HIT, EHRS and CHIES Assessment Worksheet

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timer Asked: Feb 5th, 2019
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Question Description

A medical group has decided to move forward with the organizational initiative of reducing health disparities, increasing access, and improving outcomes by leading a cooperative of local healthcare organizations in a Community Health Information Exchange System (CHIES) expansion plan founded on the governor’s vision to advance HIEs. You will complete an assessment of a CHIE, propose an updated Electronic Health Records System (EHRS), and complete a CHIE feasibility assessment.

For this task, you will create a business proposal for a new innovation. You will also submit supporting course assignments that will help you build the analysis and ideas you will need to successfully create your business proposal.

Working through this challenge will allow you to apply health information technology (HIT) management principles to a real-life scenario, while considering how strategic management of HIT is used to support population health management. Your HIT strategy must be able to anticipate the changes that a medical organization will face as it transitions to a value-based model, while also supporting population health management goals for the rural population.

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9/24/2018 Assignment 3: Assessing CHIE Feasibility Part of developing a population health solution for a rural community such as Paducah may require a broader network of health information sharing in order to improve care access for the patients. This requires determining the feasibility of PHMS contributing to the local community health information exchange (CHIE). Assignment 3 will prepare you for the assessment, the HIT strategy for PHMS. This assignment will specifically focus on the following: Assessing the compatibility of PHMS and CHIE using a checklist of relevant business, financial, technical, and risk/liability factors. Developing a strategy for aligning PHMS and CHIE while reconciling the strategies formulated in the HIT Recommendation and EHRS Assessment. Follow these three steps to complete the Assignment: Discover: Build an understanding of how health information exchanges (HIEs) are used to further the goals of HIT. Engage: Research and evaluate existing HIEs. Review: Apply what you have learned in the previous steps to complete Assignment 3, the CHIE Feasibility Assessment Worksheet. Supporting Materials Use the following resources to complete Assignment 3. The Kentucky Health Information Exchange (KHIE) website contains information about community health information exchanges (CHIE) that will be critical for assessing the feasibility of PHMS participating in an exchange. For this course, the CHIE is based on the existing KHIE. Paducah Health Medical System Profile. This document describes information about the fictional Paducah Health Medical System that will be used in the assignments, and as the basis for the HIT Strategy for Paducah Health Medical System. Complete and Close Introduction 1/1 9/24/2018 Assignment 2: Developing New EHRS Strategies In the next assignment, you will evaluate the value, challenges, and threats of having an electronic health record system (EHRS) in place. This understanding is intended to inform your assessment of the existing EHRS at PHMS, and including what changes will need to be implemented to achieve the organization's HIT strategies. Assignment 2 is intended to prepare you for the final project, the HIT Strategy for Paducah Health Medical System, by helping you do the following: Identify the needs and objectives for updating the EHRS at PHMS aligned with the organization’s transformation to a value-based model. Address end-user concerns about usability and interoperability for the current EHRS. Address data security and existing legal concerns about noncompliance with federal regulations. Develop a phased plan for implementing a new EHRS. It will also help you write the second part of the final project. Follow these three steps to help you complete the Assignment: Discover: Examine the value, and challenges of EHRS implementation, including concerns of use and potential threats to data integrity. Engage: Practice responding to these concerns by focusing on the complaints and accusations listed in the PHMS Profile and determining the best strategies for addressing these concerns. Review: Apply what you have learned in the previous steps to complete the EHRS Assessment Worksheet. Supporting Materials Use the following resources to complete Assignment 2. "Updates for Meaningful Use, Interoperability, Health Reform" by Kyle Murphy describes the implications of recent changes to meaningful use requirements. "Early Look at the ONC Nationwide Interoperability Roadmap" by Kyle Murphy provides a framework for interoperability aligned with recent changes to meaningful use requirements. "Medical Identity Theft Can Threaten Health as Well as Bank Account" by Julia Dahl highlights how medical identity theft can lead to serious negative health outcomes for victims. "Designing Technology to Restore Privacy" featuring Deborah Peel, describes strategies for designing technologies to ensure data privacy. "The Health Care Fraud and Abuse Control Program Protects Consumers and Taxpayers by Combating Health Care Fraud" examines various methods used to mitigate health care fraud. "8 Top Challenges and Solutions for Making EHRs Usable" from the American Medical Association (AMA) Wire describes several usability challenges and solutions. "Moving Past the EHR Interoperability Blame Game" "Integrity of the Healthcare Record: Best Practices for EHR Documentation" from AHIMA describes the best practices for ensuring data integrity. "How to Detect Overutilization as a Type of Claims Fraud or Abuse" Paducah Health Medical System Profile. This document describes information about the fictional Paducah Health Medical System that will be used in the assignments, and as the basis for the HIT Strategy for Paducah Health Medical System. Complete and Close Introduction 1/1 9/24/2018 Assignment 1: Preparing a HIT Recommendation Health information technology (HIT) strategies continue to emerge as the healthcare industry becomes more integrated. However, in more rural parts of the country, for a number of reasons, these strategies are not on par with HIT implementation in urban settings. Despite organizational shifts in care delivery, the healthcare needs of the rural population served by Paducah Health Medical System (PHMS) have not been fully addressed. In preparation for the HIT Recommendation, you will learn how HIT strategies can support population health management, and the implementation challenges. This understanding is intended to assist you to develop a recommendation for a new HIT Strategy