Description
You?will?need?to?write?a?3?4?page?paper?for?each?scenario.?Each?paper?should?address?the?questions?provided?in
the?applicable
scenario.?
Scenario?1:?Combining?data?in?an?EMR?system.
A?large?healthcare?enterprise?in?the?Mid?Atlantic?region?that?was?created?by?a?merger?owns?two?acute
care?hospitals,?a?rehabilitation?center,?an?outpatient?surgical?center,?and?three?long?term?care
facilities.?Each?of?these?institutions?uses?a?different?EMR?system.?Admitting?privileges?extend?to?550
physicians?who?have?office?systems?that?interface?with?at?least?one?of?the?acute?care?EMR?systems.
The?vision?is?to?create?an?environment?to?support?communication,?care?coordination,?and?data
sharing?across?the?organization?in?preparation?for?a?regional?EHR?system.?The?organization?also
wants?to?move?quickly?in?order?to?take?advantage?of?the?incentives?offered?by?the?government?and
meet?mandatory?requirements.
Executives?have?decided?to?focus?on?the?acute?care?facilities?first?and?use?lessons?learned?there?to
integrate?the?other?centers?at?a?later?time.?Hospital?A?uses?certified?EHR?applications?and?has
implemented?ancillary?systems,?CPOE,?and?clinical?documentation?whereas?Hospital?B?has?a?highly
customized,?beloved?old?mainframe?computer?that?is?outdated?and?no?longer?supported?by?the
vendor.?Instead?of?selecting?a?new?system?for?both?hospitals,?the?software?programs?used?in?Hospital
A?will?be?implemented?in?Hospital?B.
There?are?many?types?of?barriers?that?can?interfere?with?the?implementation?of?a?unified?EMR
system.?Give?an?example?of?at?least?three?barriers?types?that?exist?and?could?cause?issues
given?the?scenario?above.
Scenario?2:?PHR?Implementation
An?academic?medical?center?in?the?western?U.S.?recently?adopted?a?commercial?EHR?and?plans?to
adopt?and?integrate?a?PHR?with?its?EHR.?The?hospital?CEO?drafts?a?vision?statement?designed
around?improving?how?their?patients?experience?health?care.
The?CEO?convenes?a?meeting?of?the?chief?technology?officer,?the?chief?nursing?informatics?officer,
the?chief?medical?officer,?and?a?liaison?from?the?EHR?vendor?to?develop?a?strategic?plan?for?the?PHR.
This?meeting?includes?a?specific?list?of?functionalities,?a?timeline?for?their?implementation,?and
considerations?regarding?the?effects?of?the?PHR?on?current?workflows?and?revenue?streams.
Imagine?that?you?are?the?chief?technology?officer?for?the?hospital.?What?PHR?functionalities
will?you?recommend?be?implemented?first??Why?
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