HIM 500 Technology Information Featherfall Medical Center has an existing admission discharge transfer (ADT)/master patient index (MPI) system that was developed in-house and implemented over 20 years ago. By now, all of the original programmers have resigned or retired. The system is cumbersome to manage and update to meet the current needs of the center. This has also led to the compliance, ethical, and governance issues previously stated. An RFP was sent out to two vendors: Intel (SOA Expressway for Healthcare) and Alert (Admission Discharge and Transfer [ADT]). Key portions of the RFP have been summarized to allow for easy comparison. The responses to the functional requirements have also been provided for review. Demonstrations were conducted at the Center, and both systems looked good. The MPI module is preferred on Intel, and the ADT system is preferred on Alert; however, both systems were received favorably. The committee went to see both systems in operation and liked them both. References were checked on both systems. The references for Alert were glowing. All of them said that the system was good and the people were great to work with because they wanted their new company to succeed and grow. However, given their small size, they might lack the resources of a larger company. The references on Intel were excellent as well. The only negative about Intel was that the company is quite large and was sometimes slow to respond to what the company saw as minor problems. The next release of Alert is due out in 6 months and of Intel is due out in 8 months. The Committee has used the following tables to summarize and compare the information that was gathered and is awaiting your recommendation before final decision is reached. System Comparison Topic Intel (SOA Expressway for Healthcare) Alert (Admission Discharge and Transfer [ADT]) Cost of interface $378,000 $238,000 Cost of software $465,000 $325,000 Cost of hardware $375,000 $400,000 Implementation costs $275,000 $175,000 Other costs $110,000 $120,000 Annual maintenance $75,000 $65,000 Training costs $350,000 $264,000 Number systems in use in hospitals 364 12 Length of time in business 30 years 3 years Stability of company Good Good RFP Response from Intel (SOA Expressway for Healthcare) System Functions Standard Next Release Not Available Custom Admit patient to ER X Admit patient to inpatient status X Admit patient to outpatient status X Transfer patient from room to room X Transfer patient from inpatient to outpatient X Transfer patient from outpatient to inpatient X Transfer patient from ER to inpatient status X Discharge patient from ER X Discharge patient from inpatient status X Discharge patient from outpatient status X Notify housekeeping when patient discharged X Notify HIM when patient admitted X Meets UHDDS ...

1. HIM 500 Technology Information
Featherfall Medical Center has an existing admission discharge
transfer (ADT)/master patient index
(MPI) system that was developed in-house and implemented
over 20 years ago. By now, all of the
original programmers have resigned or retired. The system is
cumbersome to manage and update to
meet the current needs of the center. This has also led to the
compliance, ethical, and governance
issues previously stated.
An RFP was sent out to two vendors: Intel (SOA Expressway
for Healthcare) and Alert (Admission
Discharge and Transfer [ADT]). Key portions of the RFP have
been summarized to allow for easy
comparison. The responses to the functional requirements have
also been provided for review.
Demonstrations were conducted at the Center, and both systems
looked good. The MPI module is

2. preferred on Intel, and the ADT system is preferred on Alert;
however, both systems were received
favorably. The committee went to see both systems in operation
and liked them both. References were
checked on both systems. The references for Alert were
glowing. All of them said that the system was
good and the people were great to work with because they
wanted their new company to succeed and
grow. However, given their small size, they might lack the
resources of a larger company. The references
on Intel were excellent as well. The only negative about Intel
was that the company is quite large and
was sometimes slow to respond to what the company saw as
minor problems. The next release of Alert
is due out in 6 months and of Intel is due out in 8 months. The
Committee has used the following tables
to summarize and compare the information that was gathered
and is awaiting your recommendation
before final decision is reached.
System Comparison
Topic Intel (SOA Expressway for
Healthcare)

3. Alert (Admission Discharge and
Transfer [ADT])
Cost of interface $378,000 $238,000
Cost of software $465,000 $325,000
Cost of hardware $375,000 $400,000
Implementation costs $275,000 $175,000
Other costs $110,000 $120,000
Annual maintenance $75,000 $65,000
Training costs $350,000 $264,000
Number systems in use in
hospitals
364 12
Length of time in business 30 years 3 years
Stability of company Good Good
RFP Response from Intel (SOA Expressway for Healthcare)

4. System Functions Standard Next Release Not Available Custom
Admit patient to ER X
Admit patient to inpatient status X
Admit patient to outpatient status X
Transfer patient from room to room X
Transfer patient from inpatient to
outpatient
X
Transfer patient from outpatient to
inpatient
X
Transfer patient from ER to inpatient
status
X
Discharge patient from ER X
Discharge patient from inpatient status X
Discharge patient from outpatient status X
Notify housekeeping when patient

