Outline of the challenges in developing integrated multichannel (nurse, call centre and web) compliance programmes to support multiple sclerosis patients. Presentation given at numerous conferences in Europe and the USA during 2007. This version presented at EyeforPharma's Patient Compliance and Communications conference, Geneva, June, 2007.
Keeping up with tech trends can be difficult, especially when it comes to healthcare — an industry that’s fast-evolving, notoriously complex, and shouldering an ever higher demand — but it is crucial.
Here’s an overview of the tech trends that are having the greatest impact on small to mid-sized practices, along with input from Staples Business Advantage Director of Healthcare Technology, James Clarke, on the importance of keeping pace.
From remote patient monitoring to antimicrobial devices, discover the technology that’s helping practices meet a wider range of patient needs, boost efficiency and improve the overall quality of care for patients.
There are a growing number of instances in which inappropriate contractual arrangements have been trigged by the coronavirus pandemic, causing unnecessary disputes with third-parties and compensation losses. Such disputes can decrease the chance of recovering pre-existing profitability and reputation levels in the mid and long-term.
5 Dangers of Not Having Call Recording in Your Contact CenterSpok
Do you have a call recording solution in your contact center? A consistent, intuitive system for recording all calls and interactions that evaluates how they are handled enables you to provide agents with the tools they need to deliver top-notch customer service every time. Learn about the 5 dangers of not having call recording in your contact center.
Reimagine patient safety 2030 governance through a unified safety platformVeeva Systems
Technology disruptions and healthcare transformation are shifting the roles of QPPV's and senior safety leaders to a more predictive, preventative and participatory safety ecosystem.
During the DIA QPPV Forum, Sharmila Sabaratnam, Senior Director Vault Safety Strategy, shared how you can improve collaboration, benefit-risk data flow and quality and generate insights to maximise patient outcome and minimise avoidable harm through medical governance oversight.
For more information visit:
www.veeva.com/eu/products/vault-safety
Outline of the challenges in developing integrated multichannel (nurse, call centre and web) compliance programmes to support multiple sclerosis patients. Presentation given at numerous conferences in Europe and the USA during 2007. This version presented at EyeforPharma's Patient Compliance and Communications conference, Geneva, June, 2007.
Keeping up with tech trends can be difficult, especially when it comes to healthcare — an industry that’s fast-evolving, notoriously complex, and shouldering an ever higher demand — but it is crucial.
Here’s an overview of the tech trends that are having the greatest impact on small to mid-sized practices, along with input from Staples Business Advantage Director of Healthcare Technology, James Clarke, on the importance of keeping pace.
From remote patient monitoring to antimicrobial devices, discover the technology that’s helping practices meet a wider range of patient needs, boost efficiency and improve the overall quality of care for patients.
There are a growing number of instances in which inappropriate contractual arrangements have been trigged by the coronavirus pandemic, causing unnecessary disputes with third-parties and compensation losses. Such disputes can decrease the chance of recovering pre-existing profitability and reputation levels in the mid and long-term.
5 Dangers of Not Having Call Recording in Your Contact CenterSpok
Do you have a call recording solution in your contact center? A consistent, intuitive system for recording all calls and interactions that evaluates how they are handled enables you to provide agents with the tools they need to deliver top-notch customer service every time. Learn about the 5 dangers of not having call recording in your contact center.
Reimagine patient safety 2030 governance through a unified safety platformVeeva Systems
Technology disruptions and healthcare transformation are shifting the roles of QPPV's and senior safety leaders to a more predictive, preventative and participatory safety ecosystem.
During the DIA QPPV Forum, Sharmila Sabaratnam, Senior Director Vault Safety Strategy, shared how you can improve collaboration, benefit-risk data flow and quality and generate insights to maximise patient outcome and minimise avoidable harm through medical governance oversight.
For more information visit:
www.veeva.com/eu/products/vault-safety
Pharmacovigilance Smart Sourcing Strategy: Vendor Selection for Safety & Risk...Covance
Strategic planning, sourcing and implementation of safety and risk management operations are complex activities that involve a multitude of factors. Due to the maturity of the outsourcing industry, compliant, quality and efficient safety operations are basic expectations now for the outsourcing of pharmacovigilance (PV) activities. This trend has enabled sponsors to focus their in-house resources on the strategic elements of safety and risk management while leveraging the service provider's capabilities.
CAST’s U.S. Federal group helps government agencies maximize IT investments and optimize performance through the use of proven technologies and best practices.
Business Continuity & Disaster Recovery Planning 02 - 04 December 2013 Kuala ...360 BSI
Disasters could cripple your organization, suspending mission-critical processes and disrupting service to your customers. These disasters could be man-made or natural in nature.
The Business Continuity Plan addresses an organization’s ability to continue functioning when normal operations are disrupted. A Disaster Recovery Plan is used to define the resources, action, tasks, and data required to manage the business recovery process in the event of a disaster.
In this workshop you learn to identify vulnerabilities and implement appropriate countermeasures to prevent and mitigate threats to your mission-critical processes. You will learn techniques for creating a business continuity plan (BCP) and the methodology for building an infrastructure that supports its effective implementation.
