HIM 500 Milestone 3 Technology System Recommendations PDF

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Running Head: Technology Information Recommendations

Joanna Larry-Harley HIM500 Healthcare Informatics Professor Thomas Southern New Hampshire University

Milestone Three Technology Recommendations

Recommendations for a Technology System

Featherfall Medical Center has outdated technical software that has caused the organization numerous penalties, violations of federal laws and regulations, and violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) (SNHU, 2020). The organization acquired recommendations and guidance from technology companies to manage their health information data (SNHU, 2020). They requested a proposal from two vendors to aid the organization and examine technology options available: Intel (SOA Expressway for Healthcare) and Alert (Admission Discharge and Transfer aka ADT) (SNHU,2020). An evaluation matrix is included at the end this recommendation. The organization has had an existing ADT /Master Patient Index (MPI) system that was developed on-site and employed more than twenty years ago (SNHU, 2020). The system is obsolete and when used by the employees, its employed erroneously (SNHU, 2020). Management of the system is burdensome and desires to be modernized to meet the needs of the facility while moving toward compliance (SNHU, 2020). Organizational needs The best suitable system for Featherfall Medical Center must consider the needs of the organization foremost. The organization requires a system that convenes all HIPAA requirements. The software must meet rules and regulations regarding patient safety, privacy, and protected health information. It must encompass several levels of security to avoid data breaches and cybercrimes against patient health information. The scheme should align with all staff members to ensure ethical behavior and management of protected health information while employing daily tasks. The package should be reliable, user friendly, “affordable” and be

Milestone Three Technology Recommendations

functional for daily duties, processes, and emergency circumstances. The organization needs to secure information between inter-departmental staff as well as exterior facilities that meet HIPAA standards. Recommendations The software program that corresponds best with Featherfall Medical Center is Intel. Intel meets all the required HIPAA laws and regulations. Although some of the features in the Intel package are not available (next release in 8 months), investment in the system will benefit the organization long term because it supports clinicians, researchers, staff members, finance, coding/ billing, and HIM in working more efficient by empowering life sciences and healthcare through memory, storage, computing, and networking technologies (Intel, 2010). Intel blends robotics, tele-medicine, medical imaging, analytics, laboratory, and life sciences collectively to provide a comprehensive informational technology program (Intel, 2010). As a user-friendly program, it permits staff to incorporate the software in everyday tasks involving admissions, patient discharges, transferring patients, merging medical records, billing / “coding” and assembles a list of patients for each unit or physician (Intel, 2010). The software informs staff members via announcements and updates ensuring ethical, compliance, and effective governance are followed in the use of protected health information (SNHU, 2020). Intel contains a vastly cost-effective way to disperse health information from one site to another with various providers, systems, regional, and national groups (Intel, 2010). It has unified aspects that permit clinical applications to be accessed in one location as opposed to multiple sources (Intel, 2010). Since the health information exchange occurs standard, data can be automatically presented to other facilities without mailing or faxing, reducing unnecessary paper records while providing applicable information quickly and securely to the provider (Health IT, 2020).

Milestone Three Technology Recommendations

Alert clinical software has been in business for 3 years and is only used in 12 hospital organizations (SNHU, 2020). It is a smaller corporation that can compete with other software companies, but it may not have the same amount of resources long term. Alert provides a widerange solution for total digitalization in healthcare blending health management organizations, hospitals, clinics, and primary care facilities (Alert, 2010). Standard features include assessment trails, drug warnings, aberrant test results flagged, messaging among providers, and extends customized support (Alert, 2010). It delivers extensive documentation confirming all departments have identical data assisting physicians in improving clinical decisions (Alert, 2010). Although it is a good system, it may not meet the needs of the organization long term. Financial Resources Implementing a new innovative technology system is costly for any corporation. Financially comparing the two vendors, Intel is slightly more expensive than its competitor. An investment in Intel benefits the organization because the technology company has a stellar repetition having been in business for more than 30 years and is used in 364 hospital organizations (SNHU, 2020). The preliminary investment will decrease cost, reduce risks, and develop efficiency thereby reducing the number of daily penalties for infringements. When the system is applied at complete capability, the monetary benefit will counterbalance some of the expense of executing the innovative technology. Because Intel is a larger corporation, it can offer Featherfall Medical Center more access to additional resources with solidity long term as an investment toward compliance. Providing guidance and educating all staff members, will increase the effectiveness of workflow reducing overall costs to the organization.

