Information Governance Title: Course Name: Topic Name: Professor’s Name: Student Name: Date: Introduction Technology is also an important factor in health care industry. In health care sector technologies are incorporated into organizations rather rapidly compared to health information systems, presenting us with an infrequent difference (Teich JM & Seger D, 1999). Importantly information technology systems intervene with health care employee customary practice routines. These specific effects were far attractive, from role and structure of health care organizations, the quality working life of health providers within the organization, and finally technology improve the cost and quality of the health services (Teich JM & Seger D, 1999). This research paper will describe the ins and outs of when information technology fails within a health care organization. Also this paper described what the important contributing factors are when the failure occurs, and how this failure impacts the organization’s whole operations. In this paper the Author demonstrate team’s reaction in the failure with such measures taken by the health care leaders in dealing with the several stakeholders. In this paper discussing about organization’s custom application and proprietary systems with view of project metrics and portfolio management’s efficiency and effectiveness. Finally the author describes how government intervenes in health care businesses for patients care. In this paper the Author describe information technology failure in a Florida based health organization i.e Martin Health System (MHS). In this organization IT network failure that make organization’s $90 million medical record system to fail and this health organization located in Stuart. A study report shows that a hardware failure in this organization that caused an unexpected downtime for the health system’s Epic EMR and some other business IT applications. 1. Determine the key factors contributing to the failure in question. Next, analyze how the failure impacted both the organization’s operations and patient information protection and privacy. In hardware the key factor was a failure that mainly affected the EMR, but it was distinguished that the EMR was not the origin of the problem (Teich JM & Seger D, 1999). In a system hardware includes all substantial devices i.e storage, machines, input and output devices that represent a computer system. The CPU is the main core and heart of the computer. In the computer system the primary storage mainly holds program data and instructions directly before or after the providers and registers the CPU with a running storage area for data and program instructions (Ball MJ, Garets DE & Handler TJ, 2003). After that secondary storage complement the main memory by holding such instructions and data in the format of machine-readable outer the computer. In a system entering data and input can be done by a specific number of devices. In the same way for .

1. Information Governance
Title:
Course Name:
Topic Name:
Professor’s Name:
Student Name:
Date:
Introduction
Technology is also an important factor in health care industry.
In health care sector technologies are incorporated into
organizations rather rapidly compared to health information
systems, presenting us with an infrequent difference (Teich JM
& Seger D, 1999). Importantly information technology systems
intervene with health care employee customary practice
routines. These specific effects were far attractive, from role
and structure of health care organizations, the quality working
life of health providers within the organization, and finally
technology improve the cost and quality of the health services
(Teich JM & Seger D, 1999). This research paper will describe
the ins and outs of when information technology fails within a
health care organization. Also this paper described what the
important contributing factors are when the failure occurs, and
how this failure impacts the organization’s whole operations. In
this paper the Author demonstrate team’s reaction in the failure

2. with such measures taken by the health care leaders in dealing
with the several stakeholders. In this paper discussing about
organization’s custom application and proprietary systems with
view of project metrics and portfolio management’s efficiency
and effectiveness. Finally the author describes how government
intervenes in health care businesses for patients care. In this
paper the Author describe information technology failure in a
Florida based health organization i.e Martin Health System
(MHS). In this organization IT network failure that make
organization’s $90 million medical record system to fail and
this health organization located in Stuart. A study report shows
that a hardware failure in this organization that caused an
unexpected downtime for the health system’s Epic EMR and
some other business IT applications.
1. Determine the key factors contributing to the failure in
question. Next, analyze how the failure impacted both the
organization’s operations and patient information protection and
privacy.
In hardware the key factor was a failure that mainly affected the
EMR, but it was distinguished that the EMR was not the origin
of the problem (Teich JM & Seger D, 1999). In a system
hardware includes all substantial devices i.e storage, machines,
input and output devices that represent a computer system. The
CPU is the main core and heart of the computer. In the
computer system the primary storage mainly holds program data
and instructions directly before or after the providers and
registers the CPU with a running storage area for data and
program instructions (Ball MJ, Garets DE & Handler TJ, 2003).
After that secondary storage complement the main memory by
holding such instructions and data in the format of machine-
readable outer the computer. In a system entering data and input
can be done by a specific number of devices. In the same way
for larger computer systems such as key to disk, the one above,
and key to tape devices have been used. They allocate data to be
keyed diametrically onto a device of secondary storage (Ball
MJ, Garets DE & Handler TJ, 2003).

