homework in informatics

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VISION AND SCOPE WITH REQUIREMENTS

UK HEALTHCARE –EPIC SYSTEMS – JOHN SMITH

Clarity/Project Number: 1

Version Number: 1.0

Version Date: 12/1/18

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REVISION HISTORY

Date Version Description Author

12/1/18 1 Official Proposal for new EHR systems John Smith

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PROJECT OVERVIEW

UK HEALTHCARE CURRENTLY USES 5 DIFFERENT EHR PROGRAMS THROUGHOUT ALL DEPARTMENTS. THE GOAL OF THIS PROJECT IS TO INTRODUCE ONE EHR SYSTEM THAT WILL BE USED UNIVERSALLY AT UK HEALTHCARE. THIS NEW SYSTEM WILL BE USED BY ALL DEPARTMENTS AND WILL COVER THE NEEDS OF ALL DEPARTMENTS.

THE PURPOSE OF THIS TYPE OF UNIVERSAL SYSTEM IS TO INCREASE CONTINUITY OF CARE FOR ALL PATIENTS WITHIN THE CARE OF UK HEALTHCARE AND TO INCREASE PATIENT OUTCOMES AND SATISFACTION BY GIVING PROVIDERS FULL ACCESS TO ALL MEDICAL RECORDS AT THE

TIME OF SERVICE.

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1. PROJECT DESCRIPTION

This project was requested by executive leadership at UK Healthcare.

The purpose of this project is so identify and implement a new Electronic Health Record system that can

be used universally within the enterprise.

The EHR system that would best suit the needs of UK Healtrhcare would be EPIC Systems. This system

will eliminate the need for multiple other programs for charting. Paper charts will also be eliminated.

All memebrs of the committee and executive leadership must agree unanimously to move forward with

the purchase of this system.

This new system will reduce the amount of medical errors and increase patient outcomes by putting all

patient information into one uniform system.

This project will not change how outside records are reviewed or scanned into the system.

While this project will come with a very high cost, the better outcomes and patient satisfaction will pay for itself as it helps to increase reimbursements from insurance providers. This system will also eliminate

the need to update multiple large software programs which can be time consuming and costly as well.

Our target date for completion of upload, training, and implementation is Fall of 2019.

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1.1 SCOPE (MAJOR FEATURES)

1) Epic Systems was built to be an all inclusive charting system that can effectively be shared by an entire healthcare community.

2) Predictive analytics and embedded decision support tools support clinical practice to yield better outcomes.

3) Allow case managers to achieve the best possible outcomes with tools to proactively identify high risk patients, close care gaps, coordinate care delivery and ensure upcoming services are covered.

4) Network-based provider recommendations at the point of service so your providers and staff can make financially responsible decisions about members' care.

5) Patients have personal and family health information at their fingertips with MyChart. They can message their doctors, attend e-visits, complete questionnaires, schedule appointments, and be more

involved in managing their health.

1.2 REQUIREMENTS:

FR # Detail of Requirement Done When

1.1 As a user I need the system to provide consistent tools

and templates

The system provides consistent

tools and templates

1.2 As a user I need the system enable collaborative

communication between departments

The system enables

collaborative communication

between departments

1.3 As a user I need the system to reduce the need for

multiple system upgrades

The system reduces the need for

multiple upgrades

1.4 As a user I need all patient orders located in one system The system contains all patient

orders

1.5 As a user I need the system to reduce duplicate testing The system reduces duplicate

testing

2.1 As a user I need the system to provide tools for

simplifying provider workflow built into system

They system provides tools for

simplifying provider workflow

2.2 As a user I need the system to reduce errors The system reduces errors

2.3 As a user I need the system to provide built in warnings

for drug interactions

The system provides built in

warnings for drug interactions

2.4 As a user I need the system to provide built in warnings

for fall risks

The system provides built in

warnings for fall risks

2.5 As a user I need the system to provide built in predictive

analytics to aid providers in decision making

The system provides built in

predictive analytics to aid

providers in decision making

3.1 As a user I need the system to make insurance

information and eligibility information readily available

The system makes insurance

and eligibility information

readily available

3.2 As a user I need the system to provide referral

coordination

The system provides referral

coordination

3.3 As a user I need the system to accept outside orders for

testing

The system accepts outside

orders for testing

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3.4 As a user I need the system to provide outreach to rural

communities and better quality patient record keeping

The system provides outreach

to rural hospitals

3.5 As a user I need the system to provide transfer of care

simplified by precise printing options

The system provides transfer of

care

4.1 As a user I need the system to provide utilization

management tools

The system provides utilization

management tools

4.2 As a user I need the system to cross check insurance to

make sure services are covered

The system checks insurance

for covered services

4.3 As a user I need the system to provide warning pop ups

for costly procdures/drugs

The system provides warnings

for costly procedures/drugs

4.4 As a user I need the system to provide pharmacy options

for cheaper generics

The system provides pharmacy

options for cheaper generics

4.5 As a user I need the system, to provide options for

different clinical routes that may save the patient money

The system provides options for different clinical routes based

on patient cost

5.1 As a user I need the system to provide patient secure

access to their own chart

The system provides the patient

secure access to their chart

5.2 As a user I need the system to help in reduction of

manual medical record requests

The system helps reduce

manual medical record requests

5.3 As a user I need the system to provide better patient

understanding of services offered.

The system provides better

patient understanding of

services offered

5.4 As a user I need the system to provide a more thorough

patient friendly explanation of test results

The system provides a patient

friendly explanation of test

results

5.5 As a user I need the system to provide a secure way to

directly message providers with questions and concerns

The system provides a secure

way to directly message

providers

1.3 IT SOLUTION: NEW UNIVERSAL EHR SYSTEM

1.4 TEST CASES AND OUTCOMES:

• Testing requirements will involve a team of providers, nurses, and administrative staff that will use a mock version of the software for 2 weeks.

• Software will be inspected by this team and evaluated using a utilization checklist and a lengthy survey at the end of the trial period.

• All information will be presented to executive leadership for discussion.

1.5 OPERATIONAL READINESS:FALL OF 2019

1.6 DEPLOYMENT NOTES:

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1.7 ASSUMPTIONS:

1.8 EXTERNAL DEPENDENCIES:

1.9 PROJECT PLAN:

 TASKS DUE DATE RESPONSIBLE NOTES

 Kickoff Meeting 12/1/18 John Smith  VSR/Blueprint Complete 12/1/18 John Smith

 IT Estimate Refinement Complete  Release Slotting  Design Document / Technical Stories

Complete

 IT Development Complete  Test Plan/Strategy Complete  Operational Readiness Document

Complete

 SIT Testing Complete

 UAT Testing Complete

 Technical Turn Complete

 PPV Complete  Obtain Business Owner Signoff

 Close Project in Clarity/SharePoint

1.10 APPROVALS:

Date Name Role Method

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2. APPENDIX