Operational excellence project
Information Technology Management
Overview
Suburban Independent Clinic suffers quite a number of issues which ought to be addressed.
Patients complain of Outdated software.
The firm fully relies on manual processing tools.
Both internal and external stakeholders have aired their grievances.
Analysis of the issues
Most issues regard poor management, insecurity of patient information, poor record keeping and insufficient funds.
First assumption made is that it is imperative preventing further issues.
Second assumption is that issues not presented in the list have medium to low priorities.
Nurses Analysis
| Survey Statement | Identified Issue | Affected People | Strategic Priority |
| Often medical supplies were low and had to be ordered by phone at the last minute | Poor medical supply planning | Nurse and patients | HIGH |
| Sometimes there is inadequate staffing of nurses and I have to work a double shift. It’s just not fair! | Insufficient staffing | Nurse | HIGH |
| Occasionally we have to repeat tests because we cannot find the patient’s data. | Data loss | Patient and nurse | MEDIUM |
| I spend less time on patient care and more on bookkeeping | Little time when administering medication to patients | patient | HIGH |
| It takes a while to contact immunization registries by phone | Limited access to immunizations | Nurse | HIGH |
| I don't have time to take training sessions I need during regular office hours | Limited time for Inservice training | Nurse | LOW |
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Patients Analysis
| Survey Statement | Identified Issue | Affected People | Strategic Priority |
| Patient | |||
| I can only make appointments by phone. SIC, you need to move to the 21st century! | Reduced access for patients to make appointments | Patient | LOW |
| I once saw an employee leave my medical records out in the open where anyone can view them! | Insufficient confidentiality | Patient | HIGH |
Physicians Analysis
| Survey Statement | Identified Issue | Affected People | Strategic Priority |
| It takes a long time to get patient records from the filing cabinet. It is sometimes misfiled or even missing! | Poor documentation and retrieval of patient records | Patient | MEDIUM |
| I wish I could see the patient’s medical history from birth to the present particularly when the patient has changed doctors | Poor management of historical data | Physician | HIGH |
| I like spending time with patients and teaching but I hate the paperwork and administration issues I face it every day! | Lengthy and tedious paperwork | Physician | MEDIUM |
HIM Manager Analysis
| Survey Statement | Identified Issue | Affected People | Strategic Priority |
| Documentation is inadequate when the corporate auditor wants to examine records for cost and compliance reviews. | Poor documentation | HIM manager | MEDIUM |
| The facility is running out of space due to the frequent addition of file cabinets to hold the growing patient data | 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 a computer technology since it will increase costs tremendously | Management resistance | Patients, nurses, and physicians | HIGH |
| Archived medical records are stored in a warehouse | Poor management of historical data | Physician | HIGH |
Research Technologies and Trends
The technologies to be used are ERM and Big Data analytics.
They two technologies have a number of trends that are relevant to the issues occurring in SIC.
The two technologies utilize current technology.
Research Technologies and Trends: ERP
handling basic organizational issues through the correct allocation of resources.
Enabling the enterprise to generate necessary revenue
Integrating primary organizational record keeping.
ERP serves to ensure that all manual processes have been automated. The management of basic organizations is directly related to the allocation of the resources. Better understanding will facilitate the right resource allocation. Through normal functioning of the organization, it will be easier for the organization to generate the necessary revenue needed. Organizational record keeping and management is enhanced because the associated problems will be associated.
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Research Technologies and Trends: ERP Cont.
ERP is among the trending technologies
ERP is effective in healthcare centers
ERP technology can undertake both operative and administrative activities in the organization.
The technology can address some current issues in SIC.
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 has the capacity of undertaking 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 have the capacity of addressing 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 that can run the organization forward.
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Research Technologies and Trends: Big Data
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, Kung, and Byrd, 2018). The trend is ideal because the healthcare sector comprises large volumes of data since new patients keep on 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 the ability to transfer data from an old operating system to a new operating system database.
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Technology can facilitate mining of useful information.
Trend is ideal since health centers have large volumes of information.
Comprises of multiple trends in the current technology world.
Research Technologies and Trends: Big Data Cont.
. The technology can also allow the storage of large volumes of data and information using special applications like the HBase system. If the applications can be used in the right way, they can be pivotal in storing data and information available in the healthcare centers. Besides, they can facilitate the organization of these data that otherwise, might be lost or rendered useless using manual processing techniques.
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Facility quick access of information.
Technology allows storage of information
Allows organization of information in the required manner.
Migration Strategy
The purpose of the migration strategy is to aid the implementation of 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 the implementation of technology trends with minimum impacts on daily operations (Hung et al. 2018). The migration of the management system comprising of the patient portals, cloud platform, and online service platform will ensure efficient service delivery in SIC
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Purpose of migration is implementing the anticipated plans
The strategy is in line with stakeholders needs and suggestions.
System will comprise of a dashboard addressing patients issues.
Migration Strategy Cont.
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 processes that will be followed in ensuring minimum or no disturbance at all to the current mode of operations (Brunswick, 2017). That is a smooth transition to the new processes. The planning phase is more of 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 major focus on the design phase is the outcome of the process, that is how the 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 incorporate 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.
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Overall Findings and Recommendations
There is to address issues at SIC
Failure to address issues will worsen the situation
Technology advancement will aid formulation of solutions to the issues faced.
ERP and bog data technology can help address these issues.
There exists an urgent need of addressing issues that SIC is facing. It is noteworthy noting that the issues are impacting 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 it is noted that ERP and big data are the major technologies that can help address the challenges being faced. 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.
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References
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
References
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