Healthcare Administration 8 Discussion 1
Serenity3203
AH598_WatsonWeek8PPP2.pptxPresenter: Student
Institution: Grantham University
Date: July 2, 2020
ADOPTING TECHNOLOGY IN HEALTHCARE MANAGEMENT AND THE EFFECTS ON PATIENT OUTCOME
In this presentation you will be exposed to the following:
Problem statement and its current scope
Literature review
Strategic plan, who will benefit and what will the healthcare environment looks like once resolved
Recommendations/ limitations
References
CONTENTS OF THIS PRESENTATION
TABLE OF CONTENTS
PROBLEM STATEMENT
Current scope
LITERATURE REVIEW
Theoretical framework in which the problem exists
01
03
02
04
05
STRATEGIC PLAN
Implementation and benefits
RECOMMENDATION FOR FUTURE STUDY/LIMITATIONS
Social and political barriers to implementation
REFERENCES
Over 20 references with vast majority within five years.
COMMENTS
PROBLEM STATEMENT
01
Current Scope
Problem statement
Many healthcare professionals are less adoptive to technology advances, they are not up to date with new medical discoveries, performance measurements and decrease coordination with each other (Seblega 2010). These deficiencies resulted in the analysis of challenges that exists with technology adoption to include, costs, interoperability, outdated technology, difficulty in use of technology and complicated asset tracking and implementation.
Who are affected?
Practicioners, managers, employees, investors, patients and the economy on a whole
Demographics
Analysis done on the two selected countries of Nigeria and the United States both concluded that technology adoption in healthcare is linked to usefulness and ease of use of technology.
01 CONTINUES
History of problem
Discussion about the use of computers began in 1960s.
The possibility of electronic health records (EHR), were examined in 1991.
When did the problem appeared?
Since the discussion to use technology to enhance medical care
01 CONTINUES CURRENT SCOPE
The challenges in health technology adoption is significant because despite the evolution of the society, the importance of these tools for modern technology to improve quality care outcomes and other elaborate benefits that are associated with it is limited (underutilized or low) because of factors to include financial concerns, poor infrastructure, low technical expertise and resistance from healthcare professionals (Zayyad 2018).
01 CONTINUES What is currently being done?
The resistance experienced by both health professionals and patients soon decrease even because of the Coronavirus pandemic. This pandemic is a push factor towards medical technology adoption. Wicklund (2020), explained that the future of healthcare is now reshaped. The increase in the use of telemedicine is seen across the world as it helps in deciding which patients are to be seen in the hospital or elsewhere. This is believed that in order to prevent the spread of the virus patients must be isolated. In addition, there are technologies used to deal with Coronavirus namely symptom trackers, Chatbots, home monitoring and medical tricorders.
01 CONTINUES Role of Managers
Management must be leaders for change, they must have the training and the capabilities to respond to changes in the health system. Since the population is growing and ageing, more patients are receiving care across the health system. As a result, managers must be able to have a process for collaboration and communication between different health professionals.
Also, managers must keep up to date with continuously changing health policies, business models of care delivery and regulations so that they know how to align their organization to the new agendas. In addition, it is the role of the managers to train health personnel and maintain an appropriate mix of employee skills (Figueroa 2019).
01 CONTINUES Responsibility of the problem
Innovators, government and managment
Example of innovators are OpenMRS, they develop software to support healthcare technology effectiveness
Despite its usefulness, some software is not designed to communicate with each other making technology difficult for providers to use and leads to frustration and resistance. Management are to train their staff so that they are prepared for change. Since this is a change, John Kotter’s 8 step model for change may be used (Unknown 2018).
01 CONTINUES Why does the problem exists?
Even if all mindset is changed and everyone is in acceptance of the innovation, problems will always exist, because the use of technology will result in privacy concerns because data can be hacked. This problem is not unaddressed, but as measures are put in place to safeguard information, hackers becomes more knowledgeable as well. The combination of cost and quality is a major factor in technology adoption.
LITERATURE REVIEW
02
What has been published?
Literature Review
Theoretcial Framework
This deals with acceptance, challenges and patient care in relation to technology adoption.
Google and Google Scholar were the major source for finding the information
Key words used for search were: medical technology, patient safety, technology adoption, effects of Coronavirus on technology adoption
Literature Review
The Known and Unknown
Known: major role played by healthcare industry and its unique dependency on technology which is fast tracked by the unknowns of the Coronavirus pandemic.
