Healthcare Information and Management Systems Society

Question: Task: You have recently been employed as the Director of Informatics for the Metro Hospital in Brisbane. The Metro Hospital is a 363 bed facility on the Northside of Brisbane. The services include general surgical, general medical, oncology, vascular, ear, nose and throat, palliative care, ophthalmology and maternity and childrens services. It has good links with the Division of General Practitioners in the local area. Answer: Overview: HIMSS or Healthcare Information and Management Systems Society is a non-profit making organization. The goal of this organization is to develop a data interpretation regarding healthcare information and management systems. Therefore, using its Electronic Medical Records Adoption Model, HIMSS marks the hospitals on the basis of a scale of 0 to 7 (Campbell et al., 2013). When any hospital scores HIMSS Level 7, it refers to the utilization of highest degree of electronic health implementation. It also implies to the fact that the hospital does not use paper on a large basis. HIMSS interferes with the utilization of Information technology and optimal management systems to make human life better. EMR or Electronic Medical Records is also known as Electronic Health Records. These records are certain digital records that are followed by other facilities, insurance companies or doctors in the need of better medical services. This EMR system is utilized to keep the track record of a patients general health and medical history through computerized and electronic format (Brender et al., 2013). So, it is very necessary for the Metro Hospital to achieve HIMSS level 7 by 2025. It will help to modify the hospital in retrieving the patients records easily and navigating the patient through health care system in much safer and easy way. This health report will be written based on improvement services in Metro Hospital to achieve HIMSS Level 7 model by 2025. Vision for the Electronic Medical Records: Previously in the Metro Hospital, whole works were conducted in manual way. So, the vision of the author will be to improve the organization in such a way that it can achieve the HIMSS EMR Adoption Model by 2025. Through adapting this model, the employment cost will be cut down as the manual work will be reduced. The official work will be carried out in more efficient and prompt way (Archer, 2014). In order to reach this level, the main aim of the hospital will be to make sure that the hospital participants should have received EMRAM score in the Annual HIMSS Analytics Study. The establishment of the electronic environment in the hospital will offer effective and efficient services to their customers. It will also increase the customer service level of that organization in the area. The EMR system will collect and preserve the health information regarding individual patients and populations in a systematic and electric method. Later this information will be shared under this system among various healthcare departments inside the hospital through a wide network (Kannry Fridsma, 2016). This system has positive impact on the hospital. This system will be designed in such a way that all the users will be provided with integrated clinical information. This will help the care givers to understand the health conditions of the patients in respect to their medical histories. Anybody like, general ancillary staff, clinicians and physicians can access this system. This system will include all range of data in comprehensive and summary format consisting of the personal data of the patients like, immunization status, laboratory tests, radiology images, vital signs, demographics, medical history, allergies and medications, billing information, age, weight etc. with others. T his system has records about patients encounters that permit for easy streamlining and automation of health information to increase the safety via evidence based decision making, outcomes reporting and quality management. This adopted system will enhance the ability of the hospital for revenue cycle, as it has the ability to supply the easily accessible data and medical information from those electronic records (Herland et al., 2014). This implemented system will make a room for upgraded applications. It will support complete and accurate charge by offering improved data. The coding and automation of the system will speed up the billing process. The medical care will be improved due to this system. As a result of that, the patients will not suffer which used to be seen previously due to poor prevalence and quality. The integrated information technology in this system reduces the administration cost, which will save more money and time in patients acre. The implementation of EHR will reduce the medical errors through supplying the decision supports in easy proliferation (Coiera, 2015). The healthcare industry will be improved through contemporary practices in medical literature and medicine. The EMR system presents onscreen ordered and layered presentations that offer relevant information and coding concepts related to medical procedures through onscreen browser capabilities. This system is advantageous because it is connected to the patients in the area. The patients, who are willing to seek for appointments, treatment, or clinical plans, can be communicated easily due to this system. Recently, Metro Hospital has made good contact with the General Practitioners Division in the area. So, these implementations will represent the hospital in global medical environment and the international patients will be associated with this organization (Eisenhaber, 2013). EMR is a paperless, computerized and digital system which will be utilized by the Metro Hospital to maintain the health information of the patients. It will increase the integrated process efficiency by reducing the documentation errors. This system has made the hospital totally paperless by sharing the clinical information and data through standard electronic transactions like state mandated electronic transactions, CCR, CCD among all entities and departments inside the health information networks (Kappen, 2015). Therefore, the Metro Hospital will be able to share health and wellness information between children, vascular, ophthalmology, maternity, surgical, oncology, general medical departments within the organization. The important technical factors are also included to make the implementation of electronic record successful. In this way, the management, implementation, and planning of the health information will be moved towards an automated electronic environment from overburdened environment (MacKellar et al., 2013). Staffs, technologies and