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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.
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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
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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
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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
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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)
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Points
Earned
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Table Format
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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
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