ACTIVITY 2
MH683 Information Management
Lesson 2: Structure, Communication, and
Quality Healthcare Management
Activity: Health Care Data
This activity is comprised of three (3) parts. Your Activity responses should be both
grammatically and mechanically correct and formatted in the same fashion as the Activity itself.
If there is a Part A, your response should identify a Part A, etc. In addition, you must
appropriately cite all resources used in your response and document them in a bibliography using
APA style. A 4-page response is required for the combination of parts A, B, and C. (100 points)
Part A
Compare and contrast the historical and present health care data collection. Integrate
the terms electronic health record and electronic medical record in your discussion.
Part B
Explain the advantages and disadvantages of diagnosis-related groups and discuss
their role in the future of health care.
Part C
Discuss how benchmarking and quality initiatives are interrelated in health care.
Grading Rubric
Please refer to the rubric on the following page for the grading criteria for this assignment.
CATEGORY
Exemplary
Part A: Historical and 30 points
Present (30 points) The student provides a clear
comparison and contrast of the
historical and present health
care data collection AND
integrates the terms electronic
health record and electronic
medical record into the
discussion.
Part B: Advantages
and Disadvantages
(25 points)
Satisfactory
24 points
The student provides a mostly
clear comparison and contrast
of the historical and present
health care data collection
AND integrates the terms
electronic health record and
electronic medical record into
the discussion.
Unsatisfactory
18 points
The student provides a
somewhat clear comparison
and contrast of the historical
and present health care data
collection AND integrates the
terms electronic health record
and electronic medical record
into the discussion.
Unacceptable
12 points
The student provides an
unclear comparison and
contrast of the historical and
present health care data
collection AND integrates the
terms electronic health
record and electronic
medical record into the
discussion.
25 points
20 points
15 points
10 points
The student provides a clear
The student provides a mostly The student provides a
The student provides an
explanation of the advantages clear explanation of the
somewhat clear explanation unclear explanation of the
and disadvantages of diagnosis- advantages and disadvantages of the advantages and
advantages and
related groups AND discusses of diagnosis-related groups
disadvantages of diagnosisdisadvantages of diagnosistheir role in the future of health AND discusses their role in the related groups AND discusses related groups AND fails to
care.
future of health care.
their role in the future of
discuss their role in the
health care.
future of health care.
Part C:
Benchmarking and
Quality (25 points)
25 points
The student provides a clear
discussion of how
benchmarking and quality
initiatives are interrelated in
health care.
20 points
The student provides a mostly
clear discussion of how
benchmarking and quality
initiatives are interrelated in
health care.
15 points
The student provides a
somewhat clear discussion of
how benchmarking and quality
initiatives are interrelated in
health care.
10 points
The student provides an
unclear discussion of how
benchmarking and quality
initiatives are interrelated in
health care.
Mechanics (10
Points)
10 points
Student does not make any
errors in grammar or spelling,
especially those that distract
the reader from the content.
8 points
Student makes 1-2 errors in
grammar or spelling that
distract the reader from the
content.
5 points
Student makes 3-4 errors in
grammar or spelling that
distract the reader from the
content.
2 points
Student makes more than 4
errors in grammar or spelling
that distract the reader from
the content.
Format - APA
Format, Citations,
Organization,
Transitions (10
Points)
10 points
The paper is written in proper
APA and organizational format.
All sources used for quotes and
facts are credible and cited
correctly. Excellent
organization, including a variety
of thoughtful transitions.
8 points
The paper is written in proper
format with only 1-2 errors. All
sources used for quotes and
facts are credible, and most
are cited correctly. Adequate
organization includes a variety
of appropriate transitions.
5 points
The paper is written in proper
format with only 3-5 errors.
Most sources used for quotes
and facts are credible and
cited correctly. Essay is poorly
organized, but may include a
few effective transitions.
2 points
The paper is not written in
proper format. Many sources
used for quotes and facts are
less than credible (suspect)
and/or are not cited
correctly. Essay is
disorganized and does not
include effective transitions.
ACTIVITY 4
MH683 Information Management
Lesson 4: Communication Systems and Technology
Activity: Health Care Informatics
This activity is comprised of two (2) parts. Your Activity responses should be both
grammatically and mechanically correct and formatted in the same fashion as the Activity itself.
