Assignment: Upgrading an EHR
Assignment: Upgrading an EHR
Assignment: Upgrading an EHR
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Week 1 discussion Discussion Prompt 1 Review the seven critical success factors for healthcare initiatives. Choose four of the seven and discuss their effects on the success of implementing or upgrading an EHR. What might be potential areas of concern for an EHR that heavily uses third-party services to supply critical clinical functionality, such as decision support or medical reference links? In what circumstances might a clinical infrastructure based on either third-party service providers or mobile applications be desirable? What cautions should we place on these technologies in the same circumstances? Discussion Prompt 2 Describe a workflow issue you have encountered in practice and explain how you could use a gap analysis to plan for change. Week 2 discussion Discussion Prompt 1 What opportunities do you see for CDS to facilitate the work of healthcare professionals? Explain how usability is important when integrating clinical decision support. Discussion Prompt 2 Discuss the importance of the user experience when implementing or changing components of health information technology. Outline a usability test for one module of your current EHR. Include the elements discussed in the chapter in your proposed usability test. Describe why you chose the methods you did. Week 3 discussion Discussion Prompt 1 You are the NI assigned to manage the implementation of an EHR. Discuss the common short- and long-term goals you will include in your plan. What are some of the approaches that can be used to coordinate care during an incremental go-live as patients are transferred from units that have gone live to units still waiting to go live? Discussion Prompt 2 Discuss the reasons why some institutions experience significantly more satisfaction or dissatisfaction during an implementation than do others. Describe why script testing is important to the EHR adoption process. Week 4 discussion Discussion Prompt 1 You have been asked to implement a new blood glucose monitoring software application. Provide a communication plan that includes who, what, when, and how. Discussion Prompt 2 Describe the policies and/or procedures to put into place that will assist in the management of an electronic health record. Identify creative strategies to encourage physicians and other clinicians to participate in the implementation of a new health IT system. Should employees who have repeatedly failed to attend go-live classes be subjected to discipline measures? Week 5 discussion Discussion Prompt 1 Discuss two anticipated risks during optimization and your plans to minimize these risks. Discussion Prompt 2 Use course materials and outside resources to help you discuss a plan to manage EHR downtime in a large hospital system. Compare and contrast the roles of the informatician, the clinician, and IT personnel in system downtime planning. Contrast different communication methods for system downtime events and summarize the pros and cons of each. Week 6 discussion Discussion Prompt 1 The following websites include toolkits for completing a risk assessment: http://www.himss.org/ASP/topics_pstoolkitsDirectory.asp?faid=569&tid=4 https://healthit.ahrq.gov/health-it-tools-and-resources/health-information-security-and-privacy-collaboration-toolkit Review the risk assessment guides available at these sites and then answer the following question: Because HIPAA requires that a covered entity appoint a security officer, what is the role of the health professional or informatics specialist in working with the security officer to complete a risk assessment? In your discussion, consider who has access to the information required to complete the assessment and how the information should be collected. Discussion Prompt 2 List and describe the federal agencies and committees that are responsible for facilitating electronic exchange of health information in the United States. What are the current time periods for the meaningful use program under Medicare and Medicaid, respectively? How do providers avoid payment penalties for failing to satisfy meaningful use requirements? Week 7 discussion Discussion Prompt 1 Discuss the role of informatics in home health care and related community-based systems. What are your experiences with such settings? Do you expect to have more contact with them in the future? Discussion Prompt 2 Monitoring population health status is a central public health activity. A variety of survey systems, such as the CDC’s National Health and Nutrition Examination Survey (NHANES) and National Health Interview Survey (NHIS), as well as state and national reporting systems, such as the Behavioral Risk Factor Surveillance System (BRFSS), Pregnancy Risk Assessment Monitoring System (PRAMS), and National Electronic Disease Surveillance System (NEDSS) provide public health practitioners with the ability to assess health trends, identify and respond to emerging health hazards, and guide development of interventions and policies that address serious health conditions such as obesity, smoking, and diabetes. With the proliferation of EHRs within acute and ambulatory care systems, how much of this survey activity do you think can be folded in under routine data collection and exchange activities? Week 8 discussion Discussion Prompt 1 Do an Internet search for new technologies that focus on patient engagement. Discuss one of your findings. Also describe two strategies a provider can use to engage patients in monitoring their health. In the interest of public health, do you believe all capable patients should be expected to monitor their health using accessible tools? What, if any, are the unintended consequences of that expectation? Discussion Prompt 2 What societal and technological trends do you see that might promote increased adoption and use of personal health records (PHRs)? What specific types of data or functions do you think would draw people who are not current PHR users to adopt and use the PHR? How do you think this might vary by user attributes (e.g., age, disease status, health literacy)?
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