work processes should be well adapted to provide the original information despite of increased expectations and scarce capital resources. Certain technical factors which will be considered in establishing electronic health records are implementation of new systems, renovation of physical environment, staff capacity development, realigning of processes that support the new strategic plan (Lorenzi Riley, 2013). Staff capacity development is crucial in the hospital. It will help to govern the cultural needs which will meet and emerge departments future needs by supplying opportunities and education. The goal of this is career development. Staff capacity building is important as it helps in the measurement of staff and customer satisfaction. This preparation of electronic health records also need the development of committed and qualified team in the hospital (Lombardo Buckeridge, 2012). The process realignment is important in the hospital because it helps the hospital to execute and plan efficiently the improved process methodologies and sustainable process changes. The realignment is also crucial because it measures the changes in the new system. This redesigning will help to align the departmental renovations and workflows for the best practice of the process. In order to make an optimal workflow, physical environment renovation through physical environment remodeling and decommissioning of the satellite area is very important. It will reduce the time in completing medical charts and upgrading them (Patel et al., 2014). The adequate place will be there, that can accommodate the completing of the charts quickly and accurately. Patients security will be taken care of in this system, as various third parties, hospital staffs and physicians have access to the information. This is also a part of renovation process. Analysis of Current Situation: To analyze the current health informatics in the Metro Hospital, the present operational system in serving the general hospital operations and clients will be discussed. At present, the advancement of technology and quality of healthcare is poor due to previous healthcare systems. The hospital is overloaded with an inefficient preparation environment, which makes very difficult for the people to serve a huge number of patients. The medical services in the Metro Hospital are completely based on paper charts. For example, lot of paper works is involved in collecting, monitoring and modifying the medical information (Nelson Staggers, 2013). This work does not involve only papers, it also involves manual effort. Due to these both manual and paper work, these works are facing lots of errors. These are hindering the health conditions of the patients. This situation is facilitating to implement the Electronic Medical records in the hospital. At present, the hospital is not using the operat ional functionality under guidance of effective, safe and efficient health care as the operations are conducted manually. To analyze the contemporary status of Informatics in Metro Hospital, it is necessary to determine and evaluate the cost of reaching the budget of Electronic Health Records system embellishment. This cost will be compensated by the employment cost. The employment cost will be reduced as EHR will reduce the manual effort (Marceglia et al., 2015). The current status of the hospitals short term needs, understanding the corporate goals and component deploying are very poor, which can be improved through this implementation. At present, the organization has made good communication with the General Practitioners Division in the local area. But they are not connected electronically. This is affecting their operational updating. So, the EMR will be placed to connect these practitioners and physicians with the electronic records of the hospitals. Previously providing the m edical facilities to the patients used to take a lot of time. This used to happen due to searching and updating the records manually. This delay is expected to be reduced through electronic data. In the current situation, another aspect is time consuming facility (Stephens Hussey, 2013). It takes a lot of time to perform the treatment manually while the patient is in emergency. This fact will be taken care of after implementation of this strategy. Critical aspects to support an EMR: Certain technical factors which will be considered in establishing electronic health records are implementation of new systems, renovation of physical environment, staff capacity development, realigning of processes that support the new strategic plan. Staff capacity development is crucial in the hospital. It will help to organize the cultural needs which will meet and emerge the future needs of the departments by supplying opportunities and education (Shortliffe Cimino, 2013). The goal of this is career development. Staff capacity building is important as it helps in the measurement of staff and customer satisfaction. This preparation of electronic health records also need the development of committed and qualified team in the hospital. The process realignment is important in the hospital because it helps the hospital to execute and plan efficiently the improved process methodologies and sustainable process changes. The realignment is also crucial because it measures the changes in the new system. This redesigning will help to align the departmental renovations and workflows for the best practice of the process. In order to make an optimal workflow, physical environment renovation through physical environment remodeling and decommissioning of the satellite area is very important. It will reduce the time in completing medical charts and upgrading them. The adequate place will be there, that can accommodate the completing of the charts quickly and accurately (Savel Foldy, 2012). Patients security will be taken care of in this system, as various third parties, hospital staffs and physicians have access to the information. This is also a part of renovation process. The management staffs in the hospital will always be informed with efficient function of the electronic record. The staffs will be aware of new strategy related requirements, regulations and regulatory authorities. Regulatory authorities decide the existing regulations and guidelines about destructing, reading, maintaining, and creating the traditional paper records. So, these EMR and EHR are important. Privacy legislation related to use, collection and disclosure of the medical information of patients should be respected and upheld. The critical functions of this electronic transition have to be taken into consideration (Wang et al., 2013). This manual to electronic transition has five key principles that