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Case
Study, Stage 3: EHR Technology Solution Proposal

Before you begin this assignment, be
sure you have read the “Family Clinic Case Study”,all class readings
assigned to date, and feedback on your graded Stage 1 and Stage 2 assignments.

Purpose of this Assignment

This assignment gives you the
opportunity to apply your analysis and research skills and your knowledge of
technology solutions and EHR systems to evaluate technology solutions in the
healthcare industry. You will identify
and Electronic Health Record(EHR) system that would improve the processes and
the quality of care at the Family Clinic. This assignment specifically
addresses the following course outcomes to enable you to:

  • Evaluate
    technology solutions in the health care industry to improve the quality of
    care, safety, and financial management decisions.

Family Clinic Medical Practice

In your
Stage 1 Project, you analyzed the patient visit process and modelled the AS-IS
process. You then optimized the process/workflow and modeled the TO-BE process.

For your
Stage 2 Project for the Case Study,you
examined the need for information exchange between the Family Clinic and
other organizations.

For this Stage 3 Project, you will
evaluate EHR system solutions and propose a technology solution that will
improve the patient visit process you modelled in Stage 1 and improve the
quality of care, safety, and financial management decisions for the Family
Clinic.

Assignment

As the EHR consultant to Dr. Martin, you will write
a paper to propose to him which EHR system you recommend; what it will
do; what hardware, software and telecommunications components he will need to
acquire; whether the system will be hosted locally or in the cloud; and explain
how the proposed technology solution
will improve the patient visit process, and the quality of care, safety, and/or
financial management decisions at the Family Clinic. Create
a document that includes the following:

  1. Select and propose a specific EHR system for the
    Family Clinic
    . The system should be one that would
    improve the patient visit process as described in the case study and as
    modeled in the Stage 1 assignment.
    You will want to propose a system that has been certified to
    perform certain functions, and is listed as a “complete” EHR system
    (vs. one that focuses on only one or two of the processes). Focus on a single EHR system solution
    that would help to improve the patient visit process.
    • To accomplish this, you will need to look up the
      up-to-date list of certified complete EHRs on the ONC (Office of the
      National Coordinator for Health IT) website at the following URL and then
      complete the steps that follow:http://oncchpl.force.com/ehrcert/
    • Select “View All Products” (located just
      under the search bar). On the page
      that comes up, you will want to search using the following search
      criteria:
      • Certification Edition:2014
      • Select Practice Type:Ambulatory
      • Select Classification: Complete EHR
      • Select one or more Certification Criteriato find EHR systems that support the patient visit process. (Note that not all EHR systems address
        all process areas.) Refer to the
        “Certification Criteria,” in Content>Course Resources for a list that
        corresponds to the numbers provided; or mouse-over the number to see the
        corresponding criterion.
    • You will then provide in your paper the
      following bulleted information on the certified EHR that you have
      selected:
      • Product: ___________________
      • Version: ___________________
      • Vendor: ___________________
      • CHPL Product Number: ___________________
    • Describe the system
      in one paragraph. Go to the
      vendor’s website and research what the system does and some of its
      selling points. Your description
      should demonstrate that the selected system fits the Clinic’s needs
      and will improve the patient visit process.
  2. List the major hardware, software and
    communications (including local connectivity and internet access, if
    appropriate) components that will be needed, and the number of eachneeded
    for the implementation at the Family Clinic. The vendor’s website should list the
    major hardware/software requirements for implementing the system. How many
    of each you list is dependent on the solution you propose, but the
    important components needed to implement your proposed solution should be
    included. For example, you may have
    one PC for the front desk and one for each of the 3 examination rooms, and
    they will have to connect to some system somewhere. Or you may decide to
    have 1 PC for the front office, and a tablet or laptop each for the doctor
    and the two nurses, also connected to some system somewhere. Your list
    should be applicable to your proposed solution, should improve the patient
    visit process, and be appropriate for the Family Clinic. (Remember, there is currently no
    information technology implemented at the clinic other than the outdated
    scheduling software on the single front desk PC.)
  3. You will also need to specify whether your EHRsystem
    will be hosted (installed) on computer equipment to be located in the
    clinic or if it will run as “Software as a Service” (SaaS) via the
    Internet (i.e., “in the cloud”).(For a definition of SaaS,
    please see the note in the box below.)
    You will need to evaluate the clinic’s needs and the vendor’s
    offering. Some vendors offer only one or the other, some offer both
    methods of access. There are
    advantages to selecting SaaS for smaller clinics, like reducing the need
    for an IT staff, but it also comes with a price tag. You will need to provide
    the reasoning
    behind your selection.
  4. Explain
    how the proposed technology solution will improve the patient visit process,
    and the quality of care, safety, and/or financial management decisions at
    the Family Clinic. Note that
    a significant percentage of the overall grade is based on this
    explanation.

