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Clinical Information System In Healthcare
Olufunmilayo Adeleke
Walden
OM010
Introduction
Clinical information system (CIS) is purposely designed to be
used in critical care conditions such ICU ( Intensive Care
Unit).
In modern hospitals it can network with other computer systems
including radiology and pathology.
The information is drawn to the electronic patient record by the
systems (Musen, Middleton & Greenes, 2014).
Communication has been improved by the use of CIS because
health professionals are able to share information.
Health Information and Management System Society (HIMSS)
is selected organization for CIS use.
Clinical Information system is important in enhancing service
delivery to the patient especially those in critical conditions and
those who needed more attention.
Electronic patient record records make it easy to access
information of the patients and communication enhance sharing
of information.
2
Role of CIS
CIS helps in improving the quality of services provided to
patient who are in critical condition
Facilitates sharing of information and communication
concerning specific patient (Wager, Lee & Glaser, 2017).
Enables the faster decision making by the physicians or
clinicians during the encounter with patient in critical
condition.
The X-rays for the patient can be taken and scanned when in
need.
CIS plays important roles in the healthcare facilities.
it improves service quality provided to the patients, sharing of
information and enables decision making process to be done
within a short time because all the information needed can be
easily accessed.
3
Role of CIS
Help the healthcare to achieve equity and patients are provided
with better care.
It allows analysis of the information by the health agencies or
healthcare practitioners.
Clinical information system assist recording of the data of the
patient.
Eliminates errors which would have occurred when entering
data manually.
It also becomes easy to analyze health information by the health
agencies including government or donors who need to provide
some assistance to the healthcare.
Recording of data by the patients become easy because there is
no manual entering of the data hence eliminating errors.
4
Impacts of CIS
Increases access to medical information because of good
maintenance of the records form of the patient.
The authorized users would be able to receive the immediately
as there is no time wasting in files transfer (Boulware et al,
2016).
It also make it easy for the clinicians to address emergence
admission or unscheduled visit.
It also minimizes overload of the information and promote a
better care of the patient.
Keeping of the records form of the patient become easy since all
the information can be accessed in the portal.
Transfer of information is only through the authorized users
hence maintaining the confidentiality of the patient’s data.
It becomes easy for the healthcare to do admission for
emergences and attend to the unscheduled visits.
5
Impact of CIS
CIS reduces errors which could occur during transfer of the
data manually.
Errors in the information of the patient can lead to poor
decision and wrong diagnosis.
CIS minimizes the costs of labor in the healthcare systems
because only one person per computer is needed.
It facilitates better research in the healthcare since data can be
easily shared.
One of the challenge of the manual data entry in the healthcare
is errors therefore, CIS eliminates these errors since most of the
information is automated.
Errors have been the cause of the poor decision making made by
the clinicians on certain diagnosis and medication to the
patients.
Cost of the labor is reduced especially on hiring the secretaries
who would be entering the data and keeping of the files.
Only one person per computer is needed hence less costs.
6
Legal and regulatory requirements
strategies to ensure Privacy and security of the data of the
patients.
Protection of the patients rights and confidential information in
case there is data breaches from the organization.
compliance with confidentiality and privacy of the patients in
all situations (Levesque et al, 2015).
Functionality of the system and how it would be beneficial to
the organizations and society in general.
There are legal and regulations which must be complied with
before implementation of the CIS, these include
Strategies which would be used in ensuring security of the data
and privacy.
Compliance with confidentiality and privacy of the patients
which is shown in the healthcare ethics.
Functionality of the CIS has to be proved and how it would
benefit the community where it is used.
7
Legal and regulatory requirements
Creation of one login that is integrated and allows sharing of
information to other system.
The system should have a long term benefits which are clearly
indicated in details.
Indicating the relationship between clinical information systems
and the goals of the organizations.
Complying with requirements of the meaningful-use which
enables the organization to receive incentives for electronic
medical used.
There is also compliance of the meaningful use of the CIS and
how it would be more efficient as compare to the previous
system which was operating.
There should be existence of one log in which would be
controlling the other computer systems in the healthcare.
All goals must also be clearly indicated and illustrate how they
match with the organizational goals.
8
Value summaries of Clinical information system
The quality services to the patient because of the faster sharing
of information (Nguyen,Bellucci & Nguyen, 2014).
The outcomes of CIS are associated to proper diagnosis of the
diseases leading to right medication and treatment.
The transfer of the data is safe because it is shared to the
authorized individuals more so the clinicians.
Effective treatment and medication leads to patient recovery.
Values which the CIS must for it to be implemented are;
Ability to provide quality services to the patient and enhance
faster communication for the sharing of the information.
It leads to reliable results due to error elimination
There is also effective treatment and medication because the
results generated are reliable.
9
Value summaries of Clinical information system
Generally, the productivity of the organizations increased
because faster service delivery.
It promotes the performance of the physicians before they do
not wait for data to be recorded manually.
The cost also reduces because the number of the workers needed
to record the data reduces.
It also improves the efficiency in terms of timely planning and
effective decision making.
In terms of productivity , it is increased because of the
improved services of the clinicians and faster delivery.
Effective decision making and timely planning of the activities
improves the efficiency.
Cost reduction due to reducing the labor especially on the
maintenance of the files
10
Cont”
The services provided by the organization improves more so the
patient in critical conditions.
The patients who are the customer also get satisfied with the
services hence establishing good customer relationship.
Proper treatment and medication also saves the cost of the
patient of moving from one hospital to another.
Good services in the healthcare organization promotes the well-
being of the people.
Generally, there is improvement of the services especially to
patients who need emergence services.
The level of satisfaction increases and the probability of the
patient becoming regular customer to the organization is high
because of quality services
Cost is saved when the patients they are provided with effective
treatment and medication because they will recover and no need
to seek furhter treatment.
11
Summary of specific attributes
The functionality of the clinical information system has the
following attributes.
Accuracy of the data due reduced errors in data entry.
Suitability for use in the emergence so as to provided faster
attending of the patients.
Interoperability of the data due to sharing of the resources.
Compliance with the legal requirements.
The following are the attributes which are important for the
operation of the CIS.
Accuracy so that the errors are reduced hence quality services
Suitability , compliance with the legal requirements and
regulations
Interoperability which would enable the system to share the
data with other system.
12
Cont”
The following are the attributes which make clinical
information system to interact with other new system.
Learnability of the systems such that more people can easily
understands its functions.
Operability which make workability of the system easy.
Efficiency such that resources can be shared among many
systems.
Compatibility with other devices preforming different functions.
Some of the attribute which enhance the interaction of CIS with
other systems are;
Compatibility so that the systems can share the data together
and the operations are made more efficient.
Learnability for the operators to understand how it operates and
deliver effective services.
Operability and efficiency that make it easy to share
information and be operated without complex skills.
13
Cont”
Alignment with other organizations can be linked to the
following attributes.
Security of the data
Fault tolerance
Stability of the system
Adaptability to different operations and functionality.
Recoverability of the data or information.
Alignment with other organizations, the attribute which are
needed include: recovery of the data in case there is malware.
Stability of the system such that it can be relied on
Security of the data and adaptability to different operations and
functionality.
14
Concern areas for implementation and evaluation
The management team that will be responsible for managing the
operations of the systems in HIMSS .
The benefits of the system to the healthcare and the customers it
will be serving (Boulware et al, 2016).
Acceptance of the clinical information system by the employees
and other interested group.
Security of the system in terms of vulnerability to the data
breaches and other malware.
HIMSS staffs will be prepared to address the following
concerns in the implementation and evaluation of the CIS.
The acceptance of the CIS by the employees and their
perceptions about the system.
Nowadays, there are issues of data insecurity so the HIMSS
should address the issue of maintaining the security of the data.
The benefits of the system will provide to the organization.
15
Conclusion
Clinical information system plays a critical role in the
healthcare.
It improves quality of services, eliminates errors, promotes
sharing of data and in the situation of emergence.
The organization must meet the regulations requirement
including data security and confidentiality and protecting the
rights of the patients
The attributes for CIS value are suitability, compliance and
interoperability.
In conclusion, CIS is very important as it improves the quality
of the services and promotes faster decision making.
Effective treatment and medication is also realized because of
the sharing of information when it is needed.
Data security and privacy is put into consideration before
implementation of the CIS
16
References
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care
information systems: a practical approach for health care
management. John Wiley & Sons.
Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., &
Powe, N. R. (2016). Race and trust in the health care system.
Public health reports.
Musen, M. A., Middleton, B., & Greenes, R. A. (2014). Clinical
decision-support systems. In Biomedical informatics (pp. 643-
674). Springer, London.
Cont”
Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic
health records implementation: an evaluation of information
system impact and contingency factors. International journal of
medical informatics, 83(11), 779-796.
Levesque, E., Hoti, E., Azoulay, D., Ichai, P., Samuel, D., &
Saliba, F. (2015). The implementation of an Intensive Care
Information System allows shortening the ICU length of stay.
Journal of clinical monitoring and computing, 29(2), 263-269.
Project 2 Outline
Watch the instructions for the video
https://www.youtube.com/watch?v=hNKwFEWBfzg&feature=yo
utu.be
For this part of the project you will create an outline for your
final project 2 paper. My instructions for the final paper will be
purposely ambiguous.
You will write a paper about your chosen company (with
citations). The purpose will be to demonstrate why you might
or might not want to invest in that company. Your analysis
should include, but should not be limited to:
A discussion about the industry in which your company
competes
A brief history of the company
A discussion about the company’s strategy
An in depth analysis of financial data
The ambiguity lies in your perception of the importance of
different financial data. What do I mean by that? Industries
tend to use different standards in which to compare companies
to one another. For example, in banking some key financial
numbers might be efficiency ratios, past due ratios, ROA, and
reserve for loan loss. That set of data will probably not be
useful for a retail corporation. Some numbers may be common
like sales trends or EPS. You will need to design your financial
analysis around data that is particularly relevant to the industry
you chose.
Just to clarify, this assignment due the 9th of November is to
simply submit an outline of your proposed paper. Please make
it as detailed as possible. I will of course review your outline
and make suggestions to make sure you are on track. I can’t
imagine that I will make major changes. So if you are
interested in pushing ahead over the Thanksgiving holiday you
have my blessings. (a little play on words there) e-mail me at
any time in the process if you have questions.
My company is Ford
[Title]Introduction
[Capture reader’s interest]
Introduce the subjects of your paper.
[Topic sentence/thesis statement]History of the Company
[Support]
[Example]
[Example]
[Support]
[Example]
[Example]
[Support]
[Example]
[Example]Industry in which it competes
[Support]
[Example]
[Example]
[Support]
[Example]
[Example]
[Support]
[Example]
[Example] Company Strategy
[Support]
[Example]
[Example]
[Support]
[Example]
[Example]
[Support]
[Example]
[Example] Detailed analysis of company financials
[Support]
[Example]
[Example]
[Support]
[Example]
[Example]
[Support]
[Example]1. Conclusion
[Restate topic]
A. Summarize the four main pointsMake your recommendation
[Title] Page 2 of 2
Project 2
The purpose of this project is for you to develop skills to
evaluate the financial information made available to us for all
public corporations.
Your final assignment will be to write an evaluation of a
company – your choice – that will be due final’s week. Until
then we’ll do some exercises to help you find and accumulate
the information you will need.
The evaluation will of course center on the company’s financial
statements. Your goal will be to incorporate some of what
we’ve covered – and will cover – into your analysis.
Where do we access the information? I offer the following
choices but you are by no means limited to these options:
http://www.morningstar.com/
http://www.reuters.com/finance/stocks
http://moneycentral.msn.com/home.asp
http://finance.yahoo.com/
http://www.google.com/finance
using one of the sites above or one of your choosing:
Choose a public company that you think you want to analyze.
Tell me what that company is.
Find the ticker symbol of that company. Usually from 1 to 4
letters. For example, Microsoft’s ticker symbol is MSFT. Tell
me what the ticker symbol is?
I picked Ford Motor Company their ticker symbol F
Ford Motor Company – Annual Report
https://s22.q4cdn.com/857684434/files/doc_financials/2017/ann
ual/Final-Annual-Report-2017.pdf
Tell me the company’s last closing price.
Tell me the company’s P/E ratio.
Tell me the company’s previous year’s earnings per share
(EPS).
You need to use and talk about these financials in the paper and
you can find these from that websites.
CalculatorOrganization015%0History015%0Strategy015%0Fina
ncial040%0Conventions015%00.00%
RubricRubric for BFIN 322 Final ProjectOrganization:
15%a. Organization includes both attention getter
and purpose statement543210b. Logical sequencing
which matches order of purpose statement543210c.
Smooth transition between sentences and
paragraphs543210d. Conclusion summarizes
findings and addresses implications of
research543210Total:Idea and Contents: History and Industry:
15%a. Clear description of the company’s history and the
industry in which it competes543210b.
Unambiguous identification of the industry in which the
company competes.543210c. Writer provides
relevant examples and illustrations of clear
points543210d. Writer identifies the company’s
position within the industry543210Total:Idea and Contents:
Strategy: 15%a. Strategy clearly
identified543210b. Appropriate strategic model
cited543210c. Writer provides relevant citations,
examples and illustrations of critical points543210d.
Plausible strategic predictions/analysis543210Total:Idea and
Contents: Financial Analysis: 40%a. Major financial data
identified543210b. Depth of Ratio
analysis543210c. Historical data logically
presented543210d. Conclusion summarizes findings
within financial data543210Total:Conventions: 15%a.
Paragraphing reinforces organization543210b.
Grammar, usage and sentence structure contribute to clarity of
writing543210c. Words are specific and
accurate543210d. Punctuation, Capitalization and
spelling are correct543210Total:
1
9
CLINICAL INFORMATION SYSTEM
Olufunmilayo Adeleke
Walden University
OM010
Compatibility of Goals, Value and Mission with CIS
A Clinical Information system is the recommended
information system in the Health Information and Management
System Society (HIMSS). The organization gives an opportunity
for people to participate in discussion and exercises that shapes
the industry of healthcare. HIMSS also works to promotes
public policies, which aims at improving service delivery in
healthcare and encourages the use of emerging technology. The
goals of the HIMSS are compatible with Clinical Information
system because it focuses on improving the health service
delivery system so as to ensure better healthcare delivery
(Musen, Middleton & Greenes, 2014). The goal of the HIMSS
is to advance the utilization of information system to improve
the health of the people. These goals are similar to the Clinical
Information System goals, which focuses on improving health
care services and increasing between healthcare workers,
providers and physicians within the healthcare system. The
value of HIMSS is exchanging experiences in an organized
manner at a global dimension. The organization is committed to
the professional conduct of the highest standard and adding
value to the industry of healthcare. The missions, values and
the goals of the organizations are compatible with the Clinical
information system of improving the health services and
continuous innovation.
