Analysis Of Electronic Health Records System1chyterria Danielscapella ✓ Solved

Analysis Of Electronic Health Records System 1 Chyterria Daniels Capella University May 3, 2020 Introduction Merit-founded Incentive Payment System (MIPS) is a platform for value-founded settlement under the Quality Payment Program (QPP). The system aims at fostering the current innovation and improvement in clinical operations. MIPS mean that the organization should rationalize Physician Quality Reporting System (PQRS) (Meeks & Singh, 2019). Meaningful use guidelines are certain facets of an HER system that providers will be needed to use in their organization. 2 MIPS denote Merit-founded Incentive Payment System.

It is a platform for value-founded settlement under the Quality Payment Program (QPP) It aims at fostering the current innovation and improvement in clinical operations MIPS means that the organization should rationalize Physician Quality Reporting System (PQRS) Meaningful use guidelines are certain compliance facets of an HER system that providers will be needed to use in their organization. It means that the organization should have its set meaningful use guidelines Current State of Compliance The organization has set technology in the ICU EHR not integrated to accommodate patient’s needs Application of computers to draw guidance and instructions on conditions Availability of lab information system No replacement of diagnosing equipments Independence Medical Center’s Electronic Health Records (HER) system has complied with some set guidelines.

For instance, the healthcare organization has set technology system in its intensive care units. In addition, there is use of computers to draw guidance and instructions regarding several conditions on patients. However, the organization has not obeyed some guidelines like the replacement of outdated diagnosing equipment and lack of integrating EHR to accommodate all patients’ needs (Boonstra & Vos, 2018). 3 Current EHR Used in the Organization Laboratory Information System (LIS) Computerized Physician Order Entry (CPOE) Central Supply System Pharmacy system Picture Archiving and Communication System (PACS) Independence Medical Center’s Electronic has set up various EHR systems for use in different departments to deliver healthcare services to patients.

For instance, the organization has implemented PACS, which is a health check imaging technology which offers reasonable storage and expedient admission to images from numerous modalities (Data & Komorowski, 2017). 4 Evaluation of EHR The electronic health record system used in the ambulatory system lacks integration to accommodate patient’s needs. The system does not alert physician on drug interactions and other warning. On another point, each department has its exclusive system making it hard to share information between staff members in various units (Boonstra & Vos, 2018). An effective EHR system should be in a position to enable information transmission to all staff members in various units.

5 EHR used in ambulatory services lacks integration LIS is excellent as it tracks all samples, tests, outcomes, and allied info EHR is not integrated to enable information sharing between departments EHR fails to communicate with the existing system EHR used in the cancer center gives untrustworthy info How EHR Could Improve Quality Care LIS could give correct testing results useful drug prescription Integrating EHR system to enable info transmission can facilitate healthcare delivery EHR could enhance patient’s outcomes if it gives alerts on drug interactions EHR could simplify cancer center operations if it offers trusted info EHR could improve quality care through provision of correct laboratory patient testing results, which are useful in determining the kind of drug to be prescribed.

On another point, it could also simplify existing process through being able to transmit information between various units (Boonstra & Vos, 2018). 6 Data In the organization data is gathered through pre-registration forms by admission specialists. This meets regulatory policy as data should be gathered during the registration process of patients. Tracing of data is through the admission records which have all information regarding every patient’s (Data & Komorowski, 2017). 7 Data is gathered via pre-registration of patients-attains regulatory policy Data is traced through admission records-attains regulatory policy Data is analyzed by admission specialists-meets regulatory policy Data is shared by specialists giving admission records-do not attain guidelines Maintaining Useful Use Guidelines In order to maintain useful use guidelines, a health organization should ensure communication with public health agencies to report on various issues for actions or addressing (Data & Komorowski, 2017).