Benefits of Attending:
Using a carefully selected case study, course participants will:
- Create, document and test continuity arrangements for an organization
- Perform a risk assessment and Business Impact Assessment (BIA) to identify vulnerabilities
- Select and deploy an alternate site for continuity of mission-critical activities
- Identify appropriate strategies to recover the infrastructure and processes
- Organize and manage recovery teams
- Test and maintain an effective recovery plan in a rapidly changing technology environment
Exclusive:
- Bring your BCP/DRP for private consultation review
- BCP/DRP Step-by-step Guide
- BCP/DRP templates and worksheets to aid you in applying and putting into practice what you have learned from this workshop
- FREE CD containing course material, case studies, and other related items of the training workshop
Who should attend:
- Vice Presidents, Directors, General Managers
- Chief Information Officers
- Chief Security Officers
- Chief Information Security Officers
- Chief Technology Officers
- Heads of Departments in Information Security Management
Contact Kris at kris@360bsi.com to register.
It was a pleasure to moderate a workshop to assess cyber security risks hosted by Strategy Insights. We discussed options and practices to quantify confidentiality, integrity, and availability risks with delegates of the big players in the pharma, banking, retailing, and service sectors in the Nordics.
Thanks to Anna Rose Poyntz, Finlay Wilson, and Edgar Baier for the event coordination.
Round tables https://lnkd.in/e_m5eTW5
#cybersecurity #compliance #strategy #banking #ciso #riskmanagement
An example of ICS\'s Technology at work. Contact me for further examples in the Pharma Sector, in Global Health Management, and in support of reducing infant mortality in developing countries.
Transforming the Contact Center in a Multi-Channel Banking OrganizationSimon Angove
In a rapid changing multi-channel banking industry contact centers must transform their operation or face obsolescence. Those that do can play a critical role in improving customer satisfaction and loyalty and generating revenue.
Cmgt 582 Effective Communication / snaptutorial.comHarrisGeorg12
You are part of a team has been selected by the Chief Information Officer (CIO) to perform an audit of the HR Department.
Create a 10- to 12-slide presentation (not including the title and reference slides) that examines the specific audit steps that should be performed to evaluate the following areas:
• Handling of ethical issues, including security-related legal/regulatory compliance (non-privacy related), intellectual property and licensing
• Compliance with privacy related laws and regulations
An analysis of the value of external studies to risk managers, and how to improve them
Once again during the last part of the year, academic institutions, consultancy firms, think-tanks and insurance companies are publishing studies on top risks. But what is the value of these studies to risk managers? The impact on the media and social networks surely justifies the marketing value for the organisations funding the reports. However, the impact on street-level risk managers is to be discussed.
IT Risk Management & Leadership 23 - 26 June 2013 Dubai360 BSI
WHY IS THIS IT RISK ASSESSMENT WORKSHOP IMPORTANT?
Are you effectively securing your organization’s IT systems that store, process, or transmit organizational information?
Is your IT risk management plan tailored to the specific risk profile of your business and being coordinated across all functional and business units?
With the release of IT Governance frameworks, requirements for risk management and new international standards entering the market, the pressure is mounting to ensure that all your IT risks are identified and the necessary action is taken – be this to mitigate them, accept or ignore them. So, how safe is your IT system? What are the risks that your organization is being exposed to?
The solution to this challenge is to establish an effective risk management process that protects the organization, not just its IT assets, and provides it with the ability to perform its mission.
Risk management is the process of identifying and assessing risk and taking preventive measures to reduce it to an acceptable level. It is critical that you develop an effective risk management program that assesses and mitigates risks within your IT systems and better manages these IT-related mission risks.
BENEFITS OF ATTENDING THIS WORKSHOP
Identify common IT project risks
Learn how to assess threats and vulnerabilities to create a risk response strategy
Understand what qualifies as risk with IT projects
Understand the most common IT risk sources
Qualify and quantify IT risks
Learn the difference between negative and positive IT risks
Develop an IT risk management plan
Plan risk response methods for IT risks
Create risk mitigation and contingency plans
Monitor and control project risks
Overcome resistance from stakeholders and team members
WHO SHOULD ATTEND THIS WORKSHOP
IT risk managers
IT security managers
Compliance officers
Program and project managers
IT project managers
IT operation manager
Contact Kris at kris@360bsi.com to register.
While the majority of executives and internal audit leaders agree that data analytics is important, according to the 2016 IIA CBOK study, only 40% of respondents are using technology in audit methodology. Why the disconnect?
In this webinar, we will identify some of the common challenges associated with starting and continuing to use data analytics in your audit process. Easy-to-implement methods that help expand the use of data analytics and improve your audit coverage will also be presented.
Learning objectives
• Discuss ways to increase and expand the use of data analytics, including business and technology applications
• Identify the skills needed for successful use of data analytics
• Provide guidance on obtaining internal management support
• Offer tips on how to measure staff utilization and the effectiveness of analytics during audits
For information on our Webinars visit AuditNet.org (www.auditnet.org)
Pharmacovigilance Smart Sourcing Strategy: Vendor Selection for Safety & Risk...Covance
Strategic planning, sourcing and implementation of safety and risk management operations are complex activities that involve a multitude of factors. Due to the maturity of the outsourcing industry, compliant, quality and efficient safety operations are basic expectations now for the outsourcing of pharmacovigilance (PV) activities. This trend has enabled sponsors to focus their in-house resources on the strategic elements of safety and risk management while leveraging the service provider's capabilities.
CAST’s U.S. Federal group helps government agencies maximize IT investments and optimize performance through the use of proven technologies and best practices.
Business Continuity & Disaster Recovery Planning 02 - 04 December 2013 Kuala ...360 BSI
Disasters could cripple your organization, suspending mission-critical processes and disrupting service to your customers. These disasters could be man-made or natural in nature.
The Business Continuity Plan addresses an organization’s ability to continue functioning when normal operations are disrupted. A Disaster Recovery Plan is used to define the resources, action, tasks, and data required to manage the business recovery process in the event of a disaster.
