Assignment - HIF Ch. 11

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Saint Paul College *

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000489

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Health Science

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Dec 6, 2023

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MEDS 1420-91: Health Information Foundations Name: Alece Collins Chapter 11: Health Information Systems (20 points) Associate Degree Competency: III.1 Apply health informatics concepts to the management of health information Instructions for Assignment : First, you will want to read Chapter 11 from your textbook and then read/complete the following real-world case exercise 11.2. Please use MS Word (to type complete your assignment), save, and upload to the corresponding drop-box within D2L by the due date/time as indicated by your syllabus. Margret K. Amatayakul, MBA, RHIA, CHPS, CPEHR, FHIMSS Real-World Case 11.2 Clinic for Kids is a provider practice with three pediatricians, two nurse practitioners, three licensed practical nurses, a half-time behavioral health therapist, and a part-time office manager. It earned initial certification as a patient-centered medical home and acquired an EHR over 10 years ago from a small, start-up company which provided the EHR via a subscription service and which also maintained the clinic’s computers. One of the pediatricians refused to use the EHR, but agreed to allow a nurse practitioner to scribe. Another pediatrician reviews the EHR at the point of care, but documents notes on scraps of paper and takes them home at the end of the day to enter into the EHR. The third pediatrician and the nurse practitioners are power users of the EHR, although the pediatrician is often frustrated with the lack of analytics support, especially as the clinic wants to participate in alternative payment models. The nurse practitioners, who are also taking on the role of care coordinators to further the VBC initiatives, find the EHR limiting in “customer relationship management” tools and the lack of interoperability with their patients, other providers, schools, and social service agencies. The behavioral health therapist, as a contractor, maintains separate paper-based records. At the time of the conversion to ICD-10-CM a few years ago, the EHR company went out of business. As a result, the clinic’s office manager hired a part-time medical coder and IT support person who created a small registry on an Access database and documented ICD-10-CM data therein, which a healthcare claims clearinghouse then merged with claims data. All members of the clinic recognize they need a new EHR, but they are now frustrated with the affordable offerings that do not incorporate the latest of technologies. Their primary hospital affiliation has one of the major EHR vended systems. The hospital has offered to supply a small-office version of the product to the clinic. The clinic is evaluating the cost differential, as the product costs more, but the cost could be outweighed by cost reductions in compiling the coding database and clearinghouse fees. They also believe their nurse practitioners could be put to better patient care use with a better EHR and hence see more patients. At least two of the physicians are convinced that in a VBC environment, they would gain more than they would lose because their quality of care has always been outstanding. One of the clinic’s health plans and the local school are also looking into ways to support the clinic in its IT management needs. Real-World Case Questions 1. Identify which technological components of their new system should be considered that would most help the parents of the kids seen at this clinic? CRM - Customer Relationship Management should be used to manage the clinic’s
interactions with patients and service providers. Analytics - To make decisions regarding a patient’s health and used to interpret patterns in data to disclose new information. Registry - Data that can be collected for diseases, conditions, or procedures that make PHI available for analysis and research. Artificial Intelligence (AI) - application of algorithms that analyse data and make applications recommendations 2. Compare/Contrast the considerations this clinic must make when deciding on which EHR to acquire, and when? The clinic should consider what type of EHR would best fit their clinic’s and patient’s needs such as the functionality and software design. Also, I think the clinic should consider getting their employees all on board and comfortable with using the EHR to keep PHI secure. Cost should be taken into consideration for training, IT support and security features to protect PHI in the new EHR system. 3. Propose how the higher costs of the hospital’s EHR offer may be offset. I would propose that the clinic utilise the nurse practitioners and see more patients to create more revenue and compile the coding databases and clearing house fees. 4. Identify the advantages or disadvantages to adopting the hospital’s EHR offering? One of the disadvantages of adopting the hospital’s EHR offering is the cost which comes with implementing it. There would be training requirements when implementing the EHR which would slow down efficiency of the employees who need to learn and transfer records to the new EHR system. However, the advantage of implementing the EHR would provide accurate, updated, complete information of patients which ultimately leads to efficient documentation, quicker and easier diagnosis, better decision making for patient care.
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