Computerized Management System: Review and Recommendation

The healthcare industry consists of many strengths and weaknesses during the improvement of patient safety, efficient operations, reduction of medical errors, and ensuring that they provide timely access to all patient information. This will have to still comply with all legal guidelines as they control costs and protect patient privacy. The adoption of advanced information technology is a popular strategy being used in the healthcare industry because it allows their weaknesses to be progressively diminished as they gain and use the opportunities necessary as an analytical tool. This would allow their capabilities to be further developed with the new technologies and processes used as they unify the adoption of IT standards. In order to stay competitive within the healthcare industry, then there must be specific actions and measures that must be taken to ensure a positive outcome. This includes external opportunities to increase the capability of the IT infrastructure in a national environment as the growth of industry standards are met in order to decrease the pressured threats of legal compliance through patient trust and the high cost of IT. The growing recognition of strategic leadership often leads to both improved financial stability and contact accessibility of the system. Some challenges that may occur within the healthcare system may cause issues in a hospital setting because of the centralized society of an organization. This is because of the different visions and

Two organizations migrating to a common health information system would need a system that meets current regulatory requirements, meets the needs of the combined organization and their practice environment. The implementation of a common health information system would require an interdisciplinary group of forward thinking innovators, and an interoperable electronic medical record system that includes standard nursing terminology.

Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system.

Healthcare information technology forms a pivotal part of today 's healthcare system. Improved quality of healthcare, patient safety, drastic reduction in medical errors and enhancement of care delivery is possible because of the induction of these solutions in the healthcare delivery environment. Today, healthcare IT solutions are enabling processes like planning, decision-making related to organizational development, strategic planning to drive growth, recruitment of competent personnel, managing employee benefits, payroll, intra-department communication, etc.

Jones Regional Medical Center is a huge academic health center with 900 beds and are known for its research and teaching hospitals. Additionally, the IT staff at Jones supports 300 applications and 12,000 workstations. The center uses Technology Med (TechMed) for their admitting system. The system includes registration, inpatient charge, payment entry, master patient index, admission, hospital billing, and more. The TechMed system has been accessible since 1998; Jones is beginning to plan a replacement of this systems because of the fragility of the software (Wager, 2013).

The system should be fully integrated including care coordination, sustainability and quality improvement efforts. The selected EHR must provide features and functions to facilitate the achievement of both CMS Meaningful Use (Stages 1-3). The features and function of the EHR should not require any additional hardware, software or program development.

Currently, the healthcare industry only spends 2% of gross revenues on health information technology, while the banking industry spends upwards of 10%. However, the Veterans Healthcare System is one of the largest integrated systems in the world. One hundred fifty-five hospitals and eight hundred clinics rely on one electronic health system (Gupta & Murtaza, 2009). Implementing information systems in hospitals is more challenging than elsewhere because of the complexity of medical data, data entry problems, security and confidentiality concerns and a general lack of awareness of the benefits of Information Technology (Boonstra et al., 2014). The newly implemented system must be reliable from the onset as patient care does not cease in the meantime. Technology has the potential to streamline current practices and reduce costs, however, hospitals must consider the potential risks and consequences of a poorly implemented project and agree that failure is not an option. Good project planning and management can assure success of Electronic Health Record

In observation, (Fahnestock, McComb, & Deshmukh, 2013) stated "Information technologies are transforming the way healthcare is delivered. Innovations such as computer-based patient records, hospital information systems, computer-based decision support tools, community health information networks and new ways of distributing health information.” (p.3.2). In the sector of delivering healthcare using technology, has made it easier for healthcare professionals to access medical records, digitization of prescriptions and view test results. With the use of high-performance devices being used in the hospital, helps to make the jobs of healthcare professionals a little easier. As well as relieve anxiety from anxious patients that may be awaiting lab results to come back. Therefore, IT devices and services has been and continues to be a tremendous help and game changer for the healthcare system. However, there is still a lot of work to be done to help shape and reform the healthcare

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

There are some assumptions made by university health care system in its implementation that the common advantages of using a computerized system would obviously work to their own advantage. Users of the system make a great impact to the existence of the same. It is imperative to consider old data that is supposed to be fed to the system in order to make it efficient while updating the rest of information. Self evaluation process is recommendable to the system by the Information Technology experts. The human interface of the system should be included by the evaluation team. This will include two psychologists. The above aspects should be considered by a team of analysts before they conclude on whether the project does or does not

Central Hospital in Tempe, Arizona decided to implement a computerized Medication Administration Record (MAR) into one of their small locations before rolling it out to the entire organization. Art Baxter, the Chief Information Officer in charge of Medical Information Systems (MIS) at Central Hospital assigned Kate Cohen, a programmer and analyst, as the Project Manager. Kate formed a project team but failed to include representatives from departments that were going to use the system. Unfortunately, the key stake holder/users did not have a seat at the table. Even though the

Health Care Information Management is something that is becoming extremely popular. Health Care Information Management Systems are computer systems that keep patient files, protect the security of the patient’s information, and keep everything more organized than what can be accomplished by individual people. Employment in this field is expected to grow faster than it has been. Jobs for this field include: Director HIM, Supervisor HIM Data Analyst, Auditor, Private Officer,

The variation in information needs across any healthcare provider organization forces healthcare information technologies (HIT) platforms, systems, processes and procedures to align its design to support the unique information needs of each department and role. The greater this alignment of HIT systems and technologies to specific administrator, doctor, nurse and lab technician roles, the higher the level of overall systems performance and results attained (Agrawal, Grandison, Johnson, Kiernan, 2007). Just as an enterprise has strategic information needs that help to define the future direction of the business, healthcare provider organizations also have a comparable set of strategic information needs. The administrative roles in healthcare providers need to have a consolidated view of the organization from a cost, quality management, service level, patient recovery rate, patient satisfaction and profitability standpoint as well (Middleton, 2005). All of these factors are often gathered together in a dashboard that administrators often rely on to manage the core areas of their healthcare business (Leung, 2012). Administrator's information needs are also longer term in nature and more oriented towards the development of strategic initiatives that will last several years, requiring

The successful implementation and subsequent meaningful use of information technology solutions within a health care organization is a challenging and iterative process. The organization must engage in careful and ongoing strategic and tactical planning to ensure that the implemented technology will ultimately be effective and beneficial for its practitioners, staff, and patients.

Having a single view of the patient and their treatment and recovery plan is invaluable in ascertaining which are the most and least effective tactics in treatment. The 360-degree view of the patient and the many processes supporting them is crucial for increasing the accuracy, effectiveness and performance of treatment programs over time (Blakeman, 1985). Computerized management systems are critical for organizing, analyzing and translating the massive amount of data captured on patients, treatment and recovery processes, and the use of supporting IT systems to optimize patient health and organizational provider performance (Peshek, Cubera, Gleespen, 2010). The ability to aggregate and intelligently use all available data, information, patient-based and process-generated data to deliver higher levels of quality care is possible when computerized management systems are used throughout healthcare organizations.