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University of Phoenix
Kem PrinceApril 23rd, 2012
Learning Team CDanielle GarbeTaryn Heyler
Heather HolcombLori Pearson
Electronic Health
Records Proposal
Introduction
Benefits of Health Information
Systems
Privacy & Security
Component Selection
Implementation
Role of Management &
Stakeholders
Evaluating Effectiveness
Health Information Systems
Functions
Manage Health Information
Order Entry Track Patient Visits Communication Patient Support Administrative
Support
Benefits
Improved Quality & Safety
Improved Efficiency
Cost Reduction Improved Service
Electronic Medical Record• Health related information gathered and
managed in one health care organization.
Electronic Health Record• Health related information gathered and
manages across two or more health care organizations.
Personal Health Record• Health information compiled from
multiple sources about an individual that is kept by an individual.
(Wager, Lee, Glaser, & Burns " Chapter 5: Current and Emerging Use of Clinical Information Systems," 2009).
Privacy The right to limit access to health
care information.
Same HIPAA laws apply as paper documentation.
Organizations responsible for physical and technological protection of information.
Access to information must be limited to specific viewers.
Security Implications
Threats to security
HIPAA mandates for security/privacy
Administrative safeguards
Physical safeguards
Technical safeguards
Image: emrsoftwarecompany.com
Systems Development Life Cycle
Requirement Analysis
System Analysis
DesignImplementation
Support and Evaluation
Component Selection What Do We Need? Cost Vs. Benefit Components
Computerized Physician Order Entry (CPOE)
Clinical Data Management
Patient Documentation & Scheduling
Financial Support Administrative Support
1
• Planning
2• Selection
3• Implementation
4• Evaluate
5• Improve
Major Steps in Implementation
Organize Support Team
Establish Project Plan
Install System
Train Staff
Activate system
Conduct Workflow Analysis
Image: ehrpmc.com
Role of Management
Manage ChangeExpansion or Contraction of RolesTraining Implementation
Manage ProjectsEducate Staff on Goals and VisionOversee CommitteesCommunicate with Stakeholders
Alignment with Strategic Goals
• IT Plans Linked With Organizational Goals
• Comprehensive Alignment
• Tactical Planning
• Clear Communication Tools
Stakeholders Health Care Professionals
Patients
Labs & Vendors
Insurance Companies
Investors
Government Agencies
Evaluating Effectiveness
Governance
Budget & Resource Allocation
System Acquisition
System Implementation
IT Service Levels
Conclusion Privacy and security System selection, stakeholders,
organizational alignment Implementation process Management roles Benefits measurement
References Gordon, M. (2002, March 15). How to succeed in strategic
planning. Retrieved from http://www.cio.com/article/30948/How_to_Succeed_in_Strategic_Planning?page=3&taxonomyId=3154
NYEC. (2011). Electronic health records (EHR). Retrieved March 28, 2012, from New York eHealth
Collaborative: http://www.nyehealth.org/rec/index.php/education-a-resources/electronic-health-records
Parush, G. V. (2008, July 1). Electronic medical records. Retrieved March 28, 2012, from PubMed: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464463/
References 2 Rodriguez, L. (2011, December 12). Privacy, security, and
electronic health records. Retrieved March 28, 2012, from Health IT Buzz: http://www.healthit.gov/buzz-blog/privacy-and-security- of-ehrs/privacy-security-electronic-health-records/
Stephens, J. H., & Parrillo, A. V. (2011). HIPAA's Role in E-Mail
Communications between Doctors and Patients: Privacy, Security, and Implications of the Bill. Health Educator, 43(1), 31-39.
Sutherly, B. (2012, October 23). Electronic health records raise fresh privacy fears. Retrieved March 28, 2012, from Dayton Daily News: http://www.daytondailynews.com/news/dayton-news/electronic-health-records-raise-fresh-privacy- fears-
984037.html
Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care information systems: A practical approach for health care management (2nd ed.). San Francisco, CA: Jossey-Bass