Healthcare Management Research Project Finale Paper (1)

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Advances in Healthcare Information Technology 1 BUSI 311- Introduction to Healthcare Administration Sherri Petway-Kay 10/09/2023 Respectfully submitted to: Professor Elijah Cheek

Advances in Healthcare Information Technology 2 The next era of managing healthcare will feature ever-learning technology and leadership personnel. Executives in the health sector must oversee greater healthcare organizations, healthcare facilities, and hospital divisions than in previous years. These knowledgeable employees perform a wide range of duties, including legislative management, finance, administration of facilities, and managerial tasks. They are also in charge of evaluating and recommending modern technology. All the duties correspond with the providing care that prioritizes patients. Health information technology has several options for enhancing and altering healthcare, such as lowering human mistakes, improving clinical outcomes, facilitating care coordination, increasing practice efficiencies, and tracking data over time. The application of information processing involving both computer hardware and software that deals with the storing, retrieval, exchange, and use of health care information, data, and knowledge for communication and decision making has been classified as healthcare information technology (HIT). Health information technology encompasses a wide range of technologies, from simple charting to advanced decision support and interaction with medical equipment. The development and implementation of health information technology has been expedited, with differing degrees of evidence about the influence of health information technology on patient safety. Every facet of healthcare has been impacted by digital technology and related innovative approaches to addressing patients' demands. Although these technologies help nurses and other healthcare professionals provide services of a higher caliber and much more quickly, they also necessitate the presence of significant expertise. The current theories of how to instruct and train healthcare workers to effectively use current and emerging technology and quickly pick up new abilities will be analyzed in this research. Technological advancements have significantly changed healthcare, from anesthetics and antibiotics to magnetic resonance imaging scanners and

Advances in Healthcare Information Technology 3 radiotherapy. While technologies (new pharmaceuticals and treatments, new equipment, new social media support for healthcare, etc.) will drive innovation, human aspects will still be one of the stable restrictions of advances in the healthcare industry. No prediction can please everyone, but to help us think more clearly about how to go where we want to go, this essay investigates snippets of the future. The use of electronic or computer support to submit physician orders, including pharmaceutical orders, utilizing a computer or mobile device platform is referred to as computerized physician order entry. According to an article written in 2017, “computerized physician order entry systems are usually integrated with a clinical decision support system (CDS), which acts as an error prevention tool through guiding the prescriber on the preferred drug doses, route, and frequency of administration.” (J., S. M. 2017) The use of a CPOE without CDS does not appear to prevent medication mistakes. The adoption of a simple CPOE system without a clinical decision support system did not increase overall patient safety or reduce prescription errors, according to studies. Electronic systems that incorporate electronic medication administration records with bar code technology are known as bar code medication administration systems. These systems are designed to prevent medication errors by ensuring that the correct medication is given to the correct patient at the correct time. Much research has been conducted in recent years to investigate the relationship between the usage of HIT and the associated health outcomes, administrative efficiencies, and cost savings. "Telemedicine and software programs were the next most frequently identified interventions, occurring 7 of 38 occurrences (18%) and 6 of 38 occurrences (16%), respectively. Clinical decision support systems were analyzed at a frequency of 5 of 38 occurrences (13%). mHealth occurred 3 of 38 occurrences (8%). Telemedicine and electronic ordering HIT

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Advances in Healthcare Information Technology 4 interventions occurred 2 of 38 occurrences (5%). Health information exchange (HIE), HIT, robot assistance, videoconferencing, and remote screening were all identified once for the lowest frequency at 3% individually.” (Kruse, C. S. 2018) COVID19 mitigation is being or could be achieved through the use of digital health technologies. It then proposes the National Emergency TeleCritical Care Network (NETCCN), which would combine digital health technology to meet this and future disasters. Paul Morton stated that “There are several reasons why standardization may have a much stronger association with advanced HIT adoption than resource centralization in our study. The first is that our focus was specifically on health systems, which by nature are more centralized and well-resourced organizations than independent hospitals and medical groups. The second is that the adoption of advanced EHR capabilities may represent more of a challenge of change management than resource allocation. All the systems in our analytic sample had already acquired EHRs, and four of the five capabilities in question were required capabilities of EHR systems for Certified Electronic Health Record Technology designation. Third, health systems may decide to standardize their EHR systems to adopt advanced capabilities in the future, which the cross-sectional nature of our study could not address.” (Paul T. Norton 2019) Stress related to HIT use predicts burnout among physicians. Burnout has a significant impact on physicians, their patients, and the healthcare system. Physicians who express burnout symptoms have a higher turnover rate. There is a higher prevalence of substance use disorders and a higher number of malpractice lawsuits. Patients of burned-out doctors have more errors, are less satisfied with their care, and have more unneeded tests and consultations. In 2009, the Rhode Island Department of Health (RIDOH) and its public reporting contractor, Health centric Advisors, sent the HIT survey to all licensed physicians in the state. The survey is required by