Roles of Clinical Information System
In the HIMSS, Clinical Information System plays a critical
role in improving the quality of services that are provided to
patients who might be in critical conditions. To properly care
for a these patients in the intensive care unit, much attention
and coordination is needed and expected from every healthcare
staff to attain optimal care. This is particularly important
because these patients are already at a higher risk of contracting
or becoming sicker or worse; losing their lives. CIS allows the
physicians to communicate to one another and exchange data on
the specific patients. With technology, exchange of data has
been made less stressful. Communication is made easier
because the doctors do not need to keep exchanging physical
files between nurses, other physicians and or other departments.
It also helps because multiple people have access to this data
while the patient is being treated (Levesque et al., 2015). The
process of decision-making becomes much easier because all the
information can be delivered when needed and the references
made. Faster decision-making shortens the time it would take to
get a diagnosis, which could be the key to saving a patient’s
life. CIS also helps in achieving equity because the patients’
data is entered according to the time they arrived and all
information is contained in the automated computers. The
incidences of unfair treatment are reduced because the
clinicians or the doctors follow the information received from
the Information system center and are able to provide this
information and its time stamps should any complications or
legal issues arise.
Impacts of CIS to HIMSS
One of the greatest impacts of the Clinical Integrated
Systems is the increased access to medical records. Along with
an increased availability of medical records, there will also be a
decline in loss of medical records. When information is kept in
files, it can easily get lost due to constant shuffling and moving,
but the system can recover them in case of anything happens
(Wager, Lee & Glaser, 2017). Because manual and physical
transportation of files has been eliminated, any issues related to
loss or incomplete medical record has been minimized and
people can have access to the records instantaneously.
Additionally, easier accessibility of patient’s files allows
doctors and physicians to address emergencies and unscheduled
visit to their healthcare facility. It would be easy to coordinate
information from various departments, which promote
understanding of what exactly the patient need and the kind of
treatment that should be administered to each patient. It also
helps in minimizing errors that occur during data entry. Manual
data entry increases the risk of human errors that can result in
an improper diagnosis. Consider a patient whose blood pressure
is 170/70, if a nurse writes down 170 as systolic pressure, any
tired physician or healthcare giver could read the pressure as
110/70. A patient with a 170/70 blood pressure is at an
increased risk of getting a stroke. When the diagnosis is not
made correctly, then it can lead to either ignoring an actual
problem or prescribing the wrong medication, which can affect
the patient negatively. Technology goes with innovation and
improves the social status of the people. CIS also facilitates
research, as many people would be eager to understand
emerging technology and put it to use. Investing in this research
qill not only create new jobs for people but also promises a
better future in the healthcare patient information management
field.
Usability Factors
Privacy is one of the most important usability factors in
Health Information System development. Patient information is
sensitive data that should be kept from the public. Patient’s data
should not be revealed to a third party, and the discussion
should be only between the patient, doctor and other people on
the patient’s confidentiality list. It is also important to note that
any physician who is not working on the patients file should not
be allowed access to the patient’s information either, unless
patient release their information for clinical research purposes.
Confidentiality of the assessment and diagnosis reports is
important to the patients. Other usability factors to consider is
the safety of patients and error prevention. All of the usability
factors mentioned above go hand in hand, as one usually affects
the other. The example with the patient whose blood pressure
was recorded incorrectly is a perfect example of how user error
can affect the safety of the patient. If this error was not made,
the patient would have been diagnosed with high blood pressure
and would have been put on medication that can help regulate
his/her pressure. Error prevention is a usability factor that is
one of most valued ethics of the health care system (Grossman
et al., 2016). Error prevention is also crucial as it leads to an
accurate diagnosis of the disease. When the right diagnosis of
the disease is made, then it would be easy for the doctors to
give the right treatment that would lead to recovery and an
overall improvement in the health of the patient.
Strategies for Usability Evaluation
Usability testing is one of the strategies which is utilized
for the evaluation of the services or product which are offered
by the organization. Another strategy is for usability evaluation
is a testing plan. Creating a testing plan assists in reviewing the
usability of the product or service (Musen, Middleton &
Greenes, 2014). Physicians and other healthcare providers
should be included in the planning phase as it allows to provide
an accurate feedback on the usability of the product or services.
This accuracy forms the foundation for effective evaluation. It
can also be done by reporting the results which mainly focuses
on the recommendations and the findings. Efficiency is a key
factor in the clinical information system. Testing for efficiency
allows for proper analysis of the system and fixture of any
problems that might prevent systems efficiency. By including
physicians and healthcare providers in the beta testing phase,
overall efficiency of the system will be improved upon which
translates to a safer and more efficient health information
delivery system.
Integration with Other Products
The clinical Information system will integrate other
products such as insurances, payment information, laboratory
reports, patient’s health history and surveys. The physician who
is discharging the patients would be able to receive a message
in the system that payment of patient has been made and he or
she can be discharged. If the payment were made through
insurance cover, it would also reflect hence less time would be
taken. It can help in facilitating faster services delivery for both
inpatients and outpatients.
Security and Privacy
The system ensures that the security and privacy of patient
information are maintained. This is done through the purchase
of reliable software which enhances the safety of the data. With
the technological advancement, cloud computing is widely
applied to come up with software which ensures the safety of
the data or information. Security is also ensured through the
hiring of employees who have relevant skills and are
experienced in information technology (Boulware et al., 2016).
Privacy is maintained by ensuring the data only passes in the
hand of the authorized individuals. Information from the
diagnosis and assessment of the patient is kept confidential and
no third party which is allowed to discuss it.
Support of the Vendor
Vendors provide support by ensuring that the system is
fully installed with all relevant features available. Vendors also
make sure that the system is working and are available to assist
in rectifying any system lags or glichtes that might occur during
testing and or actual usage of the system. The vendor will also
make sure that updated version of the software which is needed
by the organization is available and update of the system can be
accessed anytime to facilitates the faster working of the system
and provide quality services.
Reliability and Stability
Clinical Information System will invest in testing’s that
will ensure the reliability of the system. It will also be stable
because most of the software would be obtained from companies
which are experienced in cloud computing. The management
team will be experienced with all relevant skills which are
required to operate and ensure effective running of the software.
Robust analytics are run to help provide operational and clinical
insights to the automated registration tools. This allows the
system to provide high-quality experience for the patients while
reorganization the intake process for the healthcare facility as
well.
The Cost of the Clinical Information System
The resources which will be used in the process of buying,
installing and making the software function would include the
cost of buying the computers and technology involved in
building the new system. Computers are needed so that they can
be interconnected and promote the easy transfer of the data.
There is also cost involved buying software which is needed for
maintaining data security of the organization (Musen, Middleton
& Greenes, 2014). Some of the software is very expensive and
can be costly to buy. Installation space is also required and the
team which will be involved in the continuous management of
the system. The overall estimate of the cost which might be
incurred $10,000 million for the system to start operating in a
hospital depending on its size.
The Process of Acquisition and Selection
Clinical information system requires a wise chose so that
the system will function according to the intended functions.
The buyer considers the cost of the resources which will be
required for the effective functioning of the system (Jeon et al.,
2017). The organization tries to compare both the external and
internal factors that might affect the workability of the system.
The process put into consideration goals, plans of the healthcare
and objectives. There is an assessment of the changes which
will take place in the system integration, a cost that will be
incurred and the management change. The process is designed
such that the needs of the stakeholders are given great value.
Conclusion
Clinical information system is an important system as
recommended by HIMSS as it works to increases the value of
patient care and communication within healthcare facilities.
Both cost and implementation is a factor that might affect a
healthcares desire to incorporate CIS. However, the desired
outcome of reducing clinical error and improving service
delivery in healthcare by encourages the use of emerging
technology is the reason CIS is recommended by HIMSS.
References
Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., &
Powe, N. R. (2016). Race and trust in the health care system.
Public health reports.
Grossman, R. L., Heath, A. P., Ferretti, V., Varmus, H. E.,
Lowy, D. R., Kibbe, W. A., & Staudt, L. M. (2016). Toward
a shared vision for cancer genomic data. New England Journal
of Medicine, 375(12), 1109-1112.
Jeon, J., Kim, J., Park, Y., & Lee, H. (2017). An analytic
network process approach to partner selection for
acquisition and development. Technology Analysis & Strategic
Management, 29(7), 790-803.
Levesque, E., Hoti, E., Azoulay, D., Ichai, P., Samuel, D., &
Saliba, F. (2015). The implementation of an Intensive Care
Information System allows shortening the ICU length of
stay. Journal of clinical monitoring and computing, 29(2), 263-
269.
Musen, M. A., Middleton, B., & Greenes, R. A. (2014). Clinical
decision-support systems. In Biomedical informatics (pp. 643-
674). Springer, London
Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic
health records implementation: an evaluation of an information
system impact and contingency factors. International journal of
medical informatics, 83(11), 779-796.
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Healthcare
information systems: a practical approach to healthcare
management. John Wiley & Sons.
1
9
CLINICAL INFORMATION SYSTEM
Olufunmilayo Adeleke
Walden University
OM010 Comment by Chris Miller: Include the date and
Compatibility of Goals, Value and Mission with CIS
A Clinical Information system is the recommended
information system in the Health Information and Management
System Society (HIMSS). The organization gives an opportunity
for people to participate in discussion and exercises that shapes
the industry of healthcare. HIMSS also works to promotes
public policies, which aims at improving service delivery in
healthcare and encourages the use of emerging technology. The
goals of the HIMSS are compatible with Clinical Information
system because it focuses on improving the health service
delivery system so as to ensure better healthcare delivery
(Musen, Middleton & Greenes, 2014). The goal of the HIMSS
is to advance the utilization of information system to improve
the health of the people. These goals are similar to the Clinical
Information System goals, which focuses on improving health
care services and increasing between healthcare workers,
providers and physicians within the healthcare system. The
value of HIMSS is exchanging experiences in an organized
manner at a global dimension. The organization is committed to
the professional conduct of the highest standard and adding
value to the industry of healthcare. The missions, values and
the goals of the organizations are compatible with the Clinical
information system of improving the health services and
continuous innovation.
Roles of Clinical Information System Comment by Chris
Miller: headings should be bold
In the HIMSS, Clinical Information System plays a critical
role in improving the quality of services that are provided to
patients who might be in critical conditions. To properly care
for a these patients in the intensive care unit, much attention
and coordination is needed and expected from every healthcare
staff to attain optimal care. This is particularly important
because these patients are already at a higher risk of contracting
or becoming sicker or worse; losing their lives. CIS allows the
physicians to communicate to one another and exchange data on
the specific patients. With technology, exchange of data has
been made less stressful. Communication is made easier
because the doctors do not need to keep exchanging physical
files between nurses, other physicians and or other departments.
It also helps because multiple people have access to this data
while the patient is being treated (Levesque et al., 2015). The
process of decision-making becomes much easier because all the
information can be delivered when needed and the references
made. Faster decision-making shortens the time it would take to
get a diagnosis, which could be the key to saving a patient’s
life. CIS also helps in achieving equity because the patients’
data is entered according to the time they arrived and all
information is contained in the automated computers. The
incidences of unfair treatment are reduced because the
clinicians or the doctors follow the information received from
the Information system center and are able to provide this
information and its time stamps should any complications or
legal issues arise.
Impacts of CIS to HIMSS
One of the greatest impacts of the Clinical Integrated
Systems is the increased access to medical records. Along with
an increased availability of medical records, there will also be a
decline in loss of medical records. When information is kept in
files, it can easily get lost due to constant shuffling and moving,
but the system can recover them in case of anything happens
(Wager, Lee & Glaser, 2017). Because manual and physical
transportation of files has been eliminated, any issues related to
loss or incomplete medical record has been minimized and
people can have access to the records instantaneously.
Additionally, easier accessibility of patient’s files allows
doctors and physicians to address emergencies and unscheduled
visit to their healthcare facility. It would be easy to coordinate
information from various departments, which promote
understanding of what exactly the patient need and the kind of
treatment that should be administered to each patient. It also
helps in minimizing errors that occur during data entry. Manual
data entry increases the risk of human errors that can result in
an improper diagnosis. Consider a patient whose blood pressure
is 170/70, if a nurse writes down 170 as systolic pressure, any
tired physician or healthcare giver could read the pressure as
110/70. A patient with a 170/70 blood pressure is at an
increased risk of getting a stroke. When the diagnosis is not
made correctly, then it can lead to either ignoring an actual
problem or prescribing the wrong medication, which can affect
the patient negatively. Technology goes with innovation and
improves the social status of the people. CIS also facilitates
research, as many people would be eager to understand
emerging technology and put it to use. Investing in this research
qill not only create new jobs for people but also promises a
better future in the healthcare patient information management
field. Comment by Chris Miller: good job discussing
clinical integration
Usability Factors
Privacy is one of the most important usability factors in
Health Information System development. Patient information is
sensitive data that should be kept from the public. Patient’s data
should not be revealed to a third party, and the discussion
should be only between the patient, doctor and other people on
the patient’s confidentiality list. It is also important to note that
any physician who is not working on the patients file should not
be allowed access to the patient’s information either, unless
patient release their information for clinical research purposes.
Confidentiality of the assessment and diagnosis reports is
important to the patients. Other usability factors to consider is
the safety of patients and error prevention. All of the usability
factors mentioned above go hand in hand, as one usually affects
the other. The example with the patient whose blood pressure
was recorded incorrectly is a perfect example of how user error
can affect the safety of the patient. If this error was not made,
the patient would have been diagnosed with high blood pressure
and would have been put on medication that can help regulate
his/her pressure. Error prevention is a usability factor that is
one of most valued ethics of the health care system (Grossman
et al., 2016). Error prevention is also crucial as it leads to an
accurate diagnosis of the disease. When the right diagnosis of
the disease is made, then it would be easy for the doctors to
give the right treatment that would lead to recovery and an
overall improvement in the health of the patient.
Strategies for Usability Evaluation
Usability testing is one of the strategies which is utilized
for the evaluation of the services or product which are offered
by the organization. Another strategy is for usability evaluation
is a testing plan. Creating a testing plan assists in reviewing the
usability of the product or service (Musen, Middleton &
Greenes, 2014). Physicians and other healthcare providers
should be included in the planning phase as it allows to provide
an accurate feedback on the usability of the product or services.
