PI Team Case Study

Case Study - Sometimes a Simple Change Isn’t So Simple Regina Pierson Berkeley College School of Graduate Studies November 22nd 2015 Introduction 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

Introduction Change Planned In order to eliminate the inefficiencies witnessed in many public and private hospitals that serve a number of patients, an integrated approach to handling the daily workload is necessary. There is need for all departments within the hospital to work closely together in ensuring more effective and efficient service deliveries. In this paper, a planned change is going to be carried out involving designing a new system that incorporates all the departments within the hospital. This includes the surgery department, pediatrics department, dentistry department, nursing department, pharmacy departments, laboratory and testing department, X-ray and Physiotherapy departments, Equipment maintenance and Engineering department, Information Technology

To improve the performance, there need to be upgrades with the systems that the hospital uses to keep track of the patients information. 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.

Advanced Information Management and the Application of Technology C156/WTT Task 1 Teresa Miller Student id: 000273119 Proposal 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.

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The potential sources of the problem that most of the healthcare institutions are experiencing could be that the healthcare organizations have not trained its staff or employees on how to do data entry as well as protection of the data that contains the information of the treatment cost as well as services. For that reason, the organizations should always train its staff on how to do data entry process and protect the data from being accessed by the unauthorized persons who could manipulate the data. The supervisors of the healthcare organizations are then supposed to be monitoring and also reviewing the process of entering data. That is to avoid the data inputted into the system being inaccurate. Another possible problem that they

Despite the challenges, this facilitating experice has instilled me a degree of appreciation of many staff who work hard behind the scene to ahcieve the common goal of providing the best care possible to patients within the scarce resources. It was possible to see how good working relationship with other disciplines can improve overall efficiency.

Organization barrier: due to astronomical cost associated with the implementation of the CPOE system, resistance might stem form top management team. Successfully CPOE implementation required a long term financial commitment, and return of on invested might not be visible in the near future. Additionally, organization barriers are complex, and it will require redesigning the entire workflow process of the entire healthcare organization. Hence, the success of the proposed change might lies with the acknowledgements of these barriers.

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.

Implementing an Integrated Electronic Health System A significant, impactful trend on healthcare organizations (HCOs) is the implementation of technology-based information systems (IS). The systems consist of hardware and software used in gathering and processing data that supports the provision of patient care. There are administrative systems, which have been in place

Needs Assessment To Enhance Technology In The Organization The Institute of Medicine (IOM) introduced five core competencies for healthcare professionals, to improve the United States healthcare system: provide patient-centered care, work in interdisciplinary teams, employ evidence-based practice, apply quality improvement, and utilize informatics (Institute of Medicine of the National Academies, 2003).

Stage 3 – EHR – Proposed Technology Solution Improvement Process In Stage 3, enhancements to the UMUC Family Clinic business process will be proposed by recommending HIT (health information technology) solution, consisting of a certified EHR (electronic health system)/EMR (electronic medical records) system. Once this system is implemented, it will immediately improve the current process. Customer complaints are high, and the focus is on the long wait times and redundant processes when a patient arrives to be checked in. Moreover, some nurses are not readily available, because they are preoccupied with other administrative duties within the practice. Inconsistent record keeping practices lead to additional time searching for patient records. A HIPPA violation may be detected if a patient’s record is misfiled or lost; henceforth, creating a need for supplemental time and possible duplication of another medical record may be required. This process can be greatly improved by the HIT solution using a terminal loaded with the EHR solution. This will allow patients the ability to enter all of their health record information upon their arrival and that information will be instantly available to the nurses and doctors. This process will also give the patient the opportunity to validate the information and make any necessary changes (benefit information, addresses, phone numbers, and medications).

TeamSTEPPS® can enhance an organization by organizing the collaborative team. This program is designed to improve patient care by enhancing communication and teamwork skills among health care professionals. TeamSTEPPS teaches health care providers new communication techniques, importance of mutual support and situational monitoring. These critical components can prevent infection, medication errors, and other common areas in the healthcare workplace.

The paper is going to talk about the steps that California’s Sutter HealthCare organization took to ensure that its patients could afford the best healthcare for its families and community members. There have been a lot of different issues that have aroused one being inability to collect payments from families.

Key Issues: Dr. David Torchiana (Cardiac Surgeon) and Dr. Richard Bohmer (Quality Improvement Administrator) want to improve the process in the hospital by