There should be constant sharing of useful information between healthcare staff members. 8 Ensuring transparency by providing patients with data Communicating with public health entities Sharing of meaningful clinical data among team members Report to patient registries for quality improvement Use computerized physician order entry Evidence-based Best Practices Evidence-based best practices for long-term compliance with existing incentive programs and policy should have transparent provider ratings, there should be rewarding of successful series of care, and the organization should use clinical data over administrative claim data (Meeks & Singh, 2019). 9 Creating transparent provider ratings Reward successful series of care Formulate national performance targets Use clinical over management claim data Design sustainable business model Recommendation on the EHR Electronic health record system should be designed to be in a position to offer all the essential data to the end user.

It should also be able to provide patients with data. In addition, it should be designed to link all departments which ensure its support for communication (Boonstra & Vos, 2018). 10 EHR should provide all the necessary data to end user It should provide patients with their data Should support communication between staff members in different units It should not consume a lot of time for training It should be easy to understand Evidence-based Recommendations Highlighting compatibility Pinpointing the anticipated model impacts Determining change agents Focus on groups for planning change Reminders or practice prompts When implementing emerging models and new practices, a healthcare organization should first highlight its compatibility to their facility, focus on ascertaining the model or practices anticipated impacts, and determine change agents to ensure successful execution (Meeks & Singh, 2019).

11 References Boonstra, A., & Vos, J. F. (2018). Implementing electronic health records in hospitals: a systematic literature review. BMC health services research, 14(1), 370. Data, M.

C., & Komorowski, M. (2017). Secondary analysis of electronic health records. Springer International Publishing. Meeks, D. W., & Singh, H. (2019).

An analysis of electronic health record-related patient safety concerns. Journal of the American Medical Informatics Association, 21(6), . 12 BADM 635 Summer 2020 Residency Project 1* Do a deep dive into Rolls Royce Corporation and identify their: 1. major products 2. primary operations locations 3. approach to project management 4. significant competitors 5. most important current threats to their industry Design a stakeholder management strategy. Recommend possible strategic partnerships and evaluate the pros and cons of each possibility. Make, and justify, a recommendation about which, if any, partnership will be advantageous, or that Rolls Royce should not pursue strategic partnerships. *You must use at least 4 sources beyond the text.

Paper for above instructions

Analysis Of Electronic Health Records System

Chyterria Daniels, Capella University
May 3, 2020

Introduction

The healthcare industry is undergoing unprecedented transformations primarily driven by technological advancements, particularly in the field of electronic health records (EHR). The Merit-based Incentive Payment System (MIPS) represents a critical framework under the Quality Payment Program (QPP) aimed at enhancing clinical quality, efficiency, and patient outcomes (Meeks & Singh, 2019). The current analysis focuses on the Electronic Health Records System utilized by Independence Medical Center and explores areas of compliance, integration, data management, and recommendations for improvement.

Current State of Compliance

Independence Medical Center's EHR system faces several compliance challenges. While it has established technological capabilities within the intensive care units (ICUs), the system does not fully integrate to meet patient needs. Key compliance areas such as the replacement of outdated diagnostic equipment remain unmet, limiting potential advancements in patient care (Boonstra & Vos, 2018). Currently, the available systems, including Computerized Physician Order Entry (CPOE) and Laboratory Information System (LIS), show varying levels of integration.
The lack of communication between disparate systems complicates the ability of healthcare providers to exchange vital medical information. Specifically, physicians are not provided with alerts regarding drug interactions, posing risks to patient safety (Boonstra & Vos, 2018). Moreover, the current system lacks interoperability, thereby constraining seamless healthcare delivery.

Current EHR Systems Used in the Organization

Independence Medical Center employs various EHR systems segregated across departments. These include:
1. Laboratory Information System (LIS) - Tracks samples, tests, and outcomes essential for clinical decisions.
2. Computerized Physician Order Entry (CPOE) - Facilitates medication ordering and reduces clerical errors.
3. Central Supply System - Manages inventory and supply chain operations.
4. Pharmacy System - Handles medication dispensing and patient medication records.
5. Picture Archiving and Communication System (PACS) - Stores and provides access to medical images (Data & Komorowski, 2017).
While these systems offer essential functions, the integration among them remains a significant barrier to effective healthcare delivery.