SaaS:Software-as-a-Service
(SaaS) is a software delivery model, where the actual software and the data
are hosted at the location of the software provider. The users access the
software or the data using a ‘thin client’ such as a web-browser. That way
the actual users of the software do not need to install the entire software
and save the data on their own hardware. The provider of the software is the
one who incurs all the responsibility of making the software and data available,
backing it up, and restoring from backup when needed. Hence, the users don’t
need to incur hardware costs or hire IT staff. This model is becoming more
and more popular especially for small businesses when it is not in their
business model to hire an IT staff. Software delivered in this way is said to
run “in the cloud.”

Example:An
example of a common business accounting software that is offered in more than
1 delivery model is Intuit’s Quickbooks. A small business owner can buy the
software for a one-time fee (cost of purchase is about $300) at Office Depot,
install it on his own PC and start entering his financial data. In this
delivery model, the software and data reside on the PC. If the PC crashes,
all the data is lost unless the entrepreneur was IT-savvy and backed up his
data on a CD or USB. The data can only
be accessed on that computer.

The other model is the SaaS, where
the entrepreneur can decide that he prefers to pay a monthly fee (roughly
$50) and access Quickbooks via an internet browser such as InternetExplorer
or Firefox. In this model, the software and the data are stored at the
software vendor, Intuit. An advantage of this model is that the business
owner does not need to worry if his PC crashes or if he works from home or
the office. He can access the system and his data from anywhere and Intuit
takes care of securing and backing up the data, etc.

Formatting

·
Your paper should be written as a professionally
presented proposal to Dr. Martin at the Family Clinic.

·
Your paper should be about two pages, single spaced.

·
You should include at least oneexternal
source
. These are sourcesother than those provided in the classroom. Sources should include the vendor’s website.NOTE: More than one
external source is required to earn full points.

·
Add a title page, and a reference page.

·
Use APA formatted citations and references for all
external sources used.

·
Compare your final work to the rubric to be sure you
have met content and quality criteria.

·
Submit your paper via your Assignment folder as a
Word document, or a document that can be read in Word.

Your paper will be
evaluated on whether or not you correctly incorporated the course concepts from
the textbook and readings, and have addressed all parts of the assignment. What,
exactly, you propose as a technology solution will be evaluated as to whether
it is appropriate for the Family Clinic and could actually improve the patient
visit process, and whether it is fully thought-out and supported with
application of course concepts and research.
Remember, this is an information systems management course, and your
solution must be an information technology solution – specifically an EHR system. Use the Rubric below to be sure you have
covered all aspects.

GRADING RUBRIC:

Criteria

90-100%

Far Above Standards

80-89%

Above Standards

70-79%

Meets Standards

60-69%

Below Standards

< 60%

Well Below
Standards

Possible Points

Proposed
Technology Solution

18-20
Points

Proposed technology solution is identified
and convincingly described in detail using course vocabulary, is appropriate
to the case studyand to
improve the patient visit process; strongly demonstrates understanding of course
concepts, analysis, and critical thinking.

16-17 Points

Proposed technology solution is identified
and well described using course vocabulary and is appropriate to the case studyand to improve the
patient visit process; and demonstrates understanding of course concepts,
analysis, and critical thinking.

14-15 Points

Proposed technology solution is identified
and described using course vocabulary and is appropriate to the case studyand to improve the patient
visit process.

