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Project management techniques
Project management techniques
Advantages and disadvantages of health information interoperability
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Section F: Implementation Plan Setting and Access Implementing CPOE is challenging and requires significant planning to do it right. The methods and the efficient equipment that required for implementation of the e-prescription system need a comprehensive coverage of the organizational setting in a hospital. There is a need to get a sign-off from all the possible stakeholders of the system such as prescribers, doctors, physicians, pharmacy, some potential patients, imaging center, transaction hub, and database engineers. So, the approval form should prepare after finalizing the approach by knowing the pros and cons and the views of all the stakeholders in the hospital (Kierkegaard, 2012). Hospitals should adopt robust project management techniques …show more content…
Management is updated with the information of the benefits of the regime over a traditional system. Moreover, there should be a quiet initial setting of the project so that it does not create many challenges for the personnel. (See Appendix I). If problems are present, it should address The interviews provided rich detail about grantees’ successes, failures, and lessons learned. Key themes from the interviews are discussed below and include staffing, resource allocation, clinical steering committees, project scope, workflow, order set design, vendor relations, interoperability, customization and system integration, demonstration systems, training, technical support, and alert fatigue with a pilot program before going live. There should be goals and objectives for implementing CPOE which each organization’s tolerance for change. A CPOE solution that enables a flexible implementation approach – one that allows an organization to focus on garnering the most physician adoption initially, and then introduce increasing levels of process change at a later time – has the best chance of sustained success. Therefore, the initial implementation of CPOE will be limited to one facility, using a pilot project approach to identify issues before going system-wide. It will involve nursing, radiology, physicians, pharmacy, and administration as appropriate. Workplace realignment, workflow, and physical reconfiguration of workspaces should also be a consideration. Also, the vendor should be guaranteeing that the system selected for implementation will be capable of interfacing with the existing EHR system, although the same supplier used so this shouldn’t be an
Computerized Physician Order Entry (CPOE), is also known as Computerized Provider Order Management (CPOM). CPOE is a process of automated or electronic entry record of health care physician on different types of instructions on how to treat patients, especially patients that are hospitalized under a physician’s care. CPOE is one of the most remarkable system that is being used in the healthcare system to effectively reduce the amount of medication errors. The University of Health Care System might be in the process of rolling out the CPOE portion out of the EMR project, however, they did not do a thorough investigation on what CPOE is and whether or not it would have a positive impact on the EMR project. They should have not taken the step to start the project without already knowing the basics of CPOE. They might have had thought that since it is a computerized system everything would turn out okay and there would not be any problems. However, they fall short to recognize that the user’s knowledge and experience with using the CPOE system would have a significant influence on the effectiveness and productivity of the actual system.
The pros of the CPOE system included that the prescribing of wrong medications was reduced, there were fewer errors with the patient’s basic information, orders for lab work, blood work, and medications were standardized; and mistakes in the ordering...
Recommend which system is the best choice to meet meaningful use requirements in this particular setting. Both Cerner and CPSI have helped hospitals meet CMS Stage 1 and Stage 2 requirements. However, Cerner provides a modular concept that larger hospitals are using more than complete inpatient systems to achieve MU (Zieger, 2013). In 2014, EHR vendors said eight hospitals had attested to MU Stage 2, and Cerner was used twice as much as CPSI (Gregg, 2014). Concerning Computerized Physician Order Entry (CPOE), CPSI System had the broadest reach in community hospitals; nevertheless, the software was missing functionality and usability (KLSA Enterprises, 2010, p. 6). Therefore, CPSI’s CPOE was significantly below the market-average due to low physician satisfaction (KLAS Enterprises, 2010, p. 6). KLAS Enterprises (2010, p. 2) reported Cerner clients were happier the more they adopted CPOE.
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
Electronic prescribing or known as e-prescribing is the transmission, using electronic media, of prescriptions or prescription-related information from a prescriber (physician, nurse practitioner, etc.) to a pharmacy (Fincham, 2009). The information may flow to a number of parties in addition to the pharmacy, such as a pharmacy benefit manager, health plan, or an intermediary, such as an e-prescribing network (a large centralized system to process electronic prescriptions)(Bloche, 2011). In its simplest form, e-prescribing involves two-way transmissions between the point of care and the pharmacy. E-prescribing is intended to replace writing out, faxing, or calling in prescriptions, and its many proposed benefits include safer, more efficient, and more cost-effective care (Fincham,2009). Because of potential benefits, the federal government has put in place major incentives for providers to adopt e-prescribing and to adopt electronic health records through the meaningful use incentives (Sanders & Buchanan, 2012). But in today’s world where technology is growing rapidly in the healthcare, medication errors through e-prescribing is not getting any better. Medication errors are one of the most common types of medical errors and one of the most common and preventable caus...