In this workshop you learn to identify vulnerabilities and implement appropriate countermeasures to prevent and mitigate threats to your mission-critical processes. You will learn techniques for creating a business continuity plan (BCP) and the methodology for building an infrastructure that supports its effective implementation.
Benefits of Attending:
Using a carefully selected case study, course participants will:
- Create, document and test continuity arrangements for an organization
- Perform a risk assessment and Business Impact Assessment (BIA) to identify vulnerabilities
- Select and deploy an alternate site for continuity of mission-critical activities
- Identify appropriate strategies to recover the infrastructure and processes
- Organize and manage recovery teams
- Test and maintain an effective recovery plan in a rapidly changing technology environment
Exclusive:
- Bring your BCP/DRP for private consultation review
- BCP/DRP Step-by-step Guide
- BCP/DRP templates and worksheets to aid you in applying and putting into practice what you have learned from this workshop
- FREE CD containing course material, case studies, and other related items of the training workshop
Who should attend:
- Vice Presidents, Directors, General Managers
- Chief Information Officers
- Chief Security Officers
- Chief Information Security Officers
- Chief Technology Officers
- Heads of Departments in Information Security Management
Contact Kris at kris@360bsi.com to register.
It was a pleasure to moderate a workshop to assess cyber security risks hosted by Strategy Insights. We discussed options and practices to quantify confidentiality, integrity, and availability risks with delegates of the big players in the pharma, banking, retailing, and service sectors in the Nordics.
Thanks to Anna Rose Poyntz, Finlay Wilson, and Edgar Baier for the event coordination.
Round tables https://lnkd.in/e_m5eTW5
#cybersecurity #compliance #strategy #banking #ciso #riskmanagement
An example of ICS\'s Technology at work. Contact me for further examples in the Pharma Sector, in Global Health Management, and in support of reducing infant mortality in developing countries.
Transforming the Contact Center in a Multi-Channel Banking OrganizationSimon Angove
In a rapid changing multi-channel banking industry contact centers must transform their operation or face obsolescence. Those that do can play a critical role in improving customer satisfaction and loyalty and generating revenue.
Cmgt 582 Effective Communication / snaptutorial.comHarrisGeorg12
You are part of a team has been selected by the Chief Information Officer (CIO) to perform an audit of the HR Department.
Create a 10- to 12-slide presentation (not including the title and reference slides) that examines the specific audit steps that should be performed to evaluate the following areas:
• Handling of ethical issues, including security-related legal/regulatory compliance (non-privacy related), intellectual property and licensing
• Compliance with privacy related laws and regulations
An analysis of the value of external studies to risk managers, and how to improve them
Once again during the last part of the year, academic institutions, consultancy firms, think-tanks and insurance companies are publishing studies on top risks. But what is the value of these studies to risk managers? The impact on the media and social networks surely justifies the marketing value for the organisations funding the reports. However, the impact on street-level risk managers is to be discussed.
IT Risk Management & Leadership 23 - 26 June 2013 Dubai360 BSI
WHY IS THIS IT RISK ASSESSMENT WORKSHOP IMPORTANT?
Are you effectively securing your organization’s IT systems that store, process, or transmit organizational information?
Is your IT risk management plan tailored to the specific risk profile of your business and being coordinated across all functional and business units?
With the release of IT Governance frameworks, requirements for risk management and new international standards entering the market, the pressure is mounting to ensure that all your IT risks are identified and the necessary action is taken – be this to mitigate them, accept or ignore them. So, how safe is your IT system? What are the risks that your organization is being exposed to?
The solution to this challenge is to establish an effective risk management process that protects the organization, not just its IT assets, and provides it with the ability to perform its mission.
Risk management is the process of identifying and assessing risk and taking preventive measures to reduce it to an acceptable level. It is critical that you develop an effective risk management program that assesses and mitigates risks within your IT systems and better manages these IT-related mission risks.
BENEFITS OF ATTENDING THIS WORKSHOP
Identify common IT project risks
Learn how to assess threats and vulnerabilities to create a risk response strategy
Understand what qualifies as risk with IT projects
Understand the most common IT risk sources
Qualify and quantify IT risks
Learn the difference between negative and positive IT risks
Develop an IT risk management plan
Plan risk response methods for IT risks
Create risk mitigation and contingency plans
Monitor and control project risks
Overcome resistance from stakeholders and team members
WHO SHOULD ATTEND THIS WORKSHOP
IT risk managers
IT security managers
Compliance officers
Program and project managers
IT project managers
IT operation manager
Contact Kris at kris@360bsi.com to register.
While the majority of executives and internal audit leaders agree that data analytics is important, according to the 2016 IIA CBOK study, only 40% of respondents are using technology in audit methodology. Why the disconnect?
In this webinar, we will identify some of the common challenges associated with starting and continuing to use data analytics in your audit process. Easy-to-implement methods that help expand the use of data analytics and improve your audit coverage will also be presented.
Learning objectives
• Discuss ways to increase and expand the use of data analytics, including business and technology applications
• Identify the skills needed for successful use of data analytics
• Provide guidance on obtaining internal management support
• Offer tips on how to measure staff utilization and the effectiveness of analytics during audits
For information on our Webinars visit AuditNet.org (www.auditnet.org)
Understanding hmis implementation in a developing country ministry of health ...Ime Asangansi, MD, PhD
Abstract
Globally, health management information systems (HMIS) have been hailed as important
tools for health reform (1). However, their implementation has become a major challenge for
researchers and practitioners because of the significant proportion of failure of
implementation efforts (2; 3). Researchers have attributed this significant failure of HMIS
implementation, in part, to the complexity of meeting with and satisfying multiple (poorly
understood) logics in the implementation process.
