The document discusses health information management systems and conducting a preliminary investigation for a clinic. Key points include:
1) Electronic medical records, computerized provider order entry, and clinical decision support systems were described as important digital tools in healthcare.
2) Steps for preliminary investigation were outlined, including understanding problems, defining scope, analyzing organization charts and current systems, and determining feasibility and costs.
3) A feasibility study found the proposed system combining EMR, CPOE and CDSS would be operationally and technically feasible, have estimated economic benefits exceeding costs, and could be implemented in a reasonable timeline.
4) A preliminary report for the clinic would analyze the organization, collect information on current systems from staff
The document discusses health information management systems and conducting a preliminary investigation for a clinic. Key points include:
1) Electronic medical records, computerized provider order entry, and clinical decision support systems were described as important digital tools in healthcare.
2) Steps for preliminary investigation were outlined, including understanding problems, defining scope, analyzing organization charts and current systems, and determining feasibility and costs.
3) A feasibility study found the proposed system combining EMR, CPOE and CDSS would be operationally and technically feasible, have estimated economic benefits exceeding costs, and could be implemented in a reasonable timeline.
4) A preliminary report for the clinic would analyze the organization, collect information on current systems from staff
The document discusses health information management systems and conducting a preliminary investigation for a clinic. Key points include:
1) Electronic medical records, computerized provider order entry, and clinical decision support systems were described as important digital tools in healthcare.
2) Steps for preliminary investigation were outlined, including understanding problems, defining scope, analyzing organization charts and current systems, and determining feasibility and costs.
3) A feasibility study found the proposed system combining EMR, CPOE and CDSS would be operationally and technically feasible, have estimated economic benefits exceeding costs, and could be implemented in a reasonable timeline.
4) A preliminary report for the clinic would analyze the organization, collect information on current systems from staff
The document discusses health information management systems and conducting a preliminary investigation for a clinic. Key points include:
1) Electronic medical records, computerized provider order entry, and clinical decision support systems were described as important digital tools in healthcare.
2) Steps for preliminary investigation were outlined, including understanding problems, defining scope, analyzing organization charts and current systems, and determining feasibility and costs.
3) A feasibility study found the proposed system combining EMR, CPOE and CDSS would be operationally and technically feasible, have estimated economic benefits exceeding costs, and could be implemented in a reasonable timeline.
4) A preliminary report for the clinic would analyze the organization, collect information on current systems from staff
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Chapter #2: Analyzing the Business Case
1. Health information management is a rapidly-growing sector that directly
affects healthcare costs. Every specialized area has its own vocabulary, and health information management is no exception. Conduct an Internet search to learn about Electronic Medical Records (EMR), Computerized Provider Order Entry (CPOE), and a Clinical Decision Support System (CDSS).Describe your findings, using nontechnical language that is easy to understand.
Electronic Medical Records(EMR):
It is the digital version of a paper chart in a clinicians office. It contains all the information of patients in one practice such as medical and treatment history. It is more useful than paper records because it allows clinicians to track the data over time, identifies patients who are due for preventive visits and the screenings, monitor how patients measure up to certain parameters, such as vaccinations and blood pressure readings and improves overall quality of care in a practice.
Computerized Provider Order Entry (CPOE):
This replaces hospitals paper based ordering system. It allows users to write orders electronically, maintains online medication administration record and reviews if any changes made to an order by successive personnel. If any unsafe orders are entered it give alerts. When these systems are designed correctly it increases efficiency and improves patient safe and care. Currently available CPOE systems require lot of time and effort during customization before their clinical support and safety features can be effectively implemented.
Clinical Decision Support System (CDSS):
This provides patients, clinicians, staff and others with knowledge and person specific information presented at appropriate times to enhance health care. It has different tools to enhance decision making in the workflow. These tools has reminders and computerized alerts to care patients, guidelines, patient data reports and summaries, diagnostic support and document templates.
2. You are planning a preliminary investigation of Dr. Jones's request. For each step, describe the steps you will take, the methods you will use, and the information you will seek. Also explain how you plan to define the project's scope and why this task is so important.
To have a clear view, I will review the organization chart so that I can understand how many persons are there and how do they communicate with each other. Gathers information regarding their systems by interacting with their employees such as what problems they faced. After collecting the data from employees, I would analysis the problems and suggests the best solutions to fix those problems. The different steps to do preliminary investigation are: Step1: In the first step understand the problem of the clinic and develop a business profile to find out which departments, users and processes are involved. Step2: In the second project scope should be explain the project scope and constraints like hardware, software, time and costs involves. Step3: In the third step view the organization charts, conduct interviews and observe documentations and operations. Step4: In the fourth step determine the feasibility. Step5: In the fifth step estimate the time and cost to complete the new system development process. Step6: In the sixth step results and recommendations to the clinic. 3. Based on what you know about New Century, conduct a feasibility study that includes operational, technical, economic, and schedule feasibility. Describe the results in detail, and explain how you reached your conclusions. During the feasibility study, series of tests are conducted according to the system requirements and check whether it is good and comfortable to carry on further development process. In order to evaluate the feasibility study questions should be asked about the current systems to the staff. Feasibility study includes operational, technical, economic and schedule feasibility. Operational Feasibility: Operational feasibility means that proposed system will be used productively after it is developed. A system should be developed which combines EMR, CPOE and CDSS systems. If users faces any problems with the new system, it will not give the expected results. Therefore after reviewing the user demand, system should be developed and implemented so that the system will be used more efficiently. Technical Feasibility: Technical feasibility means the resources required develop, purchase, install and operate system. When evaluating the technical feasibility analyst should ask the management whether they can manage the resources, hardware and software to implement the system. Economic Feasibility: Economic feasibility means that the estimated benefits of proposed system will be more than the estimated costs i.e. total cost of ownership, which includes maintenance and support costs. During the development and implementation process the estimated prices can be increased or decreased. Schedule Feasibility: Schedule feasibility means that a project can be implemented in a reasonable time frame. During the evaluation
time analyst must consider time and cost. By revamping the current system new features can be added and this reduces the time and cost. During the evaluation of feasibility identify the system requests which are not feasible, sometimes during the development time cost and time may increase or decrease. Therefore it is an ongoing procedure which should be performed throughout the development process. 4. Prepare a brief preliminary investigation report for Dr. Jones. Before you begin this task, you should review the sample report in this chapter, and visit Part A of the Systems Analyst's Toolkit, which provides suggestions for oral and written presentations. I should understand the clinic organization structure by collecting the information from the human resource department, doctors and other staff who are involved in the administration duties by interviewing them. Collects the documents regarding current systems, asks the users about systems and observes the system operations. After that I should recommend a system which combines all the elements of their day to day activities and prevents them from errors and which is easy during the training process for the staff.
