Stage 2: Sharing Data
Overview
Before you begin work on this assignment, be sure you have read the Case Study and reviewed the
feedback received on your Stage 1 assignment. Refer to the System Recommendation Report Table of
Contents below to see where you are in the process of developing this report.
As a professional medical consultant, your next step in developing your recommendation for an EHR
system is to determine what data will need to be shared with other organizations and how that data will
be shared.
System Recommendation Report
Table of Contents
Introduction (Stage 1)
I.
II.
III.
IV.
Organizational Analysis and Requirements (Stage 1)
A.
Introduction
B.
Organizational Strategy
C.
Strategic Use of Technology
D.
E.
F.
Components of an Information System
Requirements
Summary
Sharing Data (Stage 2)
A.
Introduction
B.
Need to Share Data
C.
Types of Data to be Shared
D.
Data Interchange Standards
E.
Summary
Ethical, Legal and Regulatory Policy Issues (Stage 3)
A.
Introduction
B.
Table of Ethical, Legal and Regulatory Policy Issues
C.
D.
Addressing the Most Difficult Issue
Summary
System Recommendation (Stage 4)
A.
Introduction
B.
Proposed IT solution
C.
How the Proposed IT Solution Meets the Requirements
D.
Improvements from Proposed IT Solution
E.
Implementation Considerations
F.
Summary
Conclusion (Stage 4)
References
IFSM 305 Stage 2: Sharing Data 11/17/2017
1
System Recommendation Report (SRR), Section II – Sharing Data
Section II of the SRR document addresses the need for the Midtown Family Clinic to share data with
other organizations. As part of analyzing the requirements for the new system, one step is to consider
how that system will enable the Midtown Family Clinic to exchange electronic data with other health
organizations – such as other providers, pharmacies, insurance companies, and even patients
themselves. The case study mentions several of these. For this assignment you will select two types of
external organizations and describe what kind of data would flow between the Midtown Family Clinic
and those organizations and how that can be done effectively.
Stage 2 Assignment Instructions
The first step is to incorporate the feedback you received on your Stage 1 assignment, making any
needed corrections or adjustments. For this assignment, you will add Section II of the System
Recommendation Report (SRR).
Using the case study, the overview above, Course Content readings, and external resources, develop
your Section II on Sharing Data. Approximate lengths for each section are provided as a guideline; be
sure to provide all pertinent information. Apply specific information from the case study to address
each area listed below.
II.
Sharing Data
A.
Introduction - Introduction to this section describing what is included. (3-4 sentences)
B.
Need to Share Data - Review the Midtown Family Clinic Case Study and identify two types of
external organizations (e.g., hospitals, nursing homes, rehabilitation centers, laboratories,
pharmacies, health insurance providers, etc.) with which the Midtown Family Clinic needs to
communicate and the purpose of the communication. (Introductory sentence and list of two
external organizations and the purpose of their communication with the Midtown Family Clinic,
providing specifics from the Case Study.)
1.
External Organization #1 and purpose of communication.
2.
External Organization #2 and purpose of communication.
C. Types of Data to be Shared – In Stage 1, Section C.3., Data, you took an initial look at the types of
data the new EHR system will process. But now we’re going to take that a step further and add a
layer of complexity by considering the needs and requirements of different external organizations.
Using the two external organizations you listed in Section A above, list five data items, or data
elements, that would be shared with each external organization, and explain whether that
information is going out from the Midtown Family Clinic or coming in from each of the two external
organizations. Feel free to consult the list you developed for Section C.3 of your Stage 1 assignment.
Some of these data elements may come from that list if they are appropriate for this purpose;
however, other, different, data elements may be listed here. Note: For full credit, a different list of
data elements should be provided for each organization (no duplicates in the table below, although
data elements may be repeated from Section C.3). (Provide an introductory sentence and copy the
table and insert information within.)
IFSM 305 Stage 2: Sharing Data 11/17/2017
2
Organization #1 (replace with your organization from above)
Data Element or Item
Data Goes TO/FROM Midtown Family Clinic
1.
2.
3.
4.
5.
Organization #2 (replace with your organization from above)
Data Element or Item
Data Goes TO/FROM Midtown Family Clinic
1.
2.
3.
4.
5.
D. Data Interchange Standards - Conduct some external research and identify a data interchange
standard that would apply to the data that is exchanged with each external organization. The
standard you select should apply to one or more of the data elements you listed above for each
organization. Provide a brief description of what the standard is, what it requires, why it is
important and how it applies to the data elements listed and the Midtown Family Clinic EHR system.