This accuracy forms the foundation for effective evaluation. It
can also be done by reporting the results which mainly focuses
on the recommendations and the findings. Efficiency is a key
factor in the clinical information system. Testing for efficiency
allows for proper analysis of the system and fixture of any
problems that might prevent systems efficiency. By including
physicians and healthcare providers in the beta testing phase,
overall efficiency of the system will be improved upon which
translates to a safer and more efficient health information
delivery system.
Integration with Other Products
The clinical Information system will integrate other
products such as insurances, payment information, laboratory
reports, patient’s health history and surveys. The physician who
is discharging the patients would be able to receive a message
in the system that payment of patient has been made and he or
she can be discharged. If the payment were made through
insurance cover, it would also reflect hence less time would be
taken. It can help in facilitating faster services delivery for both
inpatients and outpatients.
Security and Privacy
The system ensures that the security and privacy of patient
information are maintained. This is done through the purchase
of reliable software which enhances the safety of the data. With
the technological advancement, cloud computing is widely
applied to come up with software which ensures the safety of
the data or information. Security is also ensured through the
hiring of employees who have relevant skills and are
experienced in information technology (Boulware et al., 2016).
Privacy is maintained by ensuring the data only passes in the
hand of the authorized individuals. Information from the
diagnosis and assessment of the patient is kept confidential and
no third party which is allowed to discuss it. Comment by
Chris Miller: This area vague and general – think about the
specific types of health information that needs to be protected
and then consider best practices. Think about meaningful use
guidelines for example
Support of the Vendor
Vendors provide support by ensuring that the system is
fully installed with all relevant features available. Vendors also
make sure that the system is working and are available to assist
in rectifying any system lags or glichtes that might occur during
testing and or actual usage of the system. The vendor will also
make sure that updated version of the software which is needed
by the organization is available and update of the system can be
accessed anytime to facilitates the faster working of the system
and provide quality services.
Reliability and Stability
Clinical Information System will invest in testing’s that
will ensure the reliability of the system. It will also be stable
because most of the software would be obtained from companies
which are experienced in cloud computing. The management
team will be experienced with all relevant skills which are
required to operate and ensure effective running of the software.
Robust analytics are run to help provide operational and clinical
insights to the automated registration tools. This allows the
system to provide high-quality experience for the patients while
reorganization the intake process for the healthcare facility as
well. Comment by Chris Miller: this area also is still a
little generalized. Try to expand more on reliability factors as
they are specifically related to health information systems.
The Cost of the Clinical Information System Comment by
Chris Miller: This cost is not really well laid out and justified.
What is the cost of implementation for the electronic health
record system, consider average in licensing fees, average
hardware cost average training cost etc. in the field. I noted at
the end you have 10,000 million which is well over $1 trillion I
think that's an error? There's no support for your cost analysis.
It's too vague in general.
The resources which will be used in the process of buying,
installing and making the software function would include the
cost of buying the computers and technology involved in
building the new system. Computers are needed so that they can
be interconnected and promote the easy transfer of the data.
There is also cost involved buying software which is needed for
maintaining data security of the organization (Musen, Middleton
& Greenes, 2014). Some of the software is very expensive and
can be costly to buy. Installation space is also required and the
team which will be involved in the continuous management of
the system. The overall estimate of the cost which might be
incurred $10,000 million for the system to start operating in a
hospital depending on its size. Comment by Chris Miller:
Indent five spaces
The Process of Acquisition and Selection
Clinical information system requires a wise chose so that
the system will function according to the intended functions.
The buyer considers the cost of the resources which will be
required for the effective functioning of the system (Jeon et al.,
2017). The organization tries to compare both the external and
internal factors that might affect the workability of the system.
The process put into consideration goals, plans of the healthcare
and objectives. There is an assessment of the changes which
will take place in the system integration, a cost that will be
incurred and the management change. The process is designed
such that the needs of the stakeholders are given great value.
Comment by Chris Miller: I'm not seeing a timeline
though. By timeline we mean implementation how long to train
the end-users, etc. Give a timeframe breakdown
Conclusion Comment by Chris Miller: this should be bold
and centered
Clinical information system is an important system as
recommended by HIMSS as it works to increases the value of
patient care and communication within healthcare facilities.
Both cost and implementation is a factor that might affect a
healthcares desire to incorporate CIS. However, the desired
outcome of reducing clinical error and improving service
delivery in healthcare by encourages the use of emerging
technology is the reason CIS is recommended by HIMSS.
References
Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., &
Powe, N. R. (2016). Race and trust in the health care system.
Public health reports.
Grossman, R. L., Heath, A. P., Ferretti, V., Varmus, H. E.,
Lowy, D. R., Kibbe, W. A., & Staudt, L. M. (2016). Toward
a shared vision for cancer genomic data. New England Journal
of Medicine, 375(12), 1109-1112.
Jeon, J., Kim, J., Park, Y., & Lee, H. (2017). An analytic
network process approach to partner selection for
acquisition and development. Technology Analysis & Strategic
Management, 29(7), 790-803.
Levesque, E., Hoti, E., Azoulay, D., Ichai, P., Samuel, D., &
Saliba, F. (2015). The implementation of an Intensive Care
Information System allows shortening the ICU length of
stay. Journal of clinical monitoring and computing, 29(2), 263-
269.
Musen, M. A., Middleton, B., & Greenes, R. A. (2014). Clinical
decision-support systems. In Biomedical informatics (pp. 643-
674). Springer, London
Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic
health records implementation: an evaluation of an information
system impact and contingency factors. International journal of
medical informatics, 83(11), 779-796.
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Healthcare
information systems: a practical approach to healthcare
management. John Wiley & Sons.
FEEDBACK OM010
You're very close in on the right path, however you need to
expand a few areas. See my comments on the markup and the
rubric. Especially the timeline, you need to be more specific.
Your cost estimate also was inaccurate and incomplete. I highly
recommend you review the rubric thoroughly. In order to pass
this paper, you would need a 3 on every section as explained in
the rubric. Do more research into the cost estimates of
electronic health record system implementation and include
citation.
Learning Objective 1.1: Explain core functions of a healthcare
information system.:
MEETS EXPECTATIONS
2
Response explains four core functions of the healthcare
information system. Response accurately explains the impact of
the core functions have on the organization.
Additional Comments:
Learning Objective 1.2: Explain legal and regulatory
requirements for implementing the healthcare information
system.:
MEETS EXPECTATIONS
2
Response identifies three legal and regulatory requirements to
be considered when implementing the healthcare information
system. Response explains the relevance of these requirements.
Additional Comments:
Learning Objective 1.3: Summarize the value of the healthcare
information system to an organization.:
MEETS EXPECTATIONS
2
Response describes one value of the healthcare information
system related to quality, outcomes, and safety. Response
describes one value of the healthcare information system related
to improved efficiency and cost reduction. Response describes
one value of the healthcare information system related to
improved service and satisfaction.
Additional Comments:
Learning Objective 1.4: Summarize functionality of the
healthcare information system.:
MEETS EXPECTATIONS
2
Response describes three functions of the healthcare
information system that are particularly relevant to the
organization. Response provides rationale for highlighting these
three functions to the organization.
Additional Comments:
Learning Objective 1.5: Evaluate the proposed healthcare
information system against systems currently in place in an
organization.:
MEETS EXPECTATIONS
2
Response accurately evaluates how the healthcare information
system alignments with other organizations within a healthcare
system.
Additional Comments:
Learning Objective 2.1: Analyze areas of concern in
implementing the health information system.:
MEETS EXPECTATIONS
2
Response analyzes three areas of concern in implementing the
health information system in the organization. Response
provides rationale for highlighting each of these areas of
concern.
Additional Comments:
Learning Objective 2.2: Analyze key points to consider in
evaluation of the health information system.:
MEETS EXPECTATIONS
2
Response identifies three major points to consider in evaluating
health information system once it is implemented. Response
provides rationale for each point.
Additional Comments:
Learning Objective 3.1: Explain how the health information
system is compatible to the organization’s mission, goals, and
values.:
MEETS EXPECTATIONS
2
Response provides at least three clear ways the health
information system is compatible to the organization’s mission,
goals, and values.
Additional Comments:
Learning Objective 4.1: Evaluate core functions of the
healthcare information system.:
NEEDS IMPROVEMENT
1
Fewer than six key core functions are identified. Explanation of
the value and impact of the core functions to the organization is
insufficient and/or inaccurate.
I'm not seeing a strong comparison here, you needed to compare
your chosen system to a nether existing system and compare at
least six core functions of each system. Do this in the paper and
title it comparison of two different systems and explain the
differences between the core functions of the two different
systems. Make sure you list and describe at least six core
functions
Learning Objective 4.2: Evaluate usability factors of the
healthcare information system.:
MEETS EXPECTATIONS
2
Response identifies at least four usability factors that were
addressed with the vendor. Response explains why these
usability factors were selected for vendor discussion. Response
explains the feedback received from the vendor on the usability
factor queries.
Additional Comments:
Learning Objective 4.3: Recommend strategies for evaluating
the healthcare information system usability.:
MEETS EXPECTATIONS
2
Response provides five strategies used for evaluating the
healthcare information system usability in the organization.
Response provides research-based rationale for each strategy.
Response is supported by relevant academic/professional
resources.
Additional Comments:
Learning Objective 4.4: Explain how the healthcare information
system will integrate with other products.:
MEETS EXPECTATIONS
2
Response describes products within the organization that will
integrate with the recommended healthcare information system.
Additional Comments:
Learning Objective 4.5: Explain how the healthcare information
system ensures absolute privacy and security.:
NEEDS IMPROVEMENT
1
Response describes fewer than three safeguards.
Additional Comments: See my comments on the mark up for
this one
Learning Objective 4.6: Describe the healthcare information
system vendor support to an organization.:
NEEDS IMPROVEMENT
1
Response describes fewer than four areas of support provided
by the vendor. Rationale is insufficient.
Additional Comments: See comments on mark up - you need to
expand on this more it was too vague and general
Learning Objective 4.7: Evaluate vendor stability.:
MEETS EXPECTATIONS
2
Response provides data that indicates the vendor is stable and
reliable. Response provides data addressing customer
satisfaction. Response provides the names of three comparable
organizations that implemented the healthcare information
system from this vendor.
Additional Comments:
Learning Objective 4.8: Provide cost estimate of the healthcare
information system.:
NEEDS IMPROVEMENT
1
Cost estimate is not in alignment with healthcare information
system features and functions described.
Additional Comments: Additional Comments: See comments on
mark up - you need to expand on this more it was too vague and
general
Learning Objective 5.1 Develop a timeline for the selection and
acquisition of a health information technology.:
NEEDS IMPROVEMENT
1
Timeline for the selection and acquisition of a health
information system describes less than four steps in the system
and how the steps would be accomplished.
Additional Comments: Additional Comments: See comments on
mark up - you need to expand on this more it was too vague and
general
Written Communication PS 1.1: Use proper grammar, spelling,
and mechanics.:
MEETS EXPECTATIONS
2
Writing reflects competent use of standard edited American
English. Errors in grammar, spelling, and/or mechanics do not
negatively impact readability.
Additional Comments:
Written Communication PS 1.2: Organize writing to enhance
clarity.:
MEETS EXPECTATIONS
2
Writing is generally well-organized. Introductions, transitions,
and conclusions provide continuity and a logical progression of
ideas.
Additional Comments:
Written Communication PS 1.3: Apply APA style to written
work.:
MEETS EXPECTATIONS
2
APA conventions for attribution of sources, structure,
formatting, etc., are generally applied correctly in most
instances. Sources are generally cited appropriately and
accurately.
Additional Comments:
Written Communication PS 1.4: Use appropriate vocabulary and
tone for the audience and purpose.:
MEETS EXPECTATIONS
2
Vocabulary and tone are generally appropriate for the audience
and support communication of key concepts.
Additional Comments:
Critical Thinking PS 5.1: Analyze assumptions and fallacies.:
MEETS EXPECTATIONS
2
Response generally assesses the reasonableness of assumptions
in a given argument. Response identifies and discusses the
implications of fallacies and/or logical weaknesses in a given
argument.
Additional Comments:
Critical Thinking PS 5.2: Generate reasonable and appropriate
assumptions.:
MEETS EXPECTATIONS
2
Response presents and discusses key assumptions in an original
argument.
Additional Comments:
Critical Thinking PS 5.3: Assess multiple perspectives and
alternatives.:
MEETS EXPECTATIONS
2
Response identifies and considers multiple perspectives and
alternatives.
Additional Comments:
Critical Thinking PS 5.4: Use problem-solving skills.:
MEETS EXPECTATIONS
2
Response presents solutions that are practical and work in
addressing the specific problem.
Additional Comments:
Information Literacy PS 6.1: Identify credible sources.:
MEETS EXPECTATIONS
2
Most sources are credible, appropriate, and relevant to the
topic.
Additional Comments:
Information Literacy PS 6.2: Analyze findings from relevant
sources.:
MEETS EXPECTATIONS
2
Analysis clearly reflects relevance of findings to the identified
problem, issue, or purpose.
Additional Comments:
©2014 Walden University 1
OM010: Health Information Systems: Recommend the
acquisition, implementation, and evaluation of clinical and
administrative health
information systems.
Assessment Rubric
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
Part I: PowerPoint Presentation: Healthcare Information System
Recommendation to the Board of Trustees: EMR
Recommendation
Sub-Competency 1: Evaluate fundamental elements of a
healthcare information system.
Learning Objective 1.1:
Explain core functions
of a healthcare
information system.
Explanation of the core
functions of a healthcare
information system is
missing.
Response explains fewer
than four core functions of
the healthcare information
system.
Response insufficiently
explains purpose of all or
some of the core
functions.
Response explains four
core functions of the
healthcare information
system.
Response accurately
explains the impact of the
core functions have on the
organization.
Demonstrates the same
level of achievement as
“2” plus the following:
Response describes an
authentic example of how
application of the
healthcare information
system function impacted
an organization.
Learning Objective 1.2:
Explain legal and
regulatory
requirements for
implementing the
healthcare information
system.
Explanation of the legal
and regulatory
requirements for
implementing the
healthcare information
system is missing.
Response explains fewer
than three legal and
regulatory requirements
related to healthcare
information systems.
Explanation of legal and
regulatory requirements is
insufficient and/or
inaccurate.
Response identifies three
legal and regulatory
requirements to be
considered when
implementing the
healthcare information
system.
Response explains the
relevance of these
requirements.
Demonstrates the same
level of achievement as
“2” plus the following:
Response describes a
constraint that legal and
regulatory requirements
can place on an
organization.