Milestone Three Technology Recommendations

Monitoring Both companies contain Ad-hoc (analytic tool) reporting, which is a model tool of business intelligence that prints and distributes one-time reports by nontechnical business intelligence (BI) users (SNHU, 2020). Visual reports permit the organization to monitor the system by setting up the BI solution, link to data sources, determine security factors, and influence what end-users can access (Intel, 2010). Ad-hoc allocates user- friendly interfaces between technical and nontechnical creators to build intelligent business decisions. Reports are then accessed and created by business end-users (SNHU, 2020). Significant targets should be implemented early in the processes that will set the stage for operational usage. Targets include increasing productivity by a precise calculation within a certain allocated time. Reports utilizing patient-user identifications numbers can be created and time allocated to evaluate any improvements needed. Another example is to include security procedures to ensure data breaches are minimized. The technology requires the assurance of data masking (controlled access) including encryption (files or data is protected when not in use) and authentication (binary layer identification factors). Compliance with regulations include monitoring length of usage time, location of a user in the medical record, and timeout screens for inactivity. Monitoring should consist of encounters and IT tickets received monthly to technical support for resolutions. Training the staff to effectively use the system alongside IT will provide accurate monitoring of the system. Time Investment Featherfall Medical Center needs to invest time in a technology system that can understand the needs of the organization aiding in protocols constructed. Continuously training staff and obtaining readily available IT support is essential. Communication with stakeholders

Milestone Three Technology Recommendations

and sponsors early in the implementation stage of the system is critical in identifying the hurdles in compliance that has caused the organization large fines and penalties. A delegate representing each department should be on a committee that reviews and monitors the system to execute necessary changes while informing all staff members via system announcements. Monthly efforts incessantly monitoring the system and undertaking improvements would be extremely favorable. Medical and non-clinical staff, such as finance and HIM, should safeguard appropriate delivery of patient information such as laboratory orders and prescriptions to other facilities. Considerable time in monthly meetings, educational sessions, and training staff on the new technology will shift toward compliance reducing costs and creating efficient workflow.

Milestone Three Technology Recommendations

References

Clinical software presentation: ALERT-ONLINE.COM - English. ALERT Life Science Computing SA. (2010). https://www.alert-online.com/presentation. Intel® SOA Expressway for Healthcare - CDM Media. (2010). https://www.ciosummits.com/media/pdf/solution_spotlight/Intel_SOAE-H_Data %20Sheet.pdf. Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine depends on interoperability. Npj Digital Medicine, 2(1). https://doi.org/10.1038/s41746019-0158-1 What is HIE? (2020, July 24). https://www.healthit.gov/topic/health-it-and-health-informationexchange-basics/what-hie.

Southern New Hampshire University [SNHU] (2017). Final Project Guidelines and Rubrics. Retrieved from https://bb.snhu.edu/bbcs

Milestone Three Technology Recommendations

webdav/courses/HIM-50017TW3MASTER/HIM500%20Student %20Documents/him500_ final_project_guidelines _and_rubric.pdf Southern New Hampshire University [SNHU] (2017). Final Project Guidelines and Rubrics. Retrieved from https://bb.snhu.edu/bbcs

Milestone Three Technology Recommendations

webdav/courses/HIM-50017TW3MASTER/HIM500%20Student %20Documents/him500_ final_project_guidelines _and_rubric.pdf Southern New Hampshire University [SNHU] (2017). Final Project Guidelines and Rubrics. Retrieved from https://bb.snhu.edu/bbcs

Milestone Three Technology Recommendations

webdav/courses/HIM-50017TW3MASTER/HIM500%20Student %20Documents/him500_ final_project_guidelines _and_rubric.pdf Southern New Hampshire University [SNHU] (2017). Final Project Guidelines and Rubrics. Retrieved from https://bb.snhu.edu/bbcs

Milestone Three Technology Recommendations

webdav/courses/HIM-50017TW3MASTER/HIM500%20Student %20Documents/him500_ final_project_guidelines _and_rubric.pdf Southern New Hampshire University [SNHU] (2020). Week Seven: Technology Information Sheet. Retrieved from http://snhumedia.snhu.edu/files/course_repository/graduate/him/him500/him500 _technology_ information.pdf

2 Vendors Evaluation Matrix Instructions: Score each vendor on a scale from 1 (poor) to 5 (excellent) on each of your prioritized items. Total up your ratings for each vendor to help make your comparisons. Print the names of the vendors you are comparing in the watermark space provided in vendor columns. Use the blank rows at the end of the worksheet to ask your own questions.