Evaluation of EHR

A thorough evaluation reveals that the ambulatory EHR system suffers from significant limitations, particularly concerning integration and interoperability. The absence of a unified EHR platform hampers information sharing, leading to redundancies and potential medical errors (Boonstra & Vos, 2018). Furthermore, it is crucial for each department to have the capability to communicate real-time data to enhance decision-making.
To enable a smoother process and improve health outcomes, EHR systems should incorporate real-time alerts and streamlined communication modules (Boonstra & Vos, 2018). Current system limitations severely affect the cancer center's operations due to unreliable data sharing, which can result in inappropriate treatment pathways.

How EHR Could Improve Quality Care

Integrating the EHR system is paramount for enhancing quality of care. An efficient EHR should facilitate:
1. Accurate Laboratory Results: Providing precise lab results leads to better-informed prescriptions.
2. Real-Time Alerts: Facilitating alerts on drug interactions can significantly improve patient safety.
3. Improved Communication: Enhancing communication channels between various departments to ensure timely and accurate information for clinical decisions.
By addressing existing inefficiencies, the EHR system can support better patient outcomes, minimize operational challenges, and align with quality payment standards.

Data Management in EHR

At Independence Medical Center, data acquisition begins with registration forms filled by admission specialists. According to regulatory policies, capturing comprehensive patient information at this stage is essential (Data & Komorowski, 2017). However, challenges persist in tracing and analyzing data due to siloed information systems that restrict access to necessary data across departments.
Despite these issues, initiatives such as transparency in reporting, information sharing, and communication with public health agencies must be heightened to maintain effective use of guidelines (Data & Komorowski, 2017).

Maintaining Useful Use Guidelines

To uphold meaningful use guidelines, Independence Medical Center must focus on several strategies:
1. Enhanced Communication: It’s crucial to foster relationships with public health organizations for reporting health information (Data & Komorowski, 2017).
2. Real-Time Data Sharing: Continuous sharing of clinical data among healthcare staff members enhances treatment coordination.
3. Transparency: Providing patients with accessible information related to their care is essential for trust and improved health engagement (Meeks & Singh, 2019).

Evidence-based Best Practices

To ensure longevity in compliance with incentive programs and established policies, Independence Medical Center should adopt evidence-based best practices such as:
1. Transparent Provider Ratings: This cultivates accountability and motivates performance improvement.
2. Rewards for Care Series: Implementing a system that rewards successful care pathways encourages team effort and focus on quality.
3. Targeted Performance Goals: Establishing national performance targets aims to foster competition and elevate care standards (Meeks & Singh, 2019).

Recommendations on EHR Enhancements

To ensure an EHR system that addresses the critical failings currently experienced, recommendations include:
1. Centralized Platform: Implement a unified EHR system allowing seamless data sharing among departments.
2. User Education: Ensure minimal training time and easy access for healthcare staff to enhance compliance and usage (Boonstra & Vos, 2018).
3. Patient Engagement Tools: The EHR should empower patients by providing them access to their health data.

Conclusion

Independence Medical Center's current EHR system presents both challenges and opportunities. While some essential components are functional, significant barriers remain, particularly concerning system integration and data sharing. Addressing these inadequacies through a focused EHR improvement strategy can lead to enhanced patient safety, better clinical decision-making, and overall improved healthcare outcomes.

References

1. Boonstra, A., & Vos, J. F. (2018). Implementing electronic health records in hospitals: A systematic literature review. BMC Health Services Research, 14(1), 370.
2. Data, M. C., & Komorowski, M. (2017). Secondary analysis of electronic health records. Springer International Publishing.
3. Meeks, D. W., & Singh, H. (2019). An analysis of electronic health record-related patient safety concerns. Journal of the American Medical Informatics Association, 21(6).