for Paducah Health Medical System. Assignment 1 is a preparatory component of the final project, and requires: Identification of how a HIT strategy can support achievement of population health management. Determination of both clinical and patient end-user needs when forming a new HIT strategy. Evaluation of an evolving healthcare landscape and potential challenges with a new HIT strategy. Recommendation of strategies for the existing and future HIT plan. Follow these three steps to help you complete the HIT Recommendation: Discover: Learn how HIT strategies are used to support population health management through expert insights, and consider some of the issues that need to be addressed during HIT implementation. Engage: Identify useful strategies, technologies, and data that will be important for implementing a successful population health-focused HIT strategy for PHMS. Review: Apply what you have learned in the previous steps to complete the Understanding HIT Environment Worksheet. Supporting Materials Use the following resources to complete Assignment 1. "How to Benefit from a Data-Driven Patient-Centered Approach to Care" "Population Health Management Roadmap" by the Institute for Healthcare Technology Transformation (IHTT) defines population health management and explains how to build a population health management strategy. "Managing Populations, Maximizing Technology" by Michelle Shaljian and Marci Nielsen provides an overview of the role of HIT in supporting population health management. "The Modern CIO: 2 Prominent CIOs Share Observations, Advice" by Ayla Ellison provides insights into the evolving nature of CIOs in the healthcare industry. "10 Ways Mobile Is Transforming Health Care" by Chris Duffey and Katie Erbs describes 10 benefits of mobile health technology. "Mobile Medical Applications: Guidance for Industry and Food and Drug Administration Staff" by the Food and Drug Administration (FDA) provides guidelines for determining which mobile health applications are considered "medical devices." "The Beginning of a New Era" by Nelson Publishing Inc discusses the benefits and limitations of telemedicine. Paducah Health Medical System Profile. This supporting document describes information about the fictional Paducah Health Medical System intended to inform assignments. 1/1 9/24/2018 HEALTH INFORMATION TECHNOLOGY ANALYST Competency 3045.1.1: Health Technology/HIT - The graduate evaluates the challenges and opportunities in healthcare technology. Competency 3045.1.2: Data - The graduate assesses a variety of analytical methods for advancing healthcare. Competency 3045.1.3: Data Application - The graduate evaluates the value, source, and appropriate application of the data (risk, compliance, quality, policy, populations, finance, and economic factors). Introduction: For this task, you will create a business proposal for a new innovation. You will also submit supporting course assignments that will help you build the analysis and ideas you will need to successfully create your business proposal. Working through this challenge will allow you to apply health information technology (HIT) management principles to a real-life scenario, while considering how strategic management of HIT is used to support population health management. Your HIT strategy must be able to anticipate the changes that a medical organization will face as it transitions to a value-based model, while also supporting population health management goals for the rural population. Note: Each of the course assignments should be completed in full before attempting to work through this task. All of the course assignments will be submitted as appendices to this task. Scenario: As the chief information officer (CIO) of the Paducah Health Medical System (PHMS), you are accountable for proposing a new HIT strategy for the organization. PHMS is transitioning to a value-based model, and your HIT strategy should support population health management practices for PHMS’s rural population. Additionally, you should assess the feasibility of PHMS contributing to the community health information exchange (CHIE). Requirements: Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality. You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. Create a report (suggested length of 8–12 pages) to submit to the PHMS executive board that includes your proposal for a new HIT strategy and your assessment of the feasibility of PHMS participating in the CHIE by doing the following: A. Explain value-based models by doing the following: 1. Define what a value-based model means in the context of PHMS and the Kentucky Health Information Exchange. 2. Explain the role that information technology plays in supporting PHMS's transition to a value-based model. B. Propose an HIT recommendation by doing the following: 1. Describe the key challenges for PHMS in addressing population health management goals. 2. Describe the key opportunities PHMS can leverage in addressing population health management goals. 3. Propose an HIT recommendation to address PHMS’s population health management goals. C. Create an electronic health record system (EHRS) assessment by doing the following: 1. Explain the purpose and goals of updating the EHRS and HIT requirements to support the transition to a value-based model. 2. Describe the key challenges of selecting an EHRS in relation to addressing usability and interoperability. 3. Describe the key opportunities PHMS can leverage when selecting an EHRS in relation to addressing usability and interoperability. 4. Describe the key challenges when selecting an EHRS in relation to addressing data integrity, data security, and patient privacy concerns. 5. Describe the key opportunities PHMS can leverage when selecting an EHRS in relation to addressing data integrity, data security, and patient privacy concerns. 6. Propose a phased implementation plan for transitioning from the existing EHRS system to the new EHRS system. D. Create a CHIE feasibility assessment by doing the following: 1. Explain the feasibility of PHMS participating in the Kentucky Health Information Exchange, based on the information in the “HIE Evaluation Checklist” that was completed as part of the "CHIE Feasibility Assessment Worksheet." 2. Describe the key challenges PHMS will face as it transitions to a value-based model as a CHIE participant. 3. Describe the key opportunities PHMS can leverage that will allow the organization to take full advantage of the transition to a valuebased model as a CHIE participant. E. Develop a strategic plan by doing the following: 1. Propose an integrated HIT strategic plan for PHMS. 2. Explain how your HIT recommendation from part B, EHRS phased proposal plan from part C6, and CHIE feasibility assessment from part D support your integrated HIT strategic plan. 3. Explain how your integrated HIT strategic plan supports the organization's efforts to transition to a value-based model. 