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Question 1: Process Redesign Read the following scenario and answer the question

ID: 3755284 • Letter: Q

Question

Question 1: Process Redesign

Read the following scenario and answer the questions:

A fairly new five-provider clinic has been in business for seven years. They have a practice management system in place, and they are fairly happy with it but are not determined to stay with that product. The diagnostic services that the clinic provides are blood counts from an in-house analyzer and urine dipstick (glucose, keytones, urine blood, protein, nitrite, pH, urobilinogen, bilirubin, leucocytes, and specific gravity, and pregnancy). Other blood-based samples and urine, are sent to the local office of a national laboratory testing chain for processing. Today, results are returned to the lab on paper sheets. The practice currently does not do ePrescribing but would like to.

Answer the following:

1. Provide one example of redesign that you feel appropriate for the following categories

- automation, centralization, task composition, outsourcing

If you feel no example possible, mention N/A, provide answers in the table below

Redesign strategy

Example for the clinic above

Automation

Centralization

Task composition

Outsourcing

2. What EHR functions/system interfaces may be needed based on your redesign suggestions?

Redesign strategy

EHR functions/system interfaces

Automation

Centralization

Task composition

Outsourcing

Question 2: Clinical Workflow Literature Review

Read the following article:

1. Quantifying the impact of health IT implementations on clinical workflow: a new methodological perspective http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2995654/

1. What motivated the study? What did the study intend to find out?

2. Which research method(s) is(are) used in the research?

3. What results did the study get?

4. How can the research results be applied?

Redesign strategy

Example for the clinic above

Automation

Centralization

Task composition

Outsourcing

Explanation / Answer

1) Redesign Strategy

Automation - ePrescribing can be automated to reduce the cost.
Centralization - Diagnostic services can be centralized to
Task Composition - All the services offered by the clinic can be composed and can be served from one common clinic center.
Outsourcing - All the blood and urine samples are outsourced for results.

2) EHR System Interfaces

Automation - Samples can be tested within the clinic itself and can be automated.
Centralization - Results can be centralized so that all patient information will be at one place
Task Composition - NA
Outsourcing - This can be handled at our end.

Question 2) Clinical workflow literature review.

1) In the new methodology perspective, it is a great breakthrough for implementing the IT solution on the health side.
This leads to a huge impact on the health management and results in better growth.
1) IT is growing enormously nowadays so the application of it is very important in all the fields. Coming to the health field the growth is high when compared to other fields. This made me start to find interesting topics about it
2) The research model used is a practical-oriented model where the theoretical things are supported by practical statements and proofs.
3) The results are amazing and lead to a better health workflow.
4) The results can be applied in a step by step way to address the progress and notice the impact of the results.

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