Synopsis
An information technology strategic plan developed by Langley Mason Health (LMH) aimed to empower health care consumers and healthcare workers to change data into information to expand services of the clinics as well as electronic medical records. However, there are insufficient funds for equipment, technology and routine maintenance for its facilities (Wager, Lee, & Glaser, 2009). The hospital planned to construct several satellite locations and there are limited funds left yearly to spend on technology implementation and to purchase equipment. The LMH system had a delay in fully going live with computerized prescribers order entry (CPOE) because of many foreseen complications during the development (Wager, Lee & Glaser, 2009). While the issue of CPOE implementation is being resolved, pharmacy and nursing department is looking at the purchase of smart IV pump that will spend roughly half of the budget for the fiscal year. This paper discusses the case study about LMH, different views how LMH should proceed and how to mediate the two different views.
Background
LMH located in Reno county Nevada serving seven different communities, is one of many healthcare systems facing issues of finding a balance between financial budget and patient safety. The LMH has a 317-bed medical and trauma center, a 107-bed community hospital, a continuing care center, a home, care division, a surgery center and a behavioral medicine center (Wager, Lee, & Glaser, 2009).The main goal is to
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.
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
Grand Hospital was an early proponent of incorporating a health care information system (HIS) at its facility. Computerized clinical data may be stored in aging systems used in proprietary formats which may be difficult for other systems to access. The use of proprietary programs may lock customers into using only specific information systems. Grand Hospital’s HIS is a proprietary system that may not to be able to interact with other programs.
Charles, K., Cannon, M., Hall, R., & Coustasse, A. (2014, October 1). Can utilizing a computerized provider order entry (CPOE) system prevent hospital medical errors and adverse drug events? Perspectives in Health Information Management, 11(Fall): 1b Retrieved from http://perspectives.ahima.org/can-utilizing-a-computerized-provider-order-entry-cpoe-system-prevent-hospital-medical-errors-and-adverse-drug-events/#.Vpg-Q_krLIU
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
There are inherent risk and benefits of hospitals utilizing electronic medical records. Three problems that could occur involve workflow, registration and drug interactions. The aforementioned are problems that spill over into the other because they are interrelated. This is caused by inconsistency among “disparate systems,” communication between departments and errors involving medication (Gartee, 2011, p. 183).
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
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).
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 use and advancement of technology has expanded throughout the years. Technology has recently begun to be incorporated into the healthcare setting to enhance patient care, patient safety, and to optimize therapeutic outcomes. This concept is otherwise known as medical informatics, and is composed of six core areas: electronic health records (EHR), computerized provider order entry (CPOE), electronic prescribing, pharmacy automation and dispensing systems, privacy and security of informatics, and telehealth. Computerized provider order entry specifically refers to a licensed healthcare professional inputting medication orders and other medical information into an electronic pharmaceutical program.1 However, implementing CPOE has revealed
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
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
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.
In today’s healthcare system, Information technology is considered to be important part of patient care experience. Health care system today is so complex and to improve patients quality of life the integration of information technology is paramount. Information technology also adds a competitive value to an organization because patients have many options from which they can choose to receive care. In this report I will discuss how I (Informatics director) propose to solve a communication problem with a hardware solution while maintaining existing software.