Note: For full credit, two different data interchange standards are required. (There are some
specific data interchange standards that apply to health data exchange; if the same standard applies
to the data exchanged with both organizations, explain how it relates to each.) (Introductory
sentence and list of two external organizations and the information shown about the Data
Interchange Standard selected for each, providing specifics from the Case Study.)
1.
External Organization #1
a.
Data Interchange Standard and description
b.
What the Data Interchange Standard requires
c.
Why the Data Interchange Standard is important
d.
How the Data Interchange Standard applies to the data elements listed and the
Midtown Family Clinic EHR system
2.
External Organization #1
a.
Data Interchange Standard and description
b.
What the Data Interchange Standard requires
c.
Why the Data Interchange Standard is important
d.
How the Data Interchange Standard applies to the data elements listed and the
Midtown Family Clinic EHR system
E. Summary - briefly summarize the content of this section and tie the information together for the
reader. (3-4 sentences)
Formatting Your Assignment
For academic writing, the writer is expected to write in the third person. In third person, the writer
avoids the pronouns I, we, my, you, your, and ours. The third person is used to make the writing more
objective by taking the individual, the “self,” out of the writing. This method is very helpful for academic
writing, a form in which facts, not opinion, drive the tone of the text. Writing in the third person allows
the writer to come across as unbiased and thus more informed. The Report is to be written for the
IFSM 305 Stage 2: Sharing Data 11/17/2017
3
Midtown Family Clinic, and reference should not be made by name to individuals who own or work in
the Clinic.
•
•
•
•
•
•
•
Include the Introduction and Section I, revised according to any feedback received, and add to it
Section II.
Write a short concise paper: Use the recommendations provided in each area for length of
response. Content areas should be double spaced; table entries should be single-spaced. It’s
important to value quality over quantity. Section II should not exceed 4 pages.
Ensure that the table is preceded by an introductory sentence that explains what is contained in the
table, so the reader understands why the table has been included.
Use at least two resources with APA formatted citation and reference. Use at least one external
reference and one from the course content.
Compare your work to the Assignment Instructions above and the Evaluation Criteria/Grading
Rubric below to be sure you have met content and quality criteria. Do not overlook this step. Read
your work out loud or have your computer read it to you. Fix the grammar and other areas
identified.
Submit your paper as a Word document, or a document that can be read in Word.
Your submission filename should be as follows: Lastname_firstname_Stage_2
EVALUATION CRITERIA/GRADING RUBRIC:
Criteria
Section
Introduction and
Summary
Need to Share Data
Two external
organizations and
the purpose of their
communication
90-100%
Far Above
Standards
80-89%
Above Standards
70-79%
Meets Standards
60-69%
Below Standards
< 60%
Well Below
Standards
Possible
Points
9-10 Points
8.5 Points
7.5 Points
6.5 Points
0-5 Points
10
Provides effective
introduction and
summary to Section
II; is clear, logical,
derived from the
Case Study;
demonstrates a
sophisticated level
of writing.
9-10 Points
Provides an
introduction and
summary to Section
II; is clear, logical,
and derived from
the Case Study.
Not clear, logical
and/or derived from
the Case Study. Or,
either the
introduction or
summary is not
included.
Not included, or
demonstrates little
effort.
8.5 Points
7.5 Points
6.5 Points
0-5 Points
Organizations and
communication are
clearly appropriate
and explained in
detail using course
vocabulary;
demonstrates
understanding of
course concepts,
analysis, and/or
critical thinking.
Organizations and
communication are
appropriate and
well explained using
course vocabulary;
demonstrates
understanding of
course concepts and
critical thinking.
Organizations and
communication
are provided.
Fewer than two
organizations are
identified, or are
incorrect; and/or
explanation of the
communication
between them and
the Midtown Family
Clinic may lack
demonstration of
understanding of
course concepts,
analysis, and/or
critical thinking.
Identification of
external
organizations
and/or
explanation of
communication is
incomplete or
inadequate.
IFSM 305 Stage 2: Sharing Data 11/17/2017
Provides an
introduction and
summary to
Section II; is
adequate, and
derived from the
Case Study.
