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