WEEK TWO DISCUSSION
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Week2Lecture2-2.pptx
HCA 626 – Healthcare Information Systems Week Two – Lecture 2
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Vo: Welcome to the Week Two - Lecture 2 for HCA 626 – Healthcare Information Systems.
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Chapter 9:
Adopting New Technologies
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VO: Chapter 9: Adopting New Technologies
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The Context of HIS Innovation
Unsustainable costs
Move to value-based care and reimbursement
Patient-centric consumerism
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VO:
Innovation is borne of forces driving change to health care.
Unsustainable costs.
Move to value-based care and reimbursement.
Patient-centric consumerism.
These trends push healthcare organizations providers, and payers to seek tech-driven solutions.
Healthcare organizations and provider must ascend steep learning curves as they try new methods and find ones that work.
A lot is at stake as they try, fail, and learn.
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The costs of HIS and technologies are a hefty burden for organizations and society to bear.
Security breaches and ransoming
Patients remain on the outskirts of the activities and information intended to help them.
Wasted clinician time and goodwill as a result of tech that is difficult to use, and systems dominated by assembly-line workflows and profit-minded vendors rather than the end-user in mind.
The Context of HIS Innovation
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VO: New technologies and existing problems
Avoid the love of new technology for newness sake
Issues for healthcare organizations:
Security breaches and ransoming
Wasted clinician time and goodwill as a result of tech that is difficult to use and systems dominated by assembly-line workflows and profit-minded vendors rather than the end-user in mind
Patients remain on the outskirts of the activities and information intended to help them
The costs of HIS and technologies are a hefty burden for organizations and society to bear
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Post-implementation evaluation
Excellence in HIS service delivery
Architectural considerations
Strategic alignment
The Value of Adopting New Technologies
Four areas critical to value realization
Strategic alignment
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VO: Four areas critical to value realization
Strategic alignment
Architectural considerations
Post-implementation evaluation
Excellence in HIS service delivery
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Rogers’s Theory of Diffusion of Innovation: Adoption of New HIS & Technology
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VO:
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Health care has been markedly slower than other industries to use IT to accomplish its work.
Use of HIS and tech is called adoption.
Adoption of disruptive HIS and tech means that organizations adapt to automated work processes.
Adoption of HIS and tech occurs amidst a busy and stressful healthcare environment.
Health care and the adoption of HIS and tech are more complex than the environments found in other industries or lines of work.
Rogers’s Theory of Diffusion of Innovation: Adoption of New HIS and Technology
The adoption curve has five groups or segments that play roles in the adoption of disruptive new technologies
Rogers’s adoption/ innovation curve
Data from Rogers, E. M. (1963). Rogers’ adoption/innovation curve. In: Diffusion of innovations. New York: Free Press.
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VO: View this diagram for a better understanding of Rogers’s adoption/ innovation curve.
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Role of Professional Organizations in Adopting New Technologies
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VO:
Roots in an organization established in 1962 for management engineering professionals in health care – Hospital Management Systems Society (HMSS).
Morphed into HIMSS in 1986 as focus changed to information systems.
HIMSS is not the primary HIS and tech professional organization in the U.S., with growing international reach.
Not-for-profit philosophy.
Commitment to objectivity.
Maintains analytics database and publishes reports.
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Health Information Management Systems Society (HIMSS)
Not-for-profit philosophy
Commitment to objectivity
Maintains analytics database and publishes reports
Role of Professional Organizations in Adopting New Technologies
Aims to “elevate the standards of clinical records in hospitals and other medical institutions.”
As computerization of health records grows, AHIMA has evolved to provide education, training, certification, and accreditation.
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VO: American Health Information Management Association (AHIMA):
Aims to “elevate the standards of clinical records in hospitals and other medical institutions.”
Provides strict accreditation and certification tests and processes for achieving and maintaining Registered Health Information Administrator (RHIA) accreditation for health information professionals and Registered Health Information Technicians (RHITs) certifications for coders.