3. When the health system had to resort to charting and physical
documentation, in the year 2011 when the EMR system was
installed, by MHS the processes were developed to provide
accurate documentation and make sure patient safety to during a
lengthened downtime. Business continuity is one of the good
processes of computer systems. Scott Samples the spokesperson
of MHS stated that, those processes were precisely followed and
the team of patient care continued operations as programmed,
with minimum delays (Ball MJ, Garets DE & Handler TJ, 2003).
But, at the facility service patients constantly reported that
some appointments of outpatient could not be planned,
atmosphere was very hectic or chaotic, and meals were received
later than standard. No health treatment and medication was
jeopardized (Ball MJ, Garets DE & Handler TJ, 2003).
2. Analyze the leadership team’s reaction to the failure, and
indicate whether the leadership took sufficient measures to deal
with various stakeholder groups impacted by the failure.
Provide support for the rationale.
The reaction of the leadership team regarding information was
limited. In the specific article it was reported that physician,
hospital staff, and nurses access the useful computer system to
read medical information and patient record. Without this
valuable system in place they were gone to dig through paper
records. Only one was reported while other procedures may
have been taken, and it must follows, extra some health care
personnel such as administrative staff and nurses were brought
in to assist with the rise work load (Romano PS & Davies S,
2003). As per the medical spokesperson the treatment and
medication program were not affected, on the other hand if
these specific items were element of the EMR one would feel
that a minor delay would happen (Romano PS & Davies S,
2003).
In the hospital setting stakeholders are the doctors, Clinical
providers, nurse staff, venders, patients, hospital itself, and
third-party payers (Romano PS & Davies S, 2003). From this
stakeholder each has a stake in what advantage it might obtain

4. from the hospital. In this particular example the leadership team
of hospital known as aided staff by bringing in extra nursing
and administrative personnel, however if meals were served
late, then the patient was at a disadvantage. A special action
such as this could have caused crucial problems for the diabetic
who has a controlled eating plan that coincided with
medication. At MHS the outpatients were troubled due to being
unable to arranged appointments.
It is important to offer health services and some of patients are
uncooperative when they are present. In this case, for notifying
the patient the hospital must have been responsible, once the
particular system was restored but this was not focus any of the
study articles. In this event many were failed because
stakeholders are many. The doctor or physician could not have
be timely or quickly available information due to having paper
use. The hospital was at a serious difficulty, for two days the
system was down impacting the flow of the daily operations. In
the long run the application vendor could undergo because the
hospital may make a decision to go with another application
vendor. The payer of third-party would see an interruption in
the posting of bill payments, or to approve specific procedures
the hospital being able to access needed information.
3. Take a position on whether the health care provider that you
identified should either develop a custom application or select a
proprietary system. Provide support for the rationale.
From beginning to end the life cycle of systems development
represents a procedure in project managing an information
system project development: it first cover the analysis point in
which existing systems are considered so as to uncover gaps
that have to be packed, secondly needed or new components are
planned to tackle the challenges that have been recognized; the
ultimate result is that of training of staff members, real
programming, and the implementation of a recently developed
system. This newly system will required some changes,
improvement, and maintenance over the years (Romano PS &
Davies S, 2003).

