Case Study 1
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School
Toronto Metropolitan University *
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Course
501
Subject
Information Systems
Date
Apr 3, 2024
Type
docx
Pages
3
Uploaded by BaronGiraffe4184
Case Study 1
Middleville Hospital, located in a small rural town, is a 58bed acute care facility with both
inpatient and outpatient services. The hospital consists of more than 600 employees and
more than 300 volunteers. It is a communityowned, notforprofit hospital dedicated to
providing compassionate, accessible healthcare close to home. The facility primarily
serves one major county and nine surrounding counties. The hospital has a homegrown
EHR system, but its functionality just barely meets Meaningful Use Stage 2 criteria. The
hospital’s primary goal is to implement a certified EHR, but the leaders are weighing the
benefits of two options: recruiting a skilled professional to rebuild the current system or
purchasing a commercial system. There is pressure to make a decision as soon as possible.
What are the musts, constraints, and barriers?
•
The new system must be fully implemented and operational in one year..
•
The EHR must be able to meet MU Stage 3 criteria.
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The hospital has a very small IT department and a modest budget.
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The new EHR requires larger servers, new devices, central monitors, printers, and tablets.
•
The wireless infrastructure must be upgraded to eliminate known dead spots in areas of the facility.
•
The hospital wants to more effectively take advantage of select features such as clinical decision support and incorporate best practices or evidence based medicine.
Questions
1.
Compile an initial list of functional requirements (functions needed) for the new EHR.
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The EHR must be compliant with the 3
rd
stage of the meaningful use criteria like having decision support tools that support evidence based and best practice guidelines.
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EHR system must be cost effective and require minimal it supports to ease maintenance efforts.
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The implementation process needs to be streamlined to meet the 1-year timeline.
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The interface must be user friendly end training resources need to be available.
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The system must be HIPAA compliant and must have encryptions for sensitive patient information.
2.
Create a brief evaluation plan by developing five or six criteria for evaluating vendors’ products.
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Assess if Meaningful Use Compliance is met at stage 3 for each EHR system.
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Compare the overall cost of all EHR systems from upfront costs, maintenance fees and other fees.
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Evaluate the approach of each vendor to ensure implementation stays within the 1-year timeline.
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Ensure that infrastructure requirements such as support for larger servers, new devices and wireless infrastructure are provided and plan is feasible. -
Assess each EHR systems’ compatibility with the hospital’s existing IT department and plans with smooth transition.
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Evaluate training resources provided by each vendor.
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