- Using the template in the Appendix to the textbook,Strategic Healthcare Management: Planning and Execution, ?Project Charter,? develop these sections of your project charter:
- all i need is what is asked for this week. please add if we need to.
Running Head: Electronic Health Record Systems ELECTRONIC HEALTH RECORD SYSTEMS
DATE Running Head: Electronic Health Record Systems
Electronic health records systems (EHR) is the process by which electronic (e.g., digital) health
records are created or received and preserved for legal or business purposes. EHRs requires
decision making throughout the electronic health record's life cycle through the processing,
distribution, maintenance, storage, and retrieval of the health record to its ultimate disposition,
including archiving or destruction. Healthcare industry has made significant progress in the quest for electronic health records
(EHRs), which will improve the quality and safety of patient care and achieve real efficiencies in
the healthcare delivery system. EHRs are information technology systems that are designed to
support decision processes, with the assumption that improving the ability to identify evidence,
or assist with the integration of evidence this improves the quality of care.
Traditional health records concept and processes have been evaluated and applied in this
relatively new world of electronic health record systems; EHRs are there for the provision of
care across the healthcare continuum.
The e-health environment encompasses much more than the storage and retrieval of information.
The objectives of this study are to understand the factors influencing the adoption decision, how
the dynamics of the system affects the adoption patterns and what kind of interventions can
accelerate the adoption.
In the current world, Electronic Health Record systems have been implemented by an ever
increasing number of hospitals around the globe. Many governments such as in the U.S, U.K, Running Head: Electronic Health Record Systems
Denmark, New Zealand and Australia have initiated financial regulations to back on the
implementation of the systems having driven by the promise of enhanced integration and
availability of patients data. EMRs are being provided to improve the efficiency and costeffectiveness in healthcare settings. The rapid change of the environment has also been one of
the major factors for the adoption of the EHR systems.
Electronic health record is now used by majority of the physicians during patient encounter.
Through the use of checklists, alerts, and predictive tools the EHR systems have facilitated safety
and quality improvement. This system has already improved efficiency and quality since it has
reduced the costs of ?chart pulls? and can serve a number of patients at a time unlike the legacy
system that were used before.
Key considerations for a healthcare organization, apart from the primary one of improved patient
care, are cost containment and improving the efficiency of work practices. Health Information
Systems have the potential to support these objectives, at the same time as ensuring patient
safety. It is therefore imperative that we have means at our disposal to effectively evaluate not
only a health information system in a general sense, but more specifically whether the use of
Electronic Health Records is helping or hindering the realization of such goals. The implementation of health information technology involves significant financial investment
from health care providers. Therefore policy decision makers need to have a good understanding
of how information technology systems can be implemented effectively, and how they are
subsequently used by health care staff once they have been embedded within work processes. Running Head: Electronic Health Record Systems
The implementation of information systems in hospitals is more challenging than elsewhere
because of the complexity of medical data, data entry problems, security and confidentiality
concerns and a general lack of awareness and benefits of information technology.
As every health division resolves to implement EHRs is very important for the physicians to
understand the analysis of the patient data as by the systems, which must describe the problems
of the patients, and at the operational level the orders of the physicians are translated into action,
and therapeutic effects on the patients are measured and recorded. It is very vital for the
governments to be able to finance these infrastructure in order to be able to provide health care
for its populations.
The unaided human mind simply cannot process the current volume of clinical data required for
practice by this electronic health recording systems due to their enhanced speed and large
memories for storage of patients? data. The greatest benefit of computerization is quality than
improving efficiency since this aids in keeping track and monitoring abnormal results then giving
it appropriate follow-up. Moreover, electronic records can be linked with public health
surveillance, which may be extremely important in emergencies such as a bioterrorism attack or
U.S.A have implemented EHRs and large organizations such as Veterans Health Administration
and Kaiser Permanente use robust EHRs (vista and epic) that generate enough data to change the
practice of medicine. In 2009 Kaiser Permanente reported two studies, one pertaining to the
management of bone disease and other chronic kidney disease. and with this they could show
that with this EHRs could focus on patients at risk and use all of the tools available to improve
disease management and generally population health. Running Head: Electronic Health Record Systems SOLUTION DESCRIPTION
This widespread implementation of EHRs would be of positive significance to the healthcare in
many ways such as: Paper records are limited; data in paper is not structured well that it can be computable
and hence shareable with other computer and systems. Paper also has shortcomings such, it is easy to destroy and difficult to analyze and determine who has seen it.
Need for improved efficiency and productivity; stored data by EHRs can be available to
everyone whenever they need it while they reduce redundancy unlike in the case of paperwork when information is lost.