10
4
Types of Data to be
Shared
5 data elements for
each organization
and direction of
flow
Data Interchange
Standards
Two standards with
description,
requirement,
importance and
applicability
Research
Two or more
sources--one source
from within the
IFSM 305 course
content and one
external (other than
the course
materials)
Format
27-30 Points
24-26 Points
21-23 Points
18-20 Points
0-17 Points
Data elements are
correctly identified
and are different for
each organization;
the direction of the
data flow is
appropriate to the
case study; strongly
demonstrates
understanding of
course concepts,
analysis, and critical
thinking.
Data elements are
correctly identified;
the direction of the
data flow is
appropriate to the
case study;
demonstrates
understanding of
course concepts,
analysis, and critical
thinking.
Data elements are
identified;
direction of the
flow of data is
appropriate to the
case study.
Fewer than 5 data
elements may be
presented for each
of the two external
organizations; flow
of data may be less
than correct, or not
appropriate to the
case study.
Data elements and
flows are not
presented or are
not appropriate to
the case study, or
are otherwise
inadequate.
27-30 Points
24-26 Points
21-23 Points
18-20 Points
0-17 Points
Two different data
interchange
standards are listed
and explained, and
are applicable to
the case study, with
complete
explanations of the
standards, what
they require and
why they are
important.
At least one data
interchange
standard is
explained, along
with how it applies
to the data
interchange with
both external
organizations, is
applicable to the
case study, with a
complete
explanation of the
standard, what it
requires and why it
is important.
At least one data
interchange
standard is
explained, along
with how it
applies to the data
interchange with
both external
organizations, is
applicable to the
case study, with
an explanation of
the standard,
what it requires
and why it is
important.
At least one data
interchange
standard is
explained, but how
it applies to the
data interchange
with both external
organizations or to
the case study is
incomplete; and/or
explanation of the
standard, what it
requires and why it
is important may be
incomplete.
Data interchange
standard is not
identified; only
one
organization/data
standard are
identified; or
explanation is
severely lacking.
9-10 Points
8.5 Points
7.5 Points
6.5 Points
0-5 Points
Required resources
are incorporated
and used
effectively. Sources
used are relevant
and timely and
contribute strongly
to the analysis.
References are
appropriately
incorporated and
cited using APA
style.
9-10 Points
At least two sources
are incorporated
and are relevant and
somewhat support
the analysis.
References are
appropriately
incorporated and
cited using APA
style.
Only one resource
is used and
properly
incorporated
and/or
reference(s) lack
correct APA style.
A source may be
used, but is not
properly
incorporated or
used, and/or is not
effective or
appropriate; and/or
does not follow APA
style for references
and citations.
No course content
or external
research
incorporated; or
reference listed is
not cited within
the text.
8.5 Points
7.5 Points
6.5 Points
0-5 Points
Well organized and
easy to read. Very
few or no errors in
sentence structure,
grammar, and
spelling; doublespaced, written in
third person and
Effective
organization; has
few errors in
sentence structure,
grammar, and
spelling; doublespaced, written in
third person and
Some
organization; may
have some errors
in sentence
structure,
grammar and
spelling. Report is
double spaced and
Not well organized,
and/or contains
several grammar
and/or spelling
errors; and/or is not
double-spaced and
Extremely poorly
written, has many
grammar and/or
spelling errors, or
does not convey
the information.
IFSM 305 Stage 2: Sharing Data 11/17/2017
30
30
10
10
5
presented in a
professional format.
presented in a
professional format.
written in third
person.
written in third
person.
TOTAL Points
Possible
IFSM 305 Stage 2: Sharing Data 11/17/2017
100
6
Midtown Family Clinic
Case Study
In 1990, Dr. Harold Thompson opened the Midtown Family Clinic, a small internal medicine practice, in an
area with an increasing number of new family residences. Dr. Thompson has been the owner and manager
of the medical practice. He has two nurses, Vivian and Maria, to help him. Usually, one nurse takes care
of the front desk while the other nurse assists the doctor during the patient visits. They rotate duties each
day. Front desk duties include all administrative work from answering the phone, scheduling appointments,
taking prescription refill requests, billing, faxing, etc. So if on Monday Vivian is helping the doctor, then it
is Maria who takes care of the front desk and all office work. The two nurses are constantly busy and
running around, and patients are now accustomed to a minimum 1-2 hour wait before being seen. If one
nurse is absent, the situation is even worse in the clinic. The clinic has three examination rooms so the
owner is now looking into bringing a new physician or nurse practitioner on board. This would help him
grow his practice, provide better service to his patients, and maybe reduce the patients’ waiting time. Dr.