If there is a Part A, your response should identify a Part A, etc. In addition, you must
appropriately cite all resources used in your response and document them in a bibliography using
APA style. A 4-page response is required for the combination of parts A and B. (100 points)
Part A
Provide synopses of at least five (5) articles involving the health care informatics.
Provide a bibliography of your selected articles.
Part B
Compare and contrast three (3) advantages and three (3) disadvantages of delivering
health care with the use of informatics. Reference the advantages and disadvantages
that are outlined in the articles you chose for Part A.
Grading Rubric
Please refer to the rubric on the following page for the grading criteria for this assignment.
CATEGORY
Part A: Synopses of
articles (50 points)
Exemplary
50 points
The student provides a clear
synopses of at least five (5)
articles involving the health
care informatics.
Satisfactory
40 points
The student provides a mostly
clear synopses of at least five
(5) articles involving the health
care informatics.
Unsatisfactory
30 points
The student provides a
somewhat clear synopses of
at least four (4) to five (5)
articles involving the health
care informatics.
18 points
The student provides a
somewhat clear comparison
and contrast of three (3)
advantages and three (3)
disadvantages of delivering
health care with the use of
informatics referencing the
articles chosen in Part A.
Unacceptable
20 points
The student provides an unclear
synopses of less than five (5)
articles involving the health
care informatics.
Part B: Advantages
and Disadvantages
(30 points)
30 points
The student provides a clear
comparison and contrast of
three (3) advantages and three
(3) disadvantages of delivering
health care with the use of
informatics referencing the
articles chosen in Part A.
24 points
The student provides a mostly
clear comparison and contrast
of three (3) advantages and
three (3) disadvantages of
delivering health care with the
use of informatics referencing
the articles chosen in Part A.
Mechanics (10
Points)
10 points
Student does not make any
errors in grammar or spelling,
especially those that distract
the reader from the content.
8 points
Student makes 1-2 errors in
grammar or spelling that
distract the reader from the
content.
5 points
Student makes 3-4 errors in
grammar or spelling that
distract the reader from the
content.
2 points
Student makes more than 4
errors in grammar or spelling
that distract the reader from
the content.
Format - APA
Format, Citations,
Organization,
Transitions (10
Points)
10 points
The paper is written in proper
APA and organizational format.
All sources used for quotes and
facts are credible and cited
correctly. Excellent
organization, including a variety
of thoughtful transitions.
8 points
The paper is written in proper
format with only 1-2 errors. All
sources used for quotes and
facts are credible, and most
are cited correctly. Adequate
organization includes a variety
of appropriate transitions.
5 points
The paper is written in proper
format with only 3-5 errors.
Most sources used for quotes
and facts are credible and
cited correctly. Essay is poorly
organized, but may include a
few effective transitions.
2 points
The paper is not written in
proper format. Many sources
used for quotes and facts are
less than credible (suspect)
and/or are not cited correctly.
Essay is disorganized and does
not include effective
transitions.
12 points
The student provides an unclear
comparison and contrast of
three (3) advantages and three
(3) disadvantages of delivering
health care with the use of
informatics referencing the
articles chosen in Part A.
ACTIVITY 6
MH683 Information Management
Lesson 6: Financial Information in Health Care
Activity: Financial Information in Health Care
This activity is comprised of three (3) parts. Your Activity responses should be both
grammatically and mechanically correct and formatted in the same fashion as the Activity itself.
If there is a Part A, your response should identify a Part A, etc. In addition, you must
appropriately cite all resources used in your response and document them in a bibliography using
APA style. A 4-page response is required for the combination of parts A, B, and C. (100 points)
Accounting of financial information in health care is critical, just as it is in any business. Provide
the following information for Parts A, B, and C below.
Part A
Describe and differentiate the various financial forms utilized for managing financial
assets in the health care setting.
Part B
Use the following information to prepare an income statement for March, 2015.
Maria Hernandez, Family Nurse Practitioner, has recently opened a new Family
Medicine Practice. Total billed revenues for March were $18,000. Currently, all of
his patients are insured by commercial insurers or Medicare. Third-party payers
typically pay two months after care is delivered, so her actually receipts in March are
zero. NP Hernandez pays her nursing staff $1700 twice a month. The rest of her
expenses such as rent, utilities, supplies, insurance, and bookkeeping are paid
monthly and total $6500.
