Part 1
The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as a part of the American Recovery and Reinvestment Act (ARRA) of 2009, was signed into law on February 17, 2009 (Health Information Technology for Economic and Clinical Health (HITECH) Act: Impact on HIPAA Privacy and Security Provisions (asha.org)) to promote the adoption of Health Information Technology (HIT). The HITECH Act mandated the use of HIT by computerizing the medical record through Electronic Health Record (EHR) implementation and connecting it with Regional Health Information Organizations (RHIOs) and then the RHIOs to the Nationwide Health Information Network (NwHIN/NHIN) for the national level health information exchange. Although the EHR implementation has progressed to a satisfactory level (Hospitals Use of Electronic Health Records Data, 2015-2017 | HealthIT.gov;
https://www.healthit.gov/sites/default/files/page/2018-12/2018-HITECH-report-to-congress.pdf
), the RHIOs and NHIN have not (
https://www.healthaffairs.org/do/10.1377/hblog20190807.475758/full/
).
Evaluate three factors, one each in the financial, technical (interoperability), and administrative (data ownership/legal) areas that have impacted the adoption of health information exchange technologies at the RHIO and NwHIN/NHIN levels? Assess the government and private plans to overcome these barriers? Frame at least three recommendations for overcoming these barriers. How would the stakeholders be affected by these plans, if implemented?
APA 7th Edition Formatting for eBook:Glandon, G.L., Slovensky, D.J.& Smaltz, D.H. (2020). Information technology for healthcare managers. (9th ed.).Health Administration Press.
APA 7th Edition Formatting for eBook:Wagner, S.L. (2021). The united states healthcare system: Overview, driving forces, and outlook for the future. Health Administration Press.
APA 7th Edition Formatting for eBook:Ramirez, E. (2016). Connected health care?: A roadmap for interoperable health information and technology. Nova Science Publishers, Inc.
Part 2
Watch this video on SDLC (Software Development Life Cycle) steps –
https://www.youtube.com/watch?v=gNmrGZSGK1k)
. Analyze the SDLC process explained in the video. How it would differ/be the same when applied to the development of Healthcare Management Information Systems (HMIS) and/or Healthcare Information Systems (HIS)? Explain which of the step(s) can you omit if your organization does not maintain internal IT staff (Hint: Feasibility Study slide), and how would you complete this step of the SDLC process without affecting the integrity of the HMIS/HIS? Justify the cyclic nature of the SDLC process.
Develop the managerial process steps with 2-3 main action item points intended to define the specific requirements for the necessary HMIS or HIS acquisition (
). Make sure it follows a basic process decision-making model (
) to make a choice between turnkey or in-house built system considering the economic, workforce, scope of practice and application as well as managerial compliance of the final decision.
APA 7th Edition Formatting for eBook:Glandon, G.L., Slovensky, D.J.& Smaltz, D.H. (2020). Information technology for healthcare managers. (9th ed.).Health Administration Press.APA 7th Edition Formatting for eBook:Sayles, N.B. & Trawick K. D. (2010). Introduction to computer systems for health information technology. AHIMA Press.
APA 7th Edition Formatting for eBook:Hartley, C. P., Jones, E., & American Medical Association. (2012). EHR implementation?: A step-by-step guide for the medical practice.American Medical Association.
APA 7th Edition Formatting for eBook:Hughes, B., Ireland, R., West, B., Smith, N., & Shepherd, D.I. (2019). Project management for it-related projects. (3rd ed.).BCS, The Chartered Institute for IT.
The Office of National Coordinator for Health Information Technology (ONCHIT or ONC) was created in 2004 by President Bush administration to oversee HIT implementation followed by the HITECH Act (2009) enacted by President Obama administration to enhance its pace of adoption.
Identify salient features of these two Acts aimed at healthcare quality improvement through HIT implementation. Evaluate the role of financial incentives to providers for HIT-based healthcare quality improvement. Determine how the CMS (Center for Medicare & Medicaid Services) helped in healthcare quality improvement through HIT adoption. Assess implications for healthcare quality by providers for not adopting HIT? Finally, frame at least two recommendations to convince the laggard providers that HIT implementation leads to improved healthcare quality.
APA 7th Edition Formatting for eBook:Nash, D. (2019). The healthcare quality book: Vision, strategy, and tools, (4th ed.). Health Administration Press.
Part 4
HIT sounds like IT but differs in various aspects. IT strategies of an organization are aligned with its organizational/business strategies. Differentiate between HIT and IT strategies with respect to their similarities and dissimilarities.
Assume that you have been hired as a consultant and asked to assess the effectiveness of HIT governance for a healthcare organization. Construct a 10-point questionnaire that the surveyor should use for interviewing the senior leadership to determine HIT governance effectiveness. Describe the rationale for each question. Design a rating scale (Likert Scale: 1-5) to gauge responses. Finally, select the appropriate survey method (in-person, Paper-based sent by mail, online) that the surveyor should use with your supportive arguments for the chosen method. (For guidance visit What is Information Governance
What is Information Governance? | Micro Focus
and Components of Information Governance
Components-of-Information-Governance-handout-2015-09-17.pdf (armautah.org)
.
APA 7th Edition Formatting for eBook: Glandon, G.L., Slovensky, D.J.& Smaltz, D.H. (2020). Information technology for healthcare managers. (9th ed.).Health Administration Press.
APA 7th Edition Formatting for eBook: Patrick, P. A., & Ponemon, L. (2014). The complete guide to healthcare privacy and information security governance. HCPro, a division of BLR.
APA 7th Edition Formatting for eBook: Grain, H., Hovenga, E. J. S., & IOS Press. (2013). Health information governance in a digital environment.IOS Press.
Part 5
Review
AHIMA Code of Ethics
and AMIA Code of Ethics (
A Code of Ethics for Health Informatics Professionals
. Determine which of their ethical principles apply to HMIS/HIT?
Review ACHE Code of Ethics (ACHE Code of Ethics | American College of Healthcare Executives) and Ethical Decision Making for Healthcare Executives (
https://www.ache.org/about-ache/our-story/our-commitments/ethics
/ache-code-of-ethics,
https://www.ache.org/about-ache/our-story/our-commitments/ethics/ache-code-of-ethics/ethical-decision-making-for-healthcare-executives
and https://www.ache.org/about-ache/our-story/our-commitments/ethics) Analyze which of the ACHE ethical guidelines and Healthcare Executive’s policy position statements are applicable HMIS? Evaluate the role of HMIS in helping healthcare executives in ethical decision-making? Assess if personal, professional, or cultural biases can affect decision-making suggested by HMIS. Determine what other healthcare ethical dilemmas can impact the use of HMIS or health information contained in them.
APA 7th Edition Formatting for eBook: LaTour, K. M., American Health Information Management Association, Eichenwald, S., & Oachs, P. K. (2013). Health information management?: Concepts, principles, and practice. (4th ed.).AHIMA Press.
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