...CHAPTER 7 SYSTEM IMPLEMENTATION AND SUPPORT LEARNING OBJECTIVES ■ To be able to discuss the process that a health care organization typically goes through in implementing a health care information system. To be able to appreciate the organizational and behavioral factors that can affect system acceptance and use and strategies for managing change. To be able to develop a sample system implementation plan for a health care information system project, including the types of individuals who should be involved. To gain insight into many of the things that can go wrong during system implementations and strategies health care managers can employ to alleviate potential problems. To be able to discuss the importance of training, technical support, infrastructure, and ongoing maintenance and evaluation of any health care information system project. ■ ■ ■ ■ 167 168 System Implementation and Support Once a health care organization has finalized its contract with the vendor to acquire an information system, the system implementation process begins. Selecting the right system does not ensure user acceptance and success; the system must also be incorporated effectively into the day-to-day operations of the health care organization and adequately supported or maintained. Whether the system is built in-house, designed by an outside consultant, leased from an application service provider (ASP), or purchased from a vendor, it will take a substantial amount of planning...
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...developers, what measures are necessary to ensure the development of an effective health information system? Since the early 1980s, the healthcare industry has been discussing the need for electronic health records. And indeed, the past 20 years have seen the industry move toward a completely computerized medical record. A variety of technologies have contributed to this evolutionary process, including point-of-care clinical documentation, clinical data repositories, and automated results. The cumulative effect has resulted in slow but steady progress toward a complete electronic health record for the healthcare industry. Clinical and administrative data needed to assess and improve quality, identify potential cost savings, and make strategic decisions have become important as the pressure on healthcare rises. Current trends in healthcare that will drive information technology priorities in the immediate future include the following • Concern about medical errors and overall quality of care • Continued pressure for cost containment • Consumer empowerment • Growth in the use of evidence-based medicine • Demand for protection of privacy and confidentiality of information Effective health information systems are ones that improve health outcomes and reduce healthcare delivery costs. Since most developers are not clinicians, and most clinicians are not developers, to implement these health information systems successfully we must have some understanding of the healthcare domain...
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...Process of Selecting Health Care Information System Health care organizations are trying to stay current with health care technology to provide high quality care, and lower health care cost(Matthews, 2000). Selecting an information system is complex and challenging because of the new technology and higher cost. When health care organizations implement an information system then the organization will become more efficient, and deliver effective health care. Implementing new information systems takes a team of individuals with different expertise to plan and manage the information system. Most health care organizations develop a team that has nurses, doctors, office personal, and IT specialist that worked together to keep information systems. Acquisition Process The process of selecting an information systems starts with selecting a project steering committee, and project manager. The project manager will plan, coordinate, organize, budget, and manage the process of selecting and implementing information systems(Wager, Lee, & Glaser, 2009). The next step is to define project objectives and scope of analysis. Once project goals are formulated the product manager is able guide the committees activities. Health care organization should investigate different EMR systems and schedule demonstrations before choosing an information system(Wager, Lee, & Glaser, 2009). Project managers will determine system requirements request information, explore other options...
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...Health Care Information Systems Abstract The U.S. government plays a large role in all areas of the health care delivery system, from financing to organizing, overseeing and providing care. Because of the large scale of the integration of the health care delivery system, government should lead the way and model the rest of the nation after two health care systems run by the government, which provide quality care and are up to date with information technology systems. Health Care Information Systems The United States health care delivery system is not meeting the needs of the American population. With the advancements in medical science and technology, Americans are living longer, and we are seeing an increase in chronic conditions that need coordinated and integrated care. As the cost of health care in the United States escalate, attempts to control those costs also increase. Controlling costs and access and quality improvements to the health care system are the issues pushing the Information Technology policies. Studies are consistently showing that the adoption of Information Technology is one answer to alleviating the rising costs to both patients and health care organizations and providing evidenced based health care management and organizational changes, providing and protecting consumers confidential and private health care information, ensuring the reduction of medical errors and waste. The Institute of Medicine’s, Crossing the Quality Chasm has...
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...veteran health administration bill was signed on July 21,1930 by President Herbert Hoover. The veteran affairs were created to provide health care services and certain benefits to former military personnel and their dependents. The veteran affairs have three administrative divisions. The divisions are as followed, veteran benefits administration, veteran’s health administration and National cemetery administration. The "Department Of Veterans Affairs" (2016) website. As of today there are 1,700 Veteran hospitals and clinics The "U.S. Department Of Veterans Affairs " (2016). Today veteran hospitals use VistA, which is VA's award winning Health Information Technology (IT) system. It provides an integrated inpatient and outpatient electronic health record for VA patients, and administrative tools to help VA deliver the best quality medical care to Veterans. VistA is also used to manage multimedia for cardiology, radiology and pathology. It is able to provide video clips of each scan as well as images. Veteran hospitals today also use BCMA barcode medication administration system. The BCMA is used when a patient needs medication; each nurse scans the patient bracelet as well as the medication that will be given to the patient to verify this is the correct medication for that patient. Vistas became the instrument of change at the VA in the mid 1900’s and since this change Veteran hospitals and care facilities have noticed a drastic change in patient care in health care records...
