Grand Canyon University Minim

Instructions:

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This worksheet will be used to assess the current PHMS EHRS system to support transition to a value-based model and assure appropriate data security and integrity. The worksheet includes the following components:

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  • assess the purpose and goals of updating the EHRS and HIT requirements to align with the transition to a value-based model
  • address usability and interoperability concerns
  • address data security and integrity concerns
  • draft a phased implementation plan

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This worksheet will form part of the HIT strategy for Paducah Health Medical System that you will create in the assessment.

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Purpose and Goals

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1. Analyze the transition from a volume-based to a value-based model. What EHRS-specific goals should be implemented to support a value-based model? Consider the domains of safe, effective, patient-centered, timely, efficient, and equitable.

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Domain

EHRS-specific goal

How does this goal support transition to a value-based model?

Safe

Effective

Patient-centered

Timely

Efficient

Equitable

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Use the following resource as a reference:

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AHRQ: Six Domains of Health Care Quality

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Usability and Interoperability Concerns

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2. Identify strategies to streamline the interface. Consider the end-user needs you assessed in the HIT recommendation.

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  • What architecture strategies should be discussed to support integration of information among the various departments at PHMS?
  • What architecture strategies should be discussed to support integration of information between PHMS and Lourdes Hospital?

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3. Determine strategies for mobile monitoring. For those same end-user needs, what strategies will support integration of patient information with mobile monitoring devices and telemedicine requirements?

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4. Evaluate strategies for registries between departments. What strategies will support patient registries that are interoperable between the various departments at PHMS? Between PHMS and Lourdes Hospital?

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5. Determine strategies for quality improvement. What strategies will support that data used for quality improvement and risk stratification can be shared between the various departments at PHMS? Between PHMS and Lourdes Hospital?

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6. Consider complaints and underlying issues. Consider the stakeholder complaints identified in the PHMS profile.

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  1. In what way has the current EHRS system at PHMS led to these complaints?
  2. How will a new EHRS system address the underlying issues for these complaints?

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Data Security, Data Integrity, and Patient Privacy Concerns

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7. Anticipate security risks. As PHMS integrates its HIT system with that of Lourdes Hospital, what data security risks should you anticipate?

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  • What risk management strategies should be implemented to mitigate these risks?

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8. Identify ways the EHRS can minimize fraud. Consider the misconduct case of Dr. M and billing fraud.

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  • In what ways has the current EHRS system allowed fraudulent billing to repeatedly occur?
  • What strategies should be implemented in the new EHRS system to deter fraudulent billing practices or similar misconduct?

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9. Discuss protecting patient privacy. As patient data is shared between departments and entities within the organization, what strategies should be implemented for ensuring data privacy for integration?

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10. Consider risks with mobile technology. How will the new EHRS system be able to mitigate data risks associated with mobile technology?

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11. Identify external risks to data security.

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  • What data risks associated with patient information exchanged outside of the organization (for instance, in an HIE) do you anticipate?
  • How can patient data privacy be ensured as data are shared outside of the organization?

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Phased Implementation Plan Draft

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12. Plan implementation. For the proposed strategy, draft a phased implementation plan (suggested length of 1–2 pages) that covers the following:

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  • summary of the goals proposed in Questions 1–5 in this assignment
  • overview of the best strategies for implementing the recommendations made in Questions 1–5
  • phases of implementation for transitioning from the existing EHRS system to the new EHRS system
  • plans for implementing continuous quality improvement programs that will monitor the success of the goals proposed in Questions 1–5

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Making Connections

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13. Consider the connections. Consider the strategies included in your HIT recommendation. What connections can you draw between those strategies and your proposed plan in Question 12?

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References:

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