ETL Processing Case Study

The SWOT analysis will focus on the organizations and their strengths, weaknesses, opportunities, and threats. Organizations will have to face challenges, but how they recover and cope with them is important. The SWOT implies that the implementation of EHR faces some challenges of improving the safety, cost, Lack of System Integration, and productivity of patient care. Legal compliance/regulations are still a problem facing the healthcare industry as they assure security of information. The investment in the EHR is a key area when addressing these concerns because of the access of healthcare supply chains increase in workflow and efficiency. Hence, the implementation of EHR requires a level of data within the system by a

Examination of the types of database systems that are available and how health care facilities utilize these different types of databases is the topic of this report. Giving more detail on the different types of architecture of databases and data structure will follow.

This Stage 1 started from 2011-2012, its objective dealt with data capture and sharing, these sheets are providing these services to assist professionals and hospitals understand the requirements of each objective and demonstrate meaningful use success. This stage also allows qualified providers to receive their payment after fulfilling nine core objectives and one public health objective. The second stage of the Meaningful Use is Stage 2 started in 2014; it dealt with the advanced clinical processes. This Stage introduces new aims and measures, as well as higher entries; it also required health care providers to prolong EHR capabilities to a greater portion of their patient populations. The last stage of the Meaningful Use is Stage 3, this Stage it still in a building phase. Its objective will be focusing on improving quality, safety, efficiency, and leading to improved outcomes. Even though the details of this program have not been finalized, Meaningful Use Stage 3 will work to make the program easier to understand. It will provide the professionals (EPs) and hospitals the ability to exchange and use information between electronic health records, and improve patient outcomes. Based on the current timeline, healthcare providers have the choice to begin Stage 3 Meaningful Use in 2017 but are not permitted to use it until

The passage of the American Recovery and Reinvestment Act encouraged and mandated the use of health information exchange (HIE) technology in the healthcare industry. The time had finally come to enter into the electronic age, and learn how to integrate electronic health records (EHRs) into their environment. Evolution and revolution are never easy, and several issues will arise during the transition. As EHR utilization spread through healthcare organizations, problems with interoperability became evident. How could healthcare organizations successfully achieve interoperability, and collect consistent patient data? A data dictionary may be the key to unlocking an accurate and efficient HIE.

Worldwide use of computer technology in medicine began in the early 1950s with the rise of the computers. In 1949, Gustav Wagner established the first professional organization for informatics in Germany. Medical informatics research units began to appear during the 1970s in Poland and in the U.S. Since then the development of high-quality health informatics research, education and infrastructure has been a goal of the U.S. and the European Union. (NYU graduate training program, 2010) Changes in the healthcare environment produced fundamental shifts in the delivery of healthcare. The altering landscape of healthcare is creating a huge demand for health data analytics. The growth and maturity of healthcare informatics over the past decade has been a prime catalyst in positioning the healthcare industry for the changes posed by reform measures. By understanding the process of analytics, clinical informatics specialists say healthcare providers have the insight necessary to make the process adjustments in the future.(Riskin, 2013)

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.

To start, structured data capture (SDC) initiatives should be utilized in order to leverage existing EHR interoperability standards. SDC seeks to identify how interoperability technology can be used to access a template containing common data elements, populate the template with the correct common data elements from existing EHR data, and then store the template or transmit it elsewhere. Using this framework will give healthcare professionals a standard way to collect data and populate the templates, thus creating a way to access, display, and store the data. It is also important for hospitals to ensure that they are working to meet meaningful use requirements, which will help the organization to be more prepared and educated about interoperability and related issues. The Office of the National Coordinator (ONC) for Health Information Technology states that the ultimate goal is to have an interoperability system in place by 2024, one that puts “the person at the center of [the] system that can continuously improve care, public health and science through real-time data access.” In order for the goal to be achieved, however, specific actions need to be taken. It is not enough to simply state what needs to be done, but rather it is the combination of the talk and actions that will make the end-goal