Prepare an income statement for March on a cash basis and on an accrual basis.
Part C
Describe managed care and explain the impact on financial management in the
health care setting.
Grading Rubric
Please refer to the rubric on the following page for the grading criteria for this assignment.
CATEGORY
Part A: Financial
Forms (30 points)
Exemplary
30 points
The student provides a clear
description and differentiation
of the various financial forms
utilized for managing financial
assets in the health care
setting.
Satisfactory
24 points
The student provides a mostly
clear description and
differentiation of the various
financial forms utilized for
managing financial assets in
the health care setting.
Part B: Income
Statement (25
points)
25 points
The student provides a clear
AND accurate income
statement for the information
presented.
10 points
The student provides a clear
description of managed care.
20 points
The student provides a clear
AND accurate income
statement for the information
presented.
8 points
The student provides a mostly
clear description of managed
care.
10 points
The student provides a mostly
clear explanation of the impact
on financial management in
the health care setting.
Part C: Managed
Care (10 points)
Part C: Managed
Care (15 points)
Mechanics (10
Points)
Format - APA
Format, Citations,
Organization,
Transitions (10
Points)
Unsatisfactory
18 points
The student provides a
somewhat clear description
and differentiation of the
various financial forms utilized
for managing financial assets
in the health care setting.
Unacceptable
12 points
The student provides an
unclear description and
differentiation of the various
financial forms utilized for
managing financial assets in
the health care setting.
15 points
The student provides a clear
AND accurate income
statement for the information
presented.
5 points
The student provides a
somewhat clear description of
managed care.
15 points
7 points
The student provides a clear
The student provides a
explanation of the impact on
somewhat clear explanation
financial management in the
of the impact on financial
health care setting.
management in the health
care setting.
10 points
8 points
5 points
Student does not make any
Student makes 1-2 errors in
Student makes 3-4 errors in
errors in grammar or spelling, grammar or spelling that
grammar or spelling that
especially those that distract
distract the reader from the
distract the reader from the
the reader from the content.
content.
content.
10 points
8 points
5 points
The paper is written in proper The paper is written in proper The paper is written in proper
APA and organizational format. format with only 1-2 errors. All format with only 3-5 errors.
All sources used for quotes and sources used for quotes and
Most sources used for quotes
facts are credible and cited
facts are credible, and most
and facts are credible and
correctly. Excellent
are cited correctly. Adequate cited correctly. Essay is poorly
organization, including a variety organization includes a variety organized, but may include a
of thoughtful transitions.
of appropriate transitions.
few effective transitions.
10 points
The student provides a clear
AND accurate income
statement for the
information presented.
2 points
The student provides an
unclear description of
managed care.
4 points
The student provides an
unclear explanation of the
impact on financial
management in the health
care setting.
2 points
Student makes more than 4
errors in grammar or spelling
that distract the reader from
the content.
2 points
The paper is not written in
proper format. Many sources
used for quotes and facts are
less than credible (suspect)
and/or are not cited
correctly. Essay is
disorganized and does not
include effective transitions.
STAND-ALONE PROJECT
MH683 Information Management
Stand-Alone Project: Evaluation of Information Systems
in Health Care
You should begin working on the Stand-Alone Project early in the course. Each lesson
provides a benchmark for completing the Stand-Alone Project in a timely manner while working
through the course. You will find this information in the “Stand-Alone Project Benchmark”
section of each lesson. (200 points) (A 10-page response is required for the combination of Parts
A, B, C, D, and E.)
Instructions: As the new Director of Information Management, you have been tasked with
implementing a new clinical information system for pharmacy services at the hospital. The
hospital would like to purchase a pharmacy system that will enable physicians to automate orders
through Computerized Physician Order Entry (CPOE) in hopes of reducing order delays,
improving the legibility of orders, streamlining operations, and ultimately improving patient
safety by reducing medication errors. In spite of previous efforts, there has been little movement
towards the implementation of the CPOE, and selecting and putting the CPOE into operation are
main reasons that you have been hired.
The organization has competent and dedicated hospital leaders who are strongly supportive of
the CPOE concept, demonstrating a sound commitment to its implementation. There are also
physician champions dedicated to implementing the CPOE and actively involved in influencing
other staff physicians to accept the CPOE. These physicians are also ready to facilitate workflow
issues involved in using the new system.
