Operational excellence project
Information Technology Management
Analysis of the Issues
|
Survey Statement |
Identified Issue |
Affected People |
Strategic Priority |
|
Nurse |
|||
|
Often medical supplies were low and had to be ordered by phone at the last minute |
Poor medical supply planning |
Nurse and patients |
HIGH |
|
Due to insufficient staffing. Nurses have to pull a double shift |
Insufficient staffing |
Nurse |
HIGH |
|
Due to patient procedures data missing/not accessible, some of the tests need to be repeated |
Data loss |
Patient and nurse |
MEDIUM |
|
Spending a lot of time in patients record keep when compared to patient care |
Little time when administering medication to patients |
patient |
HIGH |
|
It will take a lot of time to access the immunization records by phone |
Limited access to immunizations |
Nurse |
HIGH |
|
Training sessions allotted time is not enough causing to spend time outside of working hours |
Limited time for Inservice training |
Nurse |
LOW |
|
Patient |
|||
|
Appointments can only be placed over the phone. SIC need to have a portal to schedule appointments online |
Reduced access for patients to make appointments |
Patient |
LOW |
|
Saw an employee leaving the medical file in the open where anyone can look at it |
Insufficient confidentiality |
Patient |
HIGH |
|
Physician |
|||
|
It's difficult to access, maintain and manage physical patient records. Sometimes information is poorly documented |
Poor documentation and retrieval of patient records |
Patient |
MEDIUM |
|
Good to have entire patient history from all the doctors from the day the patient is born |
Poor management of historical data |
Physician |
HIGH |
|
I like to spend time with the patient and teach interns but hate to manage paperwork and administrative activities |
Lengthy and tedious paperwork |
Physician |
MEDIUM |
|
Health Information Management (HIM) Manager |
|||
|
Documentation is inadequate when the corporate auditor wants to examine records for cost and compliance reviews. |
Poor documentation |
HIM manager |
MEDIUM |
|
Facilities storage space are not enough to handle the growing patient files |
Inadequate storage space |
HIM manager |
MEDIUM |
|
Once we lose medical records, they are gone forever |
Loss of data |
HIM manager and patient |
MEDIUM |
|
Please, I don't want to use computer technology since it will increase costs tremendously |
Management resistance |
Patients, nurses, and physicians |
HIGH |
|
The warehouse contains the archived medical records |
Poor management of historical data |
Physician |
HIGH |
In light of the above-tabulated analysis, it is clear that most issues the organization is facing revolve around poor and insecure record-keeping, poor planning, and insufficient funds. The primary assumption is that taking of the problems is imperative, preventing further repercussions (Mathioudakis et al., 2016). The highlighted issues have a direct impact on both internal and external stakeholders in the SIC corporation. Another assumption held is that the problems which are not provided in the list have medium priority to be addressed.
Research Technologies and Technology Trends
The two major categories of technology trends that can address SIC issues are ERP and Big data technologies. Ideally, ERP is made of comprehensive software that offers solutions to specific challenges that the organization faces, but from a single IT architecture perspective (Costa et al., 2016). ERP has been found to operate under three major principles. These are, handling fundamental organizational issues through the correct allocation of resources, enabling the enterprise to generate necessary revenue, and integrating primary administrative record keeping.
ERP has been categorized among the trending technology which is on a rapid rise. They have emerged being effective because major healthcare facilities heavily rely on process-oriented ideologies. The technology can undertake operative and administration activities in an organization. Management and planning in healthcare facilities demand a lot of information, which is difficult to handle manually (Adwan et al., 2013). To date, some elements and capabilities of ERM can address issues SIC is undergoing. For instance, the trend can address storage issues since information will be kept in the cloud. ERM will enhance the integration of new software, generating the necessary policies to run the organization forward.
Big data technology also helps in addressing the challenges being faced. The technology comprises multiple techniques that can facilitate the mining of useful information from large volumes of data (Wang et al., 2018). The trend is ideal because the healthcare sector comprises large volumes of data since new patients keep coming every time. Just like ERM, big data has also been subject to various trends in the contemporary technological world. One of the most important trends is transferring data from an old operating system to a new operating system database. In this way, retrieving data and information has been upheld (Bahssas et al., 2015). Largo Corporation and SIC ought to harness their knowledge and develop the capabilities of accessing the information quickly. The technology can also allow large volumes of data and information using special applications like the HBase system. If the applications can be used correctly, they can be pivotal in storing data and transmission in healthcare centers. Besides, they can facilitate these data's organization that otherwise might be lost or rendered useless using manual processing techniques.
