case study

Running head: EHR TECHNOLOGY 1

EHR TECHNOLOGY 6

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EHR Technology

SmartEMR

Product: VIPA Health Solutions, LLC

Version: 6.0

Vendor: 2014

CHPL Product number: 05082014-2337-5

Smart EMR can be the suitable UMUCS clinic solution. These is because the system enables physicians to be able to record the patients' encounters as well as the system helps to record test readings rapidly and directly. Smart EMR is custom-made to the doctor's workflow to guarantee that there is a subtle and natural communication or relationship. Also, Smart EMR will ensure smooth interactions and still create or generate reports acquiescent with the CMS. Also, Smart EMR also does work as medical billing software, it will, therefore, help in solving the billing problems and therefore assist in eliminating the billing company. The billing software of Smart EMR can contribute to facilitating reimbursement through the use of the compliant Super bill generations module (Rippen, Scott, Hartley, & American Medical Association, 2013). The claims can be submitted electronically and be processed very fast. The system will also help in improving UMUCS clinic cash flows and will assist in reducing the clinic's overall costs and streamline the hospital's overall operations. As a result, it will help the hospital to be more productive and make the billing process a much easier. One of the biggest advantages of a web-based system is eliminating software installation process. With Smart EMR, there is no need to install any software on your computer. Also, there is no need for expensive equipment such as servers or specialize networking. Comment by Gabrielle L. Gretch: “UMUC” Comment by Gabrielle L. Gretch: “clinic’s” Comment by Gabrielle L. Gretch: Put a period after this word. Comment by Gabrielle L. Gretch: This word is the start of the new sentence. Comment by Gabrielle L. Gretch: This section was to note how the solution related to the patient visit process. There is very little discussing the activities of the patient visit per the earlier case assignments in your discussion, but should have been incorporated. Comment by Gabrielle L. Gretch: “UMUC” Comment by Gabrielle L. Gretch: “clinic’s” Comment by Gabrielle L. Gretch: “clinic’s” Comment by Gabrielle L. Gretch: “clinic” Comment by Gabrielle L. Gretch: Put “the” after this word. Comment by Gabrielle L. Gretch: “specialized”

Smart EMR is an entirely web-based system. In this regard, it requires no software and hardware installation. One of the biggest advantages of the web-based system is the elimination of the process of software installation as one does not need to install any software on the computer. Also with Smart EMR, there is also no need for expensive equipment such as servers and even specialized networking. Therefore Smart EMR can run on any computer including any desktop or laptop. The system will also run on any operating systems Mac Linux or even windows. Also, Smart EMR will also run on any internet connection. It’s, therefore, an internet service Comment by Gabrielle L. Gretch: Capitalize this word.

Smart EMR being, therefore, a web service will only require some components for it to be implemented in the clinic. These could include maintaining the front office computer; also the hospital can purchase three laptops for use by the physicians in each of the examination rooms. For the nurses there will need for two tablets for each nurse (Franzke, Wright, & Hautamaki, 2013). For doctors to facilitate the use of Smart EMR, the will be required for a stable internet connection in the clinic since Smart EMR is a web-based system. Smart EMR is a Web-based Electronic Medical Record, and therefore it’s “Software as a Service” (SaaS). This, therefore, means that one will not need to install the EMR software on their server. This being the case, therefore, it is already installed and configured. These will, therefore, reduce the time to be spent in the installation and also configuration. Therefore the system is ready for use. Therefore there is no maintenance such as the need for IT experts making it ideal for UMUCS clinic. Also being “Software as a Service” (SaaS), there will be no costs and the efforts that will be associated with upgrades and new releases. Upgrading is done by the vendor, therefore, reducing the costs associated with it. Comment by Gabrielle L. Gretch: “they” Comment by Gabrielle L. Gretch: This section should also note that a printer is required, wi-fi connection, ISP subscription, encryption software for transmittal of patient information outside of the clinic, a firewall software and anti-virus package. This detail should also be incorporated into your discussion.

Therefore Smart EMR being cloud based, the implementation will be much simpler. It operates on the internet as opposite to computer; as a result, there are no software and hardware installations. Smart EMR will also help prevent interruptions of the cash flows and therefore contribute to attaining the quick return on the savings; the application or implementation procedure shall be much faster (Wilson & Sigma Theta Tau International, 2014). The system will also prevent high installation costs associated with the client server systems also will eliminating the high licensing fees and maintenance costs. Comment by Gabrielle L. Gretch: “opposed” Comment by Gabrielle L. Gretch: Put “the” after this word. Comment by Gabrielle L. Gretch: Put “and” after this word. Comment by Gabrielle L. Gretch: “eliminate” Comment by Gabrielle L. Gretch: You should also note in this section that SaaS saves the company money by not having servers maintained on-site and having to pay IT personnel to maintain and service the software and servers. If the clinic expands, storage costs will increase; SaaS only charges for the amount of storage space used.

Also, the IT resource requirements are significantly reduced. The updates regarding the software of Smart EMR are done by the service provider. Therefore the updates will be done automatically in the web based systems. As a result, no IT experts will be required for the installation, configuration, run, and updating of the software.

