1Milestone 1Deanna BuchananSouthern New Hampsh

1
Milestone 1
Deanna Buchanan
Southern New Hampshire University
HIM-500-Q1513
Milestone 1
In the field of health informatics, particular historical events
help inform the management of health information:
1. The 1950s saw the early development of health informatics
through cybernetics and information processing. This entailed
professionals from various fields, such as clinical
documentation and epidemiology.
2. The 1960 to 2000 period saw the evolution of data analysis
and computing. Health information management was facilitated
through the development of electronic medical records systems.
Such systems are vital for health information management since
they provide real-time patient-centered records to authorized
users (Collen & Ball, 2018).
3. There is the period from 2000 to the present where
stakeholders have moved to digitize healthcare processes such
as information sharing, record keeping, and care coordination.
Guidelines
There are several guidelines for technology use that
Feather fall could implement in health information management.
For starters, the medical staff should get the relevant training

required to utilize the technology to facilitate the effective
acquisition, analysis, and protection of patient information.
Training ensures they can tackle any challenges they may
encounter to collect accurate data and analyze it in a way that
benefits patients. Additionally, the medical staff needs to ensure
that the devices they use are beyond the reach of unauthorized
individuals. This is crucial in promoting patient
confidentiality/privacy and securing pertinent data does not get
into the wrong hands (Ozair et al., 2018). Finally, medical
practitioners should provide feedback about their experiences to
ensure that the technology they use can be improved in the
future.
Standard Technologies
There are various standard technologies used in health
information management. For starters, concerning record
keeping, some of the traditional EHR technologies include Epic
Systems and Meditech. Many institutions use these two systems
due to their departmental functionality and extensive usability.
RingCentral Video is a standard technology for
videoconferencing that facilitates open communication and
interactive communications among healthcare providers.
Different practitioners can share information and work together
in real-time to facilitate effective patient care. Finally, there is
the use of Vendor-Neutral Archives (VNAs) and Picture
Archiving and Communication Systems (PACS) when it comes
to processing and storing the medical images of patients (Sirota-
Cohen et al., 2019).
How Roles at Feather fall Interact with Technology
The pertinent roles at Feather fall would interact with
technology through a simple but effective communication
system that ensures all users can get the most out of the health
management technologies on offer. Currently, the staff members
have poor training and no means of effectively communicating

with each other regarding technology use. Also, the staff
utilizes the technologies inappropriately, leading to several
regulations violations. Through effective communication, the
staff members can get training and real-time technical support
to ensure that the technological systems available are used
effectively.
Process for Evaluating New Health Information Technology
Systems
To evaluate new health information technology systems,
the systems will be checked to see the specific problems they
have been designed to tackle. These should be problems that are
relevant to the organization and its stakeholders. Second, the
usability of the system will be evaluated. All stakeholders
should have a general consensus on how easy and effective it is
to use the systems. Training materials and support services
should be in real-time (Sittig & Singh, 2019). Third, the system
will be evaluated to see if it meets the relevant government
regulations and laws and the institution's policy. This is vital in
ensuring the institution is not breaking any laws and is not
susceptible to lawsuits. Finally, the system will be evaluated for
its cost-effectiveness. The cost of purchasing the systems and
maintaining them will be considered. Ideally, the system should
be easy to upgrade and maintain to facilitate sustainability.

References
Collen, M. F., & Ball, M. J. (Eds.). (2018).
The history of medical informatics in the United States.
Springer.
Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2018).
Ethical issues in electronic health records: A general overview.
Perspectives in Clinical Research,
6(2), 73.
Sirota-Cohen, C., Rosipko, B., Forsberg, D., & Sunshine, J. L.
(2019). Implementation and benefits of a vendor-neutral archive
and enterprise-imaging management system in an integrated
delivery network.
Journal of Digital Imaging,
32(2), 211-220.
Sittig, D. F., & Singh, H. (2019). A new socio-technical model
for studying health information technology in complex adaptive
healthcare systems. In
Cognitive informatics for biomedicine (pp. 59-80).
Springer, Cham.
HIM 500 Final Project Guidelines and Rubric
Overview
Practitioners in health information management and healthcare
informatics are expected to be keenly aware of new and
upcoming technologies that might
benefit their organization. This becomes more complex as these
individuals must also consider the impact that those