Advances in Healthcare Information Technology 5 law to assess many aspects of HIT use, such as EHR adoption, use of EHR functionality, electronic prescribing, and health information exchange, as well as the influence of technology on workflow, patient care, and job satisfaction. More than a quarter of the sample (25.9%) reported 1 or more symptoms of burnout (Table 1). Prevalence of burnout symptoms was 27.2% among physicians with EHRs, compared to 13.6% among those without EHRs (P < .001). Of the 15 most common specialties, the specialty with the highest prevalence of burnout symptoms was family medicine (35.7%), followed by dermatology (34.6%), and hospital medicine (30.8%) (Figure 1). Anesthesiologists reported the lowest prevalence of burnout symptoms in the sample (14.3%). (Gardner, R. L 2019) Maryville University explains that “Although interpersonal skills are at the core of great healthcare management, many wonder how technology can improve it. In short, what is healthcare management’s future? Technological innovations have improved the quality of patient care by giving patients broader access to their medical records; adapting medical care to patients’ schedules; developing safer medical procedures, tests, and studies; and using technology to gather patient data, analyze it, and apply it in new ways. Today’s approach to healthcare management needs to adapt its policies and procedures to take advantage of technology to improve patient outcomes and satisfaction.” (Maryville 2023) As policymakers respond to quality and safety concerns and funding mechanisms shift toward value-based purchasing, health care providers will be incentivized to implement HIT. The further proliferation of HIT will benefit providers, customers, and policymakers alike. The health information exchange (HIE) is at the epicenter and leading edge of technological progress in the health care business. To foster universal adoption of and benefit from new features, health system leaders should investigate strategies to improve standardization of their installation and usage of electronic health records.

Advances in Healthcare Information Technology 6 Further research should be conducted to investigate the impact of health care system resources for training and software upgrades on advanced HIT adoption, as well as the drivers of considerable diversity in the adoption of specific advanced HIT capabilities.

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Advances in Healthcare Information Technology 7 References Ermetov E. Ya., Yakhishiboyeva D.E., Maxsudov V.G., Yakhshiboyev R.E. (2023). Importance of Information Technologies in Preserving Health . 2 . https://cyberleninka.ru/article/n/importance-of-information-technologies-in- preserving-health Gardner, R. L., Cooper, E., Haskell, J., Harris, D. A., Poplau, S., Kroth, P. J., & Linzer, M. (2019). Physician stress and burnout: the impact of health information technology. Journal of the American Medical Informatics Association: JAMIA , 26 (2), 106–114. https://doi.org/10.1093/jamia/ocy145 J., S. M. (2017, December). The impact of health information technology on patient safety . Nih.gov. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787626/ Kruse, C. S., & Beane, A. (2018). Health information technology continues to show positive effect on medical outcomes: Systematic review. Journal of Medical Internet Research , 20 (2), e41. https://doi.org/10.2196/jmir.8793 What is healthcare management and how can technology improve it? (n.d.). Maryville Online. https://online.maryville.edu/online-bachelo rs- degrees/healthcare-management/resources/what-is/ Paul T. Norton, MPH/MBA Candidate, Hector P. Rodriguez, PhD, MPH, Stephen M. Shortell, PhD, MPH, MBA, and Valerie A. Lewis, PhD, MA. (2019, January 1). Organizational Influences on Health Care System Adoption and Use of Advanced Health Information Technology Capabilities . Nih.gov. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581444/ Scott, B. K., Miller, G. T., Fonda, S. J., Yeaw, R. E., Gaudaen, J. C., Pavliscsak, H. H., Quinn, M. T., & Pamplin, J. C. (2020). Advanced digital health technologies for COVID-19 and future emergencies. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association , 26 (10), 1226–1233. https://doi.org/10.1089/tmj.2020.0140 Sheikh, A., Bates, D. W., Wright, A., & Cresswell, K. (2017). Key advances in Clinical Informatics: Transforming Health Care through Health Information Technology . Academic Press. https://www.google.com/books/edition/Key_Advances_in_Clinical_Informatics/ HSoUDgAAQBAJ?

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Healthcare Management Research Project Finale Paper (1)

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