The Agency For Healthcare Research And Quality

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.

The traditional healthcare services organizations are expected to be transformed in the coming years, to include:

The high cost of healthcare continues to rise and many in the United States are optimistic for health information technology to reduce and improve our current situation. Health IT encompasses a broad array of new technologies designed to manage and share health-related information. When properly implemented, these systems can help coordinate patient care, reduce medical errors, and improve administrative efficiency. Therefore, implementing a Regional Health Information Organization (RHIO) will help the National Health Information Network (NHIN) achieve their goals in improving quality of care for the citizens of the United States. Thus, in order for the health IT to deliver on its promise, several obstacles must be overcome.

With the growing ability of organizations to capture and analyze large batches of data, there are ever-increasing possibilities for the development of healthcare studies utilizing Big Data’s promise of advancement in data processing. These tools can benefit the field of healthcare by treating data as an asset to be managed, as well as providing new insights into genomic development of large populations that were previously not fathomable. The health care industry is one sector of the economy where data analysis presents great opportunities for improvement in the quality of services provided, but with these possibilities come great challenges in collecting, utilizing, and education the next generation of data stewards, and the NIH is sure to look to global models for data quality in carrying out their new directive.

When developing a new information technology system such as a health documentation system, a team will work through a series of steps “in order to conceptualize, analyze, design, construct and implement a new information technology system”. (Morris, 2009). Traditionally, there were five phases to developing a new system, but it has been found that having seven phases can provide analysts and developers create a system that can more precisely meet the needs of a company. The stages include: planning, systems analysis, systems design, development, testing, implementation and

Healthcare reform has created incentives to increase patient engagement to increase accountability, healthcare outcome and lower healthcare cost. In the early days of this movement, web portals were created with basic functions of requesting appointments, prescription refills, and paying medical bills (Butterfield, 2013). Today, patient portals allow users to access dictated visit reports, labs, approve access controls combined with the function of the web portals. As more health information is pushed to the portals, the users (patients and family) are more involved with healthcare decisions and more knowledgeable on available options that meet individual need.

My wellness portal is funded by AHRQ Health IT Portfolio through its Enabling Patient-Centered Care through Health IT initiative. It is a comprehensive patient-centered, prevention-oriented, Web-based personal health record (PHR). Personal health record is a personal health management solution that supports the delivery of preventive health services by primary care providers and involves patients in the process. According to Dr. James Mold (2013), My Wellness Portal personal Record System was developed as part of strategic plan to build and test a novel comprehensive care delivery system through primary care physicians. The team originally set about to develop an immunization registry that help clinicians know what immunizations were due

The National Institute of Health (2014) listed the most common form of familial hyperinsulinism to be an autosomal recessive genetic defect that is common among the Ashkenazi Jewish population. This condition affects 1 in 66 carriers who are Ashkenazi Jews since they have reported consanguineous marriages (NIH, 2014). Among Ashkenazi Jews, two single ABCC8 mutations account for 90 percent of cases of familiar hyperinsulinism (Mazor-Aronovitch, et al, 2007). The incidence of FHI in individuals of northern European descendants is approximately 1:30,000 live births. The incidence is increased in genetically isolated populations with a high prevalence of consanguinity (UpToDate.com).

Implementing Health Information System (HIS) in health care is viewed as an effective strategy to deliver safe and integrated patient care. After the introduction of incentive payments to meaningful use of Electronic Health Record (EHR) many health care organizations are actively undergoing the process of HIS implementation or its update to deliver quality care (Boswell, 2011). It is crucial to analyze the factors that will lead to successful implementation of HIS thereby the organizations not only save money but also choose to adopt the technology that is appropriate.

With the rapid growth in technology, many healthcare organizations have embraced the use of healthcare information technologies. As such, the information technology department has various staffs that perform fundamental roles in the information technology-related activities. It ranges from activities of customizing a software to implementing and maintaining a network to ensure effective system backups. In addition, these healthcare information technologies bring about other

Information is an essential tool for managers in the retention, recruitment, utilization and evaluation of human resources in health services organizations. Since they support the goals and objectives of the organization, information systems play an important role in planning and management of human resources. These systems will serve as an important personnel administration operational programs, including employee record keeping, budget control, compensation, benefits management, and government reporting.

Looking ahead into the coming century and seeing that life is becoming only more complex and busier, the program attempts to make its plans as easy as possible and to customize them to people's lives. To that end, it presents tools and calculators to help their clients keep their health on track, as well as personalized health sites and personal assessments to help people know where they stand in terms of their health (http://www.uhc.com/health_and_wellness.htm). United Health Care realizes that people spend much of their time on eh Internet and some

Stakeholders are important for all projects because stakeholders are persons or groups that have a vested interest in clinical decisions and the evidence that supports the decision (Agency for Healthcare Research and Quality [AHRQ], 2014). Involving stakeholders from the beginning improves research results, and helps confirm that the findings are appropriate to the users' distinct concerns and have applications in real-world situations. There will be multiple stakeholders for the project. Patients will be stakeholders because they are the ones that are actually going to benefit from the project, so having their input during the duration of the project and during the implementation time will be of high importance for success with the study and the change process. Physicians and advanced practice providers will also be stakeholders, and they really are at the heart of medical decision making so their input can help make a major impact on the success of the project. Having their participation not only during the study, but also during the implementation process, will ensure that high quality information is being relayed to the patients. Lastly, the local teaching hospital will be the

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