Improved quality care and patient safety; due to safe keeping of records clinicians are
able to trace if they ever attended a patient this helping them in prescribing drugs. Quality
reports are far easier to generate with a EHRs compared to chart that requires a chart review.
Technological advances; the internet and World Wide Web make the application service
provider (ASP) concept for an electronic health record possible. Patients makes it possible for them to be able to access via the internet from office, home or hospital.
The need for aggregated data; in order to make evidence based decisions, clinicians need
high quality data that should derive from multiple sources: inpatient and outpatient care, acute and chronic care settings, urban and rural care and populations at risk.
The need for integrated data; paper health records are standalone. Lacking the ability to
integrate with other paper forms or information. Digital, unlike paper-based healthcare
information can be integrated with multiple internal and external applications. Running Head: Electronic Health Record Systems
System Dynamics (SD) is a methodology that involves simulation modeling used in the analysis
of complex systems. It focuses on the underlying reasons for changes over time. The cause and
effect relationships and the feedback loops are the two fundamental concepts used to explain a
change in a state of a variable.
The main objective of this study is to develop an understanding of the EHR adoption process and
to evaluate various policy options. A simulation model will provide grounds to attain this
objective. With this tool, policy options can be tested to assess the response of the system.
First, you built a stock-simulation model, then cause and effect relationships among needed
factors influencing the adoption process that need to be revealed. The flow adoption indicates the
number of providers adopting per year. Interactions of these loops determine the system
behavior. The model focuses on the factors that influence the adoption decision of the nonadopted population in the provider sector.
EHR implementation cost is another factor that effects the non-adopted population in their
decision to acquire EHR systems, implementation costs increase as the market matures. While
one would expect these costs to decline in a mature market, considering how fast the digital
technology advances, and thus new and improved structures are needed to support the
advancements, implementation costs increase as more enhanced products are released. With
increased costs, attractiveness of EHR systems declines and fewer providers adopt.
An electronic health record (EHR) implementation plan is a comprehensive set of strategies and
steps used by a health care organization when preparing for and executing the adoption of an Running Head: Electronic Health Record Systems
electronic-based health care system. Selecting and implementing a EHRs can place additional
strain to staff and resources. If practices don?t plan for this change, they will likely create more
work and defeat the intended purpose of increasing efficiency.
The best way to prepare for change is by following this fine steps: Performing a need assessment
Performing a readiness assessment
Performing a workflow analysis
Creating your road map for implementing system EVALUATION
It is important to evaluate whether EHRs could reduce medical errors and/or overcome barriers.
Since EHR Systems are an integral part of HealthCare systems generally, the risk of incidents
due to medical errors can be mitigated by correct identification of initial system requirements.
Through evaluation the EHRs we have to review on the perspectives such us, quality, impacts
and applications. Using goal-based evaluation and Update DE lone and Mclean: goals of an evaluation methods of evaluation (what to evaluate/ IT-system as such)
To find the success (how to evaluate/called IT-systems in use)
Aims of evaluation
Updated DE Lone and
Based on safety and McLean IS attributes to evaluate weakness factors, and success model the success of EHRs workflow processes of (Updated D & M with those six EHRs in real medical model) dimensions, to Environment. enhance the functions
of the current EHRs.. Running Head: Electronic Health Record Systems
EHRs acceptance Task Fit of EHRs To recognize, forecast, Technology Acceptance Based on safety describe, and Model attributes to predict, recognize the (TAM) explain, and realize factors of computer the factors of the practice behavior that cause behavior that cause users accept or reject users accept or reject current EHRs. current EHRs.
It attempts to measure Task Technology Fit Based on safety and (TTF attributes to measure predict the fit of the performance of an acceptance current EHRs and use of technology between technology in and task based; to user evaluation of check whether this EHRs. EHRs could reduce
medical error or not CONCLUSION
The study focuses on Electronic Health Record how they improve quality medical services by
evaluating factors that may influence health information directors in hospitals to adopt EHR
The establishment and implementation of EHRs will also reduce the cases of medical errors Running Head: Electronic Health Record Systems REFERENCE Swartz, N. 2004, ?A Prescription for Electronic Health Records?, Information
Management Journal, V38, n4, p.20-26. http://www.cms.gov/ehealthrecords. A. K. Jha, C. M. Desroches, E. G. Campbell et al., ?Use of Electronic Health Records in U.S. Hospitals,? New England Journal of Medicine, April 16, 2009 360(16):1628?38.
J. A. Blaya, H. S. Fraser, and B. Holt, ?E-health technologies show promise in developing
countries,? Health Aff., vol. 29(2), pp. 244-251, 2010.
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