Questions On Information Technology Procurement

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.

Two organizations migrating to a common health information system would need a system that meets current regulatory requirements, meets the needs of the combined organization and their practice environment. The implementation of a common health information system would require an interdisciplinary group of forward thinking innovators, and an interoperable electronic medical record system that includes standard nursing terminology.

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.

Healthcare systems are highly complex, fragmented, and use multiple information technology systems and vendors who incorporate different standards resulting in inefficiency, waste, and medical errors (Healthinformatics, 2016). A patient 's medical information often gets trapped in silos, which prevents information from being shared with members of the healthcare community (Healthinformatics, 2016). With increasing healthcare costs, a system needed to be created that would lead to the development and nationwide implementation of an interoperable health information technology system to improve the quality and efficiency of healthcare. Introducing the National Health Information Network (NHIN), this organization can be defined as a set of

Examination of the types of database systems that are available and how health care facilities utilize these different types of databases is the topic of this report. Giving more detail on the different types of architecture of databases and data structure will follow.

Anita Ground also stresses on the huge importance of this planning stage by using a concept of system life cycle. It consists of feasibility study, analysis, design, programming, implementation, and lastly maintenance (Ground, 2011, VA TMS training material). The analysis phase in particular would coincide with what the author Yoshihashi is presenting in figuring out office strategy and researching EHR options. Identification of stakeholders and system requirement would play a critical role in EHR adoption (Ground, 2011). Stakeholders would include patients, family, clinicians, billing, registration, and coding as well as the external users such as Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS). Bottom line is that the new system being purchased would need to provide meaningful use to the clinic based on the current certification standards.

“The time and resources needed to implement a new health care information system can vary considerably based on the scope of the project, the needs and complexity of the organization, the number

Besides identifying the objectives required to qualify for meaningful use, we must also consider the Ambulatory care practice’s key goals of streamlining registration, billing and improving the patient record documentation process. The project team should diagram and process map the current as well as the new proposed work flow to determine their specific needs and define objectives. When considering an EHR vendor, it is suggested that the Ambulatory care practice be able to demo the product with specific scenarios applicable to the

The health information system being selected is QuaDramed and the hypothetical health care organization selected is rural hospital. QuaDraMed EHR solution provides the accurate, reliable foundation organizations need to link and manage patient records across disparate Information technology (IT) systems in rural hospital. By leveraging the powerful capabilities of QuaDramed’s EHR technology and PatientSecure, organizations can better patient safety and satisfaction, protect patients from medical identity theft, and minimize the risk of insurance card fraud. Organizations can also reduce duplicate healthcare records and overlays in the EHR leading to immediate cost and time saving (QuadraMed Corporation, 2015).

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 for decades and their usefulness are highly recognized. They track services rendered, billing processes used for third party payers and patients, as well as payroll for employees. Administrative systems are essential for the financial component of a business. More recently, the importance of clinical information systems has moved into the spotlight. They are intended to

While many people believe that health information exchange is a relatively new thing, it has been around for over four decades. However, in the beginning phases it was nowhere near as complex as it is now. Sometime in the middle of the 60’s, an early form of a data processing system was formed and it focuses on clinical data management. This system began to catch on even though they were nowhere near as sophisticated and or functional as the health records in today’s time.

One of the challenges would be advances in healthcare technology - there are evidences of Difficulties in implementation of cross-continuum electronic health records, which are mostly attributed to the lack of resources. With the newer reimbursement model, it is essential for an integrated network to have a vast network of information. It should be able to collect, maintain and provide applicable access to administrative, clinical and financial data in order to supervise quality and costs while providing patient-centered care.

All companies involved in any type of medical field whether social care, mental care or physical care, are affected by the need for Health Information Exchange. This includes small organizations to large multi-hospital organizations. Healthcare has become a competitive field with organizations needing to control their costs, while keeping clients by providing the best care possible. Patients have come to realize that if not satisfied with their care, they will go elsewhere. This has allowed for a competitive

The Computerized Provider Order Entry is effective program to help organization improve quality measures and financial margins. The CPOE is effective program; which monitors a hospitals current performance and calculates methods of improvement. For example, Trinity Hospital a leader in clinical intelligence to track and report across it members hospitals on systems wide quality measures (Balgrosky, 2015). The Clinical Provider Order Entry will help patients compare programs graded by the Center for Medicare & Medicaid and Hospital Quality Assurance. This program will further enhance the patient-centric model because patients will have comprehensive comparison of hospitals to make informed medical decision as to where they would like to receive treatment. The quality measures monitor readmission, complications, patient’s experience surveys and other categories. Patients are interested in receiving health care in top-notched care facilities that address their needs. Consumer needs are very important because translating into referrals by word-of-mouth or rankings. Technology plays a major role in an organization's success with supports Judy Murphy idea of enhancing patient’s health information technology

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