This project is comprised of five (5) parts. Refer to the following guidelines, notes, and
summaries as you prepare your response. Your Stand-Alone Project responses should be both
grammatically and mechanically correct and formatted in the same fashion as the project itself.
If there is a Part A, your response should identify a Part A, etc. In addition, you must
appropriately cite all resources used in your response and document them in a bibliography using
APA style. (3 graphical displays, a 15-slide presentation, and a 10-page response are required for
the combinations of parts A, B, C, D, and E.)
Part A
SWOT Analysis
You begin your selection and implementation process by calling a project planning
meeting. You take scrupulous notes during the meeting. (A copy of your notes is
located at the end of these instructions).
1. Based on the discussion during the meeting, perform a SWOT Analysis to define
organizational efforts and needs. Create a SWOT matrix.
2. Next, provide a written summary of the SWOT results; be sure to address areas
that could pose as risk issues for a successful implementation.
Part B
Request for Proposal
The hospital requirements and needs were also discussed during the meeting. Your
next step will be to create a generic request for proposal (RFP) that will be sent to all
the vendors. Your RFP should consist of the following information.
1. Cover Letter
2. Proposal Information
3. A list of questions for vendors. Make sure to include the following topics.
a. Functional Specifications
b. Technical Requirements
c. Implementation Requirements
d. Systems Costs
Part C
Vendor Comparison
You have now received information from several vendors. You have selected the two
top vendors, and a summary of their information is provided at the end of these
instructions.
1. First, create a matrix to compare the vendors aligned with your organizational
needs and your RFP questions.
2. Based on your matrix, select a vendor for implementation and prepare a proposal
for the chief information officer (CIO). Your proposal should discuss the
following information.
a. The matrix comparing the two vendors against RFP questions
b. Your methodology for choosing the vendor and a justification of your
decision
Part D
Executive Presentation
The CIO has approved your proposal and has confidence in your selection of the
vendor. Now you are required to present the project information to the executive
team for their final approval. Your PowerPoint presentation should be at least 15
slides in length and include the following topics.
1. SWOT Summary and Analysis
2. Vendor Comparison Matrix and Analysis
3. Top Five RFP Questions and Vendor Response
4. Financial Impact for Each Vendor
5. Methodology for Vendor Selection and Chosen Vendor
Part E
Implementation Plan
The executive team appreciated your presentation and thoroughly agrees with your
decision. You must now develop an implementation plan to further move the project
along. Below are the implementation plan requirements.
1. Develop a project timeline. The entire project will require a two-year installation,
and will be rolled-out in phases.
a. Phase I: Planning
b. Phase II: Design, Development, and Building
c. Phase III: Implementation (within hospital)
d. Phase IV: Implementation (outside physician offices)
2. Develop a training plan for the following staff.
a. Physician Staff
b. Nursing Staff
c. Pharmacy Staff
d. Other Clinical Staff
e. Pertinent Managers and Leaders
f. Database Manager
g. Data Quality Manager
3. Develop a data quality plan.
a. As part of the new implementation, two new positions will be needed:
Database Manager and Data Quality Manager. Develop job descriptions for
each new position.
b. Outline data characteristics and requirements.
c. Outline tracking systems that will be used.
d. Outline procedures for analyzing data and information.
e. Outline procedures for ongoing improvements.
Project Planning Meeting Notes
I. Positives/Advantages for New Information System Implementation
A.
B.
C.
D.
Strong leadership and executive support
Focus on improved clinical practice
Physician support
Leading technological hospital in the metropolitan area
II. Key Issues Discussed
A.
B.
C.
D.
E.
Current hospital focus on patient safety
Desire to significantly reduce medication errors
Interest in standardizing medication ordering processes
Need for improved workflow processes in pharmacy services
Must have a positive impact on hospital efficiency
III. Staffing Issues
A.
B.
C.
D.
Wide-ranging; various professional groups will be impacted
Highly knowledgeable information system staff
Currently a pleasant and comfortable work environment for staff
Concerns of adequate training and assistance available for all involved clinical staff
IV. Possible Disadvantages or Obstacles
A.
B.
C.
D.
E.
F.
G.