12-13 Points

Proposed technology solution is not
adequately identified or described, and/or not appropriate to the case study, and/or not
appropriate to improve the patient visit process; may be lacking in
demonstration of understanding of course concepts, course vocabulary,
analysis, and/or critical thinking.

0-11 Points

Proposed technology solution is not
included or not described; or is not appropriate to the case study and
improving the patient visit process.

20

Solution
Components

23-25 Points

Major
hardware, software,and telecommun-ications components needed to implement the
proposed solution are listed and the number of each is specified; are highly
appropriate to the proposed solution and clearly appropriate to the case study.

20-22
Points

Major hardware, software, and
telecommun-ications components needed to implement the proposed solution are
fully listed and the number of each is specified; are clearly applicable to
the proposed solution and appropriate to the case study.

17-19 Points

Major hardware, software, and
telecommun-ications components to implement the proposed solution are listed and
the number of each is specified; are applicable to the proposed solution and
appropriate to the case study.

15-16 Points

Major hardware, software, and telecommun-ications
components listed may be incomplete, number of each may not be provided; may
not apply to the proposed solution and/or may not be appropriate for the case study.

0-14 Points

Component list is not
provided or is lacking major components and/or number of each required.

25

Explanation
of SaaS vs. in-house solution

9-10
Points

Explanation
of SaaS vs. in-house implementation of the solution is clear and convincing.

8
Points

Explanation
of SaaS vs. in-house implementa-tion of the solution is clear and complete.

7
Points

Explanation
of SaaS vs. in-house implementa-tion of the solution is presented.

6 Points

Explanation
of SaaS vs. in-house implementation of the solution is incomplete or unclear.

0-5 Points

Explanation of SaaS vs. in-house implementa-tion
of the solution is not provided.

10

Explanation
of selection of certified EHR system

23-25
Points

A clear and convincing explanation is
provided for how the proposed certified EHR system will improve the patient
visit process,quality of care, safety, and/or
financial management decisions; demonstrates understanding of course
concepts, sophisticated analysis, and critical thinking.

20-22
Points

A clear and correct explanation is
provided for how the proposed certified EHR system will improve the patient
visit process,quality of care, safety, and/or
financial management decisions; demonstrates understanding of course
concepts, analysis, and critical thinking.

17-19 Points

An
explanation of how the proposed certified EHR system will improve the patient
visit process,quality of care, safety, and/or
financial management decisions is provided using course vocabulary and
concepts.

15-16
Points

The explanation of how the proposed
certified EHR system will support the patient visit process,quality of care, safety, and/or financial management
decisions
is incomplete and/or not convincing; may be lacking in demonstration of
understanding of course concepts, analysis, and/or critical thinking.

0-14
Points

Explanation of how the proposed certified
EHR system can improve the patient visit process, quality of care, safety, and/or financial management
decisions
is not provided or is incomplete or inadequate.

25

External
Research

9-10
Points

More
than one

source other than the course material is incorporated and used effectively.
Sources used are relevant and timely.
References are appropriately incorporated and cited using APA style.

8 Points

At least one source other than the course
material is incorporated and used effectively. Source(s) used are relevant
and timely.
References are appropriately incorporated and cited using APA style.

7 Points

At least one source other than the course
material is incorporated correctly. Reference is cited using APA style.

6 Points

A source other than the course material
may be used, but is not properly incorporated or used; and/or is not
effective or appropriate; and/or is not relevant or timely; and/or does not
follow APA style for references and citations.

0-5 Points

No external research is
incorporated or reference listed is not cited within text.

10

Report
Format

9-10
Points

Report is very well organized and is easy
to read. Very few or no errors; demonstrates correct sentence structure,
grammar, and spelling; written in third person and presented in a
professional format.

8 Points

Report reflects effective
organization; may have few errors in sentence structure, grammar, and
spelling; written in third person and presented in a professional format.

7 Points

Report is organized and may have some
errors in sentence structure, grammar and spelling. Report is written in
third person.

6 Points

Report is not well organized, and/or
contains several grammar and/or spelling errors; and/or report is not written
in third person.

0-5 Points

Report is extremely poorly written; and/or
contains many grammar and/or spelling errors; and/or does not convey the
information.

10

TOTAL
Points

Possible

100

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