Assignment - HIF Ch. 11
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Saint Paul College *
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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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