus, in order for the health IT to deliver on its promise, several obstacles must be overcome.

It is important to understand the history of how the healthcare industry decided to embrace the use of computer databases. Typically healthcare was often the last to employ new technology; especially when it came to assembling and disseminating data. As a Director of HIM (Health Information Management) it would be beneficial to remember this as there will undoubtedly be some resistance when attempting to implement new and improved systems to track everything from patient outcomes and laboratory tests to prescriptions and medications.

In efforts to reform the United States healthcare system and create a nationally unified data exchange system the federal government has established an incentive program to eligible professionals and hospitals. The federal government has turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116).

The electronic protected health information (ePHI) gets electronically stored and collected in hard copy form as they secure the information. According to the U.S. Department of health and Human Service Office for Civil Rights (OCR) report, millions of people have been impacted by HIPAA data breaches. Hence, healthcare organizations must protect and secure personal health data now more than ever because of the threats that are associated with information. This would substantially increase the protection of healthcare from cyber threats. Moreover, these people are extremely diverse and the cleverness of their data information must be organized within hospitals. Medical records are in high demand because of the sophistication of the records.

Health care providers as well as nurses must keep track of all pertinent patient information and failure to do so leads to detrimental effect on the patient's life. CIS clinical information systems are "large, computerized database management systems that support several types of activities that include physician order entry, result retrieval, documentation and decision support". CIS is intended to replace medical records department of a hospital or any other medical institution. Physicians and clinicians can safely and quickly access information, order medication and treatments and implement appropriate care. CIS will hopefully improve productivity, increase quality care and reduce costs across the organization.

The healthcare industry is in the midst of a major change from paper based medical record keeping to electronic medical record keeping. As part of the American Recovery and Investment Act of 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act was passed (Office of the National Coordinator for Health Information Technology, 2014). HITECH is the U.S. Government’s first major contribution to the change from paper to electronic health information technology by setting meaningful use incentive program for Medicare and Medicaid providers that met certain requirements. Healthcare professionals that meet the meaningful use criteria will be awarded financially, and those that don’t meet the 2015 guideline will be penalized. We live in an electronic world of instant access to information and by adopting health information technology we give providers better and easier access to more information which in turn allows them to make a more informed diagnosis and treatment plan for the patient. The electronic health record (EHR) is part of the new information technology. According to the Office of the National Coordinator for Health Information Technology (2014.), EHR’s provide many benefits such as improvement in the quality of patient care; improvement in the coordination of patient care; more accurate diagnosis and better outcomes; a higher level of patient participation in their own care; and cost savings for the practice

In today’s cyber environment everything is that the tip of society’s fingertip and healthcare is not the exception. Every organization from hospitals to the local family doctor’s office is realizing the cost savings and convenience of having a medical system in place that can store, track, audit, and maintain a patient’s history. Such technology is mutually beneficial to patients alike since searching for providers becomes much easier when login into a medical portal allows the user to find specialist of all sorts without much hassle.

Implementing Health Information System (HIS) in health care is viewed as an effective strategy to deliver safe and integrated patient care. After the introduction of incentive payments to meaningful use of Electronic Health Record (EHR) many health care organizations are actively undergoing the process of HIS implementation or its update to deliver quality care (Boswell, 2011). It is crucial to analyze the factors that will lead to successful implementation of HIS thereby the organizations not only save money but also choose to adopt the technology that is appropriate.

Health information management professionals ensure that patient information under a provider’s care is correct, complete, and safe (Gartee, 2011). Patient health information is sensitive and must be handled only by trained professionals with experience in the field. HIM professionals such as the Registered Health Information Administrators manage employees in the HIM department that work with patient information. Registered Health Information Administrators must “Possesses comprehensive knowledge of medical, administrative, ethical and legal requirements and standards related to healthcare delivery and the privacy of protected patient information” (“RHIA”, 2015), In addition, the RHIA role is actively involved with the forms control process and involved with all units that utilize patient information in any way (Gartee, 2011).

Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care information systems, a practical approach for health care management. (2nd ed.). Jossey-Bass Inc Pub.

Implementation of Healthcare Information Technology potentially reduces cost yet, remains a continuous challenge. The adoption of improved healthcare infrastructure is compelling and significant barriers remain such as technical issues, cost, concerns about privacy and confidentiality, system interoperability and lack of well trained staff to lead the process (Palvia, Love, Nemati, & Jacks, 2012).

Federal stimulus money spurred the purchase and installation of health information technology (HIT) within our American healthcare system (Dashboard.healthit.gov, 2017). This technology has secured its place in our society by providing many benefits to patients and healthcare practitioners. However, health information technology (HIT) also has the potential to negatively impact patient care. This paper will talk about how EHR affects patient care and what can we do as future practitioners to help.

Health information management, or HIM, is a career in the health profession which obtains, analyzes, protects, and maintains accurate and vital medical information, in both digital and traditional formats, to provide quality healthcare. Health information managers must be diligent in keeping information accurate to ensure that providers, patients, and other healthcare administrators receive correct information. This data is not just important; it’s essential, which is what makes health information managers so vital to the health care industry.

Successful implementation of a health IT system is a large and complex process. Healthcare leaders are charged with evaluating the systems in conjunction with the organizations goals, its stakeholders, and potential future changes. Leaders at the C-Suite level, with input from key stakeholders will help to ensure gaps and parities are assessed and planned for. The key to successful planning and implementation is addressing concerns like risk, security, ease of operation, overall costs, the robustness of the system, and the potential ROI connected to implementation.