Legacy System Essay

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 company is served by an IT infrastructure comprising of an amalgamation of off the shelf software and components and locally developed applications and middleware. The hardware infrastructure is by and large robust and capable of withstanding any current operational peaks. The infrastructure employs a high level of redundancy and good recovery and password management systems, so there is little risk of high business impact in the case of IT issues. No architecture document exists and minimal change control is executed.

A successful IT system is something that is composed of several different functional components to make it a whole. It takes each component to efficiently work so that the entire system runs smoothly. When one or more parts of the system are not properly working it can affect the entire IT system as a whole and render it completely vulnerable to people with malicious intentions. In this paper I will discuss the role of each component in it and shed some light as to why each is needed.

Everyone has a legacy. A legacy is like a message in a bottle, something you leave behind to be discovered again. It’s a story that people are remembered by, whether it’s a work of art or a famous quote. It’s an impact you leave for a place or a person. A legacy is like a treasure chest; all you have to do is unlock it. I want to make my own legacy so I’ll be remembered for something. It doesn’t matter what it is, I just want to leave a positive mark on this school.

Throughout my high school career I have tried to impact the lives of those around me while also learning from those around me as well. Over the four years I have attended my high school,I have grown into a person who is now more attentive of the different people, opinions, and cultures that surround me and this in turn has allowed me become more open-minded. This would be the legacy I hope that I leave behind. When I graduate from school and consequently leave my community, I hope that I have left a legacy of growth. That my experience can be an example of someone else because it is my firm belief that the greatest legacy one can leave behind can be a legacy others can learn from.

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.

I have earned a Legacy Scholarship for a number of reasons. I have attended schools in Mapleton since I was in preschool. Ever since then, I have loved going to school and have had many ambitions for myself. Because of that, I have always thought of myself as a precocious child. I believe I have had many responsibilities since I was young, and therefore making me very independent. For instance, my mom has worked nights for as long as I can remember. Because she would work nights, when I’d get home from school she would be on her way out for work. This meant that there was no one to tell me to do my homework or help me with it. Ever since I was in kindergarten I was a responsible and intelligent student and that has continued up to this date.

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.

Not every school. Also, a lot of those comments or statement were just opinions. Not valid facts.

The federal exchange and the local governments launched their affordable healthcare system on October 1, 2013. Their system crashed, timed out and or froze before consumers could were able to complete their applications. There was one state that outperformed the federal government’s exchange. This state had the only up and running system since the beginning. This was the state of Kentucky. Kentucky, under the advisement of Sparx, their outside contracted IT experts, used a reusable framework which gave them a head start to this large statewide project. This project duration was little over 27 months of constant planning, designing, and development of this state level exchange.

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.

The ARRA includes the Health Information Technology for Economic and Clinical Health (HITECH) Act, which pursues to improve American Healthcare and patient care through an extraordinary investment in Healthcare IT (HIT). The requirements of the HITECH Act are precisely designed to work jointly to provide the necessary assistance and technical operation to providers, enable grammatical relation and organization within and among states, establish connectivity in case of emergencies, and see to it the workforce is properly trained and equipped to be meaningful users of certified Electronic Health Records (EHRs). These computer software products are designed collaboratively to intensify the footing for every American to profit from an electronic health record (EHR) as part of a modernized, interrelated, and vastly improved grouping of care delivery.

With the advent of electronic health records (EHR’s) and The American Recovery Reinvestment Act (ARRA) of 2009, electronic health records have become main stream and a requirement for healthcare providers who treat Medicaid and Medicare patients. An electronic health record (EHR) is a digital version of a patient’s paper chart (Health IT, n.d.). EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. A portion of ARRA provides reimbursements to providers that have EHR’s that are certified for meaningful use. Certified EHR’s meet meaningful use requirements by meeting the government the Health Information Technology for Economic and Clinical Health (HITECH)

A legacy can be describe as many things. Some people leave good legacy but also bad ones. A legacy is the only thing many people remember you by. Many people have the legacy of being a great doctor or a fantastic husband. I would like mine to be about the positive things I did in life. Even when I made mistakes I want people to remember I always tried to fix what I did wrong. Well for me I would like my legacy to be good. I want to be remember as the friend who was there for any one at anytime. The lovely mother and friend who was always there.