One of the ways that we gain information in life is to learn from other’s experiences. The link below provides access to AHRQ Health IT Success videos, they will help to guide your thinking as you analyze your case. Use the information to compare, contrast, or highlight your Week 1’s case choice. You will note that each case is centered on how health care IT impacts patient care or outcome. Click here to access the
AHRQ Health IT Success Stories.
playlist. You can view the videos all at once in the playlist, but if you are citing one in your assignment, make sure to use the individual video reference entry provided in this week’s Required Resources section.
In your paper, after you review your selected videos above, reflect on your Week 1 assignment and address the following:
Assess the part the Agency for Healthcare Research and Quality (AHRQ) plays in health care information systems acquisition.
Provide alternatives to alleviate major concerns.
Analyze whether value was added through acquisition to your proposed health care information system.
Analyze the principles of SDLC (a decision-making model) as is applicable to your health care IT systems acquisition.
Assess the (SUS) and the user experience.
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Health Information System Case Selection and Proposal
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BACKGROUND
ABC health care facility is a medium size facility with 2000 staff members, attending to
more than 90,000 patients in a year and has 350 patient beds. The healthcare facility in Jersey
City serves a community of more than 300,000 people. The facility records about 30,000
emergency and ambulatory visits. Based on such, the facility requires a well-structured
information technology team to ensure efficient record keeping. The hospital uses TechMed as
the main EHR system that supports admissions, patient index, transfer and discharge. EHR is an
essential part of healthcare record keeping today because of its perceived benefits that include
more secure patient record keeping, increased accuracy and dependability, and enabling
caregivers to collaborate and share patient records for improved patient treatment outcome
(Hossain et al., 2019)
Setting
The healthcare facility takes care of different patients. They undergo the admission
process when they first visit the facility. The facility uses an EHR system to obtain and record
important information about the patient, which may fail. The project will focus on this area to
address challenges that may occur.
Healthcare service:
The main focus of the research paper will be on the Crashing of the Admitting System,
highlighted in Case 16 of the module reading, Health Care Information System. The research
paper will also address the action needed when such incidents occur.
Problem
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EHR records important patient information. However, the system has been in place for
more than a decade, and sometimes it malfunctions. The challenges experienced from the
breakdown are enormous, from recording patient history to delayed reporting. Also, the
breakdown contributes to the complete shift from online services to paperwork which takes time
and causes a delay in service delivery (Atasoy et al., 2019). A complete shift to the manual
system may lead to human errors in data collection or taking patient history, which affects the
quality of care offered to the patient.
Barriers to quality
Failure of the EHR system has various challenges, affecting the patient’s safety and
quality of services delivered. Data is lost; hence, medical history, including those under critical
health conditions, cannot be accessed. Healthcare providers cannot offer the best care services,
impacting the quality delivered.
THE INTERVENTIONS
There is a need to conduct detailed research on the best way to address the challenges that
occur during system failures. Implementation of a new system with an upgraded interface is the
first intervention. Also, implementing backup toolkits that are easily located should be in place.
In case of a complete breakdown, guidance on accurately collecting manual information should
be implemented. Staff training is also essential to ensure accuracy while conducting manual
admissions and reporting.
Process defect
The project aims to have a better approach to solving the crash of the admitting system through
the Plan, Do, Check, Act technique (PDCA).
Aim
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The aim is to have an upgraded EHR system that does not crash easily and ensures effective data
backup for quality patient care.
STRATEGY FOR IMPLEMENTATION
The IT team will communicate strategically with staff to ensure a smooth transition.
There is also the need to communicate with the finance department on the budget needed for a
new system. A backup of data held in the current system will be done and then transferred to the
new system. Staff members will be trained on the new system and how to ensure they back up
data frequently. Also, securing the system against data breaches will be done to protect patient’s
information.
Measures
The system’s effectiveness will be determined by ensuring there are no errors in data and
the system is safe against breaks downs regardless of workload.
Barriers to change
Resistance from workers, management may be unwilling to fund the new system,
healthcare workers may be overwhelmed by the system in place, unwilling to learn the new
system, and negative history of the previous changes in the system (Loncar-Turukalo et al.,
2019).
Simple rules
Implementation of the system has considered the safety of employees. The EHR system
should always be operational to ensure accuracy, patient information should be safeguarded
effectively, and the healthcare organization have an efficient backup system in place.
Cost implication
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The hospital has an EHR system, yet it needs an upgraded one. The cost of buying a new
system, installation and training the staff is expected to be high. However, the implications are
worth the risk as they safeguard against future downtimes, which may cause more losses. The
system will reduce wasted time and improve productivity in the long run.
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References
Atasoy, H., Greenwood, B. N., & McCullough, J. S. (2019). The digitization of patient care: a
review of the effects of electronic health records on health care quality and
utilization. Annual review of public health, pp. 40, 487–500.
Hossain, A., Quaresma, R., & Rahman, H. (2019). Investigating factors influencing the
physicians’ adoption of electronic health record (EHR) in the healthcare system of
Bangladesh: An empirical study. International Journal of Information Management, 44,
76-87.
Loncar-Turukalo, T., Zdravevski, E., da Silva, J. M., Chouvarda, I., & Trajkovik, V. (2019).
Literature on wearable technology for connected health: A scoping review of research
trends, advances, and barriers. Journal of medical Internet research, 21(9), e14017.
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care information systems: A practical
approach for health care management (4th Ed.). Retrieved from
https://www.vitalsource.com
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