technologies might have on the practice of
medicine at their institution. When faced with new
technologies, leaders in health information management must
evaluate the state of the organization and
make an informed decision that will affect the organization as a
whole. This means addressing not just the needs of the health
information management team,
but the needs of all roles within the institution, while also
addressing any issues of compliance the organization might be
facing.
For your final project in this course, you will imagine you have
been hired as a contractor for a small medical facility to consult
on the selection of a new
technology. Their organization has been struggling, so you must
first speak to the state of the organization and then offer an
informed recommendation as to
which of the technologies would suit the organization best. The
project is divided into three milestones, which will be submitted
at various points throughout
the course to scaffold learning and ensure quality final
submissions. These milestones will be submitted in Modules
Three, Five and Seven. The final product will
be submitted in Module Nine.
In this assignment, you will demonstrate your mastery of the
following course outcomes:
• Determine standard technology systems and their uses in
modern healthcare institutions through analysis of current and
historical technology use in
health information management and healthcare informatics
• Analyze the interrelationship between various professional
roles within healthcare institutions and their use of technology

systems for informing
recommendations regarding health information technology
systems
• Determine the potential impact of violating health regulations
and laws regarding health information technology systems on
healthcare organizations
• Develop health information technology recommendations for
healthcare institutions that are compliant with health
regulations and laws and ensure
ethical management of health information
• Determine effective investment of resources in health
information technology for healthcare institutions based on the
needs of the healthcare
institution
Prompt
Imagine you have been contracted to consult on the recent
developments at the Featherfall Medical Center. Featherfall has
been struggling of late; it has had a
series of problems that have prompted your hiring. It has faced
the following issues:
1. Featherfall has recently violated several government
regulations regarding the current state of its technology and
how it is being used. The technology
system is vastly out of date, and staff are not always using the
technology that is in place or they are using the technology
inappropriately. These
problems have lost the institution lots of money for not meeting
government regulations and have caused operational and ethical
problems from

inefficient and ineffective use of technology.
2. The staff at Featherfall are not well-trained on the use of
technology and do not communicate appropriately about
technology use. The roles that
pertinent to your consult are the health information management
team, the clinical staff (doctors, nurses, etc.), and
administrative staff. The health
information management team uses proper coding practices, and
the current technology system serves them well, despite its age.
However, other roles
in the hospital have had issues with the system. Clinical staff,
for instance, have had record-keeping issues both due to lack of
training on the system and
the system itself being out of date. Administrative staff within
the organization have taken issue with the lack of
communication about the technology
and its use between the various roles. When the current
technology system was chosen many years ago, the needs of
these various roles were not
considered.
You will begin by preparing for your consultation. You will
analyze the history of the field as well as determine standard
guidelines for technology use and
standard technologies used in the field. You will also prepare
information for Featherfall regarding the ramifications for
violating health laws and regulations.
Finally, you will use this information to review technology
options that could be implemented at the institution.
Specifically, the following critical elements must be addressed:

I. Preparation for Consult: In this section of your final project,
you will prepare for your consultation on the organization’s
technology choice. To prepare,
you will analyze the field of health information management for
determining standard technologies and guidelines related to
technology use in order to
inform your technology selection.
A. Analyze key historical events in the field of health
informatics for how technology has been used that could inform
the management of health
information. Be sure to support your response with appropriate
examples.
B. Determine guidelines for technology use in the field of
health information management that Featherfall could
implement. Be sure to support
your response with research.
C. Determine the standard technologies currently used in the
field of health information management. Be sure to support your
response with
research. For example, what record-keeping technologies are
typically used in the field?
D. Develop an overview of how the pertinent roles described at
Featherfall would interact with technology.
E. Describe the process you would use to evaluate new health
information technology systems. Be sure that your process will
evaluate new
systems based on how they meet the needs of the organization
and how they are compliant with health regulations and laws.