Thompson knows that this will increase the administrative overhead and the two nurses will not be able to
manage any additional administrative work. He faces several challenges and cannot afford to hire any
additional staff, so Dr. Thompson has to optimize his administrative and clinical operations. The practice
is barely covering the expenses and salaries at the moment.
Dr. Thompson’s practice operation is all paper-based with paper medical records filling his front office
shelves. The only software the doctor has on his front office computer is a stand-alone appointment
scheduling system. Even billing insurance companies is done in a quasi-manual way. For billing insurance,
the front office nurse has to fax all the needed documentation to a third party medical billing company at
the end of the day. The medical billing company then submits the claim to the insurance company and
bills the patient. The clinic checks the status of the claims by logging into the medical billing system,
through a login that the medical billing company has provided the clinic to access its account. There is no
billing software installed at the practice, but the nurses open Internet Explorer to the URL of the medical
billing company and then use the login provided by the third party medical billing company. Of course, the
medical billing company takes a percentage of the amount that the clinic is reimbursed by the insurance.
Although the medical practice has the one PC with the scheduling software and an internet connection, it
does not have a Web site or any other technology, and essentially still operates the same as it did in 1990.
One problem that is immediately noticeable is that there is no quick way to check patients in, and if the
nurse is on the phone while a patient tries to check in, then the patient has to wait until she has completed
her call. The doctor could be also waiting for the patient to be checked in, wasting the doctor's valuable
time. Also many patients experience long waits on the phone when they are trying to schedule an
appointment, while the nurse is checking in patients or responding to another patient’s request in the office.
Every year, the clinic requires its patients to complete a form with their personal and insurance information,
rather than have them just verify what is on file. This annoys some of the parents when they have to fill
out all this paperwork, especially if they are taking care of their sick young child in the waiting room.
When a patient's laboratory test results are received in the office, the paper copy has to be filed in the
patient's folder. Lost and misfiled reports are a big concern to Dr. Thompson, as is his inability to quickly
and easily share patient data when he makes a referral to a specialist. He feels he and his staff are
spending too much time handling paper and not enough time improving patient care. All of the medical
records, lab results, and financial and payroll accounts are kept on paper, so there is not a quick way to
look up a patient’s history or current prescriptions during office visits, or when the doctor gets a call while
he is away from the office. At the beginning of each day, the nurses pull the files for all patients who have
appointments scheduled for that day. However, the clinic also accepts walk-in patients.
3/5/2018
IFSM 305 – Case Study
Page | 1
At a recent medical conference Dr. Thompson learned about how Electronic Health Records (EHR) can be
shared among health care providers to improve patient outcomes. After attending several demonstrations
by the different vendors, ClinicalWorks, AthenaHealth, etc., he realized how inefficiently his practice is
running and realized all the opportunities that EHR systems can bring. He recognizes all the benefits of
moving to electronic medical records but feels very overwhelmed on how to start, or what to do. He is
also concerned about disruption to his practice which may negatively affect his patients’ care experience.
Moreover, neither the doctor nor the nurses have any knowledge or experience when it comes to
information technology. Upon the recommendation of a fellow doctor, Dr. Thompson has decided to hire
an independent EHR Consultant, to help him select the best EHR for his practice. His friend also advised
him that he should not just buy any package from a vendor but have the EHR consultant analyze the
workflow processes at the practice first, then optimize them, and then look at the EHR systems. The new
EHR system needs to work with the optimized processes of his practice. Dr. Thompson needs to get his
staff’s buy-in and involvement in the process from Day 1, if the EHR adoption process is to succeed. Dr.
Thompson realizes that EHR adoption may add significant costs to his practice, which he cannot afford.
Therefore, he will go for the EHR adoption at this point only if he can find an affordable system.
Based on his fellow doctor’s recommendation, Dr. Thompson has contracted with an independent
consultant, who is not associated with any vendor, to advise him through this process. Throughout this
course you will be the professional medical consultant.
Strategic Goals
Dr. Thompson has several strategic goals in mind that he shares with you during your first meeting with
him as his consultant. For one, he would like to see his medical practice operate more efficiently and make
some financial profit that he could reinvest into the clinic in order to upgrade and expand it. In a few
years, he will need to invest some funds in a major renovation, primarily in the examination rooms and the
waiting area. If he had extra money, he could also rent the apartment next to his clinic and open up the
space to make a larger clinic. If he did that, he could also expand the clinic into a 3-physician group
practice and maybe rent out some space to a physical therapy physician and generate some additional
income. After much discussion with fellow MDs, he realizes that he can use technology to improve the
quality of care, safety, and financial management decisions of his practice, while also meeting the legal
and regulatory requirements for health care and health care systems. So, implementing an EHR system
for these purposes has now become another strategic goal for the practice.
