In order to minimize the risk of project failure with respect to the Epic system implementation, the three specific strategies I would propose to the board are as follows: 1. Show commitment to the transformation by rolling out the system in clinical applications. Stanford Hospital and Clinics (SHC) had implemented a CPOE system, Carecast, in the late 1990s. This former system was implemented rapidly, without a significant amount of physician involvement in choosing the product or in designing the implementation, which resulted in a system that had many problems and was not well supported. Learning from these mistakes, SHC spent considerable time and effort forming a selection team and gaining consensus for its new EMR system, which resulted in Epic as a clear winner.
In addition, the provider portal can give physicians proactive access to quality information so they can improve HEDIS measures and pay-for-performance results (ikaEnterprise Goes Live at Two Total Health Insurers in Record Time., 2010). And lastly, ikaSystems, or ikaDWH, has a single, comprehensive database for claims, laboratory, pharmacy, encounter data, practice management and electronic medical record information that supports standard and ad hoc reports, with drill-down and drill-up access to normalized and analyzed data, based on what the user, at Total Health Care, request for their
By adopting a pay for performance stance on impacting the preventative side of health care, a substantial savings in rising health care costs may be met. Challenges for putting into practice a pay for performance system is it is very difficult to get everyone on board with quality standards. “Quality standards are objective measures that are used to verify whether or not health care providers are offering the best high quality health care. It is difficult to predict what the effects will be of a pay for performance system”. It probably won’t have much of an effect on individual patients but eventually those patients may benefit from better health care without paying a higher price for it.
Executive Summary The problem that disruptive innovations will address is the delivery system used by America health care. The dominant models used are general hospitals and physician practices. They are viewed as being inefficient which does not give perfect outcomes. The medical systems today deliver care in an ambulatory setting that use to require a visit to the hospital. The system has been hinder by the existing payers of the reimbursement centers.
It can be linked to other factors such as increased life expectancy and a decrease in birth rates that happened in the same time frame, which were also influential on the consequences of decreasing death rates. One of the reasons why death rates have decreased in the last 100 years or so is largely because of medical improvements that have been a consequence of technological advancements. These advancements in technology have allowed new treatments to be found to cure diseases that were previously incurable and deadly beforehand. This has also paved the way to new illnesses being discovered and cures being found for them, which also ties to medical improvements and the decrease in death rates. The introduction of the NHS in 1945 by the Labour government gave people, who previously were unable to access treatment for illnesses, free access to medical care when they needed it.
EMR hospitals did not show a difference in the mix of patient safety events compared to those hospitals without EMRs. Although the spending for each patient safety event did seem to be lower in the EMR hospitals, for all types of events, which showed the average spending on a patient safety event was $55,810 under EMRs,compared to $60,093 without EMRs. As a whole in this article EMRs did keep costs down and helped make response time to medical errors more rapid. • How has this medical technology affected the health care
They are responsible for the checks and balance of things that occur within the organization. It is important that employees are held accountable. Accountability can be developed and improved. The employees have to understand the objective of the organization. The understanding of where the organization is trying to go and what they want to achieve places the employees in the position to be held accountable.
Course Project Part III: Physician Practice Lynn Strain IS 566 Informatics and Applications in Healthcare Dr. Alexandro Veletsos June 13, 2011 Abstract The time has come to change the focus of healthcare to the person in need of care instead of on the failing business of healthcare. Perhaps one of the most devastating healthcare concerns is the controversy over the lack of consistency and standardization of physician practice that has negatively impacted patient outcomes. The reason for this variation is because different physicians treat patients with the same diagnosis in very different ways. Variation leads to unnecessary, inappropriate care that is costly and ineffective (Coady, 2002). In the midst of care concerns, despite cultural
I have chosen to make my new healthcare system as easy for people as possible. People would not mind doctor’s visits if they did not have to wait as long, if they felt like the doctor truly cared, and if they felt like the doctor had the time for, his or her patient. My new system will make a patient feel like, he or she will be the only patient the doctor has. Ambulatory care is important for more efficient service for patients, so my care centers are split up into pieces to make them more efficient if a person is getting an outpatient surgery then he or she will go to a different building with an appointment so the doctors have the time for the patient. Blood tests and x-rays will be separate and appointments will be necessary so the
Benefits include the use of a wide range of providers, the members’ share of the cost is reduced, and they are not forcing their beneficiaries to limit their provider choices or change their behaviors if they do not want to (Williams & Torrens, 2008). A con would be if the members do go outside of their preferred group they will pay higher coinsurance rates on discounted maximum allowances per services (Williams & Torrens). Another type of managed care plan is the Health Maintenance Organizations (HMO). For HMO the health plan benefits because it is able to limit its financial exposure by prepaying the provider group a fixed amount per member per month for taking care of the enrolled population (Williams & Torrens). The provider organizations are able to plan on more financially stable and long-term (Williams & Torrens).