MMHA6600 Walden University IT Strategy in Health Care Continuum Paper

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puevfg1984

Health Medical

MMHA6600

Walden University

Description

Hospital Systems, Ancillary Services, and Physician Practices are often the focus of HIT initiatives. While these settings are key areas for HIT advancement and data acquisition, there are places within the continuum of care that often lack automation or comprehensive data management strategies, creating gaps in the longitudinal health record and both an individual and population level.

The Final Project allows you to develop a comprehensive IT strategy for one of these settings of care. This week you choose the Scenario for your Final Project from the following list. Descriptions of these settings can be found in your Learning Resources. Beginning this week, you will be building on the progressive HIT topics that culminate in your Final Project (due in Week 11). This week’s Assignment asks you to reflect on your setting of choice as you develop a Charter for the acquisition of a strategic HIT solution.

To Prepare for this Assignment:

  • Review the Final Project Scenarios in your Learning Resources and select a setting of care from one of these scenarios:
    • Long-Term Care
    • Critical Access Hospital
    • Telemedicine for Rural-Based Health Facility
  • Research current and specific clinical and financial management problems in these settings of care and evaluate how technology might be justified to address the most pressing challenges.

Scenario: Critical Access Hospital Electronic Health Record

Bedford Hospital is a 25-bed hospital in rural Pennsylvania. They have recently completed the process of being designated by CMS (Centers for Medicare and Medicaid) a CAH (critical access hospital). Prior to this designation they were part of a large academic health center but have since divested from that health center. As part of that agreement their current electronic health record contract, which is with Cerner Corporation as part of that medical center’s enterprise agreement, will be expiring in 24 months. Currently all aspects of Cerner’s inpatient product are implemented including documentation, orders, decision support and electronic meds administration. Cerner’s registration admissions discharge scheduling and patient identification products are also part of this agreement as are the laboratory radiology and pharmacy systems.

While Bedford Hospital was part of the academic center the Cerner product suite was financially supported as part of the overall corporate structure. As part of the divestiture agreement, the academic center has agreed to support Bedford's
Cerner systems in total for a 24-month period, absorbing the Cerner software and enterprise hardware costs in that timeframe. Bedford Hospital is taking financial responsibility for three IT staff and day-to-day IT costs such as networks devices email and Internet costs. The CEO and CFO of Bedford Hospital have pulled together an interdisciplinary team to examine the technology options for Bedford Hospital after this 24-month period.

The Assignment:

Write a 3- to 4-page (excluding title and reference pages) APA style paper, addressing the following elements for the scenario that you choose. This will also be the scenario used to complete your Final Project. For this Assignment, address the elements of a project Charter used to plan the acquisition of an HIT solution for the setting of choice. The Charter should include:

  • Problem statement. A specific statement of the problems that you intend to address in this scenario using technology solutions.
  • Scope of the HIT solution to be acquired. This includes both the technical elements of the scope and the business and clinical functional elements of the scope.
  • Stakeholders analysis including the needs of both internal and external stakeholders. This analysis includes a summary of the business and clinical system functions that the technology should address for each of the executive stakeholders.
  • Risk Analysis. A specific statement of the financial, technical, legal, ethical, and operational risks involved in introducing HIT into this setting and the feasible mitigation strategies to address these risks.

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Explanation & Answer

Attached.

Running head: IT STRATEGY

1

Innovative Information Technology Strategy
Student’s Name
Institutional Affiliation

IT STRATEGY

2
Innovative Information Technology Strategy

Information technology has become an imperative technique employed by health
facilities to foster data-driven approaches in care delivery in modern health. The technologies
include the health information technology (HIT), which is applied to health care as a mean to
promote cost-effectiveness and enhancing the quality of health care provision (Ross, Stevenson,
Lau, & Murray, 2016). The innovative IT tactical will involve execution a HIT solution at
Bedford Hospital in rural Pennsylvania. Bedford is a 25-bed health facility that has received a
Critical Access Hospital (CAH), thereby becoming a designated eligible rural hospital by the
Center for Medicare and Medicaid service (CMS). Notably, Bedford hospital was part of a large
academic health center, which the hospital has divested following to designation by CMS as a
CAH.
Problem Statement
As part of a large academic health center, Bedford Hospital enjoyed the Cerner Suite that
offered different Electronic Health Record System (EHRs) functions implemented in the
corporate structure. Nonetheless, following the divestiture by Bedford Hospital from the Health
Center, the enterprise agreed to support Bedford Hospital by absorbing the cost for Cerner
Product both application and hardware for a period of 24 months, after which the Hospital would
take responsibility for their own HIT solution. Given that Bedford Hospital has received the
designation as a CAH, there is a necessity to offer high-level services in the Hospital. This may
pose a significant challenge to the hospital thereby the necessity to make an acquisition of an
innovative technology that would spur data-driven health care provision. Notably, following the
designation as a CAH by the CMS implies that the Hospital would offer Medicaid and Medicare

IT STRATEGY

3

supported services, which would significantly increase the number of pa...


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