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ProposalforaBIS.pptxA patient information management system—electronic health record (EHR)
Student’s name
Course name and number
Instructor’s name
Date
Description of the business organization
The business organization for which the proposed information system is being made is a medical facility
The clinic is involved in the provision of medical services to a small population in the community where it is located
The proposed system is electronic health record (EHR), with the selected vendor being Epic Systems
EHR refers to an electronic form of the medical history of a patient that involves real-time patient-centered record for ensuring availability of patients’ information in a secure and accurate manner, with the information being availed to authorized users (Simpson, 2015). They contain medical history of patients, treatment plans for different patients, diagnoses, medications, information about patients’ allergies, laboratory tests and immunization dates, and test results (Simpson, 2015). The system allows for quick access to evidence-based strategies that can be used by health care providers for effective decision making.
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Similar existing systems
Other similar systems are:
eClinicalWorks v10
McKesson Practice Choice
However, based on the nature of the organization, Epic Systems is the preferred vendor.
Epic Systems provide training to medical staff, with the training focused on ensuring the medical staff have the necessary skills and ability to operate the system in an effective way and take advantage of its immense benefits. Additionally, the system is easier to execute which makes it easier to be used by individuals who do not have high technical skills. Epic EHR systems employ a central Intersystem Cache database for the management of all patient transactions and records, with secondary presentation servers and reporting databases (Joshi, Thorpe, & Waldron, 2018). The system has a patient Data Protection Solution that provides full-system backup as well as restore capabilities for other servers, ensuring ultimate protection of patient data (Joshi, Thorpe, & Waldron, 2018).
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Required technology platforms
There are technological considerations with the implementation of EHR provided by Epic Systems
Some of the technological considerations include:
Addition of workstations
Servers
Network configurations, and
Equipment such as computers and other hardware
However, Epic Systems offer adequate technological support for effective and smooth implementation of their information systems. Technological support available include system maintenance and regular updates to ensure the system operates efficiently (Joshi, Thorpe, & Waldron, 2018). Troubleshooting and monitoring services are also offered to ensure operational efficiency.
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Business requirements of EHR
Cloud based—availability of computers with web access
Client-server hardware
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Functional requirements of EHR
Management of patient demographics
Administration of patient-specific care plans and instructions
Electronic communication
The system has to meet the criteria for meaningful use. Meaningful use involves the use of electronic health record for improvement of quality, reduction of health disparities, and improvement of efficiency and safety (Wright, et al., 2013). It also involves provision of security to patient health information and maintenance of patient privacy, in addition to improving care coordination. With regard to Epic EHR system, it provides for meaningful use, even though the system does not allow users to freely share data since it charges a fee for sending data to some non-Epic systems.
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Alternative system development methodologies
An alternative system development methodology is SDLC.
SDLC methodology has five key phases, namely:
Investigation
Analysis
Design
Implementation, and
Maintenance
Investigation phase involves checking if the proposed or new information system is feasible, in addition to checking the costs that are associated with the new system (Project Management Institute, 2017). Analysis helps in determining the requirements of users of the system. Design is concerned with the production of technical specifications for the proposed system, with implementation phase being concerned with the gathering of hardware and tools needed to put the proposed system into motion (Satzinger, Jackson, & Burd, 2015). Implementation phase therefore includes any training and testing required to put the proposed system into motion or operation.
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Benefits of the proposed system
EHR promotes improvements in the quality of health care
It makes health care convenient for providers and patients as well.
Facilitates easier access to information by patients by availing health information of patients in one place
The proposed system, Epic system, is highly flexible and provides for integration of mobile apps for improved quality of care delivery. There are mobile apps and portals, with the most common app being MyChart, an app that gives patients-controlled access to medical records. Other mobile apps include Bedside, PlanLink, EpicCare Link, Lucy, Canto, and Haiku (Joshi, Thorpe, & Waldron, 2018). With the use of mobile apps, patient data is protected by ensuring that the access to medical records is controlled and only authorized persons get access to the medical records. For instance, a patient can only access his/her information with the patient being required to provide validation details prior to gaining access to the medical records.
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Benefits of the proposed system— Epic system
Facilitates provision of:
Safe
Prompt
Efficient and
Reliable care
This is achieved through provision of reliable and speedy access to complete and comprehensive health information
The first reason for selecting Epic System as the preferred vendor for electronic health records is based on the vendor’s focus on quality and efficiency of systems, methods, processes, procedures. The vendor also has the patient at heart, with their focus being on empowering healthcare providers by offering them a solution that ensures increased patient satisfaction through provision of timely, quality health care services.
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References
Joshi, A., Thorpe, L., & Waldron, L. (2018). Population health informatics : driving evidence-based solutions into practice. Burlington, MA: Jones & Bartlett Learning.
Project Management Institute. (2017). Guide to the project management body of knowledge. Project Management Institute.
Satzinger, J. W., Jackson, R. B., & Burd, S. D. (2015). Systems Analysis and Design in a Changing World. Boston, MA: Cengage Learning.
Simpson, K. R. (2015). Electronic health records. The American Journal of Maternal/Child Nursing, 40(1).