This paper focuses on exploring the multiple logics, including how they may conflict and
affect the HMIS implementation process. Particularly, I draw on an institutional logics
perspective to analyze empirical findings from an action research project, which involved
HMIS implementation in a state government Ministry of Health in (Northern) Nigeria. The
analysis highlights the important HMIS institutional logics, where they conflict and how they
are resolved.
I argue for an expanded understanding of HMIS implementation that recognizes various
institutional logics that participants bring to the implementation process, and how these are
inscribed in the decision making process in ways that may be conflicting, and increasing the
risk of failure. Furthermore, I propose that the resolution of conflicting logics can be
conceptualized as involving deinstitutionalization, changeover resolution or dialectical
resolution mechanisms. I conclude by suggesting that HMIS implementation can be improved
by implementation strategies that are made based on an understanding of these conflicting
logics.
HMIS, the flagship of the Tamil Nadu Health System Project was implemented in a phased manner, started as Pilot (during the year 2008), followed by Phase- I (during the year 2009), Phase-II (during the year 2010) and finally Phase III (2011).
Health Management Information System “HMIS” is a judicious combination of Information
Technology (IT) and Management Systems, to deliver improved evidence based health care to the public at large. Health Management Information System also provides information based support for the implementation of cutting-edge reforms by the Tami Nadu Health Systems Project. Apart from Primary Health Centers and Secondary Care Hospitals, this project is envisaged to include all the Tertiary Care Hospitals including the Medical Colleges.
Implementing Systems OverviewHealth information technology (HIT) e.pdfanikkothari1
Implementing Systems Overview
Health information technology (HIT) encompasses implementing a broad scope of applications,
technology, and operational activities (1.1 HIT Visioning and Strategic Planning), depending on
your organization and its goals (1.2 Goal Setting). This tool provides an overview of a typical
implementation of an electronic health record (EHR) system for a hospital. Use this tool to
understand the broad range of topics that you will need to consider during HIT implementation.
Overview of Implementation
Although specifics with respect to an implementation will vary by vendor and application, any
implementation should follow a similar high level structure:
1. Project management
2. Workflow and process redesign
3. Detailed plan creation
4. Issues management
5. Workflow and process redesign
6. Preparing for and installing hardware
7. Network development/refinement
8. Security risk analysis and controls
9. Super user training
10. Software installation and system configuration (a.k.a., “system build”), including report
writing, interfaces, data conversion
11. Testing
12. End user training
13. Preparation for go live
14. Go live
15. Benefits realization and recognition
16. Optimization strategies
Project Management
Even though your vendor will supply significant project support, you need to designate an
individual within your hospital to be the project manager, representing your interests and
ensuring that information learned during the process is retained within the hospital for future
reference. (1.2 Project Management, 1.2 Project Management Job Description)
Your project manager will be responsible for many activities:
o Managing your harmonized project plan, making sure the project gets completed on time and
within budget.
o Organizing your staff resources, team building, maintaining the project budget, approving
invoices, and handling other elements of making sure the hospital completes the designated tasks
on the project plan completely, accurately, and on time.
o Carrying out your communication plan (1.1 Communication Plan), including reminding others
to perform their necessary communications and potentially even scripting them for others such as
the CEO.
Workflow and Process Redesign
Ideally during the planning phases you will map current workflows and processes, using these to
initiate change management and create expectations to achieve goals, to help you identify system
requirements and select the most appropriate vendor, and potentially even to make adjustments
in workflows and processes today where streamlining or other improvements are feasible without
HIT. Mapping current workflows and processes gives you slightly less work to do during
implementation. This step is essential for configuring the system to your specifications and
anticipating changes with the new system.
Over just the past few years, the industry as a whole has come to recognize that not attending to
workflow and process redesign during HIT planning .
The medical device industry is facing unprecedented challenges due to emerging technologies and increased regulatory scrutiny.
Current “waterfall” product development methods are ill-suited to dealing with the pace of change and uncertainty that product development organizations are facing. This eBook addresses:
* The shortcomings of waterfall development specifically in regulatory environments.
* How agile development meets the safety, reliability and regulatory needs of the medical device and diagnostics industry.
* How agile development can help ensure delivery of successful software.
1Within the EHR[footnoteRef1] [1 ] [Student Name Removed.docxvickeryr87
1
Within the EHR
[footnoteRef:1] [1: ]
[Student Name Removed]
Abstract— This research paper was conducted to demonstrate the usefulness, positives, negatives and challenges associated with implementing the Electronic Health Record in a small private family practice group. Further use of research in this paper includes pieces on project implementation, government security accordance and system recommendations.
INTRODUCTION
Health information technology (HIT) has been revolutionized by the development of the electronic health record (EHR) and its expansion. The generalization of its use includes the transformation of paper patient charts and protected health information (PHI) into electronic forms and from there the options to revolutionize HIT began. The development of the EHR has brought a multitude of advantages and challenges with its implementation in the HIT world. Although the functions of EHR have allowed for both public and private sectors to utilize its possibilities, the private sector will be focused on in this situation. The ability for an electronic system to safely document, record, save, integrate and share with other instantly has allowed HIT to expand rapidly to all corners of the world.