Learning Objective 1.3:
Summarize the value of
the healthcare
Summary of the value of
the healthcare information
system to an organization
Response does not
sufficiently and/or
accurately address the
Response describes one
value of the healthcare
information system related
Demonstrates the same
level of achievement as
“2” plus the following:
©2014 Walden University 2
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
information system to
an organization.
is missing. value of the healthcare
information system to an
organization in terms of
quality, outcomes, and
safety; improved efficiency
and cost reduction; and
improved service and
satisfaction.
to quality, outcomes, and
safety.
Response describes one
value of the healthcare
information system related
to improved efficiency and
cost reduction.
Response describes one
value of the healthcare
information system related
to improved service and
satisfaction.
Response aligns one of the
responses for a level 2
descriptor to legal and
policy requirements.
Learning Objective 1.4:
Summarize
functionality of the
healthcare information
system.
Summary of the
functionality of the
healthcare information
system is missing.
Functions of the
healthcare information
system are insufficiently
described and/or adequate
rationale for their inclusion
is not provided.
Response describes three
functions of the healthcare
information system that
are particularly relevant to
the organization.
Response provides
rationale for highlighting
these three functions to
the organization.
Demonstrates the same
level of achievement as
“2” plus the following:
Response provides one
specific example of how
this function could be
applied to the benefit of
the organization.
Learning Objective 1.5:
Evaluate the proposed
healthcare information
system against systems
currently in place in an
organization,
Evaluation of the proposed
healthcare information
system against systems
currently in place in an
organization is missing.
Response insufficiently
summarizes how the
healthcare information
system will interface with
other systems in the
organization and/or other
organizations within a
system.
Response accurately
evaluates how the
healthcare information
system alignments with
other organizations within
a healthcare system.
Demonstrates the same
level of achievement as
“2” plus the following:
Response explains the
overarching value of
interoperability to the
organization.
©2014 Walden University 3
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
Sub-Competency 2: Analyze areas of concern in implementing
and evaluating a health information system.
Learning Objective 2.1:
Analyze areas of
concern in
implementing the
health information
system.
Analysis of the areas of
concern in implementing
the health information
system is missing.
Response analyzes fewer
than three areas of
concern; rationale
provided is insufficient.
Response analyzes three
areas of concern in
implementing the health
information system in the
organization.
Response provides
rationale for highlighting
each of these areas of
concern.
Demonstrates the same
level of achievement as
“2” plus the following:
Response provides one
suggestion for how the
organization might address
each area of concern.
Learning Objective 2.2:
Analyze key points to
consider in evaluation
of the health
information system.
Analysis of the key points
to consider in evaluation
of the health information
system is missing.
Response identifies fewer
than three points to
consider in evaluating a
health information system;
rationale provided is
insufficient.
Response identifies three
major points to consider in
evaluating health
information system once it
is implemented.
Response provides
rationale for each point.
Demonstrates the same
level of achievement as
“2” plus the following:
Response suggests one
strategy for evaluating
health information system.
Part II: Research Report: Recommendation of an Health
Information System
Sub-Competency 3: Evaluate a health information system for
compatibility with an organization’s mission, goals, and values.
Learning Objective 3.1:
Explain how the health
information system is
compatible to the
organization’s mission,
goals, and values.
Explanation of how the
health information system
is compatible to the
organization’s mission,
goals, and values is
missing.
Response provides fewer
than three clear ways the
health information system
is compatible to the
organization’s mission,
goals, and values.
Response provides at least
three clear ways the health
information system is
compatible to the
organization’s mission,
goals, and values.
Demonstrates the same
level of achievement as
“2” plus the following:
Response provides more
than three clear ways the
health information system
©2014 Walden University 4
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
is compatible to the
organization’s mission,
goals, and values.
Sub-Competency 4: Evaluate usability factors of a healthcare
information system.
Learning Objective 4.1:
Evaluate core functions
of the healthcare
information system.
Evaluation of the core
functions of the healthcare
information system is
missing.
Fewer than six key core
functions are identified.
Explanation of the value
and impact of the core
functions to the
organization is insufficient
and/or inaccurate.
Response identifies at
least one other system
that was reviewed.
Response identifies at
least six key core functions
of the healthcare
information system.
Response explains why
each key core function is
critical to the organization.
Response describes the
impact the six core
functions will have on the
organization and its goals
and outcomes.
Demonstrates the same
level as “2” plus the
following:
Response provides four
key reasons why the one
healthcare information
system was selected over
the other that was
reviewed.
Learning Objective 4.2:
Evaluate usability
factors of the
healthcare information
system.
Evaluation of the usability
factors of the healthcare
information system is
missing.
Response does not
adequately explain why at
least four specific usability
factors were discussed
with the vendor.
Response does not
adequately explain
Response identifies at
least four usability factors
that were addressed with
the vendor.
Response explains why
these usability factors
were selected for vendor
Demonstrates the same
level of achievement as
“2” plus the following:
Response explains the
impact the vendor
responses had on the
selection of the healthcare
©2014 Walden University 5
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
feedback received from
the vendor.
discussion.
Response explains the
feedback received from
the vendor on the usability
factor queries.
information system.
Learning Objective 4.3:
Recommend strategies
for evaluating the
healthcare information
system usability.
Recommendation of the
strategies for evaluating
the healthcare information
system usability is missing.
Response provides fewer
than five strategies for
evaluating the healthcare
information system
usability.
Rationale provided is not
inaccurate and/or
insufficient.
Response is not supported
by academic/professional
resources are not relevant.
Response provides five
strategies used for
evaluating the healthcare
information system
usability in the
organization.
Response provides
research-based rationale
for each strategy.
Response is supported by
relevant
academic/professional
resources.
Demonstrates the same
level of achievement as
“2” plus the following:
Response describes two
factors that could
negatively impact the
healthcare information
system usability.
Response provides one
strategy for mitigating the
negative impact of each
factor.
Learning Objective 4.4:
Explain how the
healthcare information
system will integrate
with other products.
Explanation of how the
healthcare information
system will integrate with
other products is missing.
Response inadequately
describes products within
the organization that will
integrate the
recommended healthcare
information system.
Advantages of integration
are inadequately
explained.
Response describes
products within the
organization that will
integrate with the
recommended healthcare
information system.
Response explains the
advantages of each
integration capability.
Demonstrates the same
level of achievement as
“2” plus the following:
Response describes one
potential concern about
the integration of
products.
Learning Objective 4.5: Explanation of how the Response
describes fewer Response describes at Demonstrates the same
©2014 Walden University 6
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
Explain how the
healthcare information
system ensures
absolute privacy and
security.
healthcare information
system ensures absolute
privacy and security is
missing.
than three safeguards.
Response insufficiently or
inaccurately describes the
impact of human error on
safeguards.
least three specific
safeguards the healthcare
information system applies
to ensure absolute privacy
and security.
Response describes how
human error could impact
these safeguards.
level of achievement as
“2” plus the following:
Response describes how
no technology system can
absolutely guarantee
security of all data
Learning Objective 4.6:
Describe the
healthcare information
system vendor support
to an organization.
Description of the
healthcare information
system vendor support to
an organization is missing.
Response describes fewer
than four areas of support
provided by the vendor.
Rationale is insufficient.
Response describes four
specific areas of support
that will be provided by
the vendor.
Response explains why
these areas of support are
critical to the organization.
Demonstrates the same
level of achievement as
“2” plus the following:
Response describes an
additional area of support
that can be provided by
the vendor if required in
the future.
Learning Objective 4.7:
Evaluate vendor
stability.
Evaluation of vendor
stability is missing.
Response does not provide
sufficient or reliable data
to indicate the vendor’s
stability, reliability, or its
customer satisfaction.
Response provides data
that indicates the vendor is
stable and reliable.
Response provides data
addressing customer
satisfaction.
Response provides the
names of three
comparable organizations
that implemented the
Demonstrates the same
level of achievement as
“2” plus the following:
Response provides an
analysis of the vendor
stability to provide needed
technology solutions to
clients to and maintain
those solutions for the
client for the long-term.
©2014 Walden University 7
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
healthcare information
system from this vendor.
Learning Objective 4.8:
Provide cost estimate
of the healthcare
information system.
Provision of the cost
estimate of the healthcare
information system is
missing.
Cost estimate is not in
alignment with healthcare
information system
features and functions
described.
Response provides a cost
estimate of the healthcare
information system as
received from vendor
interactions. A breakdown
of the costs (as much as
possible) is provided.
Estimate is in alignment
with the healthcare
information system
features and functions
described.
Demonstrates the same
level of achievement as
“2” plus the following:
Response provides
additional analysis of the
cost estimate such as
where the cost estimate
may be influenced by
other factors in the
project that may push it
higher or lower.
Sub-Competency 5: Describe the selection and acquisition
process.
Learning Objective 5.1
Develop a timeline for
the selection and
acquisition of a health
information
technology.
Development of a timeline
for the selection and
acquisition of a health
information technology is
missing.
Timeline for the selection
and acquisition of a health
information system
describes less than four
steps in the system and
how the steps would be
accomplished.
Timeline for the selection
and acquisition of a health
information system
describes at least four
steps in the system and
how the steps would be
accomplished.
Demonstrates the same
level of achievement as
“2” plus the following:
Response describes at
least seven steps in the
system selection and
acquisition process and
how the steps would be
accomplished.
PS001: Written Communication: Demonstrate graduate-level
writing skills.
©2014 Walden University 8
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
Learning Objective
PS 1.1:
Use proper grammar,
spelling, and
mechanics.
Multiple major and minor
errors in grammar,
spelling, and/or mechanics
are highly distracting and
seriously impact
readability.
Multiple minor errors in
grammar, spelling, and/or
mechanics are distracting
and negatively impact
readability.
Writing reflects competent
use of standard edited
American English.
Errors in grammar,
spelling, and/or mechanics
do not negatively impact
readability.
Grammar, spelling, and
mechanics reflect a high
level of accuracy in
standard American English
and enhance readability.
Learning Objective
PS 1.2:
Organize writing to
enhance clarity.
Writing is poorly organized
and incoherent.
Introductions, transitions,
and conclusions are
missing or inappropriate.
Writing is loosely
organized. Limited use of
introductions, transitions,
and conclusions provides
partial continuity.
Writing is generally well-
organized. Introductions,
transitions, and
conclusions provide
continuity and a logical
progression of ideas.
Writing is consistently
well-organized.
Introductions, transitions,
and conclusions are used
effectively to enhance
clarity, cohesion, and flow.
Learning Objective
PS 1.3:
Apply APA style to
written work.
APA conventions are not
applied.
APA conventions for
attribution of sources,
structure, formatting, etc.,
are applied inconsistently.
APA conventions for
attribution of sources,
structure, formatting, etc.,
are generally applied
correctly in most
instances. Sources are
generally cited
appropriately and
accurately.
Writing effectively
integrates appropriate
resources (which may
include peer-reviewed
resources) and content to
support and expand upon
ideas and arguments.
Learning Objective
PS 1.4:
Use appropriate
vocabulary and tone
for the audience and
purpose.
Vocabulary and tone are
inappropriate and
negatively impact clarity of
concepts to be conveyed.
Vocabulary and tone have
limited relevance to the
audience.
Vocabulary and tone are
generally appropriate for
the audience and support
communication of key
concepts.
APA conventions for
attribution of sources,
structure, formatting, etc.,
are applied correctly and
consistently throughout
the paper. Sources are
consistently cited
appropriately and
accurately.
©2014 Walden University 9
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
PS005: Critical Thinking and Problem Solving: Use critical-
thinking and problem-solving skills to analyze professional
issues and inform best
practice.
Learning Objective
PS 5.1:
Analyze assumptions
and fallacies.
Analysis of assumptions is
missing.
Response is weak in
assessing the
reasonableness of
assumptions in a given
argument.
Response does not
adequately identify and
discuss the implications of
fallacies or logical
weaknesses in a given
argument.
Response generally
assesses the
reasonableness of
assumptions in a given
argument.
Response identifies and
discusses the implications
of fallacies and/or logical
weaknesses in a given
argument.
Response clearly and
comprehensively assesses
the reasonableness of
assumptions in a given
argument.
Response provides a
detailed and compelling
analysis of implications of
fallacies and logical
weaknesses in a given
argument.
Learning Objective
PS 5.2:
Generate reasonable
and appropriate
assumptions.
Assumptions are missing. Response does not
adequately present and
discuss key assumptions in
an original argument.
Response presents and
discusses key assumptions
in an original argument.
Response justifies the
reasonableness and need
for assumptions in an
original argument.
Learning Objective
PS 5.3:
Assess multiple
perspectives and
alternatives.
Assessment of multiple
perspectives is missing.
Response does not identify
nor adequately consider
multiple perspectives or
alternatives.
Response identifies and
considers multiple
perspectives and
alternatives.
Response justifies
selection of chosen
alternative relative to
others.
Learning Objective
PS 5.4:
Use problem-solving
skills.
Problems and solutions are
not identified.
Response presents
solutions, but they are
ineffective in addressing
the specific problem.
Response presents
solutions that are practical
and work in addressing the
specific problem.
Response presents
compelling supporting
arguments for proposed
solutions.
PS006: Information Literacy: Apply appropriate strategies to
identify relevant and credible information and data in order to
effectively
analyze issues and make decisions.
Learning Objective Credible sources are Some sources are
credible, Most sources are credible, All resources are credible,
©2014 Walden University 10
0
Missing
1
Needs Improvement
2
Meets Expectations
3
Exceeds Expectations
PS 6.1:
Identify credible
sources.
missing. appropriate, and relevant
to the topic.
appropriate, and relevant
to the topic.
appropriate, and relevant
to the topic.
Learning Objective
PS 6.2:
Analyze findings from
relevant sources.
Analysis is missing. Analysis superficially
reflects relevance of
findings to the identified
problem, issue, or
purpose.
Analysis clearly reflects
relevance of findings to
the identified problem,
issue, or purpose.
Analysis clearly reflects
relevance of findings to
the identified problem,
issue, or purpose, and
synthesizes findings to
generate new insights.
Part I: PowerPoint Presentation to Board of Trustees: HIT
Recommendation
You have been tasked with evaluating several healthcare
information systems and recommending the best system for your
healthcare organization. Knowing that leadership experiences
with health information systems vary widely, you will develop a
PowerPoint presentation to provide a high-level overview and
rationale for your healthcare information system
recommendation. You understand that for such an expensive and
complex purchase, in-depth research must be disseminated
beyond this presentation. Your first objective, though, is to
ensure that leadership approaches the acquisition with a solid
understanding of the basic issues. Your presentation should be
appropriate to the audience, succinct, and easily understood.
In a 15-slide PowerPoint presentation:
· Evaluate at least two healthcare information systems.