5. A business system is one designed particular to an
organization’s requirements, in cost it can be very effective in
that way you find only what you require. The particular custom
software is:
• Upgradeable and flexible.
• Designed particular for your organization or department
• Owned by you
• Can incorporate quality from other software
On the contrary a proprietary system is a product or technology
that is owned completely by a specific company that watchfully
guards knowledge about the product or technology inside
workings. Some of technology or products will only work
owned by the similar company. In that the knowledge it is a
usual approach how a business enterprise makes its special
products are guarded as an important secret and such legal
methods as the patent, brand, and patent are invented to
safeguard the company’s intellectual property (Romano PS &
Davies S, 2003). In this system the MHS could mostly benefit
from a proprietary system. For the failure the main cause is
hardware as completely discussed above. Their computers
would come from one central place by using this valuable
system, and the equipment would be very familiar and needed to
the company that sold the hospital for their computers. For a
hospital a custom system would advantage if their failure had
happen only because of the EHR.
Recommend at least three (3) best practices that any
organization could adopt in order to avoid such a failure in the
future. Provide support for the recommendation.
For failure technology always often blamed, only such fact that
a product of bad management. For avoid some useful and
beneficial ways are Systems Design Characteristics,
Organizational Characteristics, and User Characteristic.
Systems Design Characteristics: It include decision-making
support and the important characteristics of information to the
user, performance of hardware and software, characteristics of
systems interface, such as the incorporation or accessibility of

6. easy to find out features into the HMIS. For the system the
information needs to be clear, documentation in the early
scheduling stage and acted upon using implementation of
modified techniques. Also a certain amount of consistency,
truthfulness, flexibility, completeness, validity, regularity, and
appropriateness or timeliness of information to be supplied to
the user (Upperman JS & Friend K, 2004).
Organizational Characteristics: The change or influence of top
management can affect success of implementation. Perfect
project control must be exercised, in a time manner issues are
resolved, part of resources correctly, and the evading of short-
lived changes in significant areas. A good action plan must be
developed, a practical assessment along with perfect
identification of basic resources. Top management should be
supportive, and end users must be involved and committed. All
of the users should say in the execution and planning in order to
make a system that is satisfactory and adopted (Upperman JS &
Friend K, 2004).
User Characteristics: Some differences in individual such as
user belief, learning style, cognitive behavior, and attitudes of
user, of what the HMIS can perform for them. In the
implementation and development stage from the beginning
organizations personnel should be involved in all organizational
units. If this is complete in less resistance will be present
because the concern of the unidentified lessens (Tan & Payton,
2010).
5. Suggest how health care leaders can use project metrics and
portfolio management to ensure operational efficiency and
effectiveness. Provide specific examples to support the
response.
Project Metrics help for improving organization’s decision
making ability, help in building expectedness, and plan what is
perfectly working and what is not working inside the
organization and it must help to guide project management to
focus in the right way. Performance metrics of project
management can facilitate or enable the health care leader to the

7. following ways:
• Evaluate status of enduring project- In terms of planning, cost,
prosperity, and productivity. In a health organization leader
must have a special time frame to work, the cost and
productivity should be regarding what the facility can allow,
and the useful project should help or advantage the facility and
not be a extra over burden.
• Foresee any possible risks- There evaluation at time so that a
good picture of future can be predict, if any risks are to come,
proper planning can take place to avoid and move forward the
step.
• settle the particular problems before they become serious-
tackle the problems openly or up front.
• For project profitability continue to check – Realize that the
finances are being used prudently or wisely and it should useful
for the organization.
• Review team productivity - Expectations and clear cut goals
should be assessed, explained and set as an enduring process.
• Evaluate quality work must be delivered- Ensure that the
specific work that is being done currently is high and good
quality and it will be indicate to anyone (Upperman JS & Friend
K, 2004).
In an organization portfolio management is required to make
sure operational efficiency and effectiveness due to emergent
challenge that is happening every day. To maintain standard
business operations Healthcare organization are struggling,
while they spend in their new and innovative digital records
facility. By revolving portfolio management solutions, in
healthcare organization most of managers heavily struggling to
make the scarce resources can obtain main benefits.
In a healthcare organization competition mainly created by
Electronic Healthcare Records (HER), it’s very important that
hospital systems know their expenditure to make best use of the
organizations principal budget in outside areas (Upperman JS &
Friend K, 2004).
Following are the some useful ways that portfolio management

