Forecasting The Climate Of Healthcare Information Systems

In a healthcare world that operates on stringent budgets and margins, we begin to see the need for a higher capacity healthcare delivery system. This in turn puts pressure on the healthcare organizations to ensure higher standards of patient care, and compliance with the reform provisions. However, these are the harsh realities of today’s healthcare environment, a setting in which value does not always equal quality. The use of technology can help to amend some of this by providing higher capacity care without compromising quality; this can be done with the use of such technology as electronic health records (EHRs). This paper will aim to address how EHRs influence healthcare today by expanding upon topics such as funding sources, reimbursement methods, economic factors, socioeconomic factors, business influences, and cost containment.

This case analysis of Stanford’s Hospital and Clinics (SHC) electronic medical record (EMR) system implementation will focus on how the healthcare organization focused on resolving a problem to meet regulatory pressures and responded to an opportunity to create operational efficiency, by capitalizing on the use of information technology to help reduce costs. We will discuss the organization’s IT problems, opportunities, and the alternatives available to address each. We will summarize an analysis of potential alternatives including the organization’s EMR system of choice and conclude with a recommendation to the Board on how to rollout the new system.

“Go Paperless and Get Paid” is how the Office of the National Coordinator for Health Information Technology (ONC) presents the incentives for electronic health records. The United States Department of Health and Human Services (U.S. Department of HHS) distributed more than $160 billion dollars to “improve and preserve health care, health information technology, community health, and prevention initiatives” (United States Department of Health and Human Services [HHS], 2014e). Likewise, the ONC offers “Health IT Adoption Programs” through the Health Information Technology for Economic and Clinical Health (HITECH) Act, seeking to advance the American health care delivery system and to improve patient care through an unique investment towards health information technology (HHS, 2014d). Additionally, the American Recovery and Reinvestment Act of 2009 allows the Centers for Medicare & Medicaid Services (CMS) to reward eligible hospitals and professionals with monetary incentives as they implement, adopt, or upgrade and demonstrate meaningful use of certified electronic health record (EHR) technology (HHS, 2014b). The Electronic Health Records Improvement Act (H.R. 1331) introduced by the United States House of Representative Diane Black is a bill to further improve the nation’s health care adoption of health information technology.

The American health care system is in the midst of a paradigm shift as it transitions away from a paper documentation system towards a total electronic world. The electronic health record is revolutionizing the way health care practitioners, organizations and patients utilize patient information resulting in more efficient and accurate care, which implies better patient outcomes. In an effort to expedite the adoption of the electronic medical record, the United States government implemented an act entitled Meaningful Use which outlines three stages required by all health care systems and providers. The United States government provided financial incentives to ensure that these stages were met. It is imperative that the health care leaders are familiar with the requirements of Meaningful Use and create a timeline to ensure meeting all expectations. This paper will address the history of meaningful use implementation, meaningful use goals, and careful considerations for the health care leaders.

This article describes The Health Information Technology for Economic and Clinical Health Act’s (HITECH) “meaningful use” objective to create a nationwide system of Electronic Health Records (EHRs) in order to improve patient safety, quality of care, privacy and security. The authors point out that during the first two years of an EHR implementation, clinicians and hospitals must meet certain requirements in order to qualify for federally funded incentive payments totaling up to $107,750 per clinician. This incentive is meant to ease the financial challenges smaller practices might face as the United States works toward a more technically collaborative information care system, EHRs promise to provide.

With the advent of electronic health records (EHR’s) and The American Recovery Reinvestment Act (ARRA) of 2009, electronic health records have become main stream and a requirement for healthcare providers who treat Medicaid and Medicare patients. An electronic health record (EHR) is a digital version of a patient’s paper chart (Health IT, n.d.). EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. A portion of ARRA provides reimbursements to providers that have EHR’s that are certified for meaningful use. Certified EHR’s meet meaningful use requirements by meeting the government the Health Information Technology for Economic and Clinical Health (HITECH)