Clinical business intelligence is a modular and scalable platform that helps the organizations to seamlessly integrate data from multiple clinical and financial system and address the most critical BI and analytical needs. Physicians use the hospital EHR and other clinical IT applications to make decisions and provide excellent care to the patients but recently the physician practice network deployed new EMR along with a bunch of online e-prescriptions and lab applications. The hospital system relates to a statewide health information exchange. The new kinds of data support the physicians and administrators in making clinical and financial decisions. BI clinical also leverages technology partnerships to give organizations the

In 2011, the Agency for Healthcare Research and Quality recorded that Americans made nearly 40 million hospital stays (Pfuntner). Each of these stays in each of the 4,000 hospitals and medical centers across the nation produced, at the very least, one medical record. Every healthcare provider needs to process and maintain these records with haste and accuracy. Failure to do so can result in a multitude of repercussions, ranging from the mistreatment of patients to errors in reporting to insurance that create a cycle of rising costs for both patients and healthcare providers. ERP systems, or Electronic Medical Records system as it has come to be known in the healthcare industry aim to serve a field with an exponentially growing need for

The rapid development of technology is directly impacting the design and direction of the EHR. As medical devices are smaller and more user friendly, patients are being involved in reporting and this will be incorporated into the EHR. In addition to technological changes, EHRs have evolved in relation to consumer needs. Originally the EHRs were focused

It is hard to take a snapshot of the current technology used in healthcare as tomorrow a new innovative idea is right around the corner. A major change that has occurred over time comes from the use of electronic health records (EHR). Electronic health records usage has been on the rise for several years. It has been used by physicians, ambulatory staff, and HMOs. Since data can be easily altered the copies that must be certified for any medical provider to reference. There is a criterion for the composition of this data due to the exchanging of patient information within an interoperable medical

The health IT system is essential to transform the delivery of health care. Innovation within the IT system includes efficient data use through warehouses as they expand health information, which allows for big improvements in the technological use. These improvements would ensure that data user safety will allow the smooth exchange of information transfer electronically between different health care providers. In this case, most hospital employees and health care organizations understand how the health information technology (IT) is important for the HCO’s functions. The passing of “the Health Information Technology for Economic and Clinical Health (HITECH) Act as part of the American Recovery and Reinvestment Act (ARRA) legislation in 2009, with its specific attention to advancing EHRs, federal dollars are dedicated to expanding EHR use in physician offices and more” (Abdelhak pg. 180). This shows that a federal government has an ability to change in the healthcare industry, so the government should incorporate science and technology development. The private sector and government funding resources will also have a significant impact to play a great role in the exploration of new software operations in terms of advancing the technological environment. Advancing this area of the organization encourages health Information

The challenges of integrating diverse healthcare standards, intranet and Internet communications, patient and consultant accessibility to EHRs and internal business systems require an exceptionally mobile, intuitive and secure platform. EMR and EHR software are designed to integrate electronic health records into healthcare businesses to provide HIPAA compliance. However, to meet or exceed these requirements and offer patients, medical staff, insurance providers and outside consultants access to EMRs and EHRs, healthcare businesses need a robust communications platform to connect these stakeholders. The benefits of offering Web access to health records include better patient care, cost savings and efficiencies, better coordination between medical service providers and greater patient participation in his or her own care.

Databases are in place for improving outcomes of NICU patients such as data warehouse, regional data, and Public Health Information Network (PHIN), and Nationwide Health Information Network (NHIN). The Pediatrix BabySteps Data Warehouse is an individualized electronic data capture system used for the assessment of neonatal outcomes, exploration of significant research questions in the NICU, and management of quality improvement (CQI) initiatives (Shah, Warre, & Lee, 2013).Enterprise data warehouse (EDW) collects and reports patient data from inpatient and outpatient EMRs and allows integration and analysis of patient records. EDW data is used for clinical decision support, patient care management, and strategic decision-making.

In 2009, the Healthcare Information and Management Systems Society (HIMSS) developed literature that outlined Data Warehousing and its impact within Healthcare Data Management. A study showed that companies who implemented a data warehouse had one consistent data store for reporting, forecasting, and analysis (HIMSS, 2009). Additionally, they had easier and more timely ways to access data, improved end-user productivity, improved IS productivity, reduced cost, scalability, flexibility, reliability, and an overall better competitive advantage (HIMSS, 2009).