include maintenance of private information of the patients and securing the information of the patients. These health records should be sustained and kept through integrity which should be supported and maintained. Roadmap to achieve HIMSS level 7 by 2025: HIMSS level 7 implementation is not only a project but also a journey with a series of initiatives. This implementation plan involves impacts, solutions and challenges related to the clinical process. The objective of this plan will be to make digital status in the hospital. The evaluations of the medication processes will follow the assessment and intake process. Medical documentation and support will be followed though the E-communication among portals and patient providers (Wac, 2013). The implementation of electronic records in Metro Hospital will make legal health records by 2025. Previously this hospital was not digitalized. The need of information technology and automation will improve the provided care towards patients. In order to reach the timelines and specific achievement goals of a fully digital status in Metro Hospital, by 2025, a strategic plan, consensus and a vision must be set up at the executive level or board to deliver care through executives. A governance structure will be built to upgrade the management, prioritization, accountability and decision making. It includes user-focused comprehensive plan which will help the people to deal with the changes (Valdez et al., 2014). Along with the implementation plan, the disaster business or recovery will be made for this hospital. Achievements, measurements and changes of the technology will be managed on a day to day basis. The business processes will be measured and stretched in such a way so that the goals will be achieved by 2025. Timelines (Zhang et al., 2013): Executive Engagement can take approximate 3 years. Process measurement can take approximate 2 years. IT Infrastructure can take approximate 2 years. Governance can take approximate 4 years. System selection can take approx. 1 year. Implementation Plan: The implementation plan will have management and system overview and purpose, which will include security, set up, system security features, privacy, security, implementation schedule, the major tasks, the contact points and the implementation description during implementation process. Apart from this, this implementation plan will also involve requirements staffing and training of the implemented staffs (Xue et al., 2012). These plans will overview on configuration management, implementation impact, performance monitoring interface. Additionally, this plan also involves the implementation requirements through site requirement details. Many Resources are required in implementing the project. In order to implement this project the main resource will be Citrix technology. It will utilize the remote access from the home and the office through hardware, qualified personnel and wireless infrastructure. In this way, carts touch screens, desktops, tablets and laptops will be involved. The financial resources of this project are allocations of departmental and administered funds with other budgetary allocations (Were et al., 2015). In this project relevant resources will be implemented under possible savings or overspending and spending criteria. This will keep the track of expenditure. So, both instrumental and financial resources will be included in the resources. Governance: In the implementation plan of the HIMSS EMR Adoption Model, governance is a crucial part. The uncertain governance plans can move the hospitals at big risks while implementation of other features. The governance for Metro Hospital is responsible for two committees that will supervise the HIMSS implementation. In between these two committees, one committee will be IT (Zheng et al., 2014). Other committee will be clinical and operational departments which are influenced by EHR-EMR. In the management process of the hospital many people are associated together with their respective responsibilities and they are accountable for the progress of the hospital. The rulers and producers will b involved in decision making. All the agency lines of the reporting and accountability associated with agency boards and relevant executives will be applied throughout the governance and project arrangements. The plan should be governed in such a way that it involves all the services that are meant to be supplied as a result of adopting electronic records. The Physicians and Clinical Staffs of Metro Hospital should conduct an analytical performance to make sure that implemented EMR-EHR system will provide as an actual decision making guide for the care providers (Kannry Fridsma, 2016). To make successful implementation of the plan, the governing bodies of the hospital have to work together. This committee will discuss the emerging issues at the time of their meeting and will upgrade with the latest information. Alignment to state and national eHealth programs: The process realignment is important in the hospital because it helps the hospital to execute and plan efficiently the improved process methodologies and sustainable process changes. The realignment is also crucial because it measures the changes in the new system. This redesigning will help to align the departmental renovations and workflows for the best practice of the process. In order to make an optimal workflow, physical environment renovation through physical environment remodeling and decommissioning of the satellite area is very important (Lorenzi Riley, 2013). It will reduce the time in completing medical charts and upgrading them. The adequate place will be there, that can accommodate the completing of the charts quickly and accurately. Patients security will be taken care of in this system, as various third parties, hospital staffs and physicians have access to the information. This is also a part of renovation process. This system has records about patients encounters that permit for easy streamlining and automation of health information to increase the safety via evidence based decision making, outcomes reporting and quality management. This adopted system will enhance the ability of the hospital for revenue cycle, as it has the ability to supply the easily accessible data and medical information from those electronic records. This implemented system will make a room for upgraded applications (Lombardo Buckeridge, 2012). It will support complete and accurate charge by offering improved data. At present, the hospital has made good connection with the Division of General Practitioners in the local area. But they are not connected electronically. This is affecting their operational updating (Nelson