EHR functionalities
In health information technologies, electronic health records have been identified by the Institute of Medicine as having eight core components which include the following [1]: recording patient health information and data, result management, physician order management, decision support, electronic communication and connectivity, patient support, administrative process and reporting, reporting requirements, and population health. Table 1 allows a visual representation of the core components along with other variable options available through the EHR [2]:
As seen, the electronic health record is much more than digitized patient records. As the EHR has the ability to provide functions ranging from patient care through supportive administration functions and even the function of informational infrastructure guidance in order to better aid the staff of the practice in clinical and clerical office services.
Integration of Practice Management System
Practice management systems (PMS) have multiple levels of integration with electronic health record systems yet there are difficulties at each level. Levels of integration can range from full system communication sharing all data entered in to each system or select data pending on the organizations need for level of integration from one system to another [3]. To distinguish the two systems, practice management systems provide more clerical functions of a physician’s office such as patient billing profiles, insurance verification, appointment scheduling and sending appointment reminders [3]. Co-coordination between the two systems have become increasingly more difficult due to the evolution and development of multiple EHR products. As organizations develop new electronic h.
This Discussion offers you the opportunity to apply return on in.docxgasciognecaren
This Discussion offers you the opportunity to apply return on investment (ROI) concepts in a real case scenario. As is often the case, technology offerings involve costs that must be justified by virtue of expense reductions for revenue increases in the organization. There are creative opportunities in the Discussion for leaders to facilitate the development of the revenues into the organization and operational changes that reduce expenses.
Scenario:
Dynamic Health System is a 3-hospital, 500-bed system in the Midwest United States. This system employs 100 physicians, both primary care and specialists, in 12 physician practices. Dynamic also runs a center of excellence in orthopedic care for the large geriatric population in the area, including an outpatient rehabilitation facility that is currently profitable. Dynamic offers a full spectrum of medical and surgical services to their population with an emphasis on programs of excellence in orthopedic surgery, diabetes, and women’s care.
Dynamic’s typical patient mix is over 45% Medicare with another 35% private pay patients covered by three large insurance companies. Their Medicaid population is approximately 12%, with the reminder of patients self-pay.
Due to market forces, the three private payers have begun to implement a program of bundled payments for their members in the following areas: hip replacements, knee replacements, and lower back surgeries. In these models, Dynamic hospitals and employed physicians will be paid a fixed amount for an entire episode of care from pre- surgery evaluation, through surgery and post-surgery, physical therapy, and rehabilitation. Medicare is likewise proposing a pilot study for a population of hip replacement beneficiaries to assess the outcomes of care as opposed to procedure costs as a result of Dynamic’s petition to receive increased payments for beneficiaries due to age demographics and for being the only orthopedic geriatric center in 200 miles.
As a result of these factors and the aging HIT infrastructure, the Chief Medical Officer (CMO), Chief Executive Officer (CEO), and Chief Information Officer (CIO) of Dynamic are proposing the purchase of a monolithic Electronic Health Record (EMR) solution that will provide complete online documentation, orders, pharmacy, labs, and patient portal for all hospitals and employed physician offices. Because the (1) physician offices are currently using Epic Corporation’s back office billing system with an outstanding record of accurate coding and short “days in Accounts Receivable” and (2) Epic’s EMR has a high ranking in industry HIT assessments, the executive team is proposing the purchase of Epic’s clinical EMR (documentation, ancillaries, orders, and patient portal).
The CFO is supportive but skeptical, as the Epic bid is approximately $1.5 M to implement the clinical software with a continued $300K per year in software maintenance and support. Current clinical technologies information systems are fra ...
Transformation of legacy landscape in the insurance worldNIIT Technologies
Evolving business models decrease the distance between customers and providers. The need for direct and easy communication and the transparency between the two increases, and products silos are curtailed. The insurance industry is struggling with a multitude of applications that require extensive maintenance and have mediocre capabilities. This white paper aims at helping organizations understand the issues involved in effective management of the existing legacy systems.
1. Assignment #2 Technology Project pertinent to their practTatianaMajor22
1.
Assignment #2
Technology Project pertinent to their practice environment
THIS WEEK DUE PART II AND THOSE TO SUBMIT THE ENTIRE PROJECT (PAPER) . PART I ALREADY WITH CORRECTIONS SUGGESTED, IF ANY, AND PART II
Grading Criteria for Assignments #1 & 2
Technology Project Paper Part 1 (20 points of grade)
Technology Project Paper Part 2 (20 points of grade)
Student to identify a Technology Project pertinent to their practice environment. This proposal must include:
Executive Summary; Description of Project; Rationale Topic chosen; Research-supported by evidenced based recent literature; Project Clinical Goals & Objectives; Market/Financial Project Analysis;
Plan for Evaluation; Plan for Alternative Assumptions & Strategies.
Include how this project is applicable to the present Healthcare system in terms of the issues of healthcare access, quality & cost. Include 2 MSN Essentials.
Minimum 10 pages, double spaced,
Maximum 15 pages, double spaced, APA format.