Rising costs of resources
Limited budget constraints due to previous commitments
Lack of time for user training
Knowledge base within nursing and allied health professions
New technology and staff attitude towards changes
Physician and clinical staff level of comfort with technology
Some area hospitals already have CPOE
V. Vendor Requirements
A.
B.
C.
D.
E.
Must be committed to the CPOE market
Commitment to a long-term relationship with the hospital
Product maturity – time vendor has been developing CPOE products
Ability to measure hospital efficiency through CPOE data
Costs for implementing the system
Vendor Summaries
Vendor #1: MedSafe Implementations
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•
Headquartered in Lamply, NY
First introduced in 1998
$38 billion in annualized operating revenue
Serving over 23,000 customers
Data analysis for improved outcomes – enable health care providers to mine data
collected via CPOE software
Recognized for technology in health care to reduce medication errors
Initial implementation costs of $1.2 million with $25,000 per year maintenance
Average implementation 1.5 years
Local customers include, Children’s Hospital of Lamply, Sacred Holy Christian Hospital
of Lamply
Provide on-site staff training
Vendor #2: StartRight Technologies
•
•
•
•
•
•
•
•
•
•
•
•
•
•
National office in Sacro, SC
A leading software vendor in the health care informatics industry for 15 years
Serve many organizations to include hospitals, ambulatory care centers, physicians'
offices, and long term care facilities
$42 billion in annual operating revenue
Automatically transmit orders to the pharmacy and patient’s medical record
Software provides alerts to allergies and other potential dangers during the ordering
process
Electronic Signature capability – physicians can sign verbal orders and view results from
any computer
Order process is integrated to instantly compare formulary data against a patient's record
Patient and drug information is presented to the physician at the time of ordering
Order sets can be based upon physician preferences
Software provides dose checking, calculator, and other conflict checking
Historical patient information is displayed when ordering new medications
Staff-intensive training, off-site
Initial implementation costs are $1.8 million with minimal yearly maintenance costs
Grading Rubric
Please refer to the rubric on the following pages for the grading criteria for this assignment.
CATEGORY
SWOT analysis and
matrix (40 points)
Exemplary
40 points
The student provides a
professional, logical, complete,
and clear SWOT analysis and
evaluates the organization's
position according to the matrix
components addressing all
matrix components.
Satisfactory
32 points
The student provides a
professional, mostly logical,
complete, and mostly clear
SWOT analysis and evaluates
the organization's position
according to the matrix
components addressing all
matrix components.
Unsatisfactory
24 points
The student provides a
professional, somewhat
logical, mostly clear, and
mostly complete SWOT
analysis and evaluates the
organization's position
according to the matrix
components addressing most
of the matrix components.
Proposal Request (20 20 points
points)
The student provides a clear
cover letter, proposal
information, and a minimum of
20 clear and concise questions
addressing the functional
specifications, technical
requirements, implementation
requirements, and system
costs.
16 points
The student provides a mostly
clear cover letter, proposal
information, and a minimum of
20 mostly clear and concise
questions addressing the
functional specifications,
technical requirements,
implementation requirements,
and system costs.
12 points
The student provides a
somewhat clear cover letter,
proposal information, and a
minimum of 15 clear and
concise questions addressing
the functional specifications,
technical requirements,
implementation requirements,
and system costs.
Vendor Comparison 20 points
(20 points)
The student provides a clear
matrix comparing two vendors
and their RFP questions
provided in the vendor profiles.
The student also provides a
clear choice of vendor selection
for implementation and
prepares a clear proposal that
is professional and logical with
documentation of methodology
and choice justification with a
one (1) page minimum.
16 points
The student provides a mostly
clear matrix comparing two
vendors and their RFP
questions provided in the
vendor profiles. The student
also provides a mostly clear
choice of vendor selection for
implementation and prepares a
clear proposal that is
professional and logical with
documentation of
methodology and choice
justification with a one (1)
page minimum.
Executive
Presentation (40
points)
32 points
The student provides a mostly
professional and orderly
PowerPoint presentation with
a minimum of 15 slides with
the SWOT summary and
analysis, vendor comparison
matrix and analysis, top five (5)
RFP questions, financial impact
for each vendor, and
methodology for vendor
selection.
40 points
The student provides a
professional and orderly
PowerPoint presentation with a
minimum of 15 slides with the
SWOT summary and analysis,
vendor comparison matrix and
analysis, top five (5) RFP
questions, financial impact for
each vendor, and methodology
for vendor selection.