SOA Expressway for Healthcare Intel

Alert (Admission Discharge Transfer) ADT

39

33

HIGH

5

4

MED

5

4

Functionality/Usability Charting Can the system accommodate (and potentially improve) my workflow? Can I easily build and/or customize “off-theshelf” templates?

Priority

Milestone Three Technology Recommendations Does the system offer a variety of data entry options, e.g., dictation, voice recognition, structured notes, etc.?

MED

Is the software system customer friendly?

MED

5

4

Can the scheme alter demographics?

LOW

5

4

HIGH

5

4

HIGH

4

4

HIGH

5

5

34

32

Is it possible to access clinical data such as previous lab results, progress notes, and previous radiology films while charting in the electronic record? Does the system ensure only authorized clinicians sign clinical documentation? Does the system allow multi-tasking while charting?

5

4

Prescriptions Can I complete a prescription within a few clicks? Can I look up medication information, and is this information valuable? How extensive (and how sensitive) is the system’s interactions-checking capability, e.g., drug-drug, drug-allergy, drug-food?

HIGH

5

4

MED

5 MPI congruent

5 Able to show patient medical HX

HIGH

5

5 Routinely seeks duplicate records

Is the scheme safeguarded?

HIGH

5

5

Are patients separated from the scheme?

LOW

5

5

LOW

4

3

MED

5 Translucent security elements

5 Translucent security elements

30 5 End- User friendly 5 Electronic prescription consistent

30

Will the system manage various medication formularies? Are medications refilled with a few clicks? Can previous signs be visual on the refill screen? Lab and Results Management

Can lab orders be performed with a few clicks? Can the system transmit lab orders electronically to laboratories, hospitals, etc. in my regional market? Can I pull up and review lab results within a few clicks?

HIGH HIGH

HIGH

5

5 End- User friendly 5 Electronic prescription consistent 5 Completely Integrated with labs and radiology

Milestone Three Technology Recommendations

Can the system read barcodes?

HIGH

5

5

Does the system leave audit trails?

LOW

5

5

Does the system notify of abnormal lab results and provide normal ranges?

HIGH

5

5 Mark option integrated

14

Decision Support

Does the system utilize clinical information from all parts of the chart to provide decision support? Does the scheme inform HIM when a patient gets admitted? Does the scheme have AD HOC reportage Disease and Population Management Assuming good data entry for all patients, can I query the system and identify patients that have a particular condition, are on a certain medication, etc.? Ensures that the system retains previous medical records

15 5 Each segments of patient care are incorporated

HIGH

5 Customized action plans

HIGH

4

5

LOW

5

5

16

16

MED

5

5

MED

4

5 Alerts Standardized

Can the system propose to public health organizations?

MED

3

3

Does the system send out announcements to employees and staff?

MED

4

3

25

23

5

5

Health Record Management

Can I look up a patient by several different criteria, e.g., name, MRN, SSN, etc.? Does the system provide a summary view of a patient’s health status? Does the system include clinical records such as X-rays, reports, MRI, CT-Scans? Does the system retain allergies, medications, and possible drug interactions? Can the system govern data in a way that is like paper charts? Clinical Tasking and Messaging

HIGH MED

5

5

HIGH

5

5

HIGH

5

4

HIGH

5

4

20

19

Milestone Three Technology Recommendations

Can I access and manage various tasks, e.g., sign progress notes, review labs, etc. with minimal effort? Can I task or message someone else in the practice and do it with a few clicks? Does the system advise housekeeping when a patient is released? Can the system warn when assignments are behind schedule and flag urgent lab results? Can alerts be superseded? Are the alerts customizable? Financial Considerations Roughly how much could the system cost my clinic? How much does the computer software licenses cost? How much is the expense to maintain and upgrade the program? Are there Application Service Provider (ASP) options, buying options, and/or quarterly options? Will there be technical support if problems arise when the system goes “LIVE”? How are the licenses renewed? Parallel or per physician? TOTAL SCORE Southern New Hampshire University [SNHU] (2020). Week Seven: Technology Information Sheet. Retrieved from http://snhumedia.snhu.edu/files/course_repository/ graduate/him/him500/him500 _technolo gy_information.pdf

HIGH

5

4

MED

5

4

LOW

3

4

LOW

3

4

LOW

4

3

19

24

HIGH

3

4

HIGH

3

4

HIGH

3

4

MED

4

3

MED

3

5

MED

3

4

197

192

Milestone Three Technology Recommendations...