Part 1:
• Identify Topic of Project Proposal (2 points)
• Description of project & Background Discussion (5 points)
• Goals & Objectives & Significance discussion (5 points)
• Include evidenced based research to support paper, at least three (5 points)
• Overall: Focused, Ideas with clarity, Overall compliance with grammar & APA 6th format (3 points). Include cover page and reference used on part I
Part 2:
*10 pages, double spaced, APA format style including cover and reference pages
• Financial Proposal analysis (4 points)
• Alternative plan of actions (4 points)
• Proposed project plan to include: (8 points)
o Project activities
o Timeline
o Budget
o Evaluation Plan
• Executive Summary at end of project (4 points)
Top of Form
2
2
Technology Project Paper Part 1
Electronic Health Records
Florida National University
Jose Cardentey
Health Care Informatics
Professor Jacquelin Alonso
January 28,2022
Electronic Health Records Proposal
Executive Summary
The healthcare sector has making bold strides in reducing the number of medical errors which have been claiming the lives of many patients by adoption of numerous technology to determine the technology that will be most effective. among these technologies is Electronic Health Records whose goal is to improve the documentation of patient information to guide practitioners when prescribing medication and keeping track of the patient outcomes. The deployment of this technology in the health facility calls for collaboration with different shareholders in different disciplines in the health sector. For successful implementation, the proposal provides a list of activities that need to executed. They include development of the lead committee who will oversee the accomplishment of the project goals, strategies to manage the EHR system and the strategies to manage changes that will face the system due to the rapidly changing business environment. The goal of this report is to analyze the background of the technology and briefly descr ...
STUDY PROTOCOL Open AccessSafety Assurance Factors for Ele.docxhanneloremccaffery
STUDY PROTOCOL Open Access
Safety Assurance Factors for Electronic Health
Record Resilience (SAFER): study protocol
Hardeep Singh1*, Joan S Ash2 and Dean F Sittig3
Abstract
Background: Implementation and use of electronic health records (EHRs) could lead to potential improvements in
quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks.
Proactive assessment of risks and vulnerabilities can help address potential EHR-related safety hazards before harm
occurs; however, current risk assessment methods are underdeveloped. The overall objective of this project is to
develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and
effective.
Methods/Design: This work is conceptually grounded in an 8-dimension model of safe and effective health
information technology use. Our first aim is to develop self-assessment guides that can be used by health care
institutions to evaluate certain high-risk components of their EHR-enabled clinical work systems. We will solicit input
from subject matter experts and relevant stakeholders to develop guides focused on 9 specific risk areas and will
subsequently pilot test the guides with individuals representative of likely users. The second aim will be to examine
the utility of the self-assessment guides by beta testing the guides at selected facilities and conducting on-site
evaluations. Our multidisciplinary team will use a variety of methods to assess the content validity and perceived
usefulness of the guides, including interviews, naturalistic observations, and document analysis. The anticipated
output of this work will be a series of self-administered EHR safety assessment guides with clear, actionable,
checklist-type items.
Discussion: Proactive assessment of patient safety risks increases the resiliency of health care organizations to
unanticipated hazards of EHR use. The resulting products and lessons learned from the development of the
assessment guides are expected to be helpful to organizations that are beginning the EHR selection and
implementation process as well as those that have already implemented EHRs. Findings from our project, currently
underway, will inform future efforts to validate and implement tools that can be used by health care organizations
to improve the safety of EHR-enabled clinical work systems.
Keywords: Electronic health records, Health information technology, Patient safety, Risk assessment, Resilience
Background
Several countries have made recent multi-billion dollar
investments in electronic health record (EHR) infra-
structure to transform their health care delivery systems.
However, implementation of EHR-related initiatives has
encountered greater than expected challenges [1-4].
Although successful transformations have occurred in a
few pioneering healthcare organizations across the globe,
[5,6] the vast majority of organizations are still in the
process of implementing.
Evolving healthcare trends coupled with a slew of new features and functions to consider can overwhelm anyone charged with the task. Case managers typically are not been involved in the selection process, but that seems to be changing as organizations realize their input can be useful when it comes to choosing the most effective and efficient system.
Case managers who do get this opportunity can be prepared by staying up-to-date on the latest healthcare trends and technology that impact medical management functionality. While it is difficult to keep up with the expanding symbiotic interface between technology and care management workflow processes, case managers must understand how technology solutions can improve processes and patient outcomes.
Project: Risk Management Plan
Purpose
This project provides an opportunity to apply the competencies gained in the lessons of this course to develop a risk management plan for a fictitious organization to replace its outdated plan.
Learning Objectives and Outcomes
You will gain an overall understanding of risk management, its importance, and critical processes required when developing a formal risk management plan for an organization.
Required Source Information and Tools
Web References: Links to Web references in this document and related materials are subject to change without prior notice. These links were last verified on April 19, 2015.
The following tools and resources that will be needed to complete this project:
· Course textbook
· Internet access for research
Deliverables
As discussed in this course, risk management is an important process for all organizations. This is particularly true in information systems, which provides critical support for organizational missions. The heart of risk management is a formal risk management plan. The project activities described in this document allow you to fulfill the role of an employee participating in the risk management process in a specific business situation.
The project is structured as follows:
Project Part
Deliverable
Project Part 1
Task 1: Risk Management Plan – Due 2/19
Submission Requirements
All project submissions should follow this format:
· Format: Microsoft Word or compatible
· Font: Arial, 10-point, double-space
· Citation Style: Your school’s preferred style guide
Scenario
You are an information technology (IT) intern working for Health Network, Inc. (Health Network), a fictitious health services organization headquartered in Minneapolis, Minnesota. Health Network has over 600 employees throughout the organization and generates $500 million USD in annual revenue. The company has two additional locations in Portland, Oregon and Arlington, Virginia, which support a mix of corporate operations. Each corporate facility is located near a co-location data center, where production systems are located and managed by third-party data center hosting vendors.
Company Products
Health Network has three main products: HNetExchange, HNetPay, and HNetConnect.
HNetExchange is the primary source of revenue for the company. The service handles secure electronic medical messages that originate from its customers, such as large hospitals, which are then routed to receiving customers such as clinics.
