Project management Healthcare sytems

HIMT-370

Milestone #2 – Systems Planning: Systems Request

Purpose

In this milestone, the project has now made it through the pre-planning phase and you are ready to make a formal request for the new system. In order to formally kick-off the request, you will be working on completing the request for systems services document. This document is the first formal request for the new system. The request is short, but it provides a high-level overview of the need for the system and what it will provide to UWG.

Background

UWG is interested in a new information system to support its business and health information management needs. The new system would replace a mix of paper-based and fragmented computer systems. Dr. Jones had previously asked you to work with him as a systems analyst and help the group develop an information system that will support current operations and future growth. You will explore the possibility of a business support system for the scheduling, billing, accounting, and payroll functions of the practice as well as a system to support the clinical applications of Electronic Medical Records (EMR), Computerized Provider Order Entry (CPOE), and a Clinical Decision Support System (CDSS).

At your next meeting, Dr. Jones explains what the practice partners have in mind in more detail. They are looking for a medical practice software solution that allows each office worker to conduct their job more efficiently. He explains to you what systems they are looking for from the perspective of a patient who comes into the office.

Lisa Sung schedules a patient’s appointment and the patient comes into the office for the first time. On this appointment, an EMR is started for the patient that includes the patient’s demographic information, medical history, and insurance information. A patient may be coming in to see any one of the healthcare providers, including a physician, nurse practitioner, physical therapists, or the nutritionist. These providers would enter any orders or prescriptions into the EMR with the CPOE system. The Providers who use the EMR and CPOE system are supported by the CDSS. Patients often schedule a follow-up appointment before leaving the practice office. After a patient’s visit, Susan Gifford, who maintains the patient medical records, reviews the records to ensure they are complete. Carla Herrera orders any supplies needed to replace items used by the patient.

Tammy Alipio begins billing the patient’s insurance provider for services that were rendered to the patient. Tom Capaletti follows up on the billing to ensure the practice is getting paid for all claims. Dr. Jones also tells you that the system should also include modules to support Fred Brown and Corinne Summers in HR and payroll.

You explain to Dr. Jones that you would like to conduct a preliminary investigation that will give you the information you need to make recommendations about what system they should pursue. Dr. Jones agrees to your investigation and you set a follow-up appointment in one month.

Tasks

1. Health information management is a rapidly-growing sector that impacts healthcare delivery. Every specialized area has its own vocabulary, and health information management is no exception. Conduct an Internet search to learn about Electronic Medical Records (EMR), Computerized Provider Order Entry (CPOE), and a Clinical Decision Support System (CDSS). Describe your findings, in a table, using nontechnical language that is easy to understand introducing each of the health information systems. In another table discuss the business advantages for implementing each system from the perspective of a provider, patient and administration.

2. Complete a Request for Information System Services by filling out the MS2-Request_for_Information_System_Services template.

Format

Task 1)

Health Information System	Introduction
Electronic Medical Record (EMR)	A computerized database that typically includes demographic, past medical and surgical, preventive, laboratory and radiographic, and drug information about a patient. It is the repository for active notations about a patient's health. Most EMRs also contain billing and insurance information and other accounting tools.
Computerized Provider Order Entry (CPOE)	(CPOE) is an application that allows health care providers to use a computer to directly enter medical orders electronically in inpatient and ambulatory settings, replacing the more traditional order methods of paper, verbal, telephone, and fax.
Clinical Decision Support System (CDSS).	Is any system designed to improve clinical decision-making related to diagnostic or therapeutic processes of care use specific parameters to provide information or recommendations directly relevant to a specific patient encounter at the point of care.

Task 1)

Health Information System	Provider Impact/Advantages	Patient Impact/Advantages	Administration Impact/Advantages
Electronic Medical Record (EMR)	Enhances security of PHI. Accessibility to electronic records Training needed for implantation, ability to spend more time with PT	Helps with continuity of care, allows PT access to medical record. Quality of care can improve, Possible privacy threats	Affordable system, smart investment, Reduces cost of duplicate testing and documents
Computerized Provider Order Entry (CPOE)	A CPOE system can prevent errors at the ordering by standardized, legible, complete orders. A faster process, Users can bypass safety features in place	Can improve PT safety, better quality of care	Can prevent errors at transcribing stages. Standardizes structure of documents, Must be used with CDSS for max benefits
Clinical Decision Support System (CDSS).	Is used to enhance health and health care, reduces medical errors, Can be time consuming, Users should not depend only on system	Works with CPOE to prevent prescribing errors, Improve PT safety, More time with provider	Data must be imputed properly for system to work effectively, improve clinical documentation, need to be trained

Task 2)

UWG	Universal Wellness Group Phone: (512) 786-5555 Fax: (512) 786-5545	Request for Information Systems Services
DATE OF REQUEST	SERVICE REQUESTED FOR DEPARTMENT(S)
09/18/2020	scheduling, billing, accounting, and payroll functions, clinical staff

SUBMITTED BY (key user contact)	EXECUTIVE SPONSOR (funding authority)
Name Yamelette White	Name Dr. Timothy Jones
Title System Analyst	Title Physician
Office HIMT 370	Office UWG
Phone 512-555-5522	Phone 512-786-5566

TYPE OF SERVICE REQUESTED:

|_| Information Strategy Planning |_| Existing Application Enhancement

|_| Business Process Analysis and Redesign |_| Existing Application Maintenance (problem fix)

X New Application Development |_| Not Sure

|_| Other (please specify _______________________________________________________________________

BRIEF STATEMENT OF PROBLEM, OPPORTUNITY, OR DIRECTIVE (attach additional documentation as necessary) UWG clinic is looking for information system to support its business and health information management needs. The current system is a hybrid of electronic and paper system. This is not cost effective and can increase cost. The new system will need to be compatible with CPOE, EMR, and CDSS

BRIEF STATEMENT OF EXPECTED SOLUTION It should provide the clinic to function in a more organized way with the possibility to grow. It will allow all UWG employees to be productive and work efficiently in their roles and job functions.

ACTION (ISS Office Use Only) X Feasibility assessment approved Assigned to Yamelette White |_| Feasibility assessment waived Approved Budget $ _____________ Start Date __ _____ Deadline _ ___ |_| Request delayed Backlogged until date: ______________ |_| Request rejected Reason: ________________________________________________ Authorized Signatures: _____________________________________ _________________________________________________ Project Executive Sponsor