Orchestrate Healthcare: A Case Study

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

Partners HealthCare is a non-profit, health system located in Boston that created a data based transformation (Davenport, 2013). It integrated a new system that aligned the participating organizations to cohesively run as one and to help shape the future of the organization. The system didn’t stop there as it was responsible for bettering the patient financing experience and the delivery of healthcare information to other organizations (Davenport, 2013). The initial goal of the organization was making patient care more affordable and accountable by providing integrated, evidence based, patient-oriented care.

In early 2011 Children’s Hospital of Wisconsin (CHW) informed it patients and the general public that it would be fully immersed in another version of the electronic health record system, EPIC, by the completion of the 2012-2013 fiscal year. With so many hospital, clinic, and community locations, the hospital needed to implement the system in phases and fully engage thousands of

On 9 December 2011, in a letter to clients, McKesson described its new Better Health 2020 strategy, part of which is designed to "improve patient safety and deliver better clinical and financial outcomes through a fully integrated core clinical and revenue cycle IT system” (San Francisco Business Times, 2011). The move to the Paragon solution suite addressed this new integrated path to health IT.

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.

The medical staff has been using “best of breed” systems and has concerns of loss of key functions. However, they agreed to adopt EPIC, an enterprise-wide system designed for maximal integration and continuity of care throughout the continuum. This agreement was reached without any understanding of a potential loss of functionality in the new system, and an assumption the new system will be acceptable to the physicians once installed.

Epic is a single integrated system for the clinical and business functions of health care provision that include registration, scheduling, and billing. The system is owned by Epic Systems, formerly Episodic Care, a large provider of HIT (health information technology) and is mainly utilized by health providers in accessing, systematizing, storing, and distributing EMR’s. Epic Systems is an independent firm in Verona, Wisconsin with a vast campus. Epic is useful in streamlining regulatory compliance, clinical workflow, quality care, the patient experience, and clinical documentation. This is a reflection of the

I’m glad to hear that your hospital is getting the Epic network. We have had both negative and positive experiences with the Epic system. Much of the frustration had to do with the way applications were set up and needing time to learn new system. On the hand, electronic documentation has enhanced communication between clinicians including nurses. Also, electronic documentation reduces medical errors and improves patient care. Although electronic documentation has improved nurse’s communication and efficeincy, it brought new terminologies that are specific to electronic documentation. These terminologies are standardized and require nurses to learn and use accurately (Sewell, 2016).

I recommend using Epic as a tool to help keep all of the patient’s information confidential and easy to access with a click of a button. This will allow for every department to have access to a certain patient’s file whether to be from a doctor entering notes about the patient’s visit, to health insurance billing department making sure that copays and such are being paid and their accounts are kept up-to-date. The hospital governance plays an important role because of the need for funds to help keep the hospital. By providing more outside events to raise money for the hospital will be a great start to being able to fully provide for each patient that comes through Middlefield Hospital doors.

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

Information systems assist Patton-Fuller Community Hospital in setting and accomplishing it goals of improving and collaborating interdepartmentally with management, employees, staff, and customers (Apollo Group, Inc, 2013). Proficient information systems objectives are to provide effective and efficient services; add profit and cost-avoidance; and social responsibility (Blue Avenue Associates, 2010). Patton-Fuller objectives are to improve the efficiency of the hospital operations, relationship with current and future patients, and support finance management (Apollo Group, Inc, 2013).

They electronic medical record being evaluated are Cerner and EPIC. The multidisciplinary committee will determine which program meets the needs of the 100 bed hospital.

According to their website, Epic is a private and employee-owned company that “makes software for mid-size and large medical groups, hospitals and integrated healthcare organizations - working with customers that include community hospitals, academic facilities, children’s organizations, safety net providers and multi-hospital systems.” The core of Epic’s kernel is based off of on an antiquated programming language known as MUMPS (Massachusetts General Hospital Utility Multi-programming system) which was invented by a founder from rival Meditech in 1968. They [EPIC] have developed systems to seamlessly transition the state of medical records from a paper driven environment to a virtual environment. Epic allows

My interest in Healthcare Operational Management emerged from the experience I had during the Health, safety and environmental management course I undertook during my Service year. However, it has been my growing interest to undertake postgraduate study in a course that would enable me to apply my practical Skills and gain essential knowledge to pursue my career goals. Furthermore, I chose the course because I am particular to how tragic events occur due to multiple and repeated lapses in health service sector, which have led to several complications; claiming lives and properties. Therefore, this inspires me to want to become an advocate for Healthcare management.

Patton-Fuller Community Hospital is a nonprofit Healthcare organization in the city of Kelsey that has provided quality