HCS483 Health Care Information Systems

Components and infrastructure overview

The components of the electronic health record system help the system to work properly and reduced the operational cost and time as well. The hospital authority can store and access the administrative billing data, patient’s demographics, medical history of the patients, progress notes, laboratory and testing reports and immunization dates.

Data to wisdom continuum is comprised of information, data, knowledge as well as wisdom. In order to deal with any issues and technical advancement communication is the best model to be developed. It can enhance the efficacy and efficiency of the system. the technology helps to reduce the possible errors. Healthcare is an information intensive department which deals with large data sets. With changing time, the components and infrastructure of the system are also changing. The communication and technology give a foundation to manage and support the degree of change within the healthcare system. within clinical practice the data interpretation is a tedious task and the technology is needed to process the information.

The data protocol related to the treatment can be successfully taken from the technology. However, critical issues or the emergency condition requires the professional knowledge to tackle all problems. Thus, technology aids in planning treatment though in critical situation it is doubtful.

Process mapping

Training and communication plan heuristics evaluation

For using an EHR system accurately the project manager needs to develop a training program for the end users.

Heuristics EvaluationIn this section the EHR system’s design and usability is evaluated using Zhang et al.’s, heuristic evaluation tool.

Consistency and standards- The standards in terms of position, layout, capitalization, terminology, sequence of actions and convention used in the system design are same.

Visibility of system state-The system has proper feedback action and information display action.

Match between the system and word- The actions and options given by the system matches with the actions performed by the end users

Minimalist-There is no extraneous information is added into the system

Minimize memory load- The system developer gives information tailored to specific process step rather than general information

Informative feedback - The system gives informative and timely feedback to understand the process running through the system

Flexibility and efficacy- Through customization and shortcuts the system supports different users

Good error manager- The system gives information error messages to better understand and recover the errors

Prevent errors- The design and system layout prevent the users to make any sort of errors

Clear closure- The system clearly indicates users when tasks are started and ended

Users in control- The users feel that they are in control of the system

Help and documentation- Providing help and documentation the system supports the users. -

Benefits Realization

The metric or method used to measure the success of the project post implementation are- schedule, quality, cost, stakeholder’s satisfaction and performance to business case.

Evaluation

The EHR system corelates with many other concepts within the HIS coursework. The system helps to improve the entire operational and functional efficiency. The system is expected to be developed within the budget of $150,000 and time of 5 months. The project manager and assigned team need to fulfil the assigned responsibilities to make the project successful. the doctors and the patients both will be able to access information from the system whenever needed. The data stored in the system is highly secured and none can access without permission and authorization. The system features are also ideal. With the help of this system the university can improve their health record keeping approach.

Bibliography

Bateman, A., Tomasi, J., Guerguerian, A. M., Laussen, P., & Trbovich, P. (2019). Switching Electronic Health Record Systems: Effects on Rounds and Perceived Impact on Communication andWorkflow in a Paediatric Critical Care Unit. CMBES Proceedings, 42.

Entzeridou, E., Markopoulou, E., & Mollaki, V. (2018). Public and physician’s expectations and ethical concerns about electronic health record: benefits outweigh risks except for information security. International journal of medical informatics, 110, 98-107.

Galli, B. J. (2018). Ethics of Electronic Health Record Systems. International Journal of Information Systems and Social Change (IJISSC), 9(3), 53-69.

Gildon, B. L., Condren, M., & Hughes, C. C. (2019, June). Impact of electronic health record systems on prescribing errors in pediatric clinics. In Healthcare (Vol. 7, No. 2, p. 57). Multidisciplinary Digital Publishing Institute.

Gong, J. J., Naumann, T., Szolovits, P., & Guttag, J. V. (2017, August). Predicting clinical outcomes across changing electronic health record systems. In Proceedings of the 23rd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining (pp. 1497-1505).

Lee, T. C., Shah, N. U., Haack, A., & Baxter, S. L. (2020, September). Clinical Implementation of Predictive Models Embedded within Electronic Health Record Systems: A Systematic Review. In Informatics (Vol. 7, No. 3, p. 25). Multidisciplinary Digital Publishing Institute.

Lyles, C. R., Nelson, E. C., Frampton, S., Dykes, P. C., Cemballi, A. G., & Sarkar, U. (2020). Using electronic health record portals to improve patient engagement: research priorities and best practices. Annals of internal medicine, 172(11_Supplement), S123-S129.

Miller, M. L. (2018). High Fidelity Nursing Using Electronic Health Record Systems: Impact on Critical Thinking in Nursing Practice (Doctoral dissertation, Valdosta State University).

Overhage, J. M., & McCallie Jr, D. (2020). Physician time spent using the electronic health record during outpatient encounters: a descriptive study. Annals of internal medicine, 172(3), 169-174.

Raymond, L., Paré, G., & Marchand, M. (2019). Extended use of electronic health records by primary care physicians: Does the electronic health record artefact matter?. Health informatics journal, 25(1), 71-82.

Smith, J. N., & Scholtz, J. M. (2018). Impact of a simulated electronic health record on pharmacy students’ perceptions of preparedness for clinical practice. Currents in Pharmacy Teaching and Learning, 10(12), 1624-1630.

Vuokko, R., Mäkelä-Bengs, P., Hyppönen, H., Lindqvist, M., & Doupi, P. (2017). Impacts of structuring the electronic health record: Results of a systematic literature review from the perspective of secondary use of patient data. International journal of medical informatics, 97, 293-303.

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