II. Health Regulations and Laws Ramifications: In this section
of your final project, you will finish your preparation by
reviewing and explaining the
ramifications for the organization if it decides to wait on
addressing its recent violations regarding technology use.
A. Determine how violating health regulations and laws
regarding technology could impact the finances of the
institution if these violations are not
addressed. Be sure to support your response with examples.
B. Determine how violating health regulations and laws
regarding technology could impact the daily operations of the
institution if these violations
are not addressed. Be sure to support your response with
examples.
C. Determine how violating health regulations and laws
regarding technology could impact the security of the health
information in the institution
if these violations are not addressed. Be sure to support your
response with examples.
http://snhu-
media.snhu.edu/files/course_repository/graduate/him/him500/hi
m500_technology_information.pdf
III. Technology System Recommendations: In this final section
of your final project, you will review the provided technology
options and make informed
recommendations to the organization regarding which

technology it should choose.
A. Determine the needs of the various roles of the organization
in a new technology.
B. Recommend a new health information technology system that
meets the following criteria. Be sure to justify how your
recommendations meet
the criteria. The new health technology must:
1. Abide by provided health regulations and laws
2. Align with the needs of all staff members of the previously
described organization
3. Esnsure the ethical management and use of health
information
C. Determine how the organization could more effectively
invest its financial resources into the recommended technology
system. Be sure to
justify your response.
D. Determine how the organization could monitor the use of the
new health information system. Be sure to justify your response.
E. Determine how the organization could effectively invest its
time into the implementation of the new health information
technology system. Be
sure to justify your response.
Milestones
Milestone One: Analyzing the Landscape/Setting the Scene
In Module Three, you will submit a discussion of the history of
healthcare information management/informatics and the current
landscape in terms of

technology. This milestone will set the stage for your project.
This milestone will be graded with the Milestone One Rubric.
Milestone Two: Moving Toward Compliance
In Module Five, you will submit an analysis of how the
company in the case study is noncompliant and the strategies
(general, not specifics) to move them
toward compliance. This milestone will be graded with the
Milestone Two Rubric.
Milestone Three: Recommendations
In Module Seven, you will submit your recommendations for
technology for the institution and how it will be implemented.
This milestone will be graded with
the Milestone Three Rubric.
Final Submission: Health Information Technology
Recommendations
In Module Nine, you will submit your final project. It should be
a complete, polished artifact containing all of the critical
elements of the final product. It should
reflect the incorporation of feedback gained throughout the
course. This submission will be graded with the Final Project
Rubric.
http://snhu-
media.snhu.edu/files/course_repository/graduate/him/him500/hi
m500_technology_information.pdf

Deliverables
Milestone Deliverable Module Due Grading
One Analyzing the Landscape/Setting the Scene Three Graded
separately; Milestone One Rubric
Two Moving Toward Compliance Five Graded separately;
Milestone Two Rubric
Three Recommendations Seven Graded separately; Milestone
Three Rubric
Final Submission: Health Information
Technology Recommendations
Nine Graded separately; Final Project Rubric
Final Project Rubric
Guidelines for Submission: Your health information technology
recommendations should be 6–8 pages in length (plus a cover
page and references) and must be
written in APA format. Use double-spacing, 12-point Times
New Roman font, and one-inch margins. All references cited in
APA format.
Critical Elements Exemplary (100%) Proficient (90%) Needs
Improvement (70%) Not Evident (0%) Value
Preparation for
Consult: Key

Historical Events
Meets “Proficient” criteria, and
examples used demonstrate a
sophisticated awareness for
how the history of health
informatics can inform the
management of health
information
Analyzes key historical events in
the field of health informatics
for how technology has been
used historically that could
inform the management of
health information, supporting
response with appropriate
examples
Analyzes key historical events in
the field of health informatics
for how technology has been
used historically that could
inform the management of
health information, supporting
response with examples, but
analysis is cursory or illogical or
examples are inappropriate
Does not analyze key historical
events in the field of health
informatics
6.2