8. can be used to make sure operational efficiency and
effectiveness:
In the first way you must need to define the proper amount of
process severity. This is mainly dependent on the particular
organization's reliability and capability. After that you need to
describe the valuable strategic drivers. In this way you need to
ask: Over the next some years what is the organization's
strategy? Organization’s usual goals contain improving patient
satisfaction, increasing service quality, and improve revenue.
These specific factors can then be depending, ranked on where
you require to meet your spend (Upperman JS & Friend K,
2004).
The next useful step is instilling and defining a governance
structure of cross-functional representatives from the healthcare
organization, including physicians, chief of nursing staff, with
representatives from IT and business departments. You need to
ensure you have best cross-representation of the several running
activities that signify the whole organization.
6. Analyze a government intervention into health care
businesses, meant to ensure that health care and patient
information is secure and thus to minimize information breaches
and technology failures. Argue for or against such intervention.
Support the position.
A government intervention in a health care business meant to
ensure that patient information and health care is assured or
secure in the Health Insurance Portability and Accountability
Act (HIPAA). All those working with a healthcare organization,
with particular attention to those who carry responsive personal
health information, has the great responsibility of caring the
secrecy, confidentiality, and safety of health information or any
other such identification.
In the year 1996 American Congress passed the Public Law 104-
191, otherwise known as Health Insurance Portability and
Accountability Act (HIPAA), in a good effort to help keep
confidential information of Americans citizens (Burns LR &
Muller RW, 2008). Health Insurance Portability and

9. Accountability Act, along with such other useful security
measures have been introduced for the healthcare industry for
protect the secrecy, freedom, safety, and confidentiality of
American people. Those people employed in the healthcare
industry must closely adhere to the code of conduct, rules &
regulation, and standards. From these some of the covered
individuals include, such as physicians, pharmacists, and
nursing staff, some healthcare facilities like personal physician
organizations, hospitals, private clinics, and nursing homes,
private health maintenance organizations, and private health
insurance companies. Such valuable Government programs i.e
Medicare and Medicaid also must obey and follow the
principles (Burns LR & Muller RW, 2008). The valuable
information that Health Insurance Portability and
Accountability Act (HIPAA) protects is any such information
find a patient’s personal record, i.e progress notes, treatment
details, recommendations, identification, diagnosis and
conversations with individual caregivers. For the safety of
health information there is a better safeguard that is processed
into computer systems used by health care providers for clinical
reports, medical billing, treatment, medication, radiological
reports and images, laboratory examination results, any health
information collected by patients or hospital that has a health
semantic (Burns LR & Muller RW, 2008).
Health Insurance Portability and Accountability Act (HIPAA)
law states that all people who have retrieve to health
information must obey with rules and regulations, including the
safeguard of anything spoken or written, which must deals with
a particular patient’s present medical condition and his/her past
or present treatments. Disobedience of this valuable law can
result in severe fines to health care organizations, and it may
result the termination of organizations employees that don’t
adhere to the law.
Conclusion
Improving patient safety mainly involves learning and analyzing
from difficult events and adapting or increasing systems to

10. reduce dependence on individual care. Taking good advantage
of advances in networking and computers can help clinical
decision support and give best information flow within the
systems (Burns LR & Muller RW, 2008). Strategic apparatus
design can prevent harm to patients. In health care technology
change organizational culture and it promises to be a very
effective safeguard against human unreliability. Proper use of
technology in health care, particularly medical decision support,
introduction of valuable plan for safety, and within the system
better information flow, can result in significant improvement
in patient safety (Burns LR & Muller RW, 2008). In health care
technology also involve how health care professionals and
patients can benefit from, and interrelated with, developed
equipment, treatment, good environments, and useful
information that come across in the health care service.
References
Teich JM, Seger D, et al. The impact of computerized physician
order entry on medication error prevention. J Am Med Inform
Assoc 1999; 6: 313-321
Ball MJ, Garets DE, Handler TJ, et al. Leveraging IT to
improve patient safety. In: Quality of Healthcare: Improving
Informatics. Edmonton, AB. International Medical Informatics
Association; 2003:153-158.
Romano PS, Davies S, et al. A national profile of patient safety
in U.S. hospitals. Health Aff (Millwood) 2003; 22: 154-166.
Upperman JS, Friend K, et al. The impact of hospitalwide
computerized physician order entry on medical errors in a
pediatric hospital. J Pediatr Surg 2004; 40: 57-59.
Burns LR, Muller RW. Hospitalphysician collaboration:
landscape of economic integration and impact on clinical
integration. Milbank Q. 2008;86(3):375–434.