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...Health Care Information Systems Jasmin Dedic HCS 533 April 30, 2012 Linda Hagler-Reid Health Care Information Systems Health care system came a long way in the past two decades. New technological advancements forever changed the face of the industry, and made things possible that seemed unimaginable in the late 20th century. Knowledge gained through research and experience brought our healthcare system to the standards higher than anywhere else in the world. Reaching the highest of standards in quality of care would have been impossible without great new technological systems that were introduced to health care, and transformed the dynamics of its delivery. One particular area of technology that is the key to health care’s development is health care information system (HCIS). Electronic Medical Records provided the health care facilities with the ability to store large number of patient information in one place while maintaining them in perfect order and with very simple accessibility. This might not seem like a big deal to those who do not have the understanding of the ways things were not so long ago. Only when compared with the previous practices of record keeping, one can realize the revolutionary changes that EMR brought to the field. It did not take long for major hospitals and other facilities to realize the powerful potential of this system that can greatly accelerate and improve the everyday functions of the organization. However, this potential can...
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...Evolution of Health Care Information Systems Since the early 1980s, the U.S. health care system has experienced a rapid growth in the sector of health care information technology. This growth can be viewed as an attempt to standardize our fragmented health care system. The health care information technology is no longer an option but a necessity to be compliant with the mandated federal regulations. President George W. Bush in 2004 asked health care providers to implement Electronic Health Records (EHR) by 2014. The Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA) also joined this initiative by asking health care providers to be compliant with the new legislation. Many community-based physician practices previously reluctant to embrace technology are realizing the benefits of the health care information systems, such as computerized physician order entry (CPOE), electronic medical records (EMR), tele-medicine, complex disease management, and automated billing systems. The purpose of this paper is to compare and contrast a contemporary health care facility with a health care facility of 20 years ago. Additionally, the paper will identify at least two major events and technological advantages that influenced the current health care information system (HCIS) practices. Definition of Health Care Information Systems Prior to discussing the evolution of HCIS in the last two decades, it would...
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...Running head: Evolution of Health Care Information Systems Evolution of Health Care Information Systems HCS 533 Health Information Systems Tana M. Daniel Steven Fowler January 31, 2011 Evolution of Health Care Information Systems Bridging the gap in health care information technology will promote safe, proficient, patient-focused, and effective patient care in a timely manner. In this paper the subject is to examine two contemporary health care organizations and compare and contrast several features that will include the type of information systems currently in use, analyze the transmission of data 20 years ago and how the exchange of data today. In addition, this paper will cover two major events and technology advances that have influenced current HCIS practices. Five information systems seen in health care organizations are (Wagner, 2009) 1) computerized provider order entry 2) medication administration 3) telemedicine 4) telehealth, and 5) personal health records (p. 121). Each system can provide quality improvement, improve patient safety, and be cost effective. Skilled Nursing Facilities have made significant changes over the last 20 years, in comparison to now. Looking at a skilled nursing facility present time versus a skilled nursing facility operation of Dunseith Community Nursing Home in North Dakota 20 years ago. With the implementation of new rules and regulations, this requires skilled nursing facilities to focus...
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...Health Care Information Systems Terms LinetA HCS483 November 2, 2015 George DeRosa Health Care Information Systems Terms Health Insurance Portability and Accountability Act According to Wager, K. A., Lee, F. W., & Glaser, J. P. (2013), this federal legislation includes provisions to define, specify, and protect patient health information. This legislation formulates the processes for the use and de-identification of the data and authorization of that data's use in research and analytics. Healthcare "covered entities" are bound by the constraints of HIPAA to protect private health information. HIPAA training and enforcement is utilized throughout the health care industry, to include providers, payors, patients and a host of ancillary entities. These ancillary organizations can include the insurance industry, schools, employers, public health agencies, and various research organizations. Individuals, organizations, and agencies must comply with the regulations and rules to protect the “privacy and security of health information” (U.S. Department of Health & Human Services., n.d. pp.1). Electronic Medical Record An Electronic Medical Record (EMR) is the documentation, and utilization of a consumer’s health care encounter, created and managed by the providers and staff within one health care organization (Wager, K. A., Lee, F. W., & Glaser, J. P. 2013). The majority of health care records are currently in the format of EMRs. Basic office formatted...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you have defined each term in your own words, describe in 40 to 60 words the health care setting in which each term would be applied. Utilize a minimum of two research sources to support your claims—one from the University Library and the other from the textbook. Be sure to cite your sources in the References section consistent with APA guidelines. |Term |Definition |How Used in Healthcare | |Health Insurance Portability and | | According to "U.s Department Of Health And| |Accountability Act (HIPAA) |According to "What Does Hippa Stand For" |Human Services" (n.d.), the Office for | | |(2012), HIPPA stands for the Health |Civil Rights enforces the HIPAA Privacy | | |Insurance Portability and Accountability |Rule, which protects the privacy of | | |Act, enacted by the US Congress in in 1996.|individually identifiable health | | | |information; the HIPAA Security Rule, which| | ...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines. |Term |Definition |How Used in Healthcare | |Health Insurance Portability and |Sets of establish guidelines and |It is used in health care organizations to | |Accountability Act (HIPAA) |limitations to prevent personal and health |assist on the safe guarding of patient | | |information from being openly disclosed to |information and assuring confidentiality by| | |unauthorized individuals. It was |implementing rules and regulations in how | | |established in 1996 to accommodate and |to properly handle patient’s medical and | | |regulate the unprecedented growth in the |personal records. | | |use...