As computerization of health records grows, AHIMA has evolved to provide education, training, certification, and accreditation.
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Role of Professional Organizations in Adopting New Technologies
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VO:
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American Medical Informatics Association (AMIA)
Promotes and develops the science and practice of informatics in health care.
Offers conferences, education, meetings, research, and policy.
Alliance for Nursing Informatics (ANI)
Supported by both AIA and HIMSS.
Brings together 18 independent nursing informatics groups.
Devoted to professional development, leadership, and collaboration among those in the HIS and tech-related disciplines.
Impact of New Technologies on Existing HIS
Must take care to analyze how innovation will fit in with existing technology and HIS.
Do not plop additional technologies atop the core systems; they must be carefully connected.
Great expansion is possible by building upon cost systems.
Provider dissatisfaction with EHR systems.
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VO:
Adoption of new technologies affects existing HIS plans and architectures.
Must take care to analyze how innovation will fit in with existing technology and HIS.
Do not plop additional technologies atop the core systems; they must be carefully connected.
New technology should augment and enrich what already exists.
Great expansion is possible by building upon cost systems.
EHR system provides levels of capabilities leading up to paperless clinical environments.
Market forces.
Unintended consequences of adoption of new technologies.
Provider dissatisfaction with EHR systems.
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Impact of New Technologies on Existing HIS
Electronic Medical Record Adoption Model
Reproduced from Healthcare Information and Management Systems Society (HIMSS). EMRAM A strategic roadmap for effective EMR adoption and maturity. Retrieved from https://www.himssanalytics.org/sites/himssanalytics/files/HIMSS percent20Analytics percent20EMRAM percent20- percent20web_2.pdf
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VO: View this diagram for a better understanding of Electronic Medical Record Adoption Model.
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Building HIS into Education & Health Professionals
Medicine, nursing, therapies, management, policy.
Discipline and ability to oversee activities of organizations and vendors of HIS products and services is essential.
Nursing informatics and medical informatics degrees
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VO: HIS and technology must be built into the curricula of professional schools:
Medicine, nursing, therapies, management, policy.
Discipline and ability to oversee activities of organizations and vendors of HIS products and services is essential.
Vast majority of clinicians and managers in health care have little experience and no education in this arena.
HITECH Act of 2009 granted funding mostly to community colleges for rapid training of health IT professional.
Nursing informatics and medical informatics degrees.
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Cultural Change Comes with New Technology & HIS
Performance and productivity are not enough.
Emergency of the knowledge-based economy.
Changing organizational models.
Facilitating organizational evolution.
Management of information resources.
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VO:
Health care lags behind other knowledge-based, connected industries in adoption of new technologies to streamline and advance how work is done.
Value migration from visible, tangible assets to intangible knowledge resources.
Intellectual capital is gaining importance as means of improving organizational performance and market position.
Performance and productivity are not enough.
Problems and capabilities of the modern world requires innovative thought.
Emergency of the knowledge-based economy.
Changing organizational models.
Facilitating organizational evolution.
Management of information resources.
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Summary
Vendors emerged as a result of hospital software development innovations.
Successful HIS and tech adoption faces numerous challenges.
HITECH financial incentives have encouraged adoption of EHR systems.
Unintended negative consequences must be considered.
Developer Notes: You have concluded with the Week Two Interactive Presentation. Please proceed back to Week Two in Blackboard to continue the curriculum for Week Two.
VO:
Adopting new technologies is steeped in theory and based on the earthly reality of solutions
The adoption of HIS and technology can be seen as rooted in Rogers’s diffusion of innovation
HIS and technology adoption originated mostly within hospitals and other healthcare delivery organizations
Vendors emerged as a result of hospital software development innovations
Successful HIS and tech adoption faces numerous challenges.
HITECH financial incentives have encouraged adoption of EHR systems.
Unintended negative consequences must be considered.
You have concluded with the Week Two Interactive Presentation. Please proceed back to Week Two in Blackboard to continue the curriculum for Week Two.
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