A digital platform is a technology enabled business model that follows an innovative approach to create immediate value. Data analytics just like a digital platform can be used as a strategic weapon by an organization as a competing mechanism. Trinity Health derived value from data to know how to treat patients for certain illnesses, to identify the most cost-effective care to give patients, to predict operating and financial performance, for setting standards and to target customers and patients in different markets. A digital platform gave Trinity Health the ability to collect and analyze enterprise data that led to the improvement in operating efficiency. The establishment of a performance leadership organization by Trinity Health helped
Connecting and teaming up with other community interested parties allows the organization to support the financial and quality goals, and coordinate care across the board giving more efficient and quality care (McKesson, 2018). This could help bring occupancy and admission levels up along with maximizing technology’s value by connecting the dots to help reduce complexities and cost. As regulatory, financial, clinical and consumer pressures influence healthcare organizations to produce and provide more effective and efficient care, healthcare technology becomes even more
It has taken on growing importance as health care facilities pursuing for larger investments to incorporate different systems aim at enhancing the hospital experience, medical outcomes, and clinical fiscal efficiency, as well as organize a facility for meaningful health care reforms (Barbazza, Langins, Kluge, & Tello, 2015). Health care organizations are restructuring the medical personnel structure to resolve the need for more organizational involvement, electronic medical groups, and the function of the health care physicians in a more relevant manner. They are also modernizing how they need to coordinate medical services more efficiently across the field of health care: critical, ambulatory, proficient nursing, and home care (De Vreese, Leys, Fontaine, & Dendoncker, 2016). Moreover, organizations are determining the fiscal outcomes of transferring from encounter-based structure to a performance- or capitation-based payment framework. Integrated delivery network is a physician-centered set of activities that stimulates the continuity of medical care as well as organizational and complex hospital management. Key elements comprise an incorporated technology framework that encourages the continuity of health care and permits all stakeholders to access to medicinal history of patients and other critical information (Barbee & Antle,
Humana Incorporated is a health and well-being for-profit health insurance company based out of Louisville, Kentucky. Humana controls in three segments: retail, employer group and healthcare services. Humana insurance products allow members to have access to health care services through its network of health care providers. Humana provides additional services to its members and third parties that support health and wellness, including pharmacy, provider, home-based, and integrated wellness services. Humana’s retail segment consists of products sold on a retail basis to consumers, including medical and supplemental benefit plans. Humana offers an array of health services, health assessments and health programs for members as well as the elderly.
The Health Information Technology for Economic and Clinical Health Act (HITECH) was put into place as part of the American Recovery and Reinvestment Act of 2009, and was signed and made a part of law in February 2009. It sponsors the adoption and meaningful use of health information technology. (www.healthcareitnews.com). There was $22 billion and of this $19.2 billion was supposed to be used as a method to increase the use or the Electronic Health Records by the doctors and healthcare facilities. (www.hitechanswers.net).
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
Over the last 5-10 years the healthcare system has begun reformation to increase safety, efficiency, cost reduction, increasing continuum of care, and increases in information technology (IT). There are many influences that are creating this need for change including laws, regulations, and the consumers of the healthcare system. The consumer is beginning to take charge of their health and become an advocate of their healthcare needs and plans of action. This transformation has created a greater need for the healthcare system to increase the use of health management information system (HMIS). HMIS is meant to help all departments within a healthcare organization, such as a hospital, to communicate easier creating a better care experience for both the care providers and consumers. These HMIS initiatives include systems such as computerized physician order entry (CPOE), electronic medical records (EMR), health information exchange (HIE), and other electronic systems. It is these initiatives that are reforming the healthcare system. However, there is not much information analyzing these new trending initiatives and how they will help or hurt the medical field. It is these systems that will be analyzed to determine the challenges they may have for the healthcare system, and the leadership of healthcare organizations.
There are many challenges when it comes to our health care system that define the future strategic direction. The one chosen for this paper are reform and legislation, information technology advancements such as the electronic medical record (EMR)/ electronic health record (EHR), access to health care including the uninsured and those in the poverty levels, maintaining a skilled workforce and Pay for performance. These challenges pose threats to our health care system planning for the future.
Case 1 -- You work in a busy multi-specialty clinic with a high patient volume. The physicians enter the type of code that will yield the greatest reimbursement. You suspect the codes are not accurate.
WellStar Health Systems is currently the preeminent and largest health care provider in Metro Atlanta. WellStar Health Systems is a not-for-profit institution that is composed of 5 hospitals and an abundance of physician groups. Physician specialty groups included within WellStar are: ENT, Psychiatry, Endocrinology, Pulmonary Medicine, Infectious Disease, General Surgery, Rehabilitation, Pathology, and Rheumatology. WellStar’s organizational design is composed of internal and external factors that define the organization’s size, organizational structure, and processes. Internal and external factors are the basis for influencing managerial conclusions in decision-making. These factors vary from organization to organization and are the rationale for understanding WellStar’s strengths, weaknesses, opportunities, and threats. Understanding these variables is a necessity for the sake of WellStar’s survival
Fasano, P. (2013). Transforming health care: The financial impact of technology, electronic tools, and data mining. Hoboken, New Jersey: John Wiley & Sons, Inc.
Abstract Background Health Care industry today are known to be generating large amount of complex data ranging from different entities including patients , hospitals resources, disease records etc. Recently, there has been tremendous increase in the application of informatics to health care which is defined as science of information, the practice of information processing, and the engineering of information systems The growing adoption of information technologies in healthcare and the availability of more patient data and related healthcare variables provide new opportunities for using analytics to impact health outcomes allowing healthcare providers to gaining control and storing great amounts of patient data. Big data is a gathering
Mithas, S., Tafti, A., & Mitchell, W. (2013). How a Firm’s Competitive Environment and Digital
Traditional organizational Structure Is known as called a hierarchical structure is similar to a managerial pyamid where the hierarchy of decision making and authority goes from the strategic management at the top down to operational management and non-management employees. (Techrepublic, 2015) Challenges In spite the fulfilment of many Internet-based applications, health care company can look forward to face many problems as they try to apply these technologies to acquire their strategic visions. They will face obstruction to, and restrain on, organizational alter, as well as being unsure about the efficacy and effects of Internet-based applications. Opposition to alter can come from refusal of the need to alter, the lack to manage alter,
Companies have transformed technology from a supporting tool into a strategic weapon.”(Davenport, 2006) In business research, technology has become an essential means that many organizations use in their daily operations. According to the article, Analytics is a major technological tool used. It is described as “the extensive use of data, statistical and quantitative analysis, explanatory and predictive models, and fact-based management to drive decisions and actions."(Davenport, 2006) Data is compiled to enhance business practices. When samples are taken, they are used to examine research and understand how to solve problems or why situations are as they are. Furthermore, in this article, Thomas Davenport discusses analytics from a business standpoint. He refers to organizations that have been successful in their usage of data and statistical analysis. In addition, he also discusses how data and statistics can be vital in the efforts to improve the operations of businesses.
Information and Communications Technology (ICT) is reshaping the health care system in the United States at an accelerating rate. In earlier times US Healthcare system was more focused on intervention of diseases, but now it is moving more towards preventive approach and I see Health IT as the most important tool that can lead this change. I strongly believe that my professional goals, range and depth of my experience and knowledge is an asset and my enthusiasm for the field makes me an ideal candidate for the Master of Professional Studies in Technology Management (Health Information Technology) program at Georgetown University.