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.
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
Healthcare and health information technology (health IT) are undergoing transformative change at an unprecedented pace. Strategic planning has become a major discussion point among CIOs, CTOs, CMIOs, and IT Directors. Whether it is implementing enterprise-wide electronic health record (EHR) systems, working toward compliance with the “meaningful use” EHR Incentive Program, enabling patients’ involvement through PHRs, transitioning to ICD-10, establishing insurance exchanges, becoming an accountable care organization, or even deploying a medical home, healthcare executives are confronted with a confluence of high-priority initiatives.
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.
Epic resulted in the transformation of Yale-New Haven Health by substituting disparate EHR’s (electronic health records) and the health system with a centralized EMR (electronic medical record) and a revenue cycle platform. Lisa Stump revealed that Yale-New Haven Health applied a Big Bang approach to ensure uniformity of implementation for the Epic system. However, she maintains that there was need to modify the approach based on the requirements of the existing practice. Again, the Vice President added that effectively achieving uniformity in Epic’s implementation was more about managing the resultant change and thinking actively on the ways of managing the change for Yale-New Haven Health. The task of implementing Epic at Yale-New Heaven Health incorporated the participation of its nurses, employees, and doctors. Moreover, redundant modifications were removed in Epic’s implementation because the organization is dedicated to ensuring standardized content and workflows. The benefit of applying the Big Bang approach in ensuring uniformity is that an entire hospital goes live on an EMR with a periodical departmental roll-out strategy. Consequently, the approach helps in ensuring that each person is
In 1988, an information system called the Composite Health Care System (CHCS) was formulated by a company called Science Applications International Corporations (SAIC). Science Application International Corporations won the contract worth $1.02 billion from the Military Health System to design, develop and implement CHCS. Although CHCS information system was designed in 1988, it wasn’t until 1993 that the system was introduced. Since 1993, CHCS has become the biggest medical information system for the military medial facilities. CHCS is the most essential part for the Department of Defense (DoD) for inpatient and outpatient. The system supports 143 military installation worldwide, 1,100 military clinics, and produce thousands of daily
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.
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).
My facility has rolled out the implementation of Epic electronic health system. The implementation process started at the primary acute hospital setting, beginning on a test unit. It was then rolled out to the other hospital locations. All health care providers were mandated to
In most of the healthcare organizations, there is a position for the chief technology officer (CTO). The CTO leads the information technology architecture, including the strategies in health care organizations. Importantly, the CIO has a higher rank than the CTO. As such, when there are any IT-related initiatives and recommendations, the CTO reports them directly to the Senior Vice President and the Chief Information Officer. Because healthcare organizations are rapidly acquiring and implementing HITs in their organizations, the need to make clear the vision of the organization, in that context, is imperative. Therefore, the CTO comes in, develops and articulate the technology vision of
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
For a medium-sized urban hospital with 160 beds and 1,500 associates to be able to gain the trust and confidence of patients and compete with mega-hospitals in the healthcare industry, the management of the hospital would have to explore new technologies that would enhance the quality of services and patient care rendered to customers. Further, to ensure that all the departments in the hospitals such as ICUs, mother & baby, emergency services, radiology, oncology, surgery, and operating room (OR) would have to function efficiently and improve the patient experience. New EMR application would improve the security of patient’s information and ensure timely retrieval of medical records such that the quality of diagnosis would be enhanced significantly. As the IT director, it is my responsibility to make sure that the hospital system has a robust IT network that would enable efficient information flow within
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
PH’s patchwork IT infrastructure is in critical condition, so it has major IT infrastructure problems. CEO of PH Max Berndt is trying to find the right solution. He has an option to go with a single set of systems and applications (Monolithic System) that will provide consistency across PH’s facilities but may not give doctors enough flexibility or he can choose service-oriented architecture (SOA), a modular design that will allow PH to standardize incrementally and selectively but poses certain risks as a newer technology.