Health Information System Case Selection and Proposal

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Chapter 14 Health IT Leadership Case Studies Faculty members and others who teach health administration students are often in search of case studies that can be used to help students apply theory and concepts to real-life IT management situations, encourage problem-solving and critical thinking, and foster discussion and collaboration among students. This chapter provides a compendium of case studies from a variety of health care organizations and settings. It is intended to serve as a supplement to the preceding chapters and as a resource to faculty members and students. Many of these case studies were originally written by working health care executives enrolled as students in the doctoral program in health administration offered at the Medical University of South Carolina. We wish to acknowledge and thank these students for allowing us to share their stories and experiences with you: Penney Burlingame Randall Jones Barbara Chelton Catrin Jones-Nazar Stuart Fine Ronald Kintz David Freed George Mikatarian David Gehant Michael Moran Patricia Givens Lorie Shoemaker Shirley Harkey Gary Wilde Victoria Harkins Most of the cases begin with background information that includes a description of the setting, the current information system (IS) challenge facing the organization, and the factors that are felt to have contributed to the current situation. (All real names and identifying information have been changed from the original cases to protect the identity of the individuals and organizations involved.) Following each case is a set of recommended discussion questions. To the extent possible, the cases are organized by the corresponding chapter(s) to which they relate (see Table 14.1). Table 14.1 List of cases and corresponding chapters Title of Case Corresponding Chapter(s) Case 1: Population Health Management in Action Chapter 4 Case 2: Registries and Disease Management in the PCMH Chapter 4 Case 3: Implementing a Capacity Management Information System Chapter 5 Case 4: Implementing a Telemedicine Solution Chapter 5 Case 5: Selecting an EHR for Dermatology Practice Chapter 5 Case 6: Watson's Ambulatory EHR Transition Chapter 5 Case 7: Concerns and Workarounds with a Clinical Documentation System Chapter 6 Case 8: Conversion to an EHR Messaging System Chapter 6 Case 9: Strategies for Implementing CPOE Chapter 6 Case 10: Implementing a Syndromic Surveillance System Chapters 6 and 12 Case 11: Planning an EHR Implementation Chapters 6 and 12 Case 12: Replacing a Practice Management System Chapters 6 and 13 Case 13: Implementing Tele-psychiatry in a Community Hospital Emergency Department Chapters 6, 7, and 13 Case 14: Assessing the Value and Impact of CPOE Chapter 7 Case 15: Assessing the Value of Health IT Investment Chapter 7 Case 16: The Admitting System Crashes Chapter 10 Case 17: Breaching the Security of an Internet Patient Portal Chapter 10 Case 18: The Decision to Develop an IT Strategic Plan Chapter 12 Case 19: Selection of a Patient Safety Strategy Chapter 12 Case 20: Strategic IS Planning for the Hospital ED Chapter 12 Case 21: Board Support for a Capital Project Chapters 12 and 13 We hope you find the cases thought-provoking and useful in applying the concepts covered in this book to what is happening in health care organizations throughout our nation. We have also included at the end of the chapter a listing of other published cases and webinars that may be useful to you and your students. Case 1: Population Health Management in Action Although the integration of patient-centered medical homes and accountable care organizations into the health system is still emerging—as are best practices and key learnings from these early efforts—there have been myriad examples demonstrating encouraging returns and improvement in quality of care. The Patient-Centered Primary Care Collaborative recently profiled several organizations that have adopted patient health management (PHM) tools and strategies to address the preventive and chronic care needs of their patient populations.