System Implementation You Will Progressively Work On

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Describe a fictional healthcare organization: type, size of staff, and amount and type of patients it is able to serve.

Establish the need for a system.

Set achievable goals and objectives.

Allocate a budget.

Identify a project manager (a fictitious name and title) and project team (fictitious names and titles).

Determine whether to build in-house or acquire from outside, and support your decision with reasoning.

Set a timeline for system implementation or project completion. You can use Internet resources, peer-reviewed journals, and reputable, published articles, and you may interview an executive of a healthcare facility that has implemented an electronic medical record system/electronic health record system or similar system to describe the six-implementation steps.

Paper For Above instruction

In today’s rapidly evolving healthcare landscape, the integration of effective information systems is paramount to delivering efficient, patient-centric care. This paper provides a comprehensive executive summary of the initial planning phase for implementing a new health information system in a fictional healthcare organization. The focus lies on strategic planning, including organizational context, need assessment, goal setting, budgeting, team formation, sourcing decision, and project timeline.

Organizational Profile

The selected healthcare organization is a mid-sized community hospital named “Community Care Hospital” (CCH). CCH employs approximately 250 healthcare professionals, including physicians, nurses, administrative staff, and support personnel. It serves a diverse patient population, including pediatrics, adults, and geriatrics, with a capacity to admit around 10,000 patients annually. The hospital provides acute care, outpatient services, and specialty clinics, making efficient health information management crucial for seamless operations.

Identifying the Need for a System

The primary impetus for system implementation stems from the necessity to enhance patient safety, improve clinical workflows, and ensure compliance with health regulations such as HIPAA. Currently, CCH relies on paper-based records, which pose risks of data loss, delays in access to patient information, and difficulties in coordinating care among departments. An integrated electronic health record (EHR) system would enable real-time data access, reduce errors, and streamline administrative processes, supporting the hospital’s mission to provide high-quality care.

Goals and Objectives

The overarching goal is to develop an interoperable, user-friendly EHR system tailored to CCH’s operational needs. Specific objectives include:

  • Reduce medication errors by 30% within one year of implementation.
  • Improve patient throughput and reduce wait times by 20% in outpatient clinics.
  • Achieve compliance with federal and state health information regulations.
  • Enhance patient engagement through access to personal health records.

Budget Allocation

The preliminary budget for system implementation is estimated at $2 million, covering hardware upgrades, software procurement, staff training, and ongoing support. Allocations include $1 million for software licensing and customization, $500,000 for hardware and network infrastructure, $250,000 for staff training, and $250,000 for contingency and miscellaneous expenses. Securing funding involves a combination of hospital reserves, grants, and potential partnerships with technology vendors.

Project Management Team

Name Title Role
Jane Smith Chief Information Officer (CIO) Project Sponsor and Decision Maker
Michael Johnson IT Project Manager Leading System Deployment
Lisa Chen Clinical Informatics Specialist Workflow Analysis and Training
David Lee Vendor Liaison Overseeing External Software Vendors

Build vs. Acquire Decision

After evaluating in-house development versus external acquisition, the organization opts to procure a commercially available EHR system. This decision is supported by considerations of cost, time-to-implementation, and access to vendor support. Building an in-house system would require extensive resources, expertise, and prolonged development time, risking delays and potentially higher costs. Conversely, established vendors offer scalable, tested solutions with ongoing support, updates, and dedicated customer service, enabling the hospital to meet its objectives efficiently.

Implementation Timeline

The projected timeline for the entire system implementation spans approximately 12 months:

  1. Planning and Needs Assessment: Months 1-2
  2. System Selection and Contracting: Months 3-4
  3. Customization and Infrastructure Setup: Months 5-7
  4. Training and Pilot Testing: Months 8-9
  5. Go-Live and Full Deployment: Months 10-12

This structured approach ensures thorough preparation, stakeholder engagement, and risk minimization during deployment.

Conclusion

Effective planning is crucial for the successful implementation of a health information system in a healthcare organization. By thoroughly assessing organizational needs, setting clear goals, assembling a dedicated team, and making informed sourcing decisions, CCH aims to enhance healthcare delivery. This foundational planning stage sets the precedent for subsequent phases such as analysis, system selection, deployment, and ongoing maintenance—each vital to achieving a resilient, compliant, and user-friendly EHR environment that ultimately benefits patients and providers alike.

References

  • Adler-Milstein, J., & Jha, A. K. (2017). HITECH Act Drove Large Gains in Hospital Electronic Health Record Adoption. Health Affairs, 36(8), 1416–1422.
  • Buntin, M. B., Burke, M. F., Hoaglin, M. C., & Blumenthal, D. (2011). The Benefits Of Health Information Technology: A Review Of The Recent Literature Shows Predominantly Positive Results. Health Affairs, 30(3), 464-471.
  • Hirschtick, R. E., et al. (2019). Implementing Electronic Medical Records in Healthcare Systems. Journal of Healthcare Engineering, 2019, 1-15.
  • Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Risk Management and Healthcare Policy, 4, 47-55.
  • O’Reilly, P., & Jay, M. (2018). Strategies for Successful Electronic Health Record Implementation. Journal of Medical Systems, 42(9), 171.
  • Shinkunas, L., & Queens, N. (2020). Optimizing EHR Utilization for Improved Patient Care. Healthcare Informatics Research, 26(4), 319-329.
  • Sittig, D. F., & Singh, H. (2015). Modern Health Information Management. Yearbook of Medical Informatics, 13(1), 34-40.
  • Westbrook, J. I., et al. (2015). Electronic health records and safety: a review. Medical Journal of Australia, 203(6), 284-287.
  • Whyte, S., & Nicholls, D. (2018). The Impact of EHR Implementation on Clinical Practice. Journal of Clinical Nursing, 27(11-12), e239-e246.
  • Zhang, P., & Li, N. (2020). Challenges and Strategies in EHR Adoption. International Journal of Medical Informatics, 139, 104152.