Unacceptable
16 points
The student provides an
unprofessional, illogical,
incomplete, and unclear
SWOT analysis and evaluates
the organization's position
according to the matrix
components addressing few
matrix components.
8 points
The student provides an
unclear cover letter, proposal
information, and a minimum
of 10 clear and concise
questions addressing the
functional specifications,
technical requirements,
implementation
requirements, and system
costs.
12 points
8 points
The student provides a
The student provides an
somewhat clear matrix
unclear matrix comparing
comparing two vendors and two vendors and their RFP
their RFP questions provided questions provided in the
in the vendor profiles. The
vendor profiles. The student
student also provides a
also provides a clear choice
somewhat clear choice of
of vendor selection for
vendor selection for
implementation and prepares
implementation and prepares an unclear proposal that is
a somewhat clear proposal
professional and mostly
that is professional and
logical with documentation
mostly logical with
of methodology and choice
documentation of
justification with a one (1)
methodology and choice
page minimum.
justification with a one (1)
page minimum.
24 points
16 points
The student provides a
The student provides an
somewhat professional and unprofessional and less than
orderly PowerPoint
orderly PowerPoint
presentation with a minimum presentation with a minimum
of 12 slides with the SWOT
of 10 slides with the SWOT
summary and analysis, vendor summary and analysis,
comparison matrix and
vendor comparison matrix
analysis, top five (5) RFP
and analysis, top three (3)
questions, financial impact for RFP questions, financial
each vendor, and
impact for each vendor, and
methodology for vendor
methodology for vendor
selection.
selection.
CATEGORY
Exemplary
Implementation Plan 60 points
(60 points)
The student provides a clear
implementation plan that
includes a project timeline
graphical display for Phases IIV, the training plan for all
affected personnel, the data
quality plan addressing resource
planning, data, tracking
systems, data and information
analysis, and improvements
with three (3) graphical displays,
a 15-slide presentation, and an
11-13 page response.
Satisfactory
48 points
The student provides a mostly
clear implementation plan that
includes a project timeline
graphical display for Phases IIV, the training plan for all
affected personnel, the data
quality plan addressing
resource planning, data,
tracking systems, data and
information analysis, and
improvements with three (3)
graphical displays, a 15-slide
presentation, and an 11-13
page response.
Unsatisfactory
36 points
The student provides a
somewhat clear
implementation plan that
includes a project timeline
graphical display for Phases IIV, the training plan for all
affected personnel, the data
quality plan addressing
resource planning, data,
tracking systems, data and
information analysis, and
improvements with two (2)
graphical displays, a 15-slide
presentation, and less than a
10-page response.
Unacceptable
24 points
The student provides an
unclear implementation plan
that includes a project
timeline graphical display for
Phases I-IV, the training plan
for all affected personnel,
the data quality plan
addressing resource planning,
data, tracking systems, data
and information analysis, and
improvements with one to
two (1-2) graphical displays, a
12-slide presentation, and
less than a 10-page response.
Mechanics (10
Points)
10 points
Student does not make any
errors in grammar or spelling,
especially those that distract
the reader from the content.
8 points
Student makes 1-2 errors in
grammar or spelling that
distract the reader from the
content.
5 points
Student makes 3-4 errors in
grammar or spelling that
distract the reader from the
content.
2 points
Student makes more than 4
errors in grammar or spelling
that distract the reader from
the content.
Format - APA
Format, Citations,
Organization,
Transitions (10
Points)
10 points
The paper is written in proper
APA and organizational format.
All sources used for quotes and
facts are credible and cited
correctly. Excellent
organization, including a variety
of thoughtful transitions.
8 points
The paper is written in proper
format with only 1-2 errors. All
sources used for quotes and
facts are credible, and most
are cited correctly. Adequate
organization includes a variety
of appropriate transitions.
5 points
The paper is written in proper
format with only 3-5 errors.
Most sources used for quotes
and facts are credible and
cited correctly. Essay is poorly
organized, but may include a
few effective transitions.
2 points
The paper is not written in
proper format. Many sources
used for quotes and facts are
less than credible (suspect)
and/or are not cited
correctly. Essay is
disorganized and does not
include effective transitions.
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