Evaluation of Information Systems in Health Care  Must be in APA format with references 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. (300 points) (3 graphical displays, a 15-slide presentation, and an 11–13 page response are required for the combinations of parts A, B, C, D, and E.) Part A SWOT Analysis (50 points)  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 using the matrix format located in Lesson 3. 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 (50 points) 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.    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 (50 points) You have now received information from several vendors.  Y ...

1. Evaluation of Information Systems in Health Care
Must be in APA format with references
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. (300 points)
(3 graphical displays, a 15-slide presentation, and an 11–13
page response are required for the combinations of parts A, B,
C, D, and E.)
Part A
SWOT Analysis (50 points)

2. 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 using the matrix format located in Lesson 3.
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 (50 points)
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.

3. 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

4. Part C
Vendor Comparison (50 points)
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.
a.
The matrix comparing the two vendors against RFP questions
b.
Your methodology for choosing the vendor and a justification of
your decision

5. Part D
Executive Presentation (50 points)
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 (100 points)

6. 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.

7. 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

8. 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

9. A.
Strong leadership and executive support
B.
Focus on improved clinical practice
C.
Physician support
D.
Leading technological hospital in the metropolitan area
II.
Key Issues Discussed
A.
Current hospital focus on patient safety
B.
Desire to significantly reduce medication errors
C.
Interest in standardizing medication ordering processes
D.
Need for improved workflow processes in pharmacy services

10. E.
Must have a positive impact on hospital efficiency
III.
Staffing Issues
A.
Wide-ranging; various professional groups will be impacted
B.
Highly knowledgeable information system staff
C.
Currently a pleasant and comfortable work environment for staff
D.
Concerns of adequate training and assistance available for all
involved clinical staff
IV.
Possible Disadvantages or Obstacles
A.
Rising costs of resources
B.

11. Limited budget constraints due to previous commitments
C.
Lack of time for user training
D.
Knowledge base within nursing and allied health professions
E.
New technology and staff attitude towards changes
F.
Physician and clinical staff level of comfort with technology
G.
Some area hospitals already have CPOE
V.
Vendor Requirements
A.
Must be committed to the CPOE market
B.
Commitment to a long-term relationship with the hospital
C.

12. Product maturity – time vendor has been developing CPOE
products
D.
Ability to measure hospital efficiency through CPOE data
E.
Costs for implementing the system
Vendor Summaries
Vendor #1: MedSafe Implementations
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

13. 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