Week 2 Informatics replies
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PatriciaMartinGiraldinoInformaticsreply.docx
AnaHernandezInformaticsreply.docx
PatriciaMartinGiraldinoInformaticsreply.docx
Patricia Martin Giraldino
Florida National University
9/11/2024
Managing an EHR Vendor Company
Being an executive managing an EHR vendor company, one is faced with the challenge of dealing with new federal interoperability rules of the game while at the same time aiming at following ideal SDLC standards. Here is how I would advise the development team:
Throughout the Planning phase, the primary objective is to gain as much information as possible about the new federal regulations. This means there is a need to involve legal, compliance, and other key stakeholders, such as healthcare providers, earlier to understand how the requirements can be implemented (Alzayed & Khalfan, 2022). This approach in determining timelines is critical, with emphasis on realistic timelines given the complexity of the interoperability updates.
While proposing a course of action for the Analysis phase, there is a dire need to establish a proper gap analysis of the existing system. It is essential to determine areas where the existing system needs to effectively address new standards such as FHIR (Fast Healthcare Interoperability Resources) (Vorisek et.al., 2022). Securing change approval and support requires the participation of cross-functional teams in order to explain the technical, security, and functional changes involved.
In the design phase, the team should ensure that the new interoperability features are incorporated into the design of this new system and that the design is secure, scalable, and modular. This phase should also consider whether the system is easy for users to use and can be updated with regulation changes.
In the Implementation phase, one has to stick to the agile methodologies where constant feedback and development are done in cycles (Alsari et.al., 2020). Code reviews, along with unit and integration tests, should be done as often as possible to keep the system on track and within compliance. The continuous interaction with other teams will reduce the time and effort needed to realize the project, hence maintaining it within the regulations and technical specifications.
Last is the evaluation phase, where the work is centered on extensive testing emphasizing the system's interoperability with other healthcare systems. Interoperability requirements will be met through a series of real-life simulations to ascertain that the system can meet them. Further, constant monitoring and reaction to problems with patches or updates will keep the system appropriate and efficient.
In conclusion, one can have a general understanding that in the case of creating EHR systems, compliance with the set of regulations and adaption of the practices suggested by the SDLC are equally important, and the balance between those should be achieved with the help of flexibility, cooperation, and testing.
References
Alsari, A., Qureshi, R., & Algarni, A. (2020, October). Agile framework to transform traditional team. In 2020 IEEE Frontiers in Education Conference (FIE) (pp. 1-9). IEEE.
https://ieeexplore.ieee.org/abstract/document/9274240/.
Alzayed, A., & Khalfan, A. (2022). Understanding Top Management Involvement in SDLC Phases. J. Softw., 17(3), 87-120.
https://www.jsoftware.us/vol17/462-JSW15500.pdf.
Vorisek, C. N., Lehne, M., Klopfenstein, S. A. I., Mayer, P. J., Bartschke, A., Haese, T., & Thun, S. (2022). Fast healthcare interoperability resources (FHIR) for interoperability in health research: systematic review. JMIR medical informatics, 10(7), e35724.
https://medinform.jmir.org/2022/7/e35724/.
AnaHernandezInformaticsreply.docx
Ana Hernandez
9/10/24, 11:08 PM
NEW
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Week two discussion
FNU
Health Care Informatics
Professor: Deborah Crevecoeur
As the executive oversight for an Electronic Health Record (EHR) vendor, it is crucial to strike a balance between meeting new federal requirements for promoting interoperability and adhering to best practices for Software Development Life Cycle (SDLC) outlined in Chapter 8. The SDLC framework, consisting of planning, analysis, design, implementation, and evaluation phases, forms the foundation for successful IT development and deployment across industries. Each phase in the SDLC has its own set of objectives that must be met before progressing to the next phase.
In order to effectively navigate this balance, I would advise my development team to integrate the new federal requirements for promoting interoperability into each phase of the SDLC process. This means ensuring that interoperability considerations are factored into the planning, analysis, design, implementation, and evaluation stages of EHR development. By incorporating these requirements early in the development process, the team can streamline the implementation of interoperability features and avoid costly rework later.
Additionally, I would emphasize the importance of staying up to date with the latest industry standards and guidelines related to interoperability. By referencing recent publications and reports from reputable sources, such as the Office of the National Coordinator for Health Information Technology (ONC) or the Healthcare Information and Management Systems Society (HIMSS), the development team can ensure that their EHR system aligns with current best practices for promoting interoperability.
Furthermore, I would encourage the team to leverage agile methodologies within the SDLC framework to adapt to changing federal requirements and timelines. Agile development allows for iterative and incremental progress, enabling the team to quickly respond to new mandates and pivot as needed. By adopting an agile approach, the development team can efficiently incorporate interoperability features into the EHR system while adhering to the principles of SDLC.
In conclusion, as the executive oversight for an EHR vendor, it is essential to strike a balance between meeting federal requirements for interoperability and following best practices for SDLC. By integrating interoperability considerations into each phase of the SDLC process, staying informed about industry standards, and leveraging agile methodologies, the development team can successfully navigate this challenge and deliver a high-quality EHR system that meets both regulatory requirements and user needs.
References:
Information and Communication Technology for Competitive Strategies (ICTCS 2020). https://link.springer.com/book/10.1007/978-981-16-0739-4
Adanna, A. A., & Nonyelum, O. F. (2020). Criteria for choosing the right software development life cycle method for the success of software project. IUP Journal of Information Technology, 16(2),39–65.
Acharya, B., & Sahu, K. (2020). Software development life cycle models: A review paper. International Journal of Advanced Research in Engineering and Technology (IJARET), 11, 169–176.
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