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timer Asked: May 3rd, 2015

Question Description

Please complete stage 4.  

Stage 4 

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Case Study, Stage 4: IT and Legal Considerations for Proposed EHR Technology Solution Before you begin this assignment, be sure you have read the “UMUC Family Clinic Case Study”, the Case Study Stages 1-3, your required readings and feedback on your graded work so far. Purpose of this Assignment This assignment gives you the opportunity to apply the concepts of this course to address the implementation and on-going management of the certified EHR technology solution you have proposed for the UMUC Family Clinic. This assignment addresses the following course outcomes to enable you to: • • • Evaluate the organizational environment in the health care industry to recognize how technology solutions enable strategic outcomes. Evaluate technology solutions in the health care industry to improve the quality of care, safety, and financial management decisions. Examine the implications of ethical, legal, and regulatory policy issues on health care information systems. IT, Legal, Ethical and Regulatory Considerations for Proposed EHR Technology Solution Following your report of the Meaningful Use reporting requirements in your Stage 3 project, the owner of the UMUC Family Clinic has still not authorized the needed project funding. In evaluating an IT proposal, there are several areas that need to be considered. Prior to authorizing the needed project funding, the owner has asked you to prepare a table addressing the important aspects/considerations of the project. These considerations are listed in the table provided with this assignment. Considerations include such areas as IT operational safeguard, architectural, project/implementation, legal and ethical considerations. Depending on the specific EHR technology solution you proposed, some of the considerations would be more important than others, and some may not need specific consideration for the initial implementation of your proposed solution. (If a consideration is not relevant for the solution as described and at implementation but might be something for the future, mark it “N/A”. If for instance cloud computing is not in the solution being implemented, but may be considered in the future it would be N/A and not required for the solution. Please note that even N/A items require an explanation.) The responses that you enter into the table for each consideration must be aligned to the one specific solution you proposed and appropriate to the UMUC Family Clinic. Assignment Using the EHR technology solution you proposed in Stage 2, you should briefly explain it and then copy the table below and complete the remaining three columns. For each area of consideration, you should rate it as high, medium, low, or N/A (Not Applicable) in importance or relevance at time of implementation (and not sometime in the future) for the specific EHR technology solution you proposed for the UMUC Family Clinic. Then, provide a brief description, a minimum of two sentences, and a brief explanation, a minimum of two sentences, to justify that rating or the N/A. Do not try to create a reason if there is none, but carefully analyze each consideration and determine whether it applies and how. Explanations must provide enough information to convey the reasoning behind the rating. DO NOT copy the definitions from the textbook or other sources but put into your own words to demonstrate your understanding of the concept as you provide your explanation for the rating. Use the Grading Rubric to be sure you have covered everything. Submit your paper with answers to parts 1 and 2 below via your Assignment Folder as a Microsoft Word document with your last name included in the filename. 12/17/2014 IFSM 305 – Stage 4 Page | 1 Part 1: Briefly explain your proposed EHR technology solution. Identify what the solution is, what it is expected to do for the UMUC Family Clinic, and what major hardware, software and communications components will be used, summarizing the information you provided for Stage 2. Part 2: Table of Considerations. The Areas for consideration are defined in the section “Concepts” which follows the table of considerations. An example for one entry is also provided below (you cannot use the area identified in the example for your assignment). Click on the upper left corner of the table to copy it into your paper. Table of Considerations High/Medium/Low Rating or Not Applicable (N/A) Area I. Identity Management & Authorization 2. Training Programs 3. Continuity of Operations 4. Incident Procedures 5. Accountability 6. Risk Assessment 7. System Activity Review 8. Reliability 9. Availability 10. Maintainability 11. Scalability 12. Safety 13. Cloud Computing III. 14. 15. 