Staggers, 2013). So, the EMR will be placed to connect these practitioners and physicians with the electronic records of the hospitals. Previously providing the medical facilities to the patients used to take a lot of time. This used to happen due to searching and updating the records manually. This delay is expected to be reduced through electronic data. In the current situation, another aspect is time consuming facility. It takes a lot of time to perform the treatment manually while the patient is in emergency. This fact will be taken care of after implementation of this strategy. To integrate the new strategy with national and state based plans, the government personals have to come together with the hospital staffs. They have to give the support both financially and physically to implement this plan successfully (Stephens Hussey, 2013). In national level, to make it more popular, the management team of the hospital can take the help of social media. Within a fraction of second, the people from different states will come to know about the plan and its operational strategy. This advertisement will make the hospital popular in national and state level. The plan should be governed in such a way that it involves all the services that are meant to be supplied as a result of adopting electronic records. The Physicians and Clinical Staffs of Metro Hospital should conduct an analytical performance to make sure that implemented EMR-EHR system will provide as an actual decision making guide for the care providers. To make successful implementation of the plan, the gov erning bodies of the hospital have to work together. This committee will discuss the emerging issues at the time of their meeting and will upgrade with the latest information (Shortliffe Cimino, 2013). At present, the hospital has made good connection with the Division of General Practitioners in the local area. But they are not connected electronically. This is affecting their operational updating. So, the EMR will be placed to connect these practitioners and physicians with the electronic records of the hospitals. Previously providing the medical facilities to the patients used to take a lot of time. This used to happen due to searching and updating the records manually. This delay is expected to be reduced through electronic data. In the current situation, another aspect is time consuming facility. It takes a lot of time to perform the treatment manually while the patient is in emergency (Savel Foldy, 2012). This fact will be taken care of after implementation of this strategy. Likelihood of Success and identification of risk: As the Director of Informatics for the Metro Hospital, the author is optimistic in achieving HIMSS level 7 Adoption Model by 2025 due to the understanding and supportive Metro Hospital Staff. The main concern in this the Metro hospital related practitioners are working hard to meet these proposed rules. In this health information technology will be used meaningfully for reaching the goal of quality reporting requirements (Kannry Fridsma, 2016). After implementation and completion of electronic records in the Metro Hospital, certain occurred risks are hostile misuse and weak or incomplete or lack of enough policy awareness by the internal members. These health records will be revealed to external attacks through electronic mail phishing, website defacement and social engineering. Many important medical reports get lost in social engineering phone calls. Metro hospital should be concerned about weak disaster recovery plans and weak incidental responsive recovery policies (Nelson Stag gers, 2013). Benchmarks: In order to set up a team, it is important to utilize the benchmark metrics to provide more comparative information. In each task or scenario, the benchmark matrices will be developed to measure the proper clinical environment of clinical members. To set up a good target score, the clinician panels will compare the received ideal performance of the users against the proper good performances (Stephens Hussey, 2013). Unlike the present condition of the Electronic Medical Records performance the actual needs of the users will be reflected from this comparison. Advantages for gaining HIMSS level 7 by 2025 for Metro Hospital will also need that the advantages are quantifiable. The whole executive team should always be responsible for achieving the goals. The business value for these advantages should always outweigh implementation costs and IT increasing operational expenses (Stephens Hussey, 2013). Metro Hospital should plan in utilizing the EMR in demonstrating data agility during the whole implementation process. In order to avoid situations where the stakeholders of Metro Hospital might get disengaged before the whole project is rolled out, incremental benefits arising from the use of EMR data entry must be seen. In general, the roadmap for achievement of the HIMSS level for level 7 by 2025 for Metro Hospital will involve the following goals and timelines. Measurement of the business processes will need to stretch the goals and need to be balanced so as to embark on this long journey of achieving level 7 by 2025 for Metro Hospital. Conclusions/ Recommendations: In conclusion to make a successful adoption of HIMSS level 7 for Metro Hospital by 2025, it is very necessary to observe the risks, barriers and benefits of adoption and which was already done. After evaluation, a significant relationship was found among the barriers and benefits of this adoption. The movement of the Metro Hospital from manual operations to medical records is significant and it will move the hospital one-step further towards clinical improvement. For the hospital, the changes of medical paper records into electronic data, will give the opportunity to begin these practitioner changes not only at population levels but also at individual levels. For Metro Hospital, the success of the EHR-EMR will majorly depend on the inputs that will be procured from various departments of the hospital. Then they will utilize the system to improve the quality of the care provided to patients in increasing productivity. In this implementation project, the committees who are dealing with the government people should never be misguided. It helps the other stakeholders to provide suggestions, advice, ideas and criticism. To ensure the proper implementation of EHR-EMR system in the hospital to provide regulatory practices and improved healthcare, various types of relevant approaches will be addressed. This adoption of HIMSS level 7 will build up the reputation of Metro Hospital in the market. References: Archer, E. J. (2014). Health Informatics. 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