1/2 9/24/2018 F. Complete and submit each of the following three course assignments: ● Assignment 1: HIT Recommendation Worksheet ● Assignment 2: EHRS Assessment Worksheet ● Assignment 3: HIE Evaluation Checklist and CHIE Feasibility Assessment Worksheet G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. Web Links: 1.Rubric for GGP Task 1 link opens in new window 2/2 Instructions This worksheet will be used to recommend strategies for adopting a new HIT governance plan to support the development and management of population health management initiatives for PHMS as the organization transitions to a value-based model. The worksheet includes the following components: • • • • Assess the goals and priorities for population health management for PHMS, Assess end-user needs for redeveloping the current HIT system to one that supports the value-based model, Forecast potential changes in needs and future developments for HIT, and Recommend strategies to guide existing and future HIT systems’ projects. This worksheet will form part of the final project, the HIT Strategy for Paducah Health Medical System. Goals and Priorities of Population Health Management 1. Describe how HIT systems improve care. As PHMS transitions towards a value-based model through its affiliation with Lourdes Hospital, how will the new HIT system support improved care coordination between teams and across departments? 2. Identify the role of HIT in quality improvement. How will the new HIT system facilitate enhanced development of continuous quality improvement programs? 3. Evaluate HIT systems and patient engagement. How will the new HIT system support each of the following outcomes: a. Increased patient use of technology and patient access to data, b. Improved care continuity through electronic communication with providers, and c. Coordinated patient-centered care across the organization? 4. Discuss implementing mobile technology. How will the new HIT system be able to support monitoring of the significant chronic disease conditions present in rural Paducah County? What challenges and opportunities will exist for implementing mobile technology to monitor and address these disease conditions? 5. Consider patient registries and predictive modeling. How will the new HIT system adapt current hospital-based patient registries to a population-wide approach? What features must be built into a new system to support risk stratification and predictive modeling of risks? End-user Considerations (Clinical/Workforce Needs) 6. Identify end-user changes. Given that the current HIT system may be different than the one used at Lourdes Hospital, what challenges faced by end-users will need to be identified and addressed to facilitate cross-departmental coordination of care? 7. Evaluate entering patient information. With the current HIT system, many clinicians are expressing frustrations that the time it takes to enter patient- specific information has negatively impacted workflow and productivity. a. What features and/or upgrades in the HIT system should be considered to mitigate these problems for end-users? b. How can HIT support improved documentation strategies to facilitate the transition to a value-based model? 8. Analyze end-user changes and coordinated care. To better coordinate patient-centered care across departments, what improvements could be made to the current HIT system to facilitate information exchange between clinical departments (nurses, pharmacists, etc.)? 9. Assess accessing patient data at point of care. What types of HIT improvements can be implemented to improve access to patient data at the point of care? End-user Considerations (Patient Needs) 10. Discuss increasing patient outreach. How will the new HIT system be able to support increased patient outreach, in particular for chronic care needs? 11. Evaluate streamlining patient data. What end-user interface changes will need to be implemented to support patient autonomy, and make patient-centric data more easily understood and accessible to the individual patient? 12. Discuss how HIT encourages preventative care. How will the new HIT system be used to support educating and influencing patients to seek preventative care and regular checkups? Forecasting Change 13. Determining future training needs. How will future HIT training needs be addressed as clinicians become new members of the active medical staff and new staff are hired? 14. Discuss HIT and a value-based model. As PHMS transitions to a value-based model, what features will HIT systems need to support the financial management of the payment structure? 15. Assess innovations and integrations. As innovative changes to HIT products and technology emerge, how will these be integrated into the PHMS system without disrupting population health management?? 16. Analyze HIT and future costs. How will the new HIT system achieve population health strategies without potentially increasing future costs? How will the new system support improved the quality and efficiency of care delivery over time? Recommended Strategies for Existing and Future HIT 17. Outline strategies for the current HIT system. Based on your analysis, describe the key recommended strategies for resolving issues in the current HIT system at PHMS. 18. Identify strategies for goals with population health. What are your recommended strategies for ensuring that vendors provide the HIT products and technology aligned with defined goals and population health strategies? 19. Evaluate the implementation of the new HIT system. What are your recommended strategies for implementing a new HIT system? a. What are your strategies for facilitating organization-wide training in the new system, b. How will this new HIT system be introduced to patients? Instructions This worksheet will be used to assess the current PHMS EHRS system to support transition to a value-based model and assure appropriate data security and integrity. The worksheet includes the following components: • Assess the purpose and goals of updating the EHRS and HIT requirements to align with the transition to a value-based model, Address usability and interoperability concerns, Address data security and integrity concerns, and Develop a proposed and phased implementation plan. • • • This worksheet will form part of the final project, the HIT Strategy for Paducah Health Medical System. Purpose and Goals 1. Analyze the transition from a volume-based to value-based model. What EHRSspecific goals should be implemented to support a value-based model? Consider the domains of safe, effective, patient-centered, timely, efficient, and equitable. Domain EHRS-Specific Goal How does this goal support transition to a value-based model? Safe Effective Patient-centered Timely Efficient Equitable Reference ...
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CASIMIR
School: New York University