16. Explanation for Rating /How you will address it (minimum 2 sentences for each, linked to specific EHR technology solution proposed) IT - Operational Safeguards 1. II. Description of the Area (minimum 2 sentences for each) IT - Architectural Safeguards IT - Project Management Considerations Project Resources (Human, Financial) Medical Paper Record Migration Change Management during Implementation 12/17/2014 IFSM 305 – Stage 4 Page | 2 17. Change Management after Implementation IV. Legal, Ethical, and Regulatory Reporting Considerations 18. Business Associate Contracts 19. HIPAA V. 20. Additional Consideration Research and add a consideration from your knowledge of the course Concepts: The 19 considerations covered in the above table can be found in the following readings: • • Operational, Security and Architectural Safeguards – Ch. 27 & 28 & 29 Ethical and Legal consideration – Ch. 3 & 13 (Week 7 readings) You can also use sources outside of the text but make sure they are used in the same context and cite your sources. For consideration #20, it is up to you to add a consideration that you feel is important, and that was not covered in the 19 considerations listed in the table. It is expected that you may do some external research, if you can’t find an additional consideration through your course readings. This is part of the assignment and is not additional credit. Example from another industry: For example, for a fitness center that is adopting a new technology solution involving a kiosk for customers to use to pay for their membership at the gym, then for the Area of Accessibility, the following might be entered. Note the thorough explanation of the rating. You CAN NOT use this area for your “Additional Consideration” area in the assignment. Area High/Medium/Low Description of Area Explanation for Rating Importance or Relevance or Not Applicable (N/A) Accessibility Medium Accessibility is the degree to Since the customers will use the which a product, device, kiosk to pay their membership fees, service, or environment is it must be accessible to everyone. available to as many people Customers need a convenient and as possible. This includes individual method of logging into the accessibility to people with system that enables them to perform various impairments such as: the needed tasks quickly and cognitive, visual, hearing and efficiently. The customers should / or dexterity. have controlled access that prohibits them from entering any areas or performing any functions not intended for customer use. It is rated “Medium” because it is important for some customers who choose to use the kiosk and the 12/17/2014 IFSM 305 – Stage 4 Page | 3 system cannot be accessed without some type of login so it is important; however, it is not “High” since there are other methods of paying membership fees. The "right" and "wrong" answers have to do with whether or not you correctly rated each consideration as it relates to your proposed EHR technology solution and have provided a well-supported explanation for the rating you assigned. Your responses will be evaluated on whether they are applicable to the solution, correctly rated, adequately explained, and are appropriate to the UMUC Family Clinic. Use the Rubric below to be sure you have covered all aspects. GRADING RUBRIC: Attribute Full Points Partial Points No points Explanation of Proposed Solution Brief explanation of solution provides enough information to set stage for ratings. Ratings are appropriate to proposed EHR technology solution and case study; demonstrate understanding of course concepts, analysis and critical thinking. Explanation of solution is not adequate to set stage for ratings. No explanation of proposed solution provided. No ratings provided. High/Medium / Low/NA Ratings Definitions Explanations 12/17/2014 Definitions are accurate and represent the area described and demonstrate an understanding of course concepts, analysis, and critical thinking. Explanations justify ratings, are linked to proposed EHR technology solution and/or case study, and demonstrate understanding of course concepts, analysis, and critical thinking. Ratings are lacking relationship to proposed EHR technology solution and/or case study, and/or in demonstration of understanding of course concepts, analysis, and/or critical thinking. Definitions are lacking in clarity and do not represent the area defined. (Some) explanations are not linked to proposed technology solution and/or the case study, and/or do not adequately justify ratings; may be lacking in Possible Points 10 20 (1 points each) No definition provided. 20 (1 points each) No explanations provided. 40 (2 points each) IFSM 305 – Stage 4 Points Earned Page | 4 Table Format 12/17/2014 Information is professionally presented; uses correct sentence structure, grammar, and spelling. demonstration of understanding of course concepts, analysis, and/or critical thinking. Information is adequately presented, or may not be professionally presented, and/or contains grammar and/or spelling errors. Paper is extremely poorly written and does not convey the information. 10 TOTAL Points 100 IFSM 305 – Stage 4 Page | 5
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