Computer Physician Order Entry (CPOE), is “a portion of a clinical information systems Electronic Health Records (E H R) that enables a patient’s care provider to enter an order for medication, clinical laboratory, or radiology test, or procedure directly into the computer. The system then transmits the request to the appropriate department, or individuals so that it can be carried out in real-time” (Glandon, Slovensky, and Smaltz 263).
“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an incentive, the government began issuing payments to those providers who “meaningfully use certified electronic health record (EHR) technology.” (hhs.gov) There are three stages that providers must progress through in order to receive theses financial incentives. Stage one is the initial stage and is met with the creation and implementation of the HER in the business. Stage two “increases health information exchange between providers.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) Stage three will be the continuation and expansion of the “meaningful use objectives.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) The hospital, where I work, initiated the HER mandate many years ago. In this paper, I will discuss the progression and the challenges that my hospital encountered while implementing the EHR mandate.
A computerized physician order entry (CPOE) system can provide many enhancements to preventing medication mistakes. Using the CPOE will allow all health maintenance providers to have an easily accessible list of all current medications the patient is on and will reduce the process of ordering a medication for a patient, which will lessen the probability of an error occurring throughout the procedure. This organization will also allow pharmacists, nurses, and physicians a form of communication by electronic means. In summary, the combined effort of healthcare professionals and electronic support can greatly reduce medication
In an effort to improve clinician workflow and enhance patient safety, a healthcare facility has purchased and will soon be introducing a computerized provider order entry (CPOE) system for use within the electronic health record. A pre-deployment evaluation plan will permit the informatics team to appraise the usability of the CPOE and provide administrators with valuable data regarding its successful implementation. This paper describes the formation of this evaluation plan including the goals, methodology, and tools to be used. The final sections cover the ethical implications and dissemination of findings, along with the limitations and opportunities that the study provides.
An electronic health information exchange is the sharing of health related information between patients, providers, nursing staff, pharmacists and other health care organizations. The main objective of an electronic health information exchange (HIE) is for patients’ personal health information to be available, accessible, and sharable at any time and to follow them from physician to physician, increasing interoperability while decreasing cost and time. There are many benefits to an organization implementing a health information exchange; an HIE can decrease unnecessary services and reduce costs by making administrative duties more efficient. It also allows patients to get more involved with their own health care and encourages a better quality of care. The health information exchange improves the quality of care in healthcare organizations. One area of concern when being a part of the health information exchange is technical issues that could occur in the system. Getting patient information to successfully transfer from provider to provider, state agencies included, is a challenge that health information organizations can face. “Although these organizations have proven the ability to receive information, they have realized that a lack of consensus in terms of standards prevents them from pushing data effectively and economically.”(Milstine, 2011 p.761) This issue has the potential to be a problem for health information managers because HIM professionals must follow all laws and standards for protecting patient personal health information.
Clinical integration is needed to enable the coordination of patient care across conditions, providers, settings, and time in order to reach the care that is safe, timely, effective, efficient, equitable, and patient-focused. However, to achieve clinical integration, we need to encourage changes in provider culture, redesign payment methods and incentives, and update federal laws Also, clinical integration provides an opportunity to organize services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs (Harrison, 2016). Also, strategic planning is important in clinical integration because it outlines what is expected between the hospitals and physicians. Many healthcare facilities have limited resources, consequently, it is crucial to guarantee that capital spending needs and operating performance measures of physician’s strategies can be identified and calculated before a partnership is made. Also, clinically integrated care community needs good governance, where the goals and incentives of leadership and management are associated (Health, 2017). Furthermore, an important area to focus on is creating a physician-led culture of continuous quality improvement, using tools and technology to integrate information from different systems
Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread publicity has helped build awareness of e-prescribing’s role in enhancing patient safety. Although it has not been in practice for very long, e-prescribing has already made a positive impact in the field of health care.
Planning should involve the ideas of clinicians and IT personnel in the assessment of technology choices of health management systems available. Permanent sites for system testing and training are necessary. These environments are precisely similar to the environment where the system will be applied. Initial test environment should allow testing of modified configurations before the launch of the live system. Any modifications which do not pass user acceptance testing and system testing in the test environment should not be incorporated into the live system. In addition, the training environment should also be similar to the real system working conditions and should be always available for access by the health management system users (Schade et al. 474).
Along with overcoming barriers, this role also provides education and feedback to the staff. This role includes the evaluation of medical technology, developing policies, and security (Hoyt & Yoshihasi, 2014). Throughout this paper, the responsibilities, qualifications, key activities,
It's not come without its own shared cons, as we are lightening some of the challenges that affect healthcare systems! Major drawbacks are the substantial upfront costs associated with EHR system implementation. This financial stress can be really troubling, especially for smaller healthcare practices, as it affects their seamless transition towards digital record-keeping. Security concerns spring up in the situation when EHRs require electronic space. Storing sensitive patient info makes it vulnerable to data breaches and unauthorized access.