CRH608 Health Information Systems

Question Your have been appointed in the selection panel for an EMR (Electronic Medical Record )that is to be introduced into an existing 800 bed tertiary teaching hospital. A tender document has been sent to industry inviting responses to delivering a full EMR solution. As the selection panel you need to document the business benefits that are going to be derived from the implementation of an EMR solution, determine how you will measure return on investment and create some selection criteria to evaluate the tender responses. 1. A mind map detailing the top 5 business benefits you expect to be delivered by the EMR solution. 2. A mind map detailing 5 measures you will use to assess the ROI delivered by the EMR solution. 3. A mind map detailing 10 selection criteria you will use to evaluate the responses. Answer Figure 1: Benefits of Electronic medical records (Source: Learner) Figure 2: criteria for selection of ROI (Source: learner) Figure 3: measures to access ROI (Source: Learner) The current chapter focuses on the aim of establishment of electronic medical recording systems for analysing the patient health in hospitals and palliative care units. This is particularly useful in case of the ones receiving treatment for the long term and chronic illness. Therefore, the presence of such an electronic recording system helps in analysing the present and the past conditions of a person. Moreover, implementation of the system helps in ensuring that the important details pertaining to the health of a patient are maintained. There are a number of benefits of the implementation of the Electronic medical records. The ample benefits provided by the program are –improving the quality of patient care, saving implementation, provides more accurate diagnosis, quicker to implement. Therefore, the implementation of the system on a regular basis helps in enhancing patient care. This is particularly useful in a patient who has been under long term and palliative care. Thus, in such cases follow up is often required. Thus, referral to past incidents and history is required for prevention of errors. Moreover, the availability of the relevant data in a single unit helps in faster and quicker delivery of services. As commented by Middleton et al. (2013), the inculcation of the model also helps in achieving support from the much wider network and hospices. In this context, one could mention that patients visiting doctors often hide some of the most important information. Some of this information is pivotal in the provision of authentic medication and care treatment. This has been reported in depression care and management where the family members of the patient are subjugated by the stigmas of the society and do not readily approach a doctor. The availability of such a unified network also enhances collaboration between different medical networks. This helps in improved patient care and services, apart from removing any inadvertent mistakes that may have crept into the services. A number of factors may be used to select the return on investment such as market readiness, customer demand and the competitive advantage. In this context, the return on investment may be defined as a performance measure used to evaluate the efficiency of an investment. In this respect, the market readiness is a crucial factor, which defines the acceptability conditions of the present market. These conditions are further driven by customer demands which call for reforms in the otherwise accepted norms and conditions. As mentioned by Jones et al. (2014), the customer demands are further governed out of necessities. Thus, the market demands often play a crucial role in the success rate of recent change or plan implemented within the present scenario. Another driving factor here is a competitive advantage. The development of the health strategies and medical facilities are placing more demands for the development of a one-stop solution. Thus, implementation of such a plan means that the successful health professionals can easily access the relevant and important medical details of a person. Some of these details need to the skill across the medical channels for critics and evaluation. It helps in designing tailor made plans and strategies for the service requirements of the patients. However, as argued by DesRoches et al. (2013), is also loopholes are associated with the sharing of information across the medical groups. The sharing protocol demands the privy details of the patients are preserve. This respects the basic privacy concerns and emotional concerns of the patients. The criteria for the selection of the ROI are dependent on a number of factors such as the overall reaction received from the patient group. The planned action focuses on the implementation of the EMR model within the current framework. Moreover, the skill, attitude and the knowledge possessed by people regrading the benefits of such methods plays a governing role. Additionally, as argued by Brasil et al. (2013), the availability of suitable market shares along with generating sufficient interests in the stakeholders may help achieve the required outcomes. However, as commented by Furukawa et al. (2014), the fulfilment of the tender is also subject to the presence of sufficient funds for the incorporation of the future project. Thus, the tender is subject to market approval a greater part of its comes from the approval of the people. References Brasil, L., Oliveria, E., Elpídio, F., Neto, A., Tahmasebi, R., Mendonça, H., & Puttini, R. (2013, April). Information architecture and services of the Electronic Health Record (EHR) definition of Brazil-GT information architecture. In Health Care Exchanges (PAHCE), 2013 Pan American (pp. 1-1). IEEE. Charles, D., Gabriel, M., & Furukawa, M. F. (2013). Adoption of electronic health record systems among US non-federal acute care hospitals: 2008–2013. ONC data brief, 9, 1-9. DesRoches, C. M., Charles, D., Furukawa, M. F., Joshi, M. S., Kralovec, P., Mostashari, F., … & Jha, A. K. (2013). Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012. Health Affairs, 10-1377. Furukawa, M. F., King, J., Patel, V., Hsiao, C. J., Adler-Milstein, J., & Jha, A. K. (2014). Despite substantial progress in EHR adoption, health information exchange and patient engagement remain low in office settings. Health Affairs, 10-1377. Jones, S. S., Rudin, R. S., Perry, T., & Shekelle, P. G. (2014). Health information technology: an updated systematic review with a focus on meaningful use. Annals of internal medicine, 160(1), 48-54. Middleton, B., Bloomrosen, M., Dente, M. A., Hashmat, B., Koppel, R., Overhage, J. M., … & Zhang, J. (2013). Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. Journal of the American Medical Informatics Association, 20(e1), e2-e8.

CRH608 Health Information Systems

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