Your task is to help Dr. Thompson understand the process that occurs during a patient visit to the practice,
how that process should be improved to make it more efficient, and then recommend a certified EHR
system for him to implement. You are not expected to solve all of the problems identified or address all
improvements that could be made at the Midtown Family Clinic.
The following is an example of how a process is identified and optimized using a technology solution: Last
year, the medical practice had no effective way to schedule appointments. The front desk nurse used a
paper calendar to write in appointments. Obviously, as appointments were cancelled and re-scheduled,
the paper calendar became almost unreadable. It was also taking a long time for the nurse to record the
patient name, phone number and other critical information. That was when Dr. Thompson and his nurses
decided to implement the scheduling system on the PC. Now, the patients are all listed in the system, with
the pertinent information, and the scheduler can quickly search for an open time and enter the patient's
appointment on the schedule. This has significantly improved the scheduling process, but has done nothing
to help with all of the other activities involved with a patient visit to the Clinic.
Note: As you approach the case study assignments, you will find it helpful to think about your own
experiences with a medical practice. Making a trip to a small medical practice may help you think about
the processes, challenges, and opportunities.
3/5/2018
IFSM 305 – Case Study
Page | 2
STAGED ASSIGNMENTS
The case study and assignments address the Course Outcomes to enable you to:
Evaluate the organizational environment in the health care industry to recognize how technology
solutions enable strategic outcomes
Analyze the flow of data and information among disparate health information systems to support
internal and external business processes
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.
Upon completion of these assignments you will have performed an array of activities to demonstrate your
ability to apply the course concepts to a “real world situation” to:
Analyze an organization's strategies and processes to determine how a technology solution could
help (Stage 1)
Analyze the data flow among a clinical practice and external organizations (Stage 2)
Identify and explain the legal, ethical and regulatory considerations for a system (Stage 3)
Propose an appropriate certified EHR technology solution (Stage 4)
As explained in the Stage 1 assignment, you will create a System Recommendation Report for Dr.
Thompson, using each stage to develop a section of the report. The staged assignments are designed to
follow the relevant readings in the course content, and are due on the dates as assigned in the class
schedule. These assignments are designed to help you identify how to effectively analyze and interpret
information to improve a medical practice using technology. This is an opportunity for you to apply critical
thinking skills and think like a professional medical consultant.
3/5/2018
IFSM 305 – Case Study
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Running head: CASE STUDY
Midtown Family Case Study: Organizational Analysis and Requirements (Stage 1)
Student’s Name
Professor’s Name
Course Title
Date
CASE STUDY
2
Organizational Analysis and Requirements
Introduction
As much as Dr. Harold Thompson’s Midtown Family Clinic is a small internal medicine
practice that one would expect to be served efficiently and within the short time, it is highly
inefficient as it operates the same way it did in 1990 when it started. As such, the workflow
processes at this clinic have to be analyzed and optimized before the selection of the most
appropriate electronic health records systems vendor for prompt implementation of the same.
The facility has only two nurses who alternate between administrative duties at the front desk
and nursing duties with the doctor. Dr. Thompson needs to hire additional staff but this may not
be a sustainable move because of the various challenges he faces and so the only solution he has
as at now is to optimize his operations at the facility. To begin with, most of his operations are
manual or rather paper based with a standalone appointment scheduling system as the only
software being used. All the other operations like insurance company billing, checking in
patients and updating patient information on a yearly basis and each time there is a new report
that needs to be stored. From this, Dr. Thompson feels that the nurses are spending less time on
patient care and a lot of time just handling paper. Also, patient information is bound to be
misfiled or lost because there is a lot to be done by the two nurses and they can sometimes be
overwhelmed.
Strategic Use of Technology
Technology in form of an appropriate Electronic Health Record (EHR) System can be
used at the Midtown Family Clinic to attain a number of goals as can be deducted from the case.