Preparation for
Consult: Guidelines
research provided
demonstrates a sophisticated
awareness of the standards for
technology use in the field of
health information
management
Determines guidelines for
health information
management that Featherfall
could implement, supporting
response with research
Determines guidelines for
health information
management that Featherfall
could implement, supporting
response with research, but
determined guidelines are
inappropriate, or supporting
research is misaligned
Does not determine guidelines
for technology use in the field
of health information
management
6.2

Preparation for
Consult: Standard
Technologies
Meets “Proficient” criteria and
demonstrates a comprehensive
awareness of the standard
technologies used in the
modern field of health
information management
Determines the standard
technologies currently used in
the field of health information
management, supporting
response with research
Determines technologies used
in the field of health
information management,
supporting response with
research, but determined
technologies are not standard
currently in the field, or
supporting research is
misaligned
Does not determine
technologies used in the field of
health information
management

6.2
Preparation for
Consult: Roles
demonstrates keen insight into
the interrelationship between
the various roles at the
healthcare organization
Develops an overview of how
the various roles at the
healthcare institution interact
with technology and the health
information management team
Develops an overview of how
the roles at the healthcare
institution interact with
technology and the health
information management
team, but overview is cursory
Does not develop an overview
of how the roles at the
healthcare institution interact
with technology and the health
information management team
6.2
Preparation for
Consult: Evaluate

demonstrates a sophisticated
evaluation process for health
information technologies
Describes the process that
would be used to evaluate new
health information technology
systems for the institution that
meet the needs of the
organization and how they are
compliant with health
regulations and laws
Describes the process that
would be used to evaluate new
systems for the institution, but
description is cursory or
misaligned with the needs of
the organization or health laws
and regulations
Does not describe the process
that would be used to evaluate
new health information
technology systems for the
institution
6.2
Health Regulations
and Laws

Ramifications:
Finances
demonstrates a nuanced
appreciation of the potential
financial ramifications of
regulatory violations on
healthcare institutions
Determines how violating
health regulations and laws
regarding technology might
impact the finances of the
are not addressed, supporting
response with examples
impact the finances of the
explanation is cursory or
illogical, or supporting
examples are misaligned
Does not determine how
violating health regulations and
laws regarding technology
might impact the finances of
the institution if these
violations are not addressed

6.2
Health Regulations
and Laws
Ramifications: Daily
Operations
appreciation of the potential
operational ramifications of
regulatory violations on
healthcare institutions
impact the daily operations of
violations are not addressed,
examples
impact the daily operations of
violations are not addressed,

examples but explanation is
cursory or illogical, or
supporting examples are
misaligned
might impact the daily
operations of the institution if
these violations are not
addressed
6.2
Health Regulations
and Laws
Ramifications:
Security
appreciation of how regulatory
violations might impact the
security of health information
impact the security of the
health information in the
response with examples

impact the security of the
explanation is cursory or
illogical, or supporting
examples are misaligned
might impact the security of the
are not addressed
6.2
Technology System
Recommendations:
Needs
the potential needs of various
roles within the healthcare
organization
Determines the needs of the

various roles of the
organization in a new
technology
Determines the needs of the
various roles of the
technology, but determination
is cursory
Does not determine the needs
of the various roles of the
technology
6.2
Technology System
Recommendations:
Regulations and Laws
justification demonstrates a
nuanced understanding of how
to best abide by the provided
Recommends a new health
information technology that
abides by the provided health
regulations and laws, justifying
response
Recommends new health

abides by health regulations
and laws, but
recommendations are cursory
or not justified
Does not recommend and
justify new health information
technology that abides by
that the institution is currently
not in compliance with
6.2
Technology System
Recommendations:
Staff
nuanced appreciation of how
technologies can meet the
needs of the various staff at the
healthcare organization
aligns with the needs of all staff
members of the organization,
justifying response