Select one you think works best for the organization. Introduce
and define the healthcare information system you selected.
Explain core functions of the system and the impact these
capabilities can have on the organization.
· Explain legal and regulatory requirements for implementing
the healthcare information system.
· Summarize the value of the healthcare information system in
terms of:
· Improved quality, outcomes, and safety
· Improved efficiency, productivity, and cost reduction
· Improved service and satisfaction
· Summarize specific attributes of this system that are
particularly noteworthy:
· Functionality
· Unique abilities to interface with currently implemented
systems
· Alignments with other organizations within a system
· Other
· Briefly analyze key areas of concern the organization will
need to be prepared to address in the implementation and
evaluation of the healthcare information system.
Part II: Recommendation of a Healthcare Information System
The PowerPoint presentation to the leadership ensures that
board members have a foundational understanding of the
capabilities of—and need for—the healthcare information
system. It also ensures that they understand the high-level
rationale for your recommended system. Continued proposal
efforts, however, will require a more in-depth, research-based
proposal.
In a 5-page, in depth, research-based proposal:
· Identify the healthcare information system you recommend.
· Evaluate how the health information system is compatible to
the organization’s mission, goals, and values.
· Evaluate the core functions of the recommended healthcare
information system and the specific impact these capabilities
will have on the organization.
· Evaluate the usability factors you addressed with the
healthcare information vendor. Explain why you chose to
address these factors.
· Recommend strategies for evaluating the healthcare
information system’s usability.
· Explain how the healthcare information system will integrate
with other products.
· Explain how this system ensures absolute privacy and
security.
· Describe the vendor support that will be supplied if the system
is adopted.
· Evaluate vendor reliability and stability.
· Provide a cost estimate of the healthcare information system.
· Describe the selection and acquisition process by developing a
timeline noting the major milestones of the process.

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Clinical Information System In HealthcareOlufunmilayo Adelek.docx

  • 1. Clinical Information System In Healthcare Olufunmilayo Adeleke Walden OM010 Introduction Clinical information system (CIS) is purposely designed to be used in critical care conditions such ICU ( Intensive Care Unit). In modern hospitals it can network with other computer systems including radiology and pathology. The information is drawn to the electronic patient record by the systems (Musen, Middleton & Greenes, 2014). Communication has been improved by the use of CIS because health professionals are able to share information. Health Information and Management System Society (HIMSS) is selected organization for CIS use. Clinical Information system is important in enhancing service delivery to the patient especially those in critical conditions and those who needed more attention. Electronic patient record records make it easy to access information of the patients and communication enhance sharing of information. 2
  • 2. Role of CIS CIS helps in improving the quality of services provided to patient who are in critical condition Facilitates sharing of information and communication concerning specific patient (Wager, Lee & Glaser, 2017). Enables the faster decision making by the physicians or clinicians during the encounter with patient in critical condition. The X-rays for the patient can be taken and scanned when in need. CIS plays important roles in the healthcare facilities. it improves service quality provided to the patients, sharing of information and enables decision making process to be done within a short time because all the information needed can be easily accessed. 3 Role of CIS Help the healthcare to achieve equity and patients are provided with better care. It allows analysis of the information by the health agencies or healthcare practitioners. Clinical information system assist recording of the data of the patient. Eliminates errors which would have occurred when entering data manually. It also becomes easy to analyze health information by the health agencies including government or donors who need to provide some assistance to the healthcare.
  • 3. Recording of data by the patients become easy because there is no manual entering of the data hence eliminating errors. 4 Impacts of CIS Increases access to medical information because of good maintenance of the records form of the patient. The authorized users would be able to receive the immediately as there is no time wasting in files transfer (Boulware et al, 2016). It also make it easy for the clinicians to address emergence admission or unscheduled visit. It also minimizes overload of the information and promote a better care of the patient. Keeping of the records form of the patient become easy since all the information can be accessed in the portal. Transfer of information is only through the authorized users hence maintaining the confidentiality of the patient’s data. It becomes easy for the healthcare to do admission for emergences and attend to the unscheduled visits. 5 Impact of CIS CIS reduces errors which could occur during transfer of the data manually. Errors in the information of the patient can lead to poor decision and wrong diagnosis. CIS minimizes the costs of labor in the healthcare systems because only one person per computer is needed. It facilitates better research in the healthcare since data can be easily shared.
  • 4. One of the challenge of the manual data entry in the healthcare is errors therefore, CIS eliminates these errors since most of the information is automated. Errors have been the cause of the poor decision making made by the clinicians on certain diagnosis and medication to the patients. Cost of the labor is reduced especially on hiring the secretaries who would be entering the data and keeping of the files. Only one person per computer is needed hence less costs. 6 Legal and regulatory requirements strategies to ensure Privacy and security of the data of the patients. Protection of the patients rights and confidential information in case there is data breaches from the organization. compliance with confidentiality and privacy of the patients in all situations (Levesque et al, 2015). Functionality of the system and how it would be beneficial to the organizations and society in general. There are legal and regulations which must be complied with before implementation of the CIS, these include Strategies which would be used in ensuring security of the data and privacy. Compliance with confidentiality and privacy of the patients which is shown in the healthcare ethics. Functionality of the CIS has to be proved and how it would benefit the community where it is used. 7 Legal and regulatory requirements Creation of one login that is integrated and allows sharing of information to other system.
  • 5. The system should have a long term benefits which are clearly indicated in details. Indicating the relationship between clinical information systems and the goals of the organizations. Complying with requirements of the meaningful-use which enables the organization to receive incentives for electronic medical used. There is also compliance of the meaningful use of the CIS and how it would be more efficient as compare to the previous system which was operating. There should be existence of one log in which would be controlling the other computer systems in the healthcare. All goals must also be clearly indicated and illustrate how they match with the organizational goals. 8 Value summaries of Clinical information system The quality services to the patient because of the faster sharing of information (Nguyen,Bellucci & Nguyen, 2014). The outcomes of CIS are associated to proper diagnosis of the diseases leading to right medication and treatment. The transfer of the data is safe because it is shared to the authorized individuals more so the clinicians. Effective treatment and medication leads to patient recovery. Values which the CIS must for it to be implemented are; Ability to provide quality services to the patient and enhance faster communication for the sharing of the information. It leads to reliable results due to error elimination There is also effective treatment and medication because the
  • 6. results generated are reliable. 9 Value summaries of Clinical information system Generally, the productivity of the organizations increased because faster service delivery. It promotes the performance of the physicians before they do not wait for data to be recorded manually. The cost also reduces because the number of the workers needed to record the data reduces. It also improves the efficiency in terms of timely planning and effective decision making. In terms of productivity , it is increased because of the improved services of the clinicians and faster delivery. Effective decision making and timely planning of the activities improves the efficiency. Cost reduction due to reducing the labor especially on the maintenance of the files 10 Cont” The services provided by the organization improves more so the patient in critical conditions. The patients who are the customer also get satisfied with the services hence establishing good customer relationship. Proper treatment and medication also saves the cost of the patient of moving from one hospital to another. Good services in the healthcare organization promotes the well- being of the people.
  • 7. Generally, there is improvement of the services especially to patients who need emergence services. The level of satisfaction increases and the probability of the patient becoming regular customer to the organization is high because of quality services Cost is saved when the patients they are provided with effective treatment and medication because they will recover and no need to seek furhter treatment. 11 Summary of specific attributes The functionality of the clinical information system has the following attributes. Accuracy of the data due reduced errors in data entry. Suitability for use in the emergence so as to provided faster attending of the patients. Interoperability of the data due to sharing of the resources. Compliance with the legal requirements. The following are the attributes which are important for the operation of the CIS. Accuracy so that the errors are reduced hence quality services Suitability , compliance with the legal requirements and regulations Interoperability which would enable the system to share the data with other system. 12 Cont” The following are the attributes which make clinical information system to interact with other new system.
  • 8. Learnability of the systems such that more people can easily understands its functions. Operability which make workability of the system easy. Efficiency such that resources can be shared among many systems. Compatibility with other devices preforming different functions. Some of the attribute which enhance the interaction of CIS with other systems are; Compatibility so that the systems can share the data together and the operations are made more efficient. Learnability for the operators to understand how it operates and deliver effective services. Operability and efficiency that make it easy to share information and be operated without complex skills. 13 Cont” Alignment with other organizations can be linked to the following attributes. Security of the data Fault tolerance Stability of the system Adaptability to different operations and functionality. Recoverability of the data or information. Alignment with other organizations, the attribute which are needed include: recovery of the data in case there is malware. Stability of the system such that it can be relied on Security of the data and adaptability to different operations and functionality. 14 Concern areas for implementation and evaluation
  • 9. The management team that will be responsible for managing the operations of the systems in HIMSS . The benefits of the system to the healthcare and the customers it will be serving (Boulware et al, 2016). Acceptance of the clinical information system by the employees and other interested group. Security of the system in terms of vulnerability to the data breaches and other malware. HIMSS staffs will be prepared to address the following concerns in the implementation and evaluation of the CIS. The acceptance of the CIS by the employees and their perceptions about the system. Nowadays, there are issues of data insecurity so the HIMSS should address the issue of maintaining the security of the data. The benefits of the system will provide to the organization. 15 Conclusion Clinical information system plays a critical role in the healthcare. It improves quality of services, eliminates errors, promotes sharing of data and in the situation of emergence. The organization must meet the regulations requirement including data security and confidentiality and protecting the rights of the patients The attributes for CIS value are suitability, compliance and interoperability. In conclusion, CIS is very important as it improves the quality of the services and promotes faster decision making. Effective treatment and medication is also realized because of the sharing of information when it is needed.
  • 10. Data security and privacy is put into consideration before implementation of the CIS 16 References Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care information systems: a practical approach for health care management. John Wiley & Sons. Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., & Powe, N. R. (2016). Race and trust in the health care system. Public health reports. Musen, M. A., Middleton, B., & Greenes, R. A. (2014). Clinical decision-support systems. In Biomedical informatics (pp. 643- 674). Springer, London. Cont” Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic health records implementation: an evaluation of information system impact and contingency factors. International journal of medical informatics, 83(11), 779-796. Levesque, E., Hoti, E., Azoulay, D., Ichai, P., Samuel, D., & Saliba, F. (2015). The implementation of an Intensive Care Information System allows shortening the ICU length of stay. Journal of clinical monitoring and computing, 29(2), 263-269. Project 2 Outline Watch the instructions for the video https://www.youtube.com/watch?v=hNKwFEWBfzg&feature=yo utu.be For this part of the project you will create an outline for your final project 2 paper. My instructions for the final paper will be purposely ambiguous.
  • 11. You will write a paper about your chosen company (with citations). The purpose will be to demonstrate why you might or might not want to invest in that company. Your analysis should include, but should not be limited to: A discussion about the industry in which your company competes A brief history of the company A discussion about the company’s strategy An in depth analysis of financial data The ambiguity lies in your perception of the importance of different financial data. What do I mean by that? Industries tend to use different standards in which to compare companies to one another. For example, in banking some key financial numbers might be efficiency ratios, past due ratios, ROA, and reserve for loan loss. That set of data will probably not be useful for a retail corporation. Some numbers may be common like sales trends or EPS. You will need to design your financial analysis around data that is particularly relevant to the industry you chose. Just to clarify, this assignment due the 9th of November is to simply submit an outline of your proposed paper. Please make it as detailed as possible. I will of course review your outline and make suggestions to make sure you are on track. I can’t imagine that I will make major changes. So if you are interested in pushing ahead over the Thanksgiving holiday you have my blessings. (a little play on words there) e-mail me at any time in the process if you have questions. My company is Ford [Title]Introduction [Capture reader’s interest] Introduce the subjects of your paper.