HNetPay is a Web portal used by many of the company’s HNetExchange customers to support the management of secure payments and billing. The HNetPay Web portal, hosted at Health Network production sites, accepts various forms of payments and interacts with credit-card processing organizations much like a Web commerce shopping cart.
HNetConnect is an online directory that lists doctors, clinics, and other medical facilities to allow Health Network customers to find the right type of care at the righ.
Post 1Participative Budgetary Process serves several benefit.docxstilliegeorgiana
Post 1
Participative Budgetary Process serves several benefits for managers in an organization. This process involves the participation of managers from all levels within the organization in the final decision regarding the allocation of budget with mutual consent. In participative budgetary process it utilizes the proficiency of managers in specific areas, with these the realistic and attainable goals are achieved. As it tends to produce budgets that are more achievable since lower-level employees are better positioned to inform their supervisors where funds need to be allocated. It also provides a good channel for communication between departments and managers and thus, it allows for better understanding between the internal goals of departments and helps in building cooperation within the organization. Participative budgeting shows management’s confidence in its staff. It acts as a motivation to employees since they can focus to meet the budget objectives. Employees feels recognized if they participative in the process thus giving them the impression that they are valued. Employee involvement in the process improves their morale, providing them with a greater urge to work harder towards the attainment of the goals that they helped set.
Four deficiencies in Patricia Eklund’s participative policy for planning and performance evaluation purposes and recommendations of how the deficiencies can be corrected:
The participatory process is defeated by the arbitrary revision of the budgets that are approved. The contingency budget should be separate, over and above each department’s original submission.
The fixed costs such as salaries and contracts are to be included in the budget. Since these costs are fixed, organizations should try to eliminate the dependence on cost-cutting requirements.
The fiscal responsibility is treated here as a tool of control as well as performance evaluation. This alone can’t be used as performance evaluation. Increase in the costs might have produced additional excess returns. So along with costs exceeding in the budget, the reasons should also be evaluated.
Contingency funds created by holding a specific proportion of funds of each department may not be correct. As some departments have good prospects coming up but they may fail due to lack of funds. Managers of all departments should be included in decision making while allocating funds to the respective departments.
Post 2
1. Some of the operational and behavioral benefits that are generally attributed to a participatory budgeting process are as follows:
a. Utilization of the best knowledge of activities in a specific area, because the participants are close to daily operations
b. Goals that are more realistic and acceptable.
c. Improved communication and group cohesiveness.
d. A sense of commitment and willingness to be held accountable for the budget.
2. Identify deficiencies in t ...
May 2011 Newsletter Mexican Companies Cross The U S Border
"The Risks and Rewards when Implementing Electronic Medical Records Systems"
1. The Risks and Rewards when Implementing Electronic Medical Records Systems
By: Erin Smith Aebel and Douglas Cherry
There’s No Such Thing as Free Money
In 2009, President Obama signed the American Recovery and Reinvestment Act (“ARRA”)
designed to stimulate the American economy. Part of this bill is the Health Information Technology
for Economic and Clinical Health Act, or the HITECH Act. The HITECH Act is in part designed to
stimulate the healthcare industry into switching from a paper-based medical records system to an
electronic medical records (“EMR”) system. $17.2 billion in Medicare and Medicaid incentives
have been allocated to eligible providers who are “meaningful users” of EMR technology. For
example, starting in 2011, physicians, hospitals and healthcare providers who are “meaningful
users” of certified EMR technology will receive up to $44,000, which will be paid out over a five-
year period in the form of medical incentive payments. The maximum payment in the first year is
$18,000 (2011 and 2012) and bonus payments decline each subsequent year, to be phased out in
2016.
On July 13, 2010, the Department of Health and Human Services (“HHS”) published its
final rules on “meaningful use” and EMR standards. During the first year (Stage I) of adoption,
physicians must comply with fifteen, and hospitals fourteen, core objectives. Eligible providers
must use certified EMR software, which must include the ability to send compliant electronic
prescriptions to pharmacies. Providers must be able to electronically exchange health information
with labs, hospitals, providers and payees. Providers must also be able to submit clinical quality
measures. The 15 core criteria for physicians are:
1. Use computerized physician order entry
2. Implement drug and allergy interaction checks
3. Generate and transmit permissible prescriptions electronically
4. Record demographics
5. Maintain an up-to-date problem list of current and active diagnoses
6. Maintain an active medication list
7. Maintain an active medication allergy list
8. Record and chart changes in vital signs
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9. Record smoking status for patients thirteen years old or older
10. Implement one clinical decision support rule
11. Report ambulatory clinical quality measures
12. Upon request, provide patients with an electronic copy of their health
information
13. Provide clinical summaries for patients for each office visit
14. Capability to exchange key clinical information electronically
15. Protect electronic health information through the implementation of appropriate
techniques.
Physicians must also choose five from a list of ten additional criteria to implement in 2011-2012.
In January 2011, clinicians may begin the ninety day process of using a certified record per
meaningful use requirements. Attestation begins in April 2011 and CMS payments in May 2011. If
a health care provider is considering applying for these stimulus funds, there are other legal and
practical considerations that go beyond complying with the “meaningful use” regulations.
Implementation of EMR Systems and the Unique Nature of Software Projects
The implementation of EMR systems frequently involves complex software and project
management considerations. Software projects often go over budget and fail to meet deadlines,
sometimes by several hundred percent. Resulting damages could easily run into the millions of
dollars.