aligns with the needs of all staff
members of the organization,
but recommendations are
cursory or not justified
justify a new health information
technology that aligns with the
needs of all staff members of
the organization
6.2
Technology System
Recommendations:
Ethical
nuanced appreciation of how
technologies can ensure the
ethical management of health
information
ensures ethical management
and use of health information,
justifying response

ensures ethical management
and use of health information,
but recommendations are
cursory or not justified
justify a new health information
technology that ensures ethical
management and use of health
information
6.2
Technology System
Recommendations:
Financial Resources
various ways the organization
can financially invest in the
technology system
Determines how the
organization could more
effectively invest financial
resources into the
recommended technology
system, justifying response
Determines how the
resources into the

system, but determination is
cursory, illogical, or not justified
Does not determine how the
resources into the
system
6.2
Technology System
Recommendations:
Monitor
can monitor the use of the
technology system
Determines how the
organization could monitor the
use of the new health
information system, justifying
response
Determines how the
information system, but
determination is cursory,

illogical, or not justified
information system
6.2
Technology System
Recommendations:
Time
can invest time into the
implementation of the
technology system
Determines how the
organization could effectively
invest time into the
implementation of the new
system, justifying response
Determines how the
system, but determination is
cursory, illogical, or not justified

system
6.2
Articulation of
Response
Submission is free of errors
related to citations, grammar,
spelling, syntax, and
organization and is presented in
a professional and easy-to-read
format
Submission has no major errors
spelling, syntax, or organization
Submission has major errors
that negatively impact
readability and articulation of
main ideas
Submission has critical errors
that prevent understanding of
ideas

7
Total 100%
1
2
Admission, Discharge, Transfer
System
Deanna Buchanan
SNHU

Based on the two recommended technology systems, the
organization should choose the Admission Discharge and
Transfer (ADT) system based on its numerous features and
advantages. The ADT system is a crucial component in health
care information systems and is commonly used to track
patients starting from when they get into a health care facility
to the time they are discharged or taken to another health care
facility. This information stores different forms of data;
including patients' contact information, names, age, and medical
record numbers. Implementing the ADT system in the
organization will help keep crucial information and make it
more accessible for health care professionals, besides making it
easily transferable to other health care facilities, thus improving
the quality and speed of providing health care services to
patients.
Choosing the ADT system would be the best option because it
has been attributed to various benefits, including improving
patient care, collecting more reliable information, and
interoperability. These systems usually create a workflow that
enhances the collection of crucial information upon admission
of the patient and then stores the data in a well-organized
manner. The ADT system is designed to assist in improving the
quality of patient information by ensuring that it is always
updated while increasing reliability by providing context, for
instance, historical records and notes where possible (Bartley &
Daiker, 2022). This system can play a crucial role in improving
patient care because it collects and organizes data in one easy-
to-use database. This helps health care professionals to improve
the use of patient history, which generally improves the quality
and timeliness of patient care. For instance, if a patient has a
history of a specific health condition or illness, the medical
practitioners will receive notifications immediately after the
patient is admitted to the health care facility. Due to this,
medical professionals can easily determine whether the disease
is relevant to the current concerns and take necessary action.