  • 12. [Topic sentence/thesis statement]History of the Company [Support] [Example] [Example] [Support] [Example] [Example] [Support] [Example] [Example]Industry in which it competes [Support] [Example] [Example] [Support] [Example] [Example] [Support] [Example] [Example] Company Strategy [Support] [Example] [Example] [Support] [Example] [Example] [Support] [Example] [Example] Detailed analysis of company financials [Support] [Example] [Example] [Support] [Example] [Example] [Support] [Example]1. Conclusion
  • 13. [Restate topic] A. Summarize the four main pointsMake your recommendation [Title] Page 2 of 2 Project 2 The purpose of this project is for you to develop skills to evaluate the financial information made available to us for all public corporations. Your final assignment will be to write an evaluation of a company – your choice – that will be due final’s week. Until then we’ll do some exercises to help you find and accumulate the information you will need. The evaluation will of course center on the company’s financial statements. Your goal will be to incorporate some of what we’ve covered – and will cover – into your analysis. Where do we access the information? I offer the following choices but you are by no means limited to these options: http://www.morningstar.com/ http://www.reuters.com/finance/stocks http://moneycentral.msn.com/home.asp http://finance.yahoo.com/ http://www.google.com/finance using one of the sites above or one of your choosing: Choose a public company that you think you want to analyze. Tell me what that company is. Find the ticker symbol of that company. Usually from 1 to 4 letters. For example, Microsoft’s ticker symbol is MSFT. Tell me what the ticker symbol is? I picked Ford Motor Company their ticker symbol F Ford Motor Company – Annual Report https://s22.q4cdn.com/857684434/files/doc_financials/2017/ann ual/Final-Annual-Report-2017.pdf Tell me the company’s last closing price. Tell me the company’s P/E ratio. Tell me the company’s previous year’s earnings per share
  • 14. (EPS). You need to use and talk about these financials in the paper and you can find these from that websites. CalculatorOrganization015%0History015%0Strategy015%0Fina ncial040%0Conventions015%00.00% RubricRubric for BFIN 322 Final ProjectOrganization: 15%a. Organization includes both attention getter and purpose statement543210b. Logical sequencing which matches order of purpose statement543210c. Smooth transition between sentences and paragraphs543210d. Conclusion summarizes findings and addresses implications of research543210Total:Idea and Contents: History and Industry: 15%a. Clear description of the company’s history and the industry in which it competes543210b. Unambiguous identification of the industry in which the company competes.543210c. Writer provides relevant examples and illustrations of clear points543210d. Writer identifies the company’s position within the industry543210Total:Idea and Contents: Strategy: 15%a. Strategy clearly identified543210b. Appropriate strategic model cited543210c. Writer provides relevant citations, examples and illustrations of critical points543210d. Plausible strategic predictions/analysis543210Total:Idea and Contents: Financial Analysis: 40%a. Major financial data identified543210b. Depth of Ratio analysis543210c. Historical data logically presented543210d. Conclusion summarizes findings within financial data543210Total:Conventions: 15%a. Paragraphing reinforces organization543210b. Grammar, usage and sentence structure contribute to clarity of writing543210c. Words are specific and accurate543210d. Punctuation, Capitalization and spelling are correct543210Total:
  • 15. 1 9 CLINICAL INFORMATION SYSTEM Olufunmilayo Adeleke Walden University OM010 Compatibility of Goals, Value and Mission with CIS A Clinical Information system is the recommended information system in the Health Information and Management System Society (HIMSS). The organization gives an opportunity for people to participate in discussion and exercises that shapes the industry of healthcare. HIMSS also works to promotes public policies, which aims at improving service delivery in healthcare and encourages the use of emerging technology. The goals of the HIMSS are compatible with Clinical Information system because it focuses on improving the health service delivery system so as to ensure better healthcare delivery (Musen, Middleton & Greenes, 2014). The goal of the HIMSS is to advance the utilization of information system to improve the health of the people. These goals are similar to the Clinical
  • 16. Information System goals, which focuses on improving health care services and increasing between healthcare workers, providers and physicians within the healthcare system. The value of HIMSS is exchanging experiences in an organized manner at a global dimension. The organization is committed to the professional conduct of the highest standard and adding value to the industry of healthcare. The missions, values and the goals of the organizations are compatible with the Clinical information system of improving the health services and continuous innovation. Roles of Clinical Information System In the HIMSS, Clinical Information System plays a critical role in improving the quality of services that are provided to patients who might be in critical conditions. To properly care for a these patients in the intensive care unit, much attention and coordination is needed and expected from every healthcare staff to attain optimal care. This is particularly important because these patients are already at a higher risk of contracting or becoming sicker or worse; losing their lives. CIS allows the physicians to communicate to one another and exchange data on the specific patients. With technology, exchange of data has been made less stressful. Communication is made easier because the doctors do not need to keep exchanging physical files between nurses, other physicians and or other departments. It also helps because multiple people have access to this data while the patient is being treated (Levesque et al., 2015). The process of decision-making becomes much easier because all the information can be delivered when needed and the references made. Faster decision-making shortens the time it would take to get a diagnosis, which could be the key to saving a patient’s life. CIS also helps in achieving equity because the patients’ data is entered according to the time they arrived and all information is contained in the automated computers. The incidences of unfair treatment are reduced because the clinicians or the doctors follow the information received from the Information system center and are able to provide this
  • 17. information and its time stamps should any complications or legal issues arise. Impacts of CIS to HIMSS One of the greatest impacts of the Clinical Integrated Systems is the increased access to medical records. Along with an increased availability of medical records, there will also be a decline in loss of medical records. When information is kept in files, it can easily get lost due to constant shuffling and moving, but the system can recover them in case of anything happens (Wager, Lee & Glaser, 2017). Because manual and physical transportation of files has been eliminated, any issues related to loss or incomplete medical record has been minimized and people can have access to the records instantaneously. Additionally, easier accessibility of patient’s files allows doctors and physicians to address emergencies and unscheduled visit to their healthcare facility. It would be easy to coordinate information from various departments, which promote understanding of what exactly the patient need and the kind of treatment that should be administered to each patient. It also helps in minimizing errors that occur during data entry. Manual data entry increases the risk of human errors that can result in an improper diagnosis. Consider a patient whose blood pressure is 170/70, if a nurse writes down 170 as systolic pressure, any tired physician or healthcare giver could read the pressure as 110/70. A patient with a 170/70 blood pressure is at an increased risk of getting a stroke. When the diagnosis is not made correctly, then it can lead to either ignoring an actual problem or prescribing the wrong medication, which can affect the patient negatively. Technology goes with innovation and improves the social status of the people. CIS also facilitates research, as many people would be eager to understand emerging technology and put it to use. Investing in this research qill not only create new jobs for people but also promises a better future in the healthcare patient information management field. Usability Factors
  • 18. Privacy is one of the most important usability factors in Health Information System development. Patient information is sensitive data that should be kept from the public. Patient’s data should not be revealed to a third party, and the discussion should be only between the patient, doctor and other people on the patient’s confidentiality list. It is also important to note that any physician who is not working on the patients file should not be allowed access to the patient’s information either, unless patient release their information for clinical research purposes. Confidentiality of the assessment and diagnosis reports is important to the patients. Other usability factors to consider is the safety of patients and error prevention. All of the usability factors mentioned above go hand in hand, as one usually affects the other. The example with the patient whose blood pressure was recorded incorrectly is a perfect example of how user error can affect the safety of the patient. If this error was not made, the patient would have been diagnosed with high blood pressure and would have been put on medication that can help regulate his/her pressure. Error prevention is a usability factor that is one of most valued ethics of the health care system (Grossman et al., 2016). Error prevention is also crucial as it leads to an accurate diagnosis of the disease. When the right diagnosis of the disease is made, then it would be easy for the doctors to give the right treatment that would lead to recovery and an overall improvement in the health of the patient. Strategies for Usability Evaluation Usability testing is one of the strategies which is utilized for the evaluation of the services or product which are offered by the organization. Another strategy is for usability evaluation is a testing plan. Creating a testing plan assists in reviewing the usability of the product or service (Musen, Middleton & Greenes, 2014). Physicians and other healthcare providers should be included in the planning phase as it allows to provide an accurate feedback on the usability of the product or services. This accuracy forms the foundation for effective evaluation. It can also be done by reporting the results which mainly focuses
  • 19. on the recommendations and the findings. Efficiency is a key factor in the clinical information system. Testing for efficiency allows for proper analysis of the system and fixture of any problems that might prevent systems efficiency. By including physicians and healthcare providers in the beta testing phase, overall efficiency of the system will be improved upon which translates to a safer and more efficient health information delivery system. Integration with Other Products The clinical Information system will integrate other products such as insurances, payment information, laboratory reports, patient’s health history and surveys. The physician who is discharging the patients would be able to receive a message in the system that payment of patient has been made and he or she can be discharged. If the payment were made through insurance cover, it would also reflect hence less time would be taken. It can help in facilitating faster services delivery for both inpatients and outpatients. Security and Privacy The system ensures that the security and privacy of patient information are maintained. This is done through the purchase of reliable software which enhances the safety of the data. With the technological advancement, cloud computing is widely applied to come up with software which ensures the safety of the data or information. Security is also ensured through the hiring of employees who have relevant skills and are experienced in information technology (Boulware et al., 2016). Privacy is maintained by ensuring the data only passes in the hand of the authorized individuals. Information from the diagnosis and assessment of the patient is kept confidential and no third party which is allowed to discuss it. Support of the Vendor Vendors provide support by ensuring that the system is fully installed with all relevant features available. Vendors also make sure that the system is working and are available to assist in rectifying any system lags or glichtes that might occur during
  • 20. testing and or actual usage of the system. The vendor will also make sure that updated version of the software which is needed by the organization is available and update of the system can be accessed anytime to facilitates the faster working of the system and provide quality services. Reliability and Stability Clinical Information System will invest in testing’s that will ensure the reliability of the system. It will also be stable because most of the software would be obtained from companies which are experienced in cloud computing. The management team will be experienced with all relevant skills which are required to operate and ensure effective running of the software. Robust analytics are run to help provide operational and clinical insights to the automated registration tools. This allows the system to provide high-quality experience for the patients while reorganization the intake process for the healthcare facility as well. The Cost of the Clinical Information System The resources which will be used in the process of buying, installing and making the software function would include the cost of buying the computers and technology involved in building the new system. Computers are needed so that they can be interconnected and promote the easy transfer of the data. There is also cost involved buying software which is needed for maintaining data security of the organization (Musen, Middleton & Greenes, 2014). Some of the software is very expensive and can be costly to buy. Installation space is also required and the team which will be involved in the continuous management of the system. The overall estimate of the cost which might be incurred $10,000 million for the system to start operating in a hospital depending on its size.
  • 21. The Process of Acquisition and Selection Clinical information system requires a wise chose so that the system will function according to the intended functions. The buyer considers the cost of the resources which will be required for the effective functioning of the system (Jeon et al., 2017). The organization tries to compare both the external and internal factors that might affect the workability of the system. The process put into consideration goals, plans of the healthcare and objectives. There is an assessment of the changes which will take place in the system integration, a cost that will be incurred and the management change. The process is designed such that the needs of the stakeholders are given great value. Conclusion Clinical information system is an important system as recommended by HIMSS as it works to increases the value of patient care and communication within healthcare facilities. Both cost and implementation is a factor that might affect a healthcares desire to incorporate CIS. However, the desired outcome of reducing clinical error and improving service delivery in healthcare by encourages the use of emerging technology is the reason CIS is recommended by HIMSS. References Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., & Powe, N. R. (2016). Race and trust in the health care system. Public health reports. Grossman, R. L., Heath, A. P., Ferretti, V., Varmus, H. E., Lowy, D. R., Kibbe, W. A., & Staudt, L. M. (2016). Toward a shared vision for cancer genomic data. New England Journal of Medicine, 375(12), 1109-1112. Jeon, J., Kim, J., Park, Y., & Lee, H. (2017). An analytic network process approach to partner selection for
  • 22. acquisition and development. Technology Analysis & Strategic Management, 29(7), 790-803. Levesque, E., Hoti, E., Azoulay, D., Ichai, P., Samuel, D., & Saliba, F. (2015). The implementation of an Intensive Care Information System allows shortening the ICU length of stay. Journal of clinical monitoring and computing, 29(2), 263- 269. Musen, M. A., Middleton, B., & Greenes, R. A. (2014). Clinical decision-support systems. In Biomedical informatics (pp. 643- 674). Springer, London Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic health records implementation: an evaluation of an information system impact and contingency factors. International journal of medical informatics, 83(11), 779-796. Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Healthcare information systems: a practical approach to healthcare management. John Wiley & Sons. 1 9 CLINICAL INFORMATION SYSTEM Olufunmilayo Adeleke Walden University OM010 Comment by Chris Miller: Include the date and
  • 23. Compatibility of Goals, Value and Mission with CIS A Clinical Information system is the recommended information system in the Health Information and Management System Society (HIMSS). The organization gives an opportunity for people to participate in discussion and exercises that shapes the industry of healthcare. HIMSS also works to promotes public policies, which aims at improving service delivery in healthcare and encourages the use of emerging technology. The goals of the HIMSS are compatible with Clinical Information system because it focuses on improving the health service delivery system so as to ensure better healthcare delivery (Musen, Middleton & Greenes, 2014). The goal of the HIMSS is to advance the utilization of information system to improve the health of the people. These goals are similar to the Clinical Information System goals, which focuses on improving health care services and increasing between healthcare workers, providers and physicians within the healthcare system. The value of HIMSS is exchanging experiences in an organized manner at a global dimension. The organization is committed to the professional conduct of the highest standard and adding value to the industry of healthcare. The missions, values and the goals of the organizations are compatible with the Clinical information system of improving the health services and continuous innovation. Roles of Clinical Information System Comment by Chris Miller: headings should be bold In the HIMSS, Clinical Information System plays a critical role in improving the quality of services that are provided to patients who might be in critical conditions. To properly care for a these patients in the intensive care unit, much attention and coordination is needed and expected from every healthcare staff to attain optimal care. This is particularly important
  • 24. because these patients are already at a higher risk of contracting or becoming sicker or worse; losing their lives. CIS allows the physicians to communicate to one another and exchange data on the specific patients. With technology, exchange of data has been made less stressful. Communication is made easier because the doctors do not need to keep exchanging physical files between nurses, other physicians and or other departments. It also helps because multiple people have access to this data while the patient is being treated (Levesque et al., 2015). The process of decision-making becomes much easier because all the information can be delivered when needed and the references made. Faster decision-making shortens the time it would take to get a diagnosis, which could be the key to saving a patient’s life. CIS also helps in achieving equity because the patients’ data is entered according to the time they arrived and all information is contained in the automated computers. The incidences of unfair treatment are reduced because the clinicians or the doctors follow the information received from the Information system center and are able to provide this information and its time stamps should any complications or legal issues arise. Impacts of CIS to HIMSS One of the greatest impacts of the Clinical Integrated Systems is the increased access to medical records. Along with an increased availability of medical records, there will also be a decline in loss of medical records. When information is kept in files, it can easily get lost due to constant shuffling and moving, but the system can recover them in case of anything happens (Wager, Lee & Glaser, 2017). Because manual and physical transportation of files has been eliminated, any issues related to loss or incomplete medical record has been minimized and people can have access to the records instantaneously. Additionally, easier accessibility of patient’s files allows doctors and physicians to address emergencies and unscheduled visit to their healthcare facility. It would be easy to coordinate information from various departments, which promote