Healthcare organizations and physicians typically consider "off the shelf" software or
SaaS (Software as a Service) models to handle separate business functions. Often, its physicians
and administrators want to integrate, control, and track all functions -- from scheduling to billing
to patient follow-up -- using one software system. This is typically accomplished by selecting a
core product, adding some specialized programs, and creating enough custom software to make
the parts operate together. When a core product cannot be found, it must be custom-designed or
several products must be integrated. It is the authors’ understanding that there is currently no
“one-stop” solution that addresses all facets of the healthcare process or of the core criteria listed
above.
As a general rule, the more customized the software or the more integration required, the
greater the risk that creating the new EMR system will be problematic. If a system has been
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successfully created or implemented by the same vendor for similar healthcare providers a great
many times before, chances are low that the project will spin out of control in both time and
expense. As the amount of customization or the size of the system increases, the risk escalates.
Software system construction is unique because software is intangible and problems can
be elusive. For example, if the first floor of a proposed office building is too small to support
larger upper stories, the flaw is obvious and can be addressed quickly. But flaws in the early
design of software are often not necessarily evident and may not be fixed until it is too late. Any
deviation from rules and procedures for good software selection, design, configuration, and
testing can harm the project substantially.
Mistakes made early in the project tend to do more damage than those made later.
Projects that move rapidly (and cheaply) through early phases may be most at risk. What appears
to be early success may actually be a sign of poor project management.
Certain steps, or disciplines, in software system creation are designed to prevent errors,
inconsistencies, and the need for later changes. These include a thorough initial analysis of the
client's needs, rigorous workflow and software design, effective training, strict standards,
enforced methodology, and multiple levels of testing. When any of these are neglected to focus
on system "production," the resulting EMR system may be riddled with errors.
Trying to implement these disciplines later in the project may actually create more errors
and inconsistencies, and the project may deteriorate into chaos as the "to do" list grows along
with the budget and project staff. The project enters into a spiral of endless complications and
goes out of control. For example: data entered into the system cannot be retrieved, data is
retrievable but corrupt, patient payments/information are lost, or billing is inaccurate. At that
point, the healthcare provider suffers losses not only from having a poor system, but also from
resulting damage to its business and reputation.
It is important to consult legal counsel early in the process to discuss and strategize
important safeguards and preventive measures to avoid the traps associated with the
implementation of these type of projects. The attorney should have a thorough understanding of
the software process, familiarity with applicable law (including the Uniform Commercial Code)
and litigation experience in software performance disputes. This involves the ability to identify
the reasons a software project can fail, which include bad project management techniques,
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inadequate gathering of requirements, poor project implementation, and a lack of testing plans or
technical expertise.
Preventative Measures to Avoid Common Pitfalls
To avoid these issues and problems, project planning should be carefully strategized:
• The organization should assign or engage a project manager (PM) with a clear
understanding and broad knowledge of EMR applications. This PM should work
closely with the vendor PM. Both PMs should have experience with multi-
department and multi-vendor implementations. If the PM skill is not available
in-house, the organization should consider engaging a third-party consultant PM
to plan and manage the effort. If a PM is only temporarily engaged, then he or
she should mentor an internal resource so that the knowledge is retained, as post
implementation struggles are common.
• Careful vendor selection, using a planned request for proposal process, is critical.
There are many resources available regarding vendors, such as feedback from
prior implementations.
• A good contract, which clarifies expectations in the software implementation
process, is key. It will clearly define all parties’ responsibilities and contain a
clear and measurable list of project deliverables (tangible outcomes) and
milestones. It will also detail the function and performance of deliverables, rather
than using vague and immeasurable technological terms. If deliverables or
milestones are not met, the penalties should be explicitly laid out in the
agreement. Payment should not be upfront, but should be staggered throughout
the project life-cycle based on client approval of deliverables. Be wary of one-
page flat-fee proposals before requirements are gathered, or a contract that does
not account for change orders or acceptance procedures.
• “I paid for it, so I own it” is a common misconception in the realm of software
copyright (and intellectual property in general). Ownership of intellectual
property, by default, will lie with the third party vendor, unless specific language
to the contrary is included in the agreement. You do not want to spend hundreds
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of thousands of dollars on a software system to later discover that you only have a
non-exclusive license to use the software with no right to modify the system
without the vendor’s approval (which may be contingent on further payment).
• Often counsel is consulted late in contract negotiations as an effort to get a “legal
signoff” of the contract. The approach is problematic as any recommended
changes to a contract late in the negotiations can raise red flags or slow the
process. Counsel should be involved as early as pre-contract activities such as
vendor or third-party consultant selection.
• If multiple vendors are used, then an overall project plan or project charter should
be documented and agreed upon by all. The plan will articulate scope and
approach, and clearly define measures of success in order to manage expectations
for the overall project.
• It is not realistic to agree to a deliverable timeline without the vendor first
understanding the project requirements.
• Always allow for timeline flexibility. Most software projects go over time.
• Understand that changes in requirements are inevitable. “Scope creep” (the
change in a project's scope after the project work has started) should be managed
with change orders and careful processes.
• Involve all members of the healthcare team in the process.
• Enter the implementation process with a mindset that the EMR system should not
just “computerize” current business processes, workflows and procedures, but
should improve them. The flow of information in most hospitals and doctors’
offices is not as efficient as it could be. Before the implementation occurs,
workflows should be carefully analyzed for deficiencies and improvements.
Everyone from the administrators to the staff should be open to changes, as the
new EMR system will surely impact nearly every business process. No software
can match all of your current methods exactly.
Taking the foregoing steps, which include a well-defined project plan and detailed
agreement, are important to make sure that your EMR project is on time and on budget.
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