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...Health Care Information Systems Terms HCS/483 June 3, 2013 University of Phoenix Health Care Information Systems Terms Health Insurance Portability and Accountability Act (HIPAA) - HIPAA is the federal legislation signed in 1996 to protect all patients’ medical records with privacy guidelines that are seen by health care professionals. It also gives patients more control over their medical records. The Health Insurance Portability and Accountability Act are used mainly to protect patient information in a health care setting. HIPAA is also used to reduce fraud and abuse from health care professionals. If HIPAA regulations are not met the consequences could be great. Electronic medical record (EMR) – An EMR is an electronic record of an individual’s health information that is generated, assembled, and managed by those who are authorized physicians and other staff from a health care facility. Electronic medical records are used in a health care facility to record patient information such as patient identification, insurance information, visits, diagnosis, and labs. EMR’s can be accessed easily, and there is no need for paper files. EMR’s can be accessed by portable devices like a tablet. Electronic health record (HER) – An electronic record of an individual’s health information that is generated, assembled, and managed by authorized physicians and other health care professionals between several health care facilities. Electronic health care are used in health...
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...Health Insurance Portability and Accountability Act (HIPAA) HIPAA was put in place to maintain disclosure of medical records which includes maintaining privacy rules on disclosure of patient information and identity. Privacy and security needs to be maintained in other to protect the services of patients, reducing ethics violations, sustaining corporate integrity as well as to increase patient satisfaction. The health care setting in which HIPPA will be used is all healthcare settings, such as hospitals, clinics, pharmacy, insurances and HMO’S. All healthcare professionals must obey all HIPPA rules and regulations to avoid penalties (Mir 2011). Privacy and security needs to be maintained in other to protect the services of patients, reducing ethics violations, sustaining corporate integrity as well as to increase patient satisfaction. Electronic Medical Record An electronic record can be defined as a health or medical information of a particular patient or individual which is generated, and taking care of by authorized healthcare professionals or health care organization. The health care setting that uses electronic medical record is hospital, physician’s office, and medical health professionals. They input the medical records such as diagnosis, test results and past records of treatment and drugs in the computerized system for safe keeping and follow up. Electronic Health Record An electronic record can be defined as centrally health information of a patient...
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...Evolution of Health Care Information Systems Looking back twenty 1990’s and now in 2010 health care has changed extremely. Health Insurance Portability and Accountability Act (HIPAA) did not exist until 1996. HIPAA made it possible for everyone to qualify for health insurance and setting privacy and they established health information standards and regulation. Veterans Health Administration’s (VHA) had a reputation of poor quality of care and the 90’s were the beginning of a major transformation of VHA that was aimed at improving the efficiency and quality of care that was being provided to their patients. Capability to do data analysis in 1990 was impossible most of the data was collected and stored in a room untouched. Advanced in technology made it possible to do research and do data analysis. The advantages in technology are beneficent to health care information in providing electronic medical records, medical billing, telemedicine and teleradiology. Evolution of Health Care Information Systems Compare/contrast of either health care facility or physician’s office operation with the same 20 years prior To look back twenty years ago in the 1990’s and now in 2010 health care has changed tremendously. In the 1990’s Health Insurance Portability and Accountability Act (HIPAA) did not exist. Prior to HIPAA, which was passed in 1996, there were no regulations or standards for health care delivery in making it more efficient for patients. There...
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...Introduction: There are a lot of abbreviations used in the United States health care delivery systems. A list of some of these abbreviations that are used by physician’s offices, hospitals, nursing homes, and other ambulatory care services are listed in this paper. 1. AMR - The definition of an Automated Medical Record, otherwise known as an electronic medical record, has been set forth by the 2003 IOM Patient Safety Report as the: • "collection of electronic health information for and about persons" • "provision of knowledge and decision-support systems [for] support for efficient processes for health care delivery" • "electronic access to person-and population-level information by authorized users" ("Definition Of Automated Medical Record", 2012). 2. CMR – According to "Mortality Frequency Measures" (2012), Crude Mortality Rate. The Crude Mortality Rate is the mortality rate from all causes of death for a population during a specified time period. • Mortality rates measure the frequency of occurrence of death in a defined population during a specified interval. • There are several specific kinds of mortality rates, but we will focus only on the ones that are used most often in infectious disease epidemiology. • To calculate a simple mortality rate, we need to know the number of deaths in a given population during a specified time period, and the size of the population in which the deaths occurred...
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