Week 3 Discussion
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Dec 6, 2023
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Week 3 Discussion
Please read "Case 5: Selecting an EHR for dermatology practice" on page 480-481 of the
textbook and discuss either question 2 or question 3 at the end of the case. You only need to pick
one of the two questions to discuss and please include the question number in your post. You can
comment on any posts, not limited to those discussing the same question as you did.
How might you conduct an EHR-readiness assessment for this practice? What factors will be
important to consider? Why?
There are many important factors to conduct and consider for the EHR-readiness assessment.
First, computer requirements. Electronic Health Record means everything will be conducted in
computers, the requirements for computers in both software and hardware as well as internet
connection are important. Second, EHR system training. All healthcare providers such as
doctors, nurses, and other staffs should receive EHR training before using it. They need to have
the skills to use the systems in order to facilitate EHR system. Third, cost requirements. I
mentioned computer requirements and EHR system training before, and both factors require
financial support. For paper-based health record, it is easy to conduct, basically you do not need
to spend any money because the price of papers is cheap and everyone can write, however,
purchasing computers and software and proving training are extensive, also, you cannot
guarantee everyone knows how to use computer and/or specific software.
security and privacy
considerations. The assessment should evaluate whether they have the absolute security and
privacy standard procedures, and policies ensure to meet the requirements of an EHR system. It
is important to make sure that patients’ information and health records are protected, and the
access to HER system should be well controlled and monitored.
Before converting paper-based health record to an EHR, the owners need to think about if the
EHR system will benefit their facilities by getting and providing patients health record
effectively and efficiently and facilitate more correct and fast diagnosis. Also, the owners should
consider what they need to do for EHR system, including computer
requirements, proper staff
training, privacy and secure policies and regulations, and so on.
The way I would conduct an EHR-readiness assessment for this practice is by creating an
implementation team that will facilitate the process. Two of the main people I would be
incorporating would be a project manager and an IT professional. As a team, we would be
offering in-depth training for my staff. An idea I would like to use is to create mock patients in
the system so my staff can practice. The goal in this is to in a way mimic the workflow and once
EHR is up and running my staff will be comfortable with the navigation and be able to find
resources whenever a patient needs specific information. Factors that would be considered would
be the firm understanding of clinical workflow, data collection, documentation, and optimized
operation of EHR. Aside from taking time to further prepare my staff, ensuring that the EHR
system is working as it should be is vital to further assist with productivity. An IT professional
would be prepared to assist in any way possible in providing tech support and in monitoring
system functions. According to an article, “Having data that is incomplete, missing or
misleading, open or incomplete patient orders, procedures and policies that are ineffective,
failure to follow up abnormal test results, confusing one patient with another, reliance upon
inaccurate or incomplete patient data…” My staff would also be trained in proper
communication and coordination of their activities to ensure information does not get lost or
leads to patient harm. Once everything is set to go, I would then establish a go-live date. Optimal
performance upon implementation would be the end goal.
Workflow analysis: It is important to understand the practice's workflow and how an EHR
system will integrate with it. The assessment should consider how EHR implementation will
affect the practice's workflow, including changes in patient check-in, documentation, billing, and
scheduling.
Hardware and software requirements: The practice should assess whether their current hardware
and software infrastructure is sufficient to support an EHR system. This includes determining
whether the practice has adequate internet connectivity, server capacity, and backup and disaster
recovery systems
Staff training: The assessment should evaluate whether the practice's staff has the necessary
technical skills to use an EHR system effectively. The assessment should also consider the
amount of training required to bring staff up to speed on the new system, and whether additional
training will be necessary as the practice evolves.
Privacy and security requirements: The practice should evaluate whether they have the necessary
privacy and security policies and procedures in place to meet the requirements of an EHR
system. This includes ensuring that patient information is secure and protected, and that access to
the system is properly controlled.
Financial considerations: The practice should evaluate the costs associated with implementing
and maintaining an EHR system. This includes the cost of software and hardware, staff training,
ongoing maintenance and support, and any associated costs such as upgrades and add-ons.
Legal and regulatory compliance: The practice should ensure that their EHR system is compliant
with all legal and regulatory requirements, including HIPAA and other healthcare privacy and
security laws.
Overall, an EHR-readiness assessment should consider the practice's workflow, hardware and
software requirements, staff training, privacy and security requirements, financial considerations,
and legal and regulatory compliance. By evaluating these factors, the practice can determine
whether they are ready to implement an EHR system and identify any areas that may require
additional planning or resources.
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