Therefore, several authors share some of the same ideas as to what some of the barriers faced during the transition to Electronic Health Records (EHRs) and if these barriers still exist once the transition to a full EHR system is complete. Herrick, et al., 2010, states that currently, there is no hard-core evidence to support the argument that Electronic Health Record (EHRs) and Health Information Technology is the best route for health organizations to prevent errors. In fact, the use of such technology could potentially lead to errors if information incorrectly entered in the system and Haupt, 2011, statement that smart software could help to prevent life-threatening errors better when administering medicines. Whereas, Boonstra & Broekhuis, 2010, states from a physician point a view need the understanding of the possible barriers that faced during implementation of EHRs because there a tremendous amount of literature on the obstacles but no suggestion on how to resolve these barriers have not been viewed. Barriers such as, financial on great startup and ongoing cost, technical and time to train staff and how much knowledge do they have with computer skills and psychological when support needed from vendors, etc. It suggests that once those barriers have been ironed out and a plan has set in place, then the transition from paper documentation to Electronic Health Records (EHRs) may go a lot easier for the healthcare arena physician, nurses and administrative

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

There is improvement in financial, administrative and management information, decrease in the duplication of the records, decrease in the repetitive lab tests, and reduction in the cost associated with hospital stays. A lot of money is saved by electronically storing and managing volumes of information [1]. ITAA believes that an industry-wide investment in IT of $18.1 billion would yield gross savings of greater than $120 billion dollars for the health care industry over a six-year period. [2] Many billing errors, coding inaccuracy have been reduced and as a result of this, there is enhancement in revenue.

In healthcare settings, it often comes up when documentation and information on use of electronic health records are not communicated effectively. The organization and its investors decided to transfer over to a new electronic health record (EHR) system —connecting care across the New England area and the healthcare continuum through three services. This new EHR system would drive results with industry-leading services, from practice management and EHR to population health services. These three services were crucial to industry success and were designed with the following formula: Network+Knowledge+Work=Results. When presenting the new EHR system to physicians, the project team requested the clinical providers ask themselves a few questions as they assessed the transition. A few of the questions that physicians asked themselves include:

Most hospitals, medical practices across the United States are transitioning to electronic health care record system to improve quality measures and manage the number of patients they can generate, retrieve, and accumulate. However, the ambulatory care providers usually don’t use EHR technology to the full extent of its power because it associates barriers that stand in the way of changing medical practices. In this case, the EHR will also examine some of the advantages and disadvantages while medical practitioners make their decision. In ambulatory care, there are many advantages of using electronic medical records, such as increasing the cyber security level and privacy safety, eliminating medical errors, and improving the quality of care.

The handwritten documentation has been the usual way of recording medical data since the nineteenth century. However, the fast development of computer technology has led to the advancement and use of electronic medical records (EMRs) throughout the past several decades (Jerant & Hill, 2000). The evolution from a paper to an electronic setting can be somewhat straightforward. The two leading reasons why most facilities chooses to convert to EMRs is patient care and safety. Health-care Information and Management Systems Society (HIMSS) presented its EMR adoption model in 2005 and now tracks the implementation growth of more than 5000 U.S hospitals (Traynor, 2011).

A critical lack of availability is negatively impacting healthcare, because Information Technology (IT) lack of control over cloud computing, leading to more issues involving availability, reliability, integrity and confidentiality (Kuo, 2011). Availability is a rising risk in the healthcare fields for Information Technology (IT) management using cloud computing (Kuo, 2011). Despite the hype of cloud computing advantages, research confirmed 58% of firms using the cloud have no idea if the cloud is within the U.S. and forty-two% do not know where the cloud servers are placed (Turner, 2013).

To encourage the adoption and implementation of the electronic health records (EHRs)by healthcare provider’s investment was made in the year 2009 by the American Recovery and Reinvestment Act. For the widespread use of EHRs incentive payments were authorized through Medicare and Medicaid to clinicians and hospitals when they privately and securely use EHRs for achieving improvements in care delivery by the Health Information Technology for Economic and Clinical Health Act (HITECH).The healthcare organizations are expected to demonstrate meaningful use of EHRs. This rule of meaningful use has been implemented to strike a balance between acknowledging the urgency of adopting EHRs for improving the healthcare system and identifying the challenges that would be put forth by this. The federal government would provide resources to support the adoption and implementation of EHRs. It would make $27billion available as incentive payments over a period of 10 years, and as much as $63,750(through Medicaid incentives) and $44,000(through Medicare incentives).

Abstract: Healthcare sector is facing more number of problems like high IT costs, more processing power, scalability and demand for interoperability etc. Present health technology is deficient to address these challenges. Cloud computing having many qualities such as multi-tenancy, flexibility and metered delivery appears a viable approach. The purpose of this document is to provide a point of view on how cloud computing is applicable in healthcare and set some of the key principles that healthcare industry need to focus on when building a strategy for their organization’s adoption of cloud computing. The paper also addresses the common problem that are being faced by different healthcare industry while implementing cloud computing.