The web-based Smart EMR also provide superior accessible and collaboration as compared to the customer server schemes. These are because the operators are capable of securely logging into the system suitably from anyplace. As long as physicians have access to internet connection- This skill or capability to connect from anywhere allows the various doctors to collaborate more efficiently and to provide the continuity of the care. “Software as a Service” (SaaS) system, therefore, help simplify the scalability. These are because the key focus of the clinic will be on growing and will also assist in saving costs. Comment by Gabrielle L. Gretch: “helps” Comment by Gabrielle L. Gretch: Why? Please explain.

Implementation of Smart EMR system in UMUC clinic will help improve the patient's visit process through various ways. Through the clinic's patients’ portal, the patients will be able to schedule appointments as opposed to calling to book the appointments. The office staff will not have wasted so much time in preparing for meetings through looking for patient’s charts in the cumbersome manual filing system. The reason is that on registration, the patient's information is entered into the system and can be readily accessed by the physicians through the Smart EMR system. Therefore this will help to reduce the patient's waiting time significantly. Comment by Gabrielle L. Gretch: “UMUC’s” Comment by Gabrielle L. Gretch: “patients’” Comment by Gabrielle L. Gretch: “patients’”

In the physician's examination rooms, Smart EMR will enable the doctors to quickly access the patients' medical records including the medical history of the patient such, possible allergies and all the information pertaining the patient (Steininger & Stiglbauer, 2015). These could help UMUC clinic physicians to be able to improve overall health care through making the more informed decision regarding the patient healthcare.

Also, Smart EMR will contribute to curbing the problem of lost and misfiled paper based files. These is because once a patient is registered in the hospital, the information can readily be accessed by the physicians hence eliminating the paper-based system. Also when a patient is referred to a specialist, the specialist will be able to easily access the patients’ information through quickly sharing the patients’ data with the physicians through Smart EMR. These will, therefore, help to improve the healthcare and safety of the patients Comment by Gabrielle L. Gretch: “clinic”

Smart EMR will also contribute to eliminating lost and misfiled reports regarding the laboratory results. The physicians will quickly access the lab results from the patients from a Smart EM system. Misfiled reports could lead to administration of the wrong treatment (Franzke, Wright, & Hautamaki, 2013). Smart EM will, therefore, help improve the overall health care and safety regarding the patient. Comment by Gabrielle L. Gretch: EMR

Smart EMR will also contribute to improving the financial management decisions in various ways. First, there will be the elimination of the billing company, therefore, eliminating the charges that go to the billing company. Also, improved efficiency will help in increasing the cash flows received. There will be a reduction of the overall clinical costs and therefore be streamlining the overall clinical costs. Comment by Gabrielle L. Gretch: Good notation of how Smart EMR can improve the patient visit process and also communicate with colleagues of Dr. Martin. I have no suggestions to improve the content of this section except that there should be more discussion related to specifics of the patient visit and less discussion on information related to outside entities.

References Comment by Gabrielle L. Gretch: Proper citation format requires each source show the date of retrieval.

Franzke, M., Wright, S., & Hautamaki, B. (2013). The Intersection of IT and Human Factors: Summative Testing in Safety-Enhanced EHR Design. Biomedical Instrumentation & Technology, 47(s2), 54-58. doi:10.2345/0899-8205-47.s2.54

Rippen, H., Scott, D. M., Hartley, C. P., & American Medical Association. (2013). A guide to achieving meaningful use: Leverage your EHR to redesign workflows and improve outcomes. Washington: Scott.

Steininger, K., & Stiglbauer, B. (2015). EHR acceptance among Austrian resident doctors. Health Policy and Technology, 4(2), 121-130. doi:10.1016/j.hlpt.2015.02.003

Wilson, B., & Sigma Theta Tau International. (2014). The nerdy nurse's guide to Technology (3rd ed.). New York: Willson.

FEEDBACK ON THIS PAPER

Proposed Technology Solution: This section was to note how the solution related to the patient visit process.  There is very little discussing the activities of the patient visit per the earlier case assignments in your discussion, but should have been incorporated. Solution Components: This section should also note that a printer is required, wi-fi connection, ISP subscription, encryption software for transmittal of patient information outside of the clinic, a firewall software and anti-virus package.  This detail should also be incorporated into your discussion. Explanation of SaaS vs. in-house solution: You should also note in this section that SaaS saves the company money by not having servers maintained on-site and having to pay IT personnel to maintain and service the software and servers.  If the clinic expands, storage costs will increase; SaaS only charges for the amount of storage space used. Explanation of selection of certified EHR system: Good notation of how Smart EMR can improve the patient visit process and also communicate with colleagues of Dr. Martin.  I have no suggestions to improve the content of this section except that there should be more discussion related to specifics of the patient visit and less discussion on information related to outside entities. External Research: APA format requires date of retrieval in the citation for each source. Report Format: 20 spelling/grammar errors noted; please proofread prior to submission.