5. discharged
X
Notify HIM when patient admitted X
Meets UHDDS requirements X
Meets HIPAA requirements X
Contains required demographics X
Automated verification of insurance X
GUI technology X
User friendly X
Delete patient from system X
Multiple levels of security X
Password protected X
Audit trail X
Biometric capable X
Reads barcodes X
Edit demographics X
Edit insurance X
Allow for 4 insurance providers X

6. Prints standards reports at specified
periods
X
Ad hoc reporting X
Admission list X
Discharge list X
Transfer list X
Looks for potential duplicate medical
records
X
Quality edits built into system X
SQL/Oracle database X
Runs on Windows 8 X
Enterprise-wide ready X
Merge medical record numbers X
Allows for aliases X

7. Maintains old medical record numbers X
Maintains former names X
Allows at least 999 patient visits X
Data dictionary X
Three-character service field X
Allows housekeeping to notify admission
that room is ready
X
Online no-bed list X
Sends out announcements to
employees/staff
X
Generates list of patients by physician X
Generates lists of patients by unit X
Calculates census statistics X
Performs medical record number queries X
Performs patient name queries X
Standardizes, secures, and governs access

8. to master patient records
X
Standardizes, secures, and governs access
to master provider indices
X
Standardizes, secures, and governs access
to document exchanges
X
Services for building interoperable
healthcare networks
X
Authentication and authorization X
Management and monitoring X
Transport Layer Security X

9. RFP Response from Alert (Admission Discharge and Transfer
(ADT))
System Functions Standard Next
Release
Not Available Custom
Admit patient to ER X
Admit patient to inpatient status X
Admit patient to outpatient status X
Transfer patient from room to room X
Transfer patient from inpatient to
outpatient
X
Transfer patient from outpatient to
inpatient
X
Transfer patient from ER to inpatient
status
X

10. Discharge patient from ER X
Discharge patient from inpatient status X
Discharge patient from outpatient status X
Notify housekeeping when patient
discharged
X
Notify HIM when patient admitted X
Meets UHDDS requirements X
Meets HIPAA requirements X
Contains required demographics X
Automated verification of insurance X
GUI technology X
User friendly X
Delete patient from system X
Multiple levels of security X
Password protected X
Audit trail X
Biometric capable X

11. Reads barcodes X
Edit demographics X
Edit insurance X
Allow for 4 insurance providers X
Prints standards reports at specified
periods
X
Ad hoc reporting X
Admission list X
Discharge list X
Transfer list X
Looks for potential duplicate medical
records
X
Quality edits built into system X
SQL/Oracle database X
Runs on Windows 8 X

12. Enterprise-wide ready X
Merge medical record numbers X
Allows for aliases X
Maintains old medical record numbers X
Maintains former names X
Allows at least 999 patient visits X
Data dictionary X
Three-character service field X
Allows housekeeping to notify admission
that room is ready
X
Online no-bed list X
Sends out announcements to
employees/staff
X
Generates list of patients by physician X
Generates lists of patients by unit X
Calculates census statistics X

13. Performs medical record number queries X
Performs patient name queries X
Standardizes, secures, and governs access
to master patient records
X
Standardizes, secures, and governs access
to master provider indices
X
Standardizes, secures, and governs access
to document exchanges
X
Services for building interoperable
healthcare networks
X
Authentication and authorization X
Management and monitoring X
Transport Layer Security X

14. HIM 500 Milestone Three Guidelines and Rubric
Overview: In this milestone, you will submit your
recommendations for technology for the institution and how it
will be implemented.

15. Specifically the following critical elements must be addressed:
III. Technology System Recommendations: In this final section
of your final project, you will review the provided technology
options and make informed
recommendations to the organization regarding which
technology it should choose.
A. Determine the needs of the various roles of the organization
in a new technology.
B. Recommend a new health information technology system that
meets the following criteria. Be sure to justify how your
recommendations meet
the criteria. The new health technology must:
1. Abide by provided health regulations and laws
2. Align with the needs of all staff members of the previously
described organization
3. Ensure the ethical management and use of health information
C. Determine how the organization could more effectively
invest its financial resources into the recommended technology
system. Be sure to
justify your response.
D. Determine how the organization could monitor the use of the
new health information system. Be sure to justify your response.
E. Determine how the organization could effectively invest its
time into the implementation of the new health information
technology system. Be
sure to justify your response.
Guidelines for Submission: This milestone must be 2–3 pages in
length (plus a cover page and references) and must be written in

