Introduction to Health Services and Information Systems Barnabas Health is a nonprofit nonsectarian hospital own by john F. Bonamo, MD, MS President and CEO. It’s New Jersey’s largest integrated health care delivery system. It includes Clara Maass Medical Center in Belleville; Community Medical Center in Toms River; Kimball Medical Center in Lakewood; Monmouth Medical Center in Long Branch; Newark Beth Israel Medical Center in Newark; Barnabas Health Behavioral Health Center in Toms River; and Saint Barnabas Medical Center in Livingston. The System also includes the Barnabas Health Outpatient Centers with the Barnabas Health Ambulatory Care Center in Livingston and the Saint Barnabas Family Imaging and Breast …show more content…
A team of clinical adoption strategists from Cerner met with representatives at the acute care hospitals. These process team leaders, who are subject matter experts for the team they represent, will serve to ensure that all designs, decisions, and work flow changes are discussed at the hospital level and communicated so all have an equal voice in this project. These process team leaders will meet with all levels of staff at their hospital to gather information related to current processes and practices. The IT Clinical analysts are assigned to work with each process team to facilitate, gather, and support completion of assigned tasks. This information will be shared with all other process teams at weekly meetings as they work to implement a standardized, enterprise wide clinical information system. Cerner Solution Architects or SA’s, are assigned to each team and will guide us through this process every step of the way. This is an exciting time for Barnabas Health as they move along a path focused on clinical excellence, connecting our hospitals to provider offices, and building an architecture that supports the capture and sharing of real time information. We are pleased to have a staff, both clinical and technical,
In today’s market you must have a Web presence to compete. Hospitals are no longer immune to changes brought about by the intenet and web based transactions. Patton-Fuller must look internally to see what services could be offered through a Web Portal to extend as much information to their patients as possible. Some information that could be delivered to patients electronically are newsletters, viewing of peoples public information that are currently in the hospital, such as patients’ room numbers, as well as the ability to purchase
This section defined workflow, workflow management, workflow improvement concepts, theories and components. It has introduced software that could be used to support a workflow redesign endeavor. In addition, it has provided a basis for how an organization could begin to formulate and execute a plan to change the way work is done. This redesign, in turn, would allow for the use of information technology to enable the process of improved patient care and organizational performance. The remainder of this toolkit will focus on healthcare organizations that have used these tools to transform patient care within their organizations. By conveying their stories, the EHR Adoption Task Force hopes to demonstrate how such a journey can allow for improvement
Planning is the most critical part of the organization’s information management process and requires the collective involvement of all employees of the hospital. Therefore, staff and licensed independent practitioners, selected by the hospital, should participate in the assessment, selection, integration, and use of information management systems for the delivery of care, treatment, and services.
SHC mission was to care, to educate, and to discover for the benefit of patients and larger community. Multiple problems and opportunities were present within the organization’s IT infrastructure that needed to be resolved before implementing an EMR system. The case stated, “In the early 2000s, SHC was in no shape to support an EMR system comparable to other healthcare groups” (Denend & Zenios, 2010). They needed to fix their existing IT infrastructure in order to resolve network, security, and regulatory compliance (HIPPA) issues. After addressing these concerns, they could focus on a solution for an EMR system. The strategic motivation behind implementing an EMR system was to reduce cost, meet competitive (internal and external) pressures, improve
The potential for growth in the field of Health Information Management (HIM) is undeniable. With the diversification of the HIM profession, the implementation of new technology, and with an ever growing population, the HIM profession will undoubtedly continue to grow. The HIM professional is experiencing an expanded role in the development of standards on both the national and international levels (AHIMA, 2014). A key component of the HIM profession is the acquisition of new technology. As the current infrastructure of the hospital ages and becomes obsolete, HIM professionals must actively seek technology which is compatible with their organization’s current equipment but also able to support future equipment. Another cornerstone of
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
This system has proven success in working with hospitals of this size. The hospital already utilizes many pieces of patient equipment which have platforms which interface easily with the Cerner®. This will allow the nursing, pharmacy, physician and respiratory care staff to pull patient care data from the devices into the on line documentation forms. Cerner® is certified for meaningful use.
Patton-Fuller Community Hospital is a nonprofit Healthcare organization in the city of Kelsey that has provided quality
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
In 2005, HIMSS Analytics developed the eight-stage EMR Adoption Model. The model reflects the results of more than 5,000 institutions surveyed about their level of clinical system implementation and progress toward a paperless EMR (HIMSS, 2009). To progress through each stage of the model, capabilities within each stage must be operational and all lower stages must have been achieved before a higher level will be considered achieved (HIMSS, 2009).
Health care organizations that choose to convert to an electronic medical record system (EMR) have several advantages; most important it increases patient safety, efficiency, cost-effectiveness and security. Accepting such a transition also presents with its share of challenges like preparing for the required significant time obligation and resources that will make the transition a successful one. Leadership and management must create an atmosphere that will get the buy-in of all stakeholders. Providing information about the process and what methods will be best to make the conversion to an EMR system is an important aspect of the implementation
Despite the hospital is one of the best, some people called the organization “an unruly mob”. Malcom Weinier, vice president of clinical and support services, told that the BI hospital has a structure that’s typical for a hospital. “It is part hierarchy, part team, and part matrix, but more team than anything else.” It works like a strong triangle, a nurse, an
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
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.