  • 25. understanding of what exactly the patient need and the kind of treatment that should be administered to each patient. It also helps in minimizing errors that occur during data entry. Manual data entry increases the risk of human errors that can result in an improper diagnosis. Consider a patient whose blood pressure is 170/70, if a nurse writes down 170 as systolic pressure, any tired physician or healthcare giver could read the pressure as 110/70. A patient with a 170/70 blood pressure is at an increased risk of getting a stroke. When the diagnosis is not made correctly, then it can lead to either ignoring an actual problem or prescribing the wrong medication, which can affect the patient negatively. Technology goes with innovation and improves the social status of the people. CIS also facilitates research, as many people would be eager to understand emerging technology and put it to use. Investing in this research qill not only create new jobs for people but also promises a better future in the healthcare patient information management field. Comment by Chris Miller: good job discussing clinical integration Usability Factors Privacy is one of the most important usability factors in Health Information System development. Patient information is sensitive data that should be kept from the public. Patient’s data should not be revealed to a third party, and the discussion should be only between the patient, doctor and other people on the patient’s confidentiality list. It is also important to note that any physician who is not working on the patients file should not be allowed access to the patient’s information either, unless patient release their information for clinical research purposes. Confidentiality of the assessment and diagnosis reports is important to the patients. Other usability factors to consider is the safety of patients and error prevention. All of the usability factors mentioned above go hand in hand, as one usually affects the other. The example with the patient whose blood pressure was recorded incorrectly is a perfect example of how user error can affect the safety of the patient. If this error was not made,
  • 26. the patient would have been diagnosed with high blood pressure and would have been put on medication that can help regulate his/her pressure. Error prevention is a usability factor that is one of most valued ethics of the health care system (Grossman et al., 2016). Error prevention is also crucial as it leads to an accurate diagnosis of the disease. When the right diagnosis of the disease is made, then it would be easy for the doctors to give the right treatment that would lead to recovery and an overall improvement in the health of the patient. Strategies for Usability Evaluation Usability testing is one of the strategies which is utilized for the evaluation of the services or product which are offered by the organization. Another strategy is for usability evaluation is a testing plan. Creating a testing plan assists in reviewing the usability of the product or service (Musen, Middleton & Greenes, 2014). Physicians and other healthcare providers should be included in the planning phase as it allows to provide an accurate feedback on the usability of the product or services. This accuracy forms the foundation for effective evaluation. It can also be done by reporting the results which mainly focuses on the recommendations and the findings. Efficiency is a key factor in the clinical information system. Testing for efficiency allows for proper analysis of the system and fixture of any problems that might prevent systems efficiency. By including physicians and healthcare providers in the beta testing phase, overall efficiency of the system will be improved upon which translates to a safer and more efficient health information delivery system. Integration with Other Products The clinical Information system will integrate other products such as insurances, payment information, laboratory reports, patient’s health history and surveys. The physician who is discharging the patients would be able to receive a message in the system that payment of patient has been made and he or she can be discharged. If the payment were made through insurance cover, it would also reflect hence less time would be
  • 27. taken. It can help in facilitating faster services delivery for both inpatients and outpatients. Security and Privacy The system ensures that the security and privacy of patient information are maintained. This is done through the purchase of reliable software which enhances the safety of the data. With the technological advancement, cloud computing is widely applied to come up with software which ensures the safety of the data or information. Security is also ensured through the hiring of employees who have relevant skills and are experienced in information technology (Boulware et al., 2016). Privacy is maintained by ensuring the data only passes in the hand of the authorized individuals. Information from the diagnosis and assessment of the patient is kept confidential and no third party which is allowed to discuss it. Comment by Chris Miller: This area vague and general – think about the specific types of health information that needs to be protected and then consider best practices. Think about meaningful use guidelines for example Support of the Vendor Vendors provide support by ensuring that the system is fully installed with all relevant features available. Vendors also make sure that the system is working and are available to assist in rectifying any system lags or glichtes that might occur during testing and or actual usage of the system. The vendor will also make sure that updated version of the software which is needed by the organization is available and update of the system can be accessed anytime to facilitates the faster working of the system and provide quality services. Reliability and Stability Clinical Information System will invest in testing’s that will ensure the reliability of the system. It will also be stable because most of the software would be obtained from companies which are experienced in cloud computing. The management
  • 28. team will be experienced with all relevant skills which are required to operate and ensure effective running of the software. Robust analytics are run to help provide operational and clinical insights to the automated registration tools. This allows the system to provide high-quality experience for the patients while reorganization the intake process for the healthcare facility as well. Comment by Chris Miller: this area also is still a little generalized. Try to expand more on reliability factors as they are specifically related to health information systems. The Cost of the Clinical Information System Comment by Chris Miller: This cost is not really well laid out and justified. What is the cost of implementation for the electronic health record system, consider average in licensing fees, average hardware cost average training cost etc. in the field. I noted at the end you have 10,000 million which is well over $1 trillion I think that's an error? There's no support for your cost analysis. It's too vague in general. The resources which will be used in the process of buying, installing and making the software function would include the cost of buying the computers and technology involved in building the new system. Computers are needed so that they can be interconnected and promote the easy transfer of the data. There is also cost involved buying software which is needed for maintaining data security of the organization (Musen, Middleton & Greenes, 2014). Some of the software is very expensive and can be costly to buy. Installation space is also required and the team which will be involved in the continuous management of the system. The overall estimate of the cost which might be incurred $10,000 million for the system to start operating in a hospital depending on its size. Comment by Chris Miller: Indent five spaces The Process of Acquisition and Selection Clinical information system requires a wise chose so that
  • 29. the system will function according to the intended functions. The buyer considers the cost of the resources which will be required for the effective functioning of the system (Jeon et al., 2017). The organization tries to compare both the external and internal factors that might affect the workability of the system. The process put into consideration goals, plans of the healthcare and objectives. There is an assessment of the changes which will take place in the system integration, a cost that will be incurred and the management change. The process is designed such that the needs of the stakeholders are given great value. Comment by Chris Miller: I'm not seeing a timeline though. By timeline we mean implementation how long to train the end-users, etc. Give a timeframe breakdown Conclusion Comment by Chris Miller: this should be bold and centered Clinical information system is an important system as recommended by HIMSS as it works to increases the value of patient care and communication within healthcare facilities. Both cost and implementation is a factor that might affect a healthcares desire to incorporate CIS. However, the desired outcome of reducing clinical error and improving service delivery in healthcare by encourages the use of emerging technology is the reason CIS is recommended by HIMSS. References Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., & Powe, N. R. (2016). Race and trust in the health care system. Public health reports. Grossman, R. L., Heath, A. P., Ferretti, V., Varmus, H. E., Lowy, D. R., Kibbe, W. A., & Staudt, L. M. (2016). Toward a shared vision for cancer genomic data. New England Journal of Medicine, 375(12), 1109-1112.
  • 30. Jeon, J., Kim, J., Park, Y., & Lee, H. (2017). An analytic network process approach to partner selection for acquisition and development. Technology Analysis & Strategic Management, 29(7), 790-803. Levesque, E., Hoti, E., Azoulay, D., Ichai, P., Samuel, D., & Saliba, F. (2015). The implementation of an Intensive Care Information System allows shortening the ICU length of stay. Journal of clinical monitoring and computing, 29(2), 263- 269. Musen, M. A., Middleton, B., & Greenes, R. A. (2014). Clinical decision-support systems. In Biomedical informatics (pp. 643- 674). Springer, London Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic health records implementation: an evaluation of an information system impact and contingency factors. International journal of medical informatics, 83(11), 779-796. Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Healthcare information systems: a practical approach to healthcare management. John Wiley & Sons. FEEDBACK OM010 You're very close in on the right path, however you need to expand a few areas. See my comments on the markup and the rubric. Especially the timeline, you need to be more specific. Your cost estimate also was inaccurate and incomplete. I highly recommend you review the rubric thoroughly. In order to pass this paper, you would need a 3 on every section as explained in the rubric. Do more research into the cost estimates of electronic health record system implementation and include citation. Learning Objective 1.1: Explain core functions of a healthcare information system.: MEETS EXPECTATIONS 2
  • 31. Response explains four core functions of the healthcare information system. Response accurately explains the impact of the core functions have on the organization. Additional Comments: Learning Objective 1.2: Explain legal and regulatory requirements for implementing the healthcare information system.: MEETS EXPECTATIONS 2 Response identifies three legal and regulatory requirements to be considered when implementing the healthcare information system. Response explains the relevance of these requirements. Additional Comments: Learning Objective 1.3: Summarize the value of the healthcare information system to an organization.: MEETS EXPECTATIONS 2 Response describes one value of the healthcare information system related to quality, outcomes, and safety. Response describes one value of the healthcare information system related to improved efficiency and cost reduction. Response describes one value of the healthcare information system related to improved service and satisfaction. Additional Comments: Learning Objective 1.4: Summarize functionality of the healthcare information system.: MEETS EXPECTATIONS 2 Response describes three functions of the healthcare information system that are particularly relevant to the organization. Response provides rationale for highlighting these three functions to the organization. Additional Comments:
  • 32. Learning Objective 1.5: Evaluate the proposed healthcare information system against systems currently in place in an organization.: MEETS EXPECTATIONS 2 Response accurately evaluates how the healthcare information system alignments with other organizations within a healthcare system. Additional Comments: Learning Objective 2.1: Analyze areas of concern in implementing the health information system.: MEETS EXPECTATIONS 2 Response analyzes three areas of concern in implementing the health information system in the organization. Response provides rationale for highlighting each of these areas of concern. Additional Comments: Learning Objective 2.2: Analyze key points to consider in evaluation of the health information system.: MEETS EXPECTATIONS 2 Response identifies three major points to consider in evaluating health information system once it is implemented. Response provides rationale for each point. Additional Comments: Learning Objective 3.1: Explain how the health information system is compatible to the organization’s mission, goals, and values.: MEETS EXPECTATIONS 2 Response provides at least three clear ways the health
  • 33. information system is compatible to the organization’s mission, goals, and values. Additional Comments: Learning Objective 4.1: Evaluate core functions of the healthcare information system.: NEEDS IMPROVEMENT 1 Fewer than six key core functions are identified. Explanation of the value and impact of the core functions to the organization is insufficient and/or inaccurate. I'm not seeing a strong comparison here, you needed to compare your chosen system to a nether existing system and compare at least six core functions of each system. Do this in the paper and title it comparison of two different systems and explain the differences between the core functions of the two different systems. Make sure you list and describe at least six core functions Learning Objective 4.2: Evaluate usability factors of the healthcare information system.: MEETS EXPECTATIONS 2 Response identifies at least four usability factors that were addressed with the vendor. Response explains why these usability factors were selected for vendor discussion. Response explains the feedback received from the vendor on the usability factor queries. Additional Comments: Learning Objective 4.3: Recommend strategies for evaluating the healthcare information system usability.: MEETS EXPECTATIONS 2 Response provides five strategies used for evaluating the healthcare information system usability in the organization.
  • 34. Response provides research-based rationale for each strategy. Response is supported by relevant academic/professional resources. Additional Comments: Learning Objective 4.4: Explain how the healthcare information system will integrate with other products.: MEETS EXPECTATIONS 2 Response describes products within the organization that will integrate with the recommended healthcare information system. Additional Comments: Learning Objective 4.5: Explain how the healthcare information system ensures absolute privacy and security.: NEEDS IMPROVEMENT 1 Response describes fewer than three safeguards. Additional Comments: See my comments on the mark up for this one Learning Objective 4.6: Describe the healthcare information system vendor support to an organization.: NEEDS IMPROVEMENT 1 Response describes fewer than four areas of support provided by the vendor. Rationale is insufficient. Additional Comments: See comments on mark up - you need to expand on this more it was too vague and general Learning Objective 4.7: Evaluate vendor stability.: MEETS EXPECTATIONS 2 Response provides data that indicates the vendor is stable and reliable. Response provides data addressing customer satisfaction. Response provides the names of three comparable
  • 35. organizations that implemented the healthcare information system from this vendor. Additional Comments: Learning Objective 4.8: Provide cost estimate of the healthcare information system.: NEEDS IMPROVEMENT 1 Cost estimate is not in alignment with healthcare information system features and functions described. Additional Comments: Additional Comments: See comments on mark up - you need to expand on this more it was too vague and general Learning Objective 5.1 Develop a timeline for the selection and acquisition of a health information technology.: NEEDS IMPROVEMENT 1 Timeline for the selection and acquisition of a health information system describes less than four steps in the system and how the steps would be accomplished. Additional Comments: Additional Comments: See comments on mark up - you need to expand on this more it was too vague and general Written Communication PS 1.1: Use proper grammar, spelling, and mechanics.: MEETS EXPECTATIONS 2 Writing reflects competent use of standard edited American English. Errors in grammar, spelling, and/or mechanics do not negatively impact readability. Additional Comments: Written Communication PS 1.2: Organize writing to enhance clarity.:
  • 36. MEETS EXPECTATIONS 2 Writing is generally well-organized. Introductions, transitions, and conclusions provide continuity and a logical progression of ideas. Additional Comments: Written Communication PS 1.3: Apply APA style to written work.: MEETS EXPECTATIONS 2 APA conventions for attribution of sources, structure, formatting, etc., are generally applied correctly in most instances. Sources are generally cited appropriately and accurately. Additional Comments: Written Communication PS 1.4: Use appropriate vocabulary and tone for the audience and purpose.: MEETS EXPECTATIONS 2 Vocabulary and tone are generally appropriate for the audience and support communication of key concepts. Additional Comments: Critical Thinking PS 5.1: Analyze assumptions and fallacies.: MEETS EXPECTATIONS 2 Response generally assesses the reasonableness of assumptions in a given argument. Response identifies and discusses the implications of fallacies and/or logical weaknesses in a given argument. Additional Comments: Critical Thinking PS 5.2: Generate reasonable and appropriate assumptions.:
  • 37. MEETS EXPECTATIONS 2 Response presents and discusses key assumptions in an original argument. Additional Comments: Critical Thinking PS 5.3: Assess multiple perspectives and alternatives.: MEETS EXPECTATIONS 2 Response identifies and considers multiple perspectives and alternatives. Additional Comments: Critical Thinking PS 5.4: Use problem-solving skills.: MEETS EXPECTATIONS 2 Response presents solutions that are practical and work in addressing the specific problem. Additional Comments: Information Literacy PS 6.1: Identify credible sources.: MEETS EXPECTATIONS 2 Most sources are credible, appropriate, and relevant to the topic. Additional Comments: Information Literacy PS 6.2: Analyze findings from relevant sources.: MEETS EXPECTATIONS 2 Analysis clearly reflects relevance of findings to the identified problem, issue, or purpose. Additional Comments:
  • 38. ©2014 Walden University 1 OM010: Health Information Systems: Recommend the acquisition, implementation, and evaluation of clinical and administrative health information systems. Assessment Rubric 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations Part I: PowerPoint Presentation: Healthcare Information System Recommendation to the Board of Trustees: EMR Recommendation Sub-Competency 1: Evaluate fundamental elements of a healthcare information system. Learning Objective 1.1: Explain core functions
  • 39. of a healthcare information system. Explanation of the core functions of a healthcare information system is missing. Response explains fewer than four core functions of the healthcare information system. Response insufficiently explains purpose of all or some of the core functions. Response explains four core functions of the healthcare information system. Response accurately explains the impact of the core functions have on the organization. Demonstrates the same level of achievement as “2” plus the following: Response describes an authentic example of how application of the healthcare information
  • 40. system function impacted an organization. Learning Objective 1.2: Explain legal and regulatory requirements for implementing the healthcare information system. Explanation of the legal and regulatory requirements for implementing the healthcare information system is missing. Response explains fewer than three legal and regulatory requirements related to healthcare information systems. Explanation of legal and regulatory requirements is insufficient and/or inaccurate. Response identifies three legal and regulatory requirements to be considered when implementing the healthcare information system.
  • 41. Response explains the relevance of these requirements. Demonstrates the same level of achievement as “2” plus the following: Response describes a constraint that legal and regulatory requirements can place on an organization. Learning Objective 1.3: Summarize the value of the healthcare Summary of the value of the healthcare information system to an organization Response does not sufficiently and/or accurately address the Response describes one value of the healthcare information system related Demonstrates the same level of achievement as “2” plus the following:
  • 42. ©2014 Walden University 2 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations information system to an organization. is missing. value of the healthcare information system to an organization in terms of quality, outcomes, and safety; improved efficiency and cost reduction; and improved service and satisfaction. to quality, outcomes, and safety. Response describes one value of the healthcare information system related to improved efficiency and cost reduction.