16. APA format. Use double
spacing, 12-point Times New Roman font, and one-inch
margins. All references cited in APA format.
Critical Elements Proficient (100%) Needs Improvement (75%)
Not Evident (0%) Value
Technology System
Recommendations: Needs
Determines the needs of the
various roles of the organization
in a new technology
Determines the needs of the
various roles of the organization
in a new technology, but
determination is cursory
Does not determine the needs of
the various roles of the
organization in a new technology
18
Technology System
Recommendations:
Regulations and Laws
Recommends a new health
information technology that
abides by the provided health
regulations and laws, justifying
response

17. Recommends new health
information technology that
abides by health regulations and
laws, but recommendations are
cursory or not justified
Does not recommend and justify
new health information
technology that abides by health
regulations and laws that the
institution is currently not in
compliance with
18
http://snhu-
media.snhu.edu/files/course_repository/graduate/him/him500/hi
m500_technology_information.pdf

18. Technology System
Recommendations: Staff
Recommends a new health
information technology that
aligns with the needs of all staff
members of the organization,
justifying response
Recommends a new health
information technology that
aligns with the needs of all staff
members of the organization,
but recommendations are
cursory or not justified
Does not recommend and justify
a new health information
technology that aligns with the
needs of all staff members of the
organization
18
Technology System
Recommendations: Ethical
Recommends a new health
information technology that
ensures ethical management and

19. use of health information,
justifying response
Recommends a new health
information technology that
ensures ethical management and
use of health information, but
recommendations are cursory or
not justified
Does not recommend and justify
a new health information
technology that ensures ethical
management and use of health
information
18
Technology System
Recommendations:
Financial Resources
Determines how the organization
could more effectively invest
financial resources into the
recommended technology
system, justifying response
Determines how the organization
could more effectively invest
financial resources into the
recommended technology
system, but determination is
cursory, illogical, or not justified
Does not determine how the

20. organization could more
effectively invest financial
resources into the recommended
technology system
18
Articulation of Response Submission has no major errors
related to citations, grammar,
spelling, syntax, or organization
Submission has major errors
related to citations, grammar,
spelling, syntax, or organization
that negatively impact
readability and articulation of
main ideas
Submission has critical errors
related to citations, grammar,
spelling, syntax, or organization
that prevent understanding of
ideas
10
Total 100%
HIM 500 Milestone Three Guidelines and Rubric
Accessibility ReportFilename: HIM 500 Milestone Three
Guidelines and Rubric.pdfReport created by: Organization:
[Enter personal and organization information through the
Preferences > Identity dialog.]
Summary
The checker found no problems in this document.Needs manual
check: 2Passed manually: 0Failed manually: 0Skipped: 1Passed:

21. 29Failed: 0
Detailed ReportDocumentRule
NameStatusDescriptionAccessibility permission
flagPassedAccessibility permission flag must be setImage-only
PDFPassedDocument is not image-only PDFTagged
PDFPassedDocument is tagged PDFLogical Reading
OrderNeeds manual checkDocument structure provides a logical
reading orderPrimary languagePassedText language is
specifiedTitlePassedDocument title is showing in title
barBookmarksPassedBookmarks are present in large
documentsColor contrastNeeds manual checkDocument has
appropriate color contrastPage ContentRule
NameStatusDescriptionTagged contentPassedAll page content is
taggedTagged annotationsPassedAll annotations are taggedTab
orderPassedTab order is consistent with structure
orderCharacter encodingPassedReliable character encoding is
providedTagged multimediaPassedAll multimedia objects are
taggedScreen flickerPassedPage will not cause screen
flickerScriptsPassedNo inaccessible scriptsTimed
responsesPassedPage does not require timed
responsesNavigation linksPassedNavigation links are not
repetitiveFormsRule NameStatusDescriptionTagged form
fieldsPassedAll form fields are taggedField
descriptionsPassedAll form fields have descriptionAlternate
TextRule NameStatusDescriptionFigures alternate
textPassedFigures require alternate textNested alternate
textPassedAlternate text that will never be readAssociated with
contentPassedAlternate text must be associated with some
contentHides annotationPassedAlternate text should not hide
annotationOther elements alternate textPassedOther elements
that require alternate textTablesRule
NameStatusDescriptionRowsPassedTR must be a child of Table,
THead, TBody, or TFootTH and TDPassedTH and TD must be
children of TRHeadersPassedTables should have
headersRegularityPassedTables must contain the same number

22. of columns in each row and rows in each
columnSummarySkippedTables must have a summaryListsRule
NameStatusDescriptionList itemsPassedLI must be a child of
LLbl and LBodyPassedLbl and LBody must be children of
LIHeadingsRule NameStatusDescriptionAppropriate
nestingPassedAppropriate nestingBack to Top