Case Study: HIMSS Davies Award of Excellence
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“Since 1994, the HIMSS Nicholas E. Davies Award of Excellence has recognized outstanding achievement of organizations who have utilized health information technology to substantially improve patient outcomes while achieving return on investment. The Davies Awards program promotes EHR-enabled improvement in patient outcomes through sharing case studies and lessons learned on implementation strategies, workflow design, best practice adherence, and patient engagement.” (HIMSS Website:.himss.org/resourcelibrary/TopicLanding.aspx?MetaDataID=2798&ItemNumber=26687&navItemNumber=26817″>http://www.himss.org/resourcelibrary/TopicLanding.aspx?MetaDataID=2798&ItemNumber=26687&navItemNumber=26817 )
Your assignment this week is to review one of the case studies assigned to you (attached). Read through it and reflect on how the organization has met the intent of the award. You are to write a 3-5 page that includes your reflection and a summary of the case study, highlighting the main outcomes of the implementation. Include in your report the answer the following questions:
A. Give specific examples of some of the learning outcomes of the course that were reflected in this case study. For example, did the organization improve patient safety or provide criteria for evaluating information technology applications?
B. If you were the administrator for this organization, how would you build upon what you have done with this project and move your organization to the next level?
Process Map
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Directions for Process Map
· Write an essay (3-5 pages) reflecting on how Information Systems can positively impact a change work processes in healthcare, and review some of the obstacles to implementation.
· Research the topic of process mapping on the web and develop a process map that describes a clinical or administrative process that could be found in a healthcare organization. Map the process as it could occur before and after automation. You have considerable latitude in this assignment, so be creative.
· APA format including title page, introduction, body, conclusion, reference page.
Week 6
After reading the below Case Study, write a 3-5 page essay that answers the following two questions:
1. What steps are involved in evaluating which vendor to choose for this EMR upgrade?
2. Since your predicted total margin for next year shows a decrease of .5 %, would you still go ahead with the EMR upgrade?
Be sure to support your answers with appropriate citations and explanations. Use APA formatting for your essay. Your essay should contain at a minimum, a title page with running header, body, conclusion, and references. No abstract required for this assignment.
CASE STUDY: ABC Health Systems EMR
ABC Health Systems provides emergency and level I trauma services in a large metropolitan area with a population of 200,000. There are also two other level I trauma centers within 45 miles. The payer mix at ABC Health Systems is 60% government and 40% private payers. The total margin profitability for ABC Health Systems in fiscal year 2013 was 2.5%. In fiscal year 2014, total market is projected to be only 2% due to projected changes in payment from their major payer.As part of it’s enterprise strategic plan, ABC Health Systems is in the process of expanding its Emergency Department by adding an additional 20,000 square feet of space. This additional space will allow the Emergency Department to provide expanded emergency services. The current process for documenting the patient visit is a combination of electronic and paper records. This hybrid method is less than efficient and sometimes causes records to be unavailable which increases the chance of medical errors. The information systems strategic plan calls for the purchase of a new electronic medical record for the Emergency Department. The choice of vendors for this new electronic medical record system has been narrowed to two. One vendor is T-Systems and the other vendor is PICIS. Your current hospital health information system is McKesson. Both T-Systems and PICIS offer open technology, device connectivity, system interoperability, clinical expertise and data analysis tools. T-Systems is able to install, test, train, and go-live within 4-6 months of contract signing. PICIS is projecting a go-live date of 6-9 months.
Week 7
Write a 5 – 7 page summary paper for your learning outcomes in this course. Include in this paper at least the following items:
· Summary of Information Systems in healthcare, applying learning to real world examples
· Effect of Information Systems on healthcare future overall
· The value of the new knowledge that you have gained and how you will incorporate this new knowledge in your career
NOTE: This is due Day 5 of this weekWK 1 DQ 1
Every department has information technology requests either in the form of new hardware or software, upgrades, or training. Each requests is important to that department and most will say they cannot be effective in meeting customer/patient needs with out the resources. Assume that the reason to fund the request is not due to regulatory requirements.