Additionally, the ADT system has a high level of
interoperability. The medical center can set up an ADT
interface between various hospitals and huge medical systems in
order to notify a patient's care team of admission, discharge, or
transfer to a hospital. This will allow the health care providers
outside the medical center to be well-informed on what took
place during the patient’s visit.
During the implementation of the ADT system in the medical
center, there are various ethical considerations that must be
observed. Every health care facility has to uphold various
technological principles, including accountability, data
protection, and privacy (Shahid et al., 2022). The health care
facility must ensure that patient-sensitive data is safeguarded to
prevent malicious attacks. Most patients also prefer privacy;
hence, the management must ensure that patient information is
not shared with unauthorized persons. Moreover, the
organization could invest its financial resources more
effectively into the ADT system centered on certain factors.
Based on the provided information, the medical center can
effectively invest in the technology system because the cost of
the interface, software, implementation, training, and yearly
maintenance costs is relatively lower than that of the other
recommended system.
There are different ways the organization could effectively
monitor the use of the ADT system. One of the ways would be
by deploying monitoring devices. These monitoring devices can
be placed strategically in the technology system to collect
essential information and place them at ad hoc locations to track
different types of transactions of interest to the organization.
Some of the monitoring devices that can be used include
intrusion prevention systems, audit record monitoring,
malicious code protection software, scanning tools, and network
monitoring software. Moreover, the organization could
effectively invest its time into the implementation of the ADT
system by training and educating the staff members on how to
use this technology system. Training the staff will provide

significant insights on how the system is used and minimize
mistakes which will, in turn, improve the organization's
operations and improve patient care.
References
Bartley, J., & Daiker, M. L. (2022). Technology Environment.
In The CAHIMS Review Guide (pp. 23-42). Productivity Press.
Shahid, J., Ahmad, R., Kiani, A. K., Ahmad, T., Saeed, S., &
Almuhaideb, A. M. (2022). Data protection and privacy of the
internet of healthcare things (IoHTs). Applied Sciences, 12(4),
1927.
1
2

Compliance Policies
Deanna Buchanan
SNHU
Based on the case study, the company has demonstrated
noncompliance in different ways. First, the company was
recently reported to have violated many government regulations
regarding the present state of its technology and how it utilized
that technology. During the implementation of any form of
technology in an organization, there are several rules and
regulations that all entities should comply with. However,
Featherfall does not comply with this law and regulations
because its technology system is outdated; employees are not
able to use the implemented technology while others are using it
inappropriately. Due to such cases, the company has
experienced significant losses besides experiencing operational
and ethical issues resulting from the ineffective use of
technology. Another key issue in the company is not fully
training the staff on how to use the technology, which is against
the set rules and regulations by the government. The lack of
proper training of employees has resulted in many record-

keeping issues, which might lead to inefficiency in operation
and functioning of the company.
The company must take the necessary steps to ensure that it
complies with the set rules and regulations. Compliance while
using different forms of information systems in an organization
is crucial because it prevents an organization from facing
certain issues, including legal issues or inefficiency in its
operations (De-Vaujany et al., 2018). Some of the strategies and
best practices that Featherfall should implement to enhance
compliance include holding compliance audits, implementing
compliance tools, knowing the regulatory environment,
determining compliance goals, training employees, and
reviewing compliance regulations. One of the most effective
ways to help the company comply with the rules and regulations
is to train employees on how to use new software and
information systems. Some of the ways that the relevant experts
can use to train those employees include using the right format
for training, using training incentives for workers to use the
technology, and making training a priority to improve buy-in.
Whenever employees do not follow compliance policies and
regulations, an organization fails to adhere to the set guidelines
and regulations. Training and educating the staff about the
relevant policies is necessary and ensuring that everyone is held
accountable when they do not follow the policies (Ceric et al.,
2022). It is also important for the management to ensure that it
focuses on certain areas of compliance the company needs to
improve most, including a particular law, regulation, or
violation that is costing the company a lot of money. Regular
review of compliance regulations can help the company identify
its weaknesses, which will allow it to improve and keep its
compliance efforts updated.

References
Ceric, A., Small, F., & Morrison, M. (2020). What indigenous
employees’ value in a business training programme:
implications for training design and government policies.
Journal of Vocational Education & Training, 1–21.
https://doi.org/10.1080/13636820.2020.1754886
De-Vaujany, F. X., Fomin, V. V., Haefliger, S., & Lyytinen, K.
(2018). Rules, practices, and information technology: A trifecta
of organizational regulation. Information Systems Research,
29(3), 755-773.
https://doi.org/10.1287/isre.2017.0771

1Milestone 1Deanna BuchananSouthern New Hampsh

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