Telemedicine for Rural-Based Health Facility: Canon hospital is a 189-bed hospit

Question

Telemedicine for Rural-Based Health Facility: Canon hospital is a 189-bed hospital in rural Texas. The hospital is approximately 100 miles and 150 miles away from two major medical centers of excellence in Texas. As the CIO of Canon Hospital, you are aware that there are capabilities to do telemedicine programs with tertiary care centers. Two of the senior medical staff in the critical care and neurology departments at Canon Hospital have approached you to investigate telemedicine capabilities related to the management of ICU patients and the emergency management of patients presenting with stroke symptoms. These medical leaders would like to ideally preserve the appropriate services for ICU patients and rehabilitative services for stroke patients in the canon hospital community. They recognize that portions of these treatment plans must include certified critical care and stroke certified providers from a tertiary care center. They have ask you to examine both the business and technical aspects of establishing telemedicine programs with one or two of the tertiary care centers who have certified specialists in critical care and stroke certified physicians who can administer TPA and other urgent stroke treatments. Currently Canon hospital is transferring over half of the ICU patients and virtually all of the patients who are presenting with stroke symptoms to these to either of these tertiary centers. There is little to no follow up on those patients with regard to treatment plans or services. In many cases, patients and caregivers are relocated for step down and rehabilitative care to facilities outside of the Canon hospital area. This creates both high level of dissatisfaction for patients and families and revenue loss for canon hospital and its associated rehabilitation facilities.

1. What are some problems that you can address in this scenario listed above using technology solutions?

2. What is the scope of the HIT solution to be acquired - the technical elements, the business, and clinical functional elements of the scope.

3.Stakeholders analysis including the needs of both internal and external stakeholders. This stakeholders analysis includes a summary of the business and clinical system functions that the technology should address for each of the executive stakeholders (internal and external).

4.Risk Analysis of the financial, technical, legal, ethical, and operational risks involved in introducing HIT into this setting and the feasible mitigation strategies to address these risks.

Explanation / Answer

What are some problems that you can address in this scenario listed above using technology solutions?

Together public and private subdivisions of the healthcare industry are using IT in order to encounter novel quality reporting principles, authorize patients and help as the backbone of developing care distribution and payment improvement replicas. The issues in the scenario are

-no meaningful use

-patient engagement

-clinical data examination

-storage substructure.

What is the scope of the HIT solution to be acquired - the technical elements, the business, and clinical functional elements of the scope?

The application of health information skill interferences is at the front of most strategy programs worldwide. Though, such activities are frequently far from forthright as they need complex planned preparation supplementary the universal administrative vicissitudes related with such agendas. Many health information knowledge findings are based on expected welfares, which are frequently ailing stated. This can consequence in problems approving on a communal dream crossways the healthcare society. While rapports like enhanced quality of upkeep and improved competence are frequently used, thorough products subsequent from precise functionality are solid to degree and to antedate as most employments necessitate essential variations to working developments and many officialdoms do not even attempt this.

Thus, formations often accident glitches conceptualizing the compulsory short-, medium-, and long-term alterations. A detailed charting of present local procedures before operation can lessen this jeopardy and aid to recognize existing difficulties as well as areas for development. In a model situation, this basis would consequence in arrangement on the problematic(s) to be lectured by a detailed functionality and, founded on this, the expansion of a long-term planned vision. Though, novel technology may not continuously be the response. It is consequently also significant to measure if, and to what degree, current/novel health information skill can support these planned goalmouths and whether other methods may also essential to be careful.

Stakeholder’s analysis including the needs of both internal and external stakeholders. This stakeholder’s analysis includes a summary of the business and clinical system functions that the technology should address for each of the executive stakeholders (internal and external).

As community contribution develops progressively entrenched in nationwide and international community health policy, it develops ever more critical for decision-makers to comprehend who is exaggerated by the conclusions and activities they take, and who has the influence to inspiration their product: the shareholders. The stakeholder thought has realized prevalent admiration among researchers, policy creators, the television and corporate bosses. Within the ground of calculated organization the stakeholder idea has develop resolutely entrenched. Orientations to stakeholders are ordinary and the obligation to involve investors in public subdivision structural plan and scheme design is a significant importance in present administration rule both inside the NHS and local administration subdivisions. Countless of these governments identify that stakeholder appointment is not about charitable the communal a list of selections to select after – it’s about illustration them in correct from the start, so that their opinions, needs and thoughts outline those selections and the facilities that flow from them.

A method to help classify which persons or organizations to comprise in your agendas / project is known as a ‘stakeholder examines. The subsequent phases have been recognized to provision the investor analysis procedure:

-Classify and map interior and external investors

-Measure the nature of each stakeholder’s effect and position

-Hypothesis an atmosphere to recognize stakeholder inspiration and position

-Screen and achieve stakeholder relations.

Risk Analysis of the financial, technical, legal, ethical, and operational risks involved in introducing HIT into this setting and the feasible mitigation strategies to address these risks.

The final drive of hazard documentation and examination is to make for risk extenuation. Mitigation comprises discount of the probability that a danger event will happen and/or discount of the result of a risk occasion if it does happen. This episode deliberates the position of risk extenuation planning and labels methods to plummeting or justifying project dangers. Risk extenuation plans should

-Describe the root reasons of dangers that have been recognized and counted in previous stages of the risk organization procedure.

-Appraise risk communications and mutual reasons.

-Recognize another mitigation policies, approaches, and tackles for apiece main risk.

-Measure and order mitigation replacements.

-Choice and obligate the capitals obligatory for exact risk mitigation replacements.

- Link planning fallouts to all project members for employment.

Though jeopardy mitigation strategies may be established in aspect and effected by workers, the owner’s package and scheme running should grow values for a reliable risk extenuation preparation procedure.

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