How might a healthcare organization approach prioritizing its IS projects or needs? Some area to think about are funding, demand, SDLC, patient quality and safety, and emerging technologies. How would you justify your decision to the requesting department?
Answer the discussion question by day 3, and provide two substantial posts in response to your peers by the end of day 7.
WK 1 DQ 2
Chapter 5 discusses the various components of the EHR and some of the clinical decision support that the EHR can provide. Discuss with your peers the ways in which these components would be utilized differently in a hospital setting versus a physician’s office setting.
Answer the discussion question by day 3, and provide two substantial posts in response to your peers no later than day 7.
Information governance has become a focus of health informatics. Discuss the relationship between health data stewardship and information governance. How does this impact health data policy development?
WK 2 DQ 2
Think about an office or hospital you have worked in or think about the last time you or a family member had an encounter with a health care provider. How would you grade your provider on the AHIMA 10 data characteristics? What recommendations would you make to the provider for improving their performance?
Week 2 Reflection
Share with the class the implications and conclusions (for you) for the week. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less that 300 words. Submission is due by the end of day 7.
week 3
You are the Director of HIM for an Integrated Healthcare Delivery System. Your chief medical informatics officer, Mary Watson, is creating a strategic plan for the new home care and skilled care services available in the system including the skilled care unit affiliated with the Flagship hospital, swing bed services offered by the three rural hospitals and the five nursing homes with skilled care beds that are part of your system. The system expects that there will be frequent transfers of patients and residents from one level of care to another within the system.
What health information standards will you want to become familiar with in order to understand information management needs for the future for these facilities? Assume that the rural hospitals do not have a sophisticated EHR. How will that affect the ability to exchange information?
dq
2
The reading “HIE and Meaningful Use Stage 2 Matrix” from HIMSS focuses on HIE activity and the meaningful use objectives and requirements. For purposes of this discussion, we will focus on the overview and the following priorities and objectives:
Engage patients and families in their health care (page 11-13)
Improve population and public health (page 16-18)
Ensure adequate privacy and security protection (pg 19)
After reading your chapter and this document, discuss how well you think we are meeting these requirements, and what some of the barriers are to achieving MU with regard to Health Information Exchanges.
ref
Weekly, students are asked to reflect on their learning outcomes and course experience and then post their thoughts in the Reflection forum. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less than 300 words.
week 4
dq 1
Discuss the advantages and disadvantages of a patient portal from both the patient and practitioner point of view. Include in your discussion whether or not you think the entire patient record should be put on the portal for the patient to see.
dq 2
Your text talks about many different registries and databases that hold health information. How aware were you that health information is shared with all these registries? What safeguards do you feel should be in place to ensure the accuracy and privacy of this information?
ref
Weekly, students are asked to reflect on their learning outcomes and course experience and then post their thoughts in the Reflection forum. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less than 300 words.
week 5
dq1
Your readings identify forces that can impact a healthcare organization’s financial position. Critically discuss with your classmates how payer mix, uninsured patients, and the economy can impact a healthcare entity’s financial position. What role can informatics play in providing information to decision makers?
dq
2
What are the potential negative ramifications of decreases in Medicare’s payments to physicians? Since providers are not able to negotiate with government payers, how can they afford to treat patients covered by those plans when the payment does not cover the cost of care?
ref
Weekly, students are asked to reflect on their learning outcomes and course experience and then post their thoughts in the Reflection forum. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less than 300 words.
6
dq 1
Describe how organizations determine the need for external financing? As an administrator what would be your strategy in obtaining that funding? Would it be better to use internal sources of funding?
dq2
r
Chapter 25 gives a very general overview of financial accounting. Why is it important for non-financial managers (and physicians) to have a working knowledge of accounting. After reading the chapter discuss what areas you feel are most important for a non-financial manager to have a good grasp of and why.
ref
Weekly, students are asked to reflect on their learning outcomes and course experience and then post their thoughts in the Reflection forum. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less than 300 words.
week 7
d1
Explain the concept of e-Discovery and discuss the role of health information management in the e-Discovery process. Why would having a clear definition of the provider/institution’s designated record set be important in e-discovery?
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