  • 43. Response describes one value of the healthcare information system related to improved service and satisfaction. Response aligns one of the responses for a level 2 descriptor to legal and policy requirements. Learning Objective 1.4: Summarize functionality of the healthcare information system. Summary of the functionality of the healthcare information system is missing. Functions of the healthcare information system are insufficiently described and/or adequate rationale for their inclusion is not provided. Response describes three functions of the healthcare information system that are particularly relevant to the organization.
  • 44. Response provides rationale for highlighting these three functions to the organization. Demonstrates the same level of achievement as “2” plus the following: Response provides one specific example of how this function could be applied to the benefit of the organization. Learning Objective 1.5: Evaluate the proposed healthcare information system against systems currently in place in an organization, Evaluation of the proposed healthcare information system against systems currently in place in an organization is missing. Response insufficiently summarizes how the healthcare information system will interface with other systems in the organization and/or other organizations within a
  • 45. system. Response accurately evaluates how the healthcare information system alignments with other organizations within a healthcare system. Demonstrates the same level of achievement as “2” plus the following: Response explains the overarching value of interoperability to the organization. ©2014 Walden University 3 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations Sub-Competency 2: Analyze areas of concern in implementing
  • 46. and evaluating a health information system. Learning Objective 2.1: Analyze areas of concern in implementing the health information system. Analysis of the areas of concern in implementing the health information system is missing. Response analyzes fewer than three areas of concern; rationale provided is insufficient. Response analyzes three areas of concern in implementing the health information system in the organization. Response provides rationale for highlighting each of these areas of concern. Demonstrates the same level of achievement as “2” plus the following: Response provides one suggestion for how the
  • 47. organization might address each area of concern. Learning Objective 2.2: Analyze key points to consider in evaluation of the health information system. Analysis of the key points to consider in evaluation of the health information system is missing. Response identifies fewer than three points to consider in evaluating a health information system; rationale provided is insufficient. Response identifies three major points to consider in evaluating health information system once it is implemented. Response provides rationale for each point. Demonstrates the same level of achievement as “2” plus the following: Response suggests one strategy for evaluating
  • 48. health information system. Part II: Research Report: Recommendation of an Health Information System Sub-Competency 3: Evaluate a health information system for compatibility with an organization’s mission, goals, and values. Learning Objective 3.1: Explain how the health information system is compatible to the organization’s mission, goals, and values. Explanation of how the health information system is compatible to the organization’s mission, goals, and values is missing. Response provides fewer than three clear ways the health information system is compatible to the organization’s mission, goals, and values. Response provides at least three clear ways the health information system is compatible to the organization’s mission,
  • 49. goals, and values. Demonstrates the same level of achievement as “2” plus the following: Response provides more than three clear ways the health information system ©2014 Walden University 4 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations is compatible to the organization’s mission, goals, and values. Sub-Competency 4: Evaluate usability factors of a healthcare information system.
  • 50. Learning Objective 4.1: Evaluate core functions of the healthcare information system. Evaluation of the core functions of the healthcare information system is missing. Fewer than six key core functions are identified. Explanation of the value and impact of the core functions to the organization is insufficient and/or inaccurate. Response identifies at least one other system that was reviewed. Response identifies at least six key core functions of the healthcare information system. Response explains why each key core function is critical to the organization. Response describes the impact the six core functions will have on the organization and its goals
  • 51. and outcomes. Demonstrates the same level as “2” plus the following: Response provides four key reasons why the one healthcare information system was selected over the other that was reviewed. Learning Objective 4.2: Evaluate usability factors of the healthcare information system. Evaluation of the usability factors of the healthcare information system is missing. Response does not adequately explain why at least four specific usability factors were discussed with the vendor. Response does not adequately explain Response identifies at least four usability factors that were addressed with
  • 52. the vendor. Response explains why these usability factors were selected for vendor Demonstrates the same level of achievement as “2” plus the following: Response explains the impact the vendor responses had on the selection of the healthcare ©2014 Walden University 5 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations feedback received from the vendor. discussion.
  • 53. Response explains the feedback received from the vendor on the usability factor queries. information system. Learning Objective 4.3: Recommend strategies for evaluating the healthcare information system usability. Recommendation of the strategies for evaluating the healthcare information system usability is missing. Response provides fewer than five strategies for evaluating the healthcare information system usability. Rationale provided is not inaccurate and/or insufficient. Response is not supported by academic/professional resources are not relevant. Response provides five strategies used for evaluating the healthcare
  • 54. information system usability in the organization. Response provides research-based rationale for each strategy. Response is supported by relevant academic/professional resources. Demonstrates the same level of achievement as “2” plus the following: Response describes two factors that could negatively impact the healthcare information system usability. Response provides one strategy for mitigating the negative impact of each factor. Learning Objective 4.4: Explain how the healthcare information system will integrate with other products. Explanation of how the healthcare information
  • 55. system will integrate with other products is missing. Response inadequately describes products within the organization that will integrate the recommended healthcare information system. Advantages of integration are inadequately explained. Response describes products within the organization that will integrate with the recommended healthcare information system. Response explains the advantages of each integration capability. Demonstrates the same level of achievement as “2” plus the following: Response describes one potential concern about the integration of products. Learning Objective 4.5: Explanation of how the Response describes fewer Response describes at Demonstrates the same
  • 56. ©2014 Walden University 6 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations Explain how the healthcare information system ensures absolute privacy and security. healthcare information system ensures absolute privacy and security is missing. than three safeguards. Response insufficiently or inaccurately describes the impact of human error on safeguards.
  • 57. least three specific safeguards the healthcare information system applies to ensure absolute privacy and security. Response describes how human error could impact these safeguards. level of achievement as “2” plus the following: Response describes how no technology system can absolutely guarantee security of all data Learning Objective 4.6: Describe the healthcare information system vendor support to an organization. Description of the healthcare information system vendor support to an organization is missing. Response describes fewer than four areas of support
  • 58. provided by the vendor. Rationale is insufficient. Response describes four specific areas of support that will be provided by the vendor. Response explains why these areas of support are critical to the organization. Demonstrates the same level of achievement as “2” plus the following: Response describes an additional area of support that can be provided by the vendor if required in the future. Learning Objective 4.7: Evaluate vendor stability. Evaluation of vendor stability is missing. Response does not provide sufficient or reliable data to indicate the vendor’s stability, reliability, or its customer satisfaction.
  • 59. Response provides data that indicates the vendor is stable and reliable. Response provides data addressing customer satisfaction. Response provides the names of three comparable organizations that implemented the Demonstrates the same level of achievement as “2” plus the following: Response provides an analysis of the vendor stability to provide needed technology solutions to clients to and maintain those solutions for the client for the long-term. ©2014 Walden University 7 0 Missing 1 Needs Improvement
  • 60. 2 Meets Expectations 3 Exceeds Expectations healthcare information system from this vendor. Learning Objective 4.8: Provide cost estimate of the healthcare information system. Provision of the cost estimate of the healthcare information system is missing. Cost estimate is not in alignment with healthcare information system features and functions described. Response provides a cost estimate of the healthcare information system as received from vendor interactions. A breakdown of the costs (as much as possible) is provided. Estimate is in alignment with the healthcare information system
  • 61. features and functions described. Demonstrates the same level of achievement as “2” plus the following: Response provides additional analysis of the cost estimate such as where the cost estimate may be influenced by other factors in the project that may push it higher or lower. Sub-Competency 5: Describe the selection and acquisition process. Learning Objective 5.1 Develop a timeline for the selection and acquisition of a health information technology. Development of a timeline for the selection and acquisition of a health information technology is missing. Timeline for the selection and acquisition of a health
  • 62. information system describes less than four steps in the system and how the steps would be accomplished. Timeline for the selection and acquisition of a health information system describes at least four steps in the system and how the steps would be accomplished. Demonstrates the same level of achievement as “2” plus the following: Response describes at least seven steps in the system selection and acquisition process and how the steps would be accomplished. PS001: Written Communication: Demonstrate graduate-level writing skills.
  • 63. ©2014 Walden University 8 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations Learning Objective PS 1.1: Use proper grammar, spelling, and mechanics. Multiple major and minor errors in grammar, spelling, and/or mechanics are highly distracting and seriously impact readability. Multiple minor errors in grammar, spelling, and/or mechanics are distracting and negatively impact readability.
  • 64. Writing reflects competent use of standard edited American English. Errors in grammar, spelling, and/or mechanics do not negatively impact readability. Grammar, spelling, and mechanics reflect a high level of accuracy in standard American English and enhance readability. Learning Objective PS 1.2: Organize writing to enhance clarity. Writing is poorly organized and incoherent. Introductions, transitions, and conclusions are missing or inappropriate. Writing is loosely organized. Limited use of introductions, transitions, and conclusions provides partial continuity. Writing is generally well- organized. Introductions,
  • 65. transitions, and conclusions provide continuity and a logical progression of ideas. Writing is consistently well-organized. Introductions, transitions, and conclusions are used effectively to enhance clarity, cohesion, and flow. Learning Objective PS 1.3: Apply APA style to written work. APA conventions are not applied. APA conventions for attribution of sources, structure, formatting, etc., are applied inconsistently. APA conventions for attribution of sources, structure, formatting, etc., are generally applied correctly in most instances. Sources are generally cited appropriately and accurately. Writing effectively
  • 66. integrates appropriate resources (which may include peer-reviewed resources) and content to support and expand upon ideas and arguments. Learning Objective PS 1.4: Use appropriate vocabulary and tone for the audience and purpose. Vocabulary and tone are inappropriate and negatively impact clarity of concepts to be conveyed. Vocabulary and tone have limited relevance to the audience. Vocabulary and tone are generally appropriate for the audience and support communication of key concepts. APA conventions for attribution of sources, structure, formatting, etc., are applied correctly and consistently throughout the paper. Sources are consistently cited
  • 67. appropriately and accurately. ©2014 Walden University 9 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations PS005: Critical Thinking and Problem Solving: Use critical- thinking and problem-solving skills to analyze professional issues and inform best practice. Learning Objective PS 5.1: Analyze assumptions and fallacies. Analysis of assumptions is missing. Response is weak in assessing the reasonableness of
  • 68. assumptions in a given argument. Response does not adequately identify and discuss the implications of fallacies or logical weaknesses in a given argument. Response generally assesses the reasonableness of assumptions in a given argument. Response identifies and discusses the implications of fallacies and/or logical weaknesses in a given argument. Response clearly and comprehensively assesses the reasonableness of assumptions in a given argument. Response provides a detailed and compelling analysis of implications of fallacies and logical weaknesses in a given argument. Learning Objective
  • 69. PS 5.2: Generate reasonable and appropriate assumptions. Assumptions are missing. Response does not adequately present and discuss key assumptions in an original argument. Response presents and discusses key assumptions in an original argument. Response justifies the reasonableness and need for assumptions in an original argument. Learning Objective PS 5.3: Assess multiple perspectives and alternatives. Assessment of multiple perspectives is missing. Response does not identify nor adequately consider multiple perspectives or alternatives.
  • 70. Response identifies and considers multiple perspectives and alternatives. Response justifies selection of chosen alternative relative to others. Learning Objective PS 5.4: Use problem-solving skills. Problems and solutions are not identified. Response presents solutions, but they are ineffective in addressing the specific problem. Response presents solutions that are practical and work in addressing the specific problem. Response presents compelling supporting arguments for proposed solutions. PS006: Information Literacy: Apply appropriate strategies to identify relevant and credible information and data in order to effectively
  • 71. analyze issues and make decisions. Learning Objective Credible sources are Some sources are credible, Most sources are credible, All resources are credible, ©2014 Walden University 10 0 Missing 1 Needs Improvement 2 Meets Expectations 3 Exceeds Expectations PS 6.1: Identify credible sources. missing. appropriate, and relevant to the topic. appropriate, and relevant to the topic. appropriate, and relevant to the topic. Learning Objective
  • 72. PS 6.2: Analyze findings from relevant sources. Analysis is missing. Analysis superficially reflects relevance of findings to the identified problem, issue, or purpose. Analysis clearly reflects relevance of findings to the identified problem, issue, or purpose. Analysis clearly reflects relevance of findings to the identified problem, issue, or purpose, and synthesizes findings to generate new insights. Part I: PowerPoint Presentation to Board of Trustees: HIT Recommendation You have been tasked with evaluating several healthcare information systems and recommending the best system for your healthcare organization. Knowing that leadership experiences with health information systems vary widely, you will develop a PowerPoint presentation to provide a high-level overview and rationale for your healthcare information system recommendation. You understand that for such an expensive and complex purchase, in-depth research must be disseminated beyond this presentation. Your first objective, though, is to ensure that leadership approaches the acquisition with a solid understanding of the basic issues. Your presentation should be
  • 73. appropriate to the audience, succinct, and easily understood. In a 15-slide PowerPoint presentation: · Evaluate at least two healthcare information systems. Select one you think works best for the organization. Introduce and define the healthcare information system you selected. Explain core functions of the system and the impact these capabilities can have on the organization. · Explain legal and regulatory requirements for implementing the healthcare information system. · Summarize the value of the healthcare information system in terms of: · Improved quality, outcomes, and safety · Improved efficiency, productivity, and cost reduction · Improved service and satisfaction · Summarize specific attributes of this system that are particularly noteworthy: · Functionality · Unique abilities to interface with currently implemented systems · Alignments with other organizations within a system · Other · Briefly analyze key areas of concern the organization will need to be prepared to address in the implementation and evaluation of the healthcare information system. Part II: Recommendation of a Healthcare Information System The PowerPoint presentation to the leadership ensures that board members have a foundational understanding of the capabilities of—and need for—the healthcare information system. It also ensures that they understand the high-level rationale for your recommended system. Continued proposal efforts, however, will require a more in-depth, research-based proposal. In a 5-page, in depth, research-based proposal: · Identify the healthcare information system you recommend. · Evaluate how the health information system is compatible to the organization’s mission, goals, and values.
  • 74. · Evaluate the core functions of the recommended healthcare information system and the specific impact these capabilities will have on the organization. · Evaluate the usability factors you addressed with the healthcare information vendor. Explain why you chose to address these factors. · Recommend strategies for evaluating the healthcare information system’s usability. · Explain how the healthcare information system will integrate with other products. · Explain how this system ensures absolute privacy and security. · Describe the vendor support that will be supplied if the system is adopted. · Evaluate vendor reliability and stability. · Provide a cost estimate of the healthcare information system. · Describe the selection and acquisition process by developing a timeline noting the major milestones of the process.