The first strategic goal is to increase the operations efficiency at the facility. The EHR system
CASE STUDY
3
will see to it that some services are automated and that patient waiting and service time is
significantly reduced to at most 30 minutes. As a result, less doctor time will be wasted hence
more patient care. The second strategic goal is to increase the revenue generated at the facility so
as to ultimately generate enough revenue that will enable him to re-invest into the clinic. It is due
to the financial problems the facility has that the doctor cannot hire more nurses or physicians to
help the current nurses who seem to be overwhelmed. The EHR system will, for instance, take
care of insurance company billing processes to cut on the costs that are currently being incurred
by the medical billing company and other third party companies As a result, the doctor will be
able to comfortably expand the facility by renting the apartment next to his clinic to make it a 3physician group practice, hence generating more revenue. The third strategic goal is ‘to improve
the quality of care, safety, and financial management decisions of his practice, while also
meeting the legal and regulatory requirements for health care and health care systems’. The EHR
system will basically reduce patient service time, improve record keeping processes and save
costs. As such, nurses will focus more on quality patient care.
Components of an Information System
People: The new EHR system to be implemented in the clinic will be used by the doctor
and nurses, patients and insurance service providers. The doctor and nurses will use the system
to enter patient information and updates for easier referrals to specialists, patients will use the
system to book appointments and fill out their insurance details each time they visit the facility
and any other time their information needs to be updated. Lastly, the insurance companies will
use the EHR system to check for any claims and pay as per the patient requests.
CASE STUDY
4
Organizational Processes: The three organizational processes that would be improved by
the implementation of the EHR include insurance company billing, conducting patient referrals
to specialists and checking in patients and updating patient information on a yearly basis and
each time there is a new report that needs to be stored. Medical billing will be made easier and
more efficient because the clinic will no longer have to use a medical billing company. For this
reason, costs will have been significantly minimized. As for the next process which is conducting
patient referrals to specialists, the doctor will be better placed to easily and quickly share patient
data when he makes a referral to a specialist. Lastly, the nurses will quickly check in patients
using the HER through a system that will call in patients to see the doctor whether or not a nurse
is available at the moment.
Data: The data that the new EHR system will be needed to collect regarding the patients
are as outlined in Table 1. The data is meant to be stored for reference each time the patient visits
the facility. With this, it is easier for the doctor to trace the patient’s medical history hence
provide the best service and care.
Data Items Needed for EHR System
1. Patient’s Name
2. Phone Number
3. Gender
4. Age
5. Marital Status
6. Insurance Provider
7. Appointment
8. Transcriptions
9. Prescription
10. Referrals
Table 1: Data Items needed for EHR system
Functional Requirements
CASE STUDY
The essential requirements for the EHR system as per the organizational processes and
data items needed for the EHR system are outlined in Table 2.
Functional Requirements of the EHR System
1. Providing fast and real time access to patients’ medical health records.
2. Acts as a primary source of patient information during patient care
provision for instance gender, age and marital status among other vital
information.
3. Foster efficient work planning for the nurses through automating patient
check ins and appointment scheduling.
4. Safe data storage for future reference and use by patients, the doctor, and
nurses.
5. Enable efficient resource planning by providing the number of daily
appointments and the average number of patients per day in time.
6. Automate medical billing hence save on costs.
7. Capture the patient health-related information needed for medical records
and reimbursement
8. Shorten the payment period from the insurance providers by filing prompt
claims on a real time basis.
9. Safely store patient laboratory results hence minimize the probability of
information loss.
10. Enable the doctor to easily share patient data when making referrals to a
specialist.
Table 2: Functional Requirements
Summary
In summary, Dr. Harold Thompson’s Midtown Family Clinic is currently inefficient and
thus needs operational optimization and the implementation of an EHR that is specifically
customized to address the needs of the clinic. There is, therefore, need for setting strategic goals
of the intended EHR, and analysis of its components alongside the systems functional
5
CASE STUDY
requirements as has been done in this document. This will, therefore, act as a guide towards the
selection and implementation of the appropriate EHR system for the clinic.
6
CASE STUDY
7
References
Ajami, S., & Bagheri-Tadi, T. (2013). Barriers for adopting electronic health records (EHRs) by
physicians. Acta Informatica Medica, 21(2), 129.
Midtown Family Clinic Case Study
Vimalachandran, P., Wang, H., Zhang, Y., Heyward, B., & Whittaker, F. (2016, December).
Ensuring data integrity in electronic health records: A quality health care implication.
In Orange Technologies (ICOT), 2016 International Conference on (pp. 20-27). IEEE.
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