Known: technology adoption will lead to significant healthcare savings and improve patient care
Known: Despite the benefits, there is not enough progress to implementation because of lack of knowledge, standardization, privacy concerns etc.
Literature Review
The Known and Unknown
Unknown: May be viewed as associated limitations
Researched based literature were used from secondary sources
Effects of pandemic are ongoing and true analysis is difficult to ascertain
Narrow samples were used
Decrease in error rate may result from adoption but machine error may still be an issue
Exact cost for implementation and maintenance cannot be ascertained.
(Wisdom et al 2014)
STRATEGIC PLAN
03
Role of managers,
who will benefit?
what will healthcare look like when problem solved?
Federal Government
-Purchase
-Regulate
-Develop
-Use technology
Federal Government
-Fosters a culture of training
-fosters a culture of privacy and security among developers and users
-competition protection and funding
3 CONTINUES
FEDERAL HEALTH IT PLAN 2020-2025
Goals and objectives for each framework of the strategic plan.
Goals: Promote health and welness, enhance delivery and connect healthcare and data to technology
Management Roles
-train
-Motivate
-persuade or influence
-communicate
2nd Factor for effective implementation
Social- resistance, attitude, benefits, expectation, training etc.
3rd Factor for effective implementation
Organizational- planning, leadership, communication, learning evaluation
3 CONTINUES
STRATEGIC PLAN IMPLEMENTATION
-Identify the challenges associated with implementation in order to combat same (Rucker 2020)
1st Factor for effective implementation
Technical- cost, usability, reliability, flexibility, performance etc.
IN DEPTH
Diagram is based on a five year cost.
Prices may be high but TCO provides a more accurate picture of implementation
Note the variances that exists between on premises and Saas.
Accuracy of TCO
If you want to modify these graphs, click on them, follow the link, change the data and replace them
Direct Costs Total Cost of Ownership (TCO)
Direct Costs
ON PREMISES SaaS 48000 38000
IMPLEMENTATION COSTS CONTINUES Costs varies widely based on type, size and location of healthcare facilities
$162000
$85000
$3094
EHR implementation
For EHR implementation for 1st year
Spent by 30 primary care practices on outside support
INDIRECT COSTS Requires ongoing analysis
Staff time
-to select the system and to side track form regular duties during implementation
Technical and training support
-for staff to learn the new system
Hours spent on implementation preparation
American Action Forum estimates 611 hours spent
Who will pay
Saas
Providers pay fixed monthly subscription costs
On Site
Providers pay ongoing costs to support and manage on site servers
Free EHR platform
-monetized using advertisement revenue, add-ons
Etc.
Pay-to-Play
the provider shifts the costs of the system onto the patients.
Pay-to-Play con’d
The patients are required to pay, sometimes a yearly fee, to use the system
Pay-to-Play con’d
Some advantages of the system may be limited if the patient does not subscribe (Green 2020).
SUSTAINABILITY
(Rogers n.d)
Speaks about institutional, financial as well as participants viability of the program.
(Faggini 2018)
Sustainability of health technology occur will players align their strategies and adjust themselves and behaviors to change.
LABOR AND TECHNOLOGY NEEDED FOR IMPLEMENTATION
| LABOR | TECHNOLOGY |
| Programmers | Additional hardware and software |
| Network Administrators | Cloud based system |
| Help Desk Clerk | Internet |
| Healthcare Team | Document imaging and scanners |
| PC Support | Storage and back up |
| Security | Computer operating system |
| Project Management | |
| Informaticians | |
Communication
Strategic Plan to buy in
User friendly,
ensure the team knows the vision and what adopting this technology will accomplish,
customize training,
participation of influencers to include physicians and government officials,
make it routine, highlight quick wins
consider penalties for nonuse.
Educate on Blockchain savings prediction
Short term vs Long term planning
This strategic plan looks towards a five year plan
Future of healthcare lies in technology adoption
RECOMMENDATION/ LIMITATION
04
This study is based on secondary research therefore already existing data were used which may have questionable variation and timing.
Generalization is limited and the effects of specific technologies were narrowed to only two EHR and telemedicine
Barriers
Technical
Trust
Financial
Resistance to change
Congressional reluctance to address health issues
Limitation and barriers to implementation
REFERENCES
05
REFERENCES
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Callahan, D. (n.d). Health care cost and medical technology. The Hastings Center. Retrieved from https://www.thehastingscenter.org/briefingbook/health-care-costs-and-medical-technology/
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