Here you go. In case of any further inputs, please let me know.All the best!I appreciate working with you!

Running head: HIT PLAN

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Integrated HIT Strategic Plan
Name
Course
Tutor
Date

HIT PLAN

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Integrated HIT Strategic Plan

Over the past few decades, many healthcare facilities have turned to HIT (Health
Information Technology) to reduce the costs of offering health services. The extensive adoption
and implementation of HIT strategies, including a quadrupling of EHR (Electronic Health
Record) use among clinicians, has helped stakeholder, like payers, government agencies and
providers, to work together using technological tools to enhance the health of specific
populations. Many healthcare facilities are now investing in population health management
efforts that use health information technology (Hodach et al., 2012). This paper proposes a new
HIT strategy that supports population health management and enables it PHMS to transition to a
value-based reimbursement model
A. Value-based Model in the Context of PHMS and Kentucky Health Information
Exchange
A value-based is a delivery model in healthcare in which all providers, including
physicians and hospitals, are paid on the basis of patient health outcome (Hodach et al., 2012).
Under this model care agreements, physicians and other providers are reimbursed and rewarded
for assisting patients to improve health, reduce the incidence and effects of chronic illnesses, and
live healthy lives. CMS (Center of Medicaid and Medicare Services created a value-based model
of care to meet the goals of improved care, smarter spending as well as an overall healthy
population. This model emphasises on paying health providers based on care quality as opposed
to the volume of care. The model provides a chance for care facilities to find new ways of
integrating care and reduce costs and waste. Implementing a value-based model in PHMS will
ensure that cases of data fraud are eliminated. Since one of the main goals of a value-based

