Over the course of the semester you have learned that computers generate data, b

Question

Over the course of the semester you have learned that computers generate data, but that humans have to put that data into context (information) to help create knowledge (a true and accepted fact) and later use that knowledge base to make complex decisions specific for each situation (wisdom). You have gotten a taste of what happens on a day-to-day basis within a hospital when a patient comes through, as well as, what the clinician experiences while trying to use current and required technologies within their normal workflow. Now using your knowledge concerning these circumstances, the System development life cycle, and your understanding of what the health informaticist does, provide insightful wisdom to the following situation: You are working for a vendor that sells both standalone and nte physician practice has contacted your company to get more information about the fully integrated PM/EHR system, but after talking to them you realize that they don't really kno what they want or need for their practice. The only reason that ABC & Co are looking at getting the fully integrated PMEHR system is because a friend from a much larger practice with ten (10) physicians said that was the only to go. Part of your job is to sell software and hardware, but you also know that if you don't match up what the physician needs with the system that will work best for the practice then the results could end up being a disastrous mess for the practice on multiple levels Here is the information you are able to gather about ABC & Co: There are 3 family practice physicians in this group They have a PM system but no EMR/EHR system in place The practice is in a rural area where there is only one (1) hospital within a sixty (60) mile radius They sees approx. 40-55 patients a day The PM system they have works very well and has been n place for over 10yrs The PM system already in place will not integrate easily with the clinical EHR system you are selling but it can be done with extra expense to the practice They have limited financial resources to invest in the system Dr. Ash (the one calling) is motivated and excited about the new system, Dr. Bab (the oldest physician) has neutral feelings about integrating more technology, and Dr. Cobble (the youngest physician is pessimistic about any new technologies except his iPad The practice has a great internet connection

Explanation / Answer

1. for this practice web-based system is highly recommended as

- This is a small company and they can not afford to have a person look into upgrades, configurations, etc.

- In rural area calling a support person will be difficult if there is any specific hardware software problem. There will be more downtime if it is server based.

-Web-based solution can bemanaged and administered from any place and the support people can help them to add new features/generate new reports.

-It works from ipad as well being web-based with least hardware added at their premises.

2. Recommend to buy fully integrated PM/EMR System.

- There is extra expense if current PM system is integrated in new EMR

-It is expensive and time consuming to support non-standard integration

-The complete system will be web-based and only 1 new system needs to be supported

- The present system is 10 year old and definitely lack what new systems can provide e.g. queries/reports that can be run from ipad. Alerts, E-mails, SMS are generally possible in the new systems.

4. Clinical workflow pitfalls

-Doctors have no time to follow the new system and hence it can fail

Important to provide training and let them see the benefits of using it

-Some information that thew old PM captured is lost

Parallel run is important to check and smoothly implement the system

-Patients are not having confidence in the new records.

Inform all the current patients about the change,

inform them through a representative/poster/flyer/youtube or web-message/email etc about the change

4. Motivating the group:

Dr. Ash: Utilize the support in forming firm requirements and creating awareness

Dr. Bab: Visit the places/ or conference call where doctirs are excited about it after using it for a year or so.

Dr. Cobble: Demonstrate how it can convert ipad into a powerful tool for him.

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