Information Systems Challenge Even though the patient records at the dermatology
ID: 335600 • Letter: I
Question
Information Systems Challenge Even though the patient records at the dermatology practice are paper-based, the practice has been using computerized practice management systems for pa tient scheduling and billing for years. Six months CASE 16: SELECTING AN EHR FOR DERMATOLOGY PRACTICE Major theme: System acquisition Background Information Suppose you've just been hired as the practice ad ago, they started to have a nurse enter physician-dic ministrator of an eight-physician dermatology prac tated notes into the paper record while in the exami tice. After several years of contemplation and serious nation room with the patient. The physician then re- deliberations, the physicians have made the strategic views the notes at the end of the visit or day and decision to invest in the selection and implementa- signs off on them. This is in an effort to decrease the tion of a facility-wide electronic health record (EHR) dictation and transcription that the practice had his- system. They also want to replace their practice man- torically done, and to get the nurses and physicians agement system (which includes patient scheduling ready for the EHR. The expectation is that nurses and billing). It's an older system that is rather clunky. Ideally, they'd like to find an integrated prac- while the physicians are seeing the patients. Howev tice management system that has an EHR compo- er, the physicians will have to review the documenta. nent. will do the bulk of the data entry in the exam room tion and sign off on all entries. The practice currently has approximately 4,ooo Dr. Dan Brown, the current CEO of the physician or- ganization, has very little knowledge of information systems technology. He has been reluctant to move toward an electronic health record system for many years, primarily because he heard stories from a few his colleagues in other specialty areas who have im pa tient visits per month, including 40 percent Medicare and 10 percent Medicaid. They hope to participate in the EHR incentive program and demonstrate meaningful use. 3. Develop a draft system selection plan for this nd Discussion Questions practice. What do you envision will be the tive to the patient care process. Une ot his best triends claims he "spends an extra hour or two a night in the office because of the additional time demands of the EHR. He claims the system never seemed to work right." Dr. Brown is convinced that there are not any great dermatology-related EHR products on the mar ket, but with the EHR incentive dollars available, and the opportunity to improve quality of patient care, he's open to taking another look. In addition, one of their newest partners, Dr. Pam Martin, just finished her residency program, whe an integral part of her training. She doesn't want to go back to a pape on of the effort to select and implement an EHR. She has offered to help lead the effort. One of the other partners, Dr. John Harris, came back from a confer ence impressed with the vendor presentation from Allscripts and convinced it's the way the practice ought to go. The other physicians are nearing retire- ment and a little nervous about the possible disrup- tion to the office. You are tasked with leading the team charged with the selection of the new practice management sys- tem, includin EHR, for the practice. 1. You begin by convening a Practice Management EHR Selection Team. Who would serve on the team? Who would serve as executive sponsor? Explain your rationale. 2. How might you conduct an EHR readiness assessment for this practice? What factors will be important to consider? Why? re EHRs were 3. Develop a draft system selection plan for this practice. What do you envision will be the practice's greatest challenges in selecting a r environment and is a big replacement practice management system and a new EHR? Explain your rationale.Explanation / Answer
Electronic health record systems are essential for each and every Organisation in the current state. They are very helpful in recording the data in a digital way that increases the overall level of efficiency as well as productivity of the organisation and also makes it more easier to manage the data.
Implementing the electronic health record system into a hospitals structure one can easily reduce the overall cost of storing the data on the traditional way. With the help of the electronic health record system hospital can reduce overall cost by implementing multiple Strategies and analysis methods on the recorded data. Inter-connectivity of the specific date about a patient can increase the overall level of effectiveness of care inside an organisation. This is specific increase in level of care but directly increase efficiency of the hospital and reduce the overall cost produced by the traditional methods of Record Keeping.
Implementation of EHR also reduces the overall number of people involved in record making and increases the accuracy of the data stored into the system. This data can later be shared with other service providers as well.
If the electronic health record system would not have been invented then the overall data storage required for the Healthcare organisations would have created a very huge problem of the data storage as well as processing. This would have definitely increase the overall cost involved in the operating of the Healthcare facility which would have impacted the cost of the Healthcare services provided to the patients.
EHR has no use if the data is not correct and standardization influence the EHR in a very vast jagbani
Standardization is very essential task of any Electronical health record. Buy standardizing the data we mean that we have to bring all the data in a similar format that all the Healthcare organisation or a group or Organisation in which that specific electronic health record is distributed could use the data for the benefit of the patients in a General form.
For implementing electronic health record system into and Healthcare organisation we can easily implement standardizing the data in a specific format which is understood by the multiple departments of the same organisation. By increasing the level of understanding between the tape department we can improve the overall efficiency of the specific company. Healthcare organisations are all about the data of the patient. By having a generalized term in the data management system inter connectivity between the departments would be directly increased which would be really result in increased interaction between the departments and a better productivity of the organisation.
By having unimplemented system which is directly capable of being understood by each and every employee in the organisation Healthcare services can be more effective as a doctor can understand the data acquired by a compound or a nurse. By having an understanding over different platforms we can increase the level of involvement of the doctors as well as the system to the patient.
Electronic health record also provides a better support for the patient to check his or her history according to the medical background. By having a unified information which can be accessed anywhere anytime and can be understood by anyone we can easily increase the level of Health Care given to a specific patient as the data stored in the electronic health records would be recognised by each and every organisation for a better support to the patient.
Contact implementing the electronic health record system, data standardization is one of the main task which have to be done on a mandatory basis. Without extender rising the data one cannot directly implement the electronic health record system into its organisation and can get the benefit of the unified information system which is based on electronic health record.I would choose the practice tuition as it provides a free interface for the organisation with wide range of options for implementing the electronic health record system into the organisation. Practice fusion has a better adaptability of the system. Practice fusion provide electronic health record for primary care and Ranges up to the paediatrics. Practice fusion is a web based EHR which is a very convenient to use and provides extensive support to the organisation. Most importantly this electronic health record system has connection with multiple pharmacies and application of practice fusion is totally free for the organisation. It also provides cross-platform ability without any additional cost and it is very effective in managing the organisation with the help of the electronic health record system.
It also provides interface for charting and practice scheduling which is very effective to maintain efficiency of the organisation.