Migration Strategy
A migration strategy is to aid in implementing proposed big data and ERP technology to address the issues that SIC is facing. This migration strategy was developed based on the stakeholder's issues and inputs to optimize technology trends with minimum daily operations impacts (Hung et al., 2018). The management system's migration comprises the patient portals, cloud platform, and online service platform to ensure efficient SIC delivery. The process will involve the following processes; planning, design, input methods, project testing, and launching. The map below depicts the procedure that will be followed.
The Stakeholders will give the information that will be used in the development process. This will comprise of all members who were engaged in the survey. The migration process will point out all the procedures that will be followed to ensure minimum or no disturbance to the current mode of operations (Brunswick, 2017). That is a smooth transition to the new processes. The planning phase is more of a migration activity. It takes into account all the migration processes from start to finish. The implementation and launching steps are also explained under this phase. Vital players of system changeover will play a significant role in ensuring that all requirements have been brought on board.
The primary focus on the design phase is the outcome of the process. That is how future architecture will look like. It incorporates software configuration, determination of hardware requirements that might be needed, and appropriate security measures that should be put in place. This might include conducting the HIPAA assessment (Brunswick, 2017). Data input will involve phase transfer of information from the old system to the new system at department levels. Validation and testing will incorporate checking whether the information that has been entered is correct and if the outcome has been attained. The testing will ensure that no critical information has been left out. The cutover approach taken will involve incremental implementation of the management system. The data will be first migrated to EHT then later to the cloud. Information will be gathered from all perspectives.
During the migration process. The initial step will be explaining the needs for the electronic system. The second is coming up with both short- and long-term goals to be achieved. Thirdly is looking for necessary expertise to address the issues at hand. Fourth is picking the essential framework. Fifth is developing a communication channel and integrating the system in the everyday operations of the organization.
Overall Findings and Recommendations
There exists an urgent need to address issues that the SIC is facing. It is noteworthy noting that the problems impact both internal and external stakeholders, and if they can be left unattended, they would worsen the situation. Based on the analysis done upon the issues, ERP and big data are the significant technologies that can help address the challenges. These anticipate a positive outcome on the current state of the organization. The development process will follow a definite procedure to ensure that nothing has been left out and the objectives have been attained.
Adwan, O., Sleit, A., Qatawneh, M., Huneiti, A. M., & Khalil, T. (2013). Implementing a Total Healthcare Enterprise Resource Planning System. International Journal on Information, 16(6), 3997–4004. https://www.researchgate.net/publication/236985559_Implementing_a_Total_Healthcare_Enterprise_Resource_Planning_System Bahssas, D. M., AlBar, A. M., & Hoque, M. R. (2015). Enterprise resource planning (ERP) systems: design, trends, and deployment. The International Technology Management Review, 5(2), 72-81. Retrieved from https://www.atlantis-press.com/journals/itmr/24089 Brunswick, D. (2017). HIT thinks about how to use IT to improve healthcare supply chain operations. Retrieved from https://www.healthdatamanagement.com/opinion/how-to-use-it-toimprove-healthcare-supply-chain-operations Costa, C. J., Ferreira, E., Bento, F., & Aparicio, M. (2016). Enterprise resource planning adoption and satisfaction determinants. Computers in Human Behavior, 63, 659-671. Retrieved from https://www.sciencedirect.com/science/article/pii/S0747563216304265 Hung, D.Y., Harrison, M.I., Truong, Q. and Du, X., (2018). Experiences of primary care physicians and staff following lean workflow design. BMC Health Services Research, 18:24. https://doi.org/10.1186/s12913-018-3062-5 Mathioudakis, A., Rousalova, I., Gagnat, A. A., Saad, N., & Hardavella, G. (2016). How to keep good clinical records. Breathe, 12(4), 369-373. Retrieved from https://breathe.ersjournals.com/content/12/4/369.short Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126, 3-13. Retrieved from https://www.sciencedirect.com/science/article/pii/S0040162516000500