Meditech

Clinical integration is the overall purpose of an integrated physician model. Clinical integration provides an opportunity to coordinate services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs (Harrison, 2016). This needs to be a major factor in the planning process. When you have the capability and access to an patients care plan because of greater resources and having all of the necessary silos to provide such care, well then it becomes a much smoother process and as a result this can play a factor into timely care and quality of care, as well it can contribute to cost reducing factors such as outpatient care. The electronic health records allow each silo to have access to treatments and testing that has already been done, this further improves quality, timely, and costly care. The clinical pathways allow creating a standardized care plan for patients that over time become more effective and efficient. The management of chronic diseases before clinical integration could be very costly and painful, requiring the patient to see multiple facilities and doctors with limited communication between the different facilities. With success in clinical integration these patients can have easy access to their providers and information because it would all be tied together, it can reduce the stress of knowing everything themselves because the information would already be

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.

Integration will lead to superior diagnoses as doctors will have access to medical records from across the country, enabling them to draw on the diagnoses of other doctors facing similar situations. It will also allow for seamless care as records for the same patients will be instantly accessible and fully up to date wherever they go. The application layer will be standardized, with a consumer-facing mobile and web application and a doctor-facing web portal. While the way care is administered differs from hospital to hospital and clinic to clinic, what a practitioner needs from an IT solution will remain relatively constant.

“A progressive success story.” Mallaby offers a few words from Jason Furman of New York University in description of the company so many know as

Along with the new technologies applying in healthcare, the documentation processes and storages also change from paper charts to computer-based electronic health records (EHR). Many healthcare organizations currently maintain patients’ health records in both formats of paper and electronic. The combination is known as hybrid health record system, which is used to assist in different methods that patients’ information is collected. Hybrid health records (HHR) contain specific patients’ health information. HHRs are stored manually and electronically in multiple places. Current patients’ health records usually contain both digital documents and handwritten notes. Patients’ data are electronically stored, such as laboratory, radiology tests,

Electronic medical record or EMR is information technology applications. These are helping managers improve methods in facilities. Health care technology is improving and evolving EMR is an important part of that component. Health information technology helps with health care organization to keep an accurate track with patient medical information. There is also Clinical Decision Support System that helps with figuring out diagnostic treatment recommendations it helps nurses or doctors it is referred as CDSS. Electronic Management Material is used in health facilities or EMM helps with tracking inventory, such as medical supplies, pharmaceuticals, and others. These applications help to improve quality in the health care facility or services at FMHC. It helps managers keep accurate data to make sure doctors have the right information on patients and his or her care. The managers at FMHC can look through the CDSS databases and collect the correct information to see warnings on drug interactions on prescriptions to clinical protocols. The EMM can ensure the organization has the supplies

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 Medical KM is used by doctors and nurses to access online medical databases to assist in patient diagnosis and drug administration.” (Apollo Group Inc., 2013) As stated this information system is web deployed and links not only to internal databases for patient medical records, charts, etc., but connects to external databases that contain the same types of information.

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.

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

Transition: Now that we understand how the company started let’s take a look at how it grew during the early

Technology has had a role in healthcare for some time, but only recently has it matured to a point where it can support operational, business and clinical functions of healthcare organizations. In the past, many hospitals used technology for specialized departments and unique roles, but the concept of a complete electronic health record system did not exist until the early 2000’s. The American Hospital Association (AHA) Information Technology (IT) Supplement to the AHA Annual Survey stated that in 2008 only 9.4% of hospitals had a basic electronic health record (EHR) system (HealthIT EHR, 2014). They defined a basic EHR as having electronic clinical information that includes results and the ability to enter and view clinical notes. Without the ability for healthcare organizations to capture clinical information electronically, an online patient engagement solution cannot

Horizontal integration is the expanding of a company through increasing the service to create a stronger and more enhanced company that provides the same service. Vertical integration is when a company owned individual providers create or operates the distribution themselves. In order to provide the best healthcare service, healthcare facilities needs to offer a network of providers with a wide range of healthcare service. The term integration delivery system (IDC), “is a network of organizations that provides or arranges to provide a coordinated continuum of services to a defined population” (Shi& Singh, pg. 366). The goal for healthcare organization is to provide high quality and efficiency of care with cost reduction for healthcare aimed toward the patient population. This goal is not only a great benefit for an organization but for patient and also for healthcare services providers.

These features benefit the nurse for a better way to manage and patient data without using a paper chart. Correspondingly, Meditech provides a worklist too. So, nurses that use this system can also follow, keep track, and document to maintaining a record of information of the patient under their care (Medical Information Technology, Inc, 2017). Nevertheless, both systems provide real‐time updates of patient information and allow nurses to receive icon‐based notifications of new information and tasks. Apparently, with the NIS nurses will excel in quality of care to their patients.

To say the juice guys started their company, Nantucket Nectars, on a shoestring budget would be an understatement. The two Toms built a multi-million dollar company with an initial investment limited to a $170 bottle-cap hand press, recycled bottles and an assortment of fruit. They had no formal business training and conducted no market research. Their business was born