HIT PLAN

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model to improve population health, the model will foster health information exchange between
PHMS and other organisations in the Kentucky Health Information Exchange.
The Role of Information Technology in PHMS’s Transition from Volume-Based to ValueBased Model
Information technology has a crucial role in the transition towards a value-based model
for PHMS. The promise of information technology in the health industry lies in the utilisation of
data to connect clinicians and their patients. Technology is the foundation for health systems and
hospitals to gather information to assist in the management of population (Hodach et al., 2012).
Remote patient management technology and patient portals are perchance the best technology
that exemplifies the ability of PHMS to transition to a value-based model (Reiss-Brennan et al.
2016). These tools are already widely utilised to assist physicians effectively manage
populations. This technology achieves this by efficiently connecting physicians and patients,
helping achieve measurement efficiencies and successfully monitoring populations.
B. HIT Recommendation
Key Problems for PHMS in Addressing the Objectives of Population Health Management
Management of population health has become a mandatory competency for providers of
all sizes, types as well as specialities. As value-based reimbursement and risk-based contracting
begin to offer improved financial incentives for tracing patients across the continuum of care and
providing preventative services, healthcare facilities are heavily investing in technologies and
strategies needed to guarantee patients proactive management. Designing and implementing a
PHM program can sometimes be a complicated proposition especially for an organisation like
PHMS. The population served by PHMS has a large percentage of patients with chronic diseases

HIT PLAN

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like diabetes, heart problems and hypertension who tend to visit the hospital regularly. PHMS
cannot handle all the issues of this population.
To manage its population, PHMS has to know the number of patients who fall under its
responsibility. This is a challenge for the provider given that payers normally need beneficiaries
to decide their PCP (Primary Care Provider). PHMS may be responsible for individuals that did
attend the clinic for evaluations. For a provider engaging in a value-based care model, failing to
design an accurate portrait of the attributed patients is a serious issue.
PHMS staff may not be enough to help the provider address population health
management goals. Since the organisation is used to a volume-based care model, it depends on a
staffing structure aimed at providing support to doctors who perform all the major services. A
population health approach will have to be more decentralised with care managers, nurses, social
workers, specialists and health experts deeply engaged in achieving goals and coordinating
services for individual patients. For PHMS, developing organized care teams and new
technologies to support will require more staffs or shifting existing ones to new job positions.
Complex patients mostly require care from different providers within the care spectrum.
Hospitalists, specialists, mental care experts, as well as post-acute facilities should be able to
interact effectively to make sure that patients are getting all the services they require and are not
getting similar services more than once. While providers and vendors are beginning to make
headway with data interoperability, sharing patient data within disparate systems is a big
challenge. PHMS also has the same challenge with its EHRs
Key Opportunities that the Provider Can Leverage

HIT PLAN

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PHMS currently runs an Electronic Health Records System which can be an important
part of health management of the population it serves. The provider can use, its EHRs to stratify
its population based on risk factors. PHMS can assign risk scores to its patients based on the
complexity and number of their diseases (whether acute or chronic), spending patterns,
socioeconomic challenges, as well as physiological risks. This will help PHMS to anticipate
crisis events and encourage patients to engage in wellness practices before their conditions
worsen. In value-based models, the identification and stratification of high-risk individuals are
important in enhancing cost and quality outcomes. The utilisation of predictive analytics to
proactively pinpoint patients who may be at risks of poor health and can benefit from immediate
intervention is a solution that can enhance management of risk for providers shifting to a valuebased model of care (Reiss-Brennan et al. 2016).
PHMS can also use its website for ...

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Anonymous
Thanks, good work

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