EMR and HIPAA: How does medical data differ from data used in corporations or other organizations?

EMR and HIPAA: How does medical data differ from data used in corporations or other organizations?

1. Medical Data: Your response should be 2 double-spaced pages
A. How does medical data differ from data used in corporations or other organizations?
B. What characteristics make medical data difficult to computerize?
2. Today more and more information systems interface between hospitals, home care, and physician offices. Your response should be 2 double-spaced pages.
A. Discuss the major problems organizations face in accomplishing physician, hospital, and home care linkage.
B. What are the major advantages to the organizations with EMR linkage? What are the advantages to the patient/consumer of a linked EMR? What is the role of the Certification Commission for Health Information Technology?
C. Do HIPAA transaction standards come into play with linkage? Does the Stark III Law come into play?
D. What is a Regional Health Information Organization (RHIO)? Go to the Healthcare Information Management Systems Society (HIMSS) website and search RHIO to see white papers on this organization. Select one RHIO and, in one paragraph, note the implementation issues it faces. Be sure to give the instructor the web address of this RHIO.
NOTE: The following questions are based on interviews. Your response to Questions 3 through 6 should be 3 double-spaced pages.
3. Find an organization using, or in the process of selecting/implementing, electronic medical records (EMR). Any healthcare provider is fine such as a physician practice, visiting nurse association, hospital, nursing home, etc. Then answer the following questions:
A. Did they develop the EMR application in-house or purchase it from a vendor? If purchased, from which vendor, and what criteria did they use to select the vendor? How did this vendor compare to others they considered? If in-house, why did they choose to develop the EMR themselves rather than purchase/lease EMR software?
B. Who are the users of this EMR, and how do they use it? Can patients access or amend their EMR?
C. Who or what applications update this EMR? Are there interfaces with other applications such as lab and pharmacy? If so, what are these applications? What do they perceive as the advantages and disadvantages of interfaced updates?
D. How does paper material originating outside of this organization (e.g., outside lab results, special outside tests, etc.) get into this EMR? Do they have issues with outside paper material being updated in a timely manner? Are there other issues with paper records being entered into automated records such as paper storage?
E. List some of the special features of this EMR.
F. What has the Medicare & Medicaid HER Incentive Program meant to this organization? (Hint: See Website References)
G. What additional features would they like to see?
H. Who did you interview? What is their role in using or supporting the EMR?
I. What questions still remain unanswered in your mind?
4. Understanding how this EMR was selected and implemented.
A. Summarize the procedure this organization used to select and implement the EMR. Were there committees? Outside consultants? Was data conversion necessary? Does this selection and implementation process resemble the application development life cycle (ADLC) discussed in this course?
B. What problems did they encounter in the selection, development, and implementation of this EMR?
C. If they were going to select and implement another EMR, what would they do differently?
D. In your opinion, when will the fully implemented electronic medical records (EMR) be a reality? What are some of the problems that must be overcome for this milestone to be reached?
5. Personal Health Record
A. What are the issues with consumers maintaining their own healthcare record (personal medical record)? As a consumer, what features would you like to have in a privately maintained computerized record? Do an Internet search and find a vendor that allows you to maintain your own health record. What are its features and functions? Comment on the issues you see in using this application.
6. Maintaining physician involvement in the design process for medical record output is critical and often challenging.
A. Was there physician involvement in the selection and implementation of the EMR? Explain.
B. Was there a strong working relationship between IT, the physicians, the clinical departments, and the system vendor? Output design requires the expertise and contributions of each user to be effective and efficient. Explain how the automated output was viewed by users.
C. If purchased, how flexible was the EMR to customize the software for this organization’s specific requirements? Or, did the organization need to make drastic process changes before they could implement the EMR?
D. What security issues were brought up and resolved with the EMR? In your mind, are there still security issues?
E. If these were non-salary physicians, were they financially compensation for their EMR development time?
REQUIRED READINGS
Wager, Lee, & Glaser Text:
? Chapter 2: Health Care Data Quality
? Chapter 3: Health Care Information Regulations, Laws, and Standards
? Chapter 10: Security of Health Care Information Systems

Unit 2.2 (Technology Standards)
PLEASE NOTE: When responding to the following discussions, please reference your resources. Are there opinions and experiences that differ from your own? Do others agree or disagree?
1. Interview a HIPAA security officer at a hospital or other healthcare facility. What are the major job responsibilities of this individual? To whom does he or she report within the organization? What are the biggest challenges of this job? Your response should be 3 double-spaced pages.
? Explain the difference between privacy, confidentiality, and security.
? Do they have a Security Plan? Describe its Table of Contents.
? What security changes have they made because of HIPAA?
2. Write a review of a current article(s) assigned by your instructor. Your response should be 2 double-spaced pages.
Lesson 2.2 Project Situation: The Problem and Solution Statements, Present Methods, Alternatives, and Critical Success Factors
This course’s systems acquisition and implementation discussions are a “pretend” whirlwind trip through the development of an information system. As you research an assigned step of the information system project, pretend you are the project coordinator/analyst working with a senior management oversight committee. You will discuss selected real-world issues and concerns in project management.
Below are your discussion questions for application justification and performance requirements necessary for systems acquisition and implementation.
Situation: You are a systems analyst. Select a specific (can be simulated or pretended) project in your work area. Now address this project below in A through D. Limit each area’s discussion to one to four paragraphs.
A. The Problem and Solution Statements
a. What is the problem, and why is it a problem?
b. Include a solution statement –recommend an information system that will resolve this problem.
B. Methods in Present System Describe the methods employed in the present system, including strengths and weaknesses.
C. Alternative Recommendations This is a simulated project and, if it were real, you would need to present to management your project proposal for approval to proceed. Discuss at least one option to your recommendation so management has a choice (in theory) of options and can see you have considered other alternatives.
D. Critical Success Factors (CSF)
If you cannot measure it, you cannot manage it. Using bullets, list specific measurable objects. This helps you identify the goals of your application and how you will determine if they have been achieved. Examples are:
? Reduce preparation time by two weeks for xyz report
? Know when grants are due and submitted
? Know how much I paid on healthcare last year and how it compares to this year
? Reduce end of month reporting by two weeks
? Easier to read as determined by survey
? Lower cost by $10 per unit
? Less errors as compared to same time last year
? Better quality of care as compared by re-admissions of last year
Please note that an example, “reduce average patient registration time” is not an acceptable CSF. “Reduce patient registration time by 5 minute from current time average of 5 minutes” is acceptable, and falls into the expression, “If you cannot measure it, you cannot manage it”
REQUIRED READINGS
Wager, Lee, & Glaser Text:
? Chapter 7: System Implementation and Support
? Chapter 8: Technologies that Support Health Care Information Systems
? Chapter 15: Assessing and Achieving Value in Health Care Information Systems

I am assigning you below three (3) articles to review for Unit 2. The detail sites are found after the Project Situation:

1. “HIPAA – an opportunity for continuity of care.” I assign this article as it gives you a different perspective on HIPAA Security.
2. “Advanced Technology Lowers Cost and Improves Quality”. This article is a long article and admittedly a bit older than I usually assign, but one I believe will give you great insight to medical informatics in the clinical area.
3. “The journey of primary care practices to meaningful use” Meaningful Use is critical in today’s healthcare systems. This article will also help in your Unit 2 Medical Records interview – so be sure to read it before you do your review.

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