Deck 10: Information Technology Impact on Health Care

Question 1

IN YOUR OWN WORDS
Based on this chapter, please provide an explanation of the following concepts in your own words. DO NOT RECITE the text.

Answer 1

Informatics:
Informatics is the usage of computer application for different industries. Medical or health informatics is the usage of science of computer application to support the research and clinical data in the different aspects of the health care.
Health information technology:
The goal of health information technology is to manage the health data, which can be used by stakeholders who are interested in healthcare. Health information technology will have an impact on the healthcare industry. Various stakeholders in the healthcare industry make use of health information technology.
Expert systems:
Expert system is the piece of the software. It uses the expert knowledge advice for making decision in the medical areas. The expert system offers services using the information technology.
Electronic health records:
Electronic health records are the records of health related information. Electronic health record accumulates data from one health system, after that the health organization utilizes the information. The details of the patients and the diseases will be documented by adopting the system of electronic health records.
Legacy systems:
Older systems are the legacy system. Legacy systems integration is quiet difficult, but they are worthwhile. This is because, the legacy systems helps for the strategic decision-making.
Enterprise data warehouse:
Enterprise data warehouse will provide information that is helpful for the organizations in strategic decision-making. The integration of the systems in an organization is the major requirement of the enterprise data warehouse.
Radio frequency identification:
Radio frequency identification system makes use of the chips to transmit data. Each chip is uniquely identifiable and the signal indicates the location. Radio frequency identification is widely using in the inventory management. The chip will be located in the each piece of the inventory, and then the operator will be able to monitor the inventory properly.
Health advise network:
Health advice network provides healthcare coordination, electronic check-ins, financial solutions, certification support, and support for health outcome. Health advice network is mainly to coordinate the healthcare system.
Computerized physician order entry system:
"Computer physician order entry system" is a clinical decision support system. It enables the patient's provider for entering the prescription order or an order for the lab or for a diagnostic test in the computer system.
Major components of the order entry system are the following:
• The user can enter the details from a handheld device or from a laptop or from a computer
• The provider can order a procedure, test, or prescription
• Order entry system is connected with a decision support system
• Order entry system can be integrated to the overall computer system
Phreesia pad:
Phreesia pad is a wireless device with the touch screen as keyboard. Using the touch screen the user can enter their details and the reason for the visit. The user can make payment using debit or credit card. The customer does not want to enter the details repeatedly; the system will automatically verify it.

Question 2

Complete the following case scenarios based on the information provided in the chapter. Your answer must be IN YOUR OWN WORDS.
REAL LIFE APPLICATIONS: CASE SCENARIO ONE
As one of four physicians, you all are interested in implementing an EHR system. You heard there was an excellent project in New York City that has successfully implemented a system.
ACTIVITY
You schedule a visit to New York City to visit their project. You prepare a report for your physicians on the results of their project.
RESPONSES

CASE SCENARIO TWO
As a new physician, one of your goals is to increase access to providing health care in the rural areas of your state. You have heard that telemedicine may be an opportunity for you.
ACTIVITY
You perform research on the advantages and disadvantages of telemedicine for your practice.
RESPONSES

CASE SCENARIO THREE
You were just promoted to CIO of your hospital. One of your goals is to improve the efficiencies of hospital operation. You heard that RFID is a viable option to pursue.
ACTIVITY
Perform research on RFID technology and its application to the healthcare industry. Select three types of RFID applications that will work for your hospital and develop a report for your CEO.
RESPONSES

CASE SCENARIO FOUR
You were just hired as the office manager of a six-physician office. As part of your responsibilities, one of the physicians asked you to investigate the possibility of an electronic health record (EHR) system. They had heard that the federal government has an incentive program to implement an EHR system.
ACTIVITY
Visit the www.cms.gov website and research the CMS incentive program. Prepare a report for your physicians.
RESPONSES

Answer 2

Informatics:
Informatics is the usage of computer application for the different industries. Medical or health informatics is the usage of the science of computer application to support the research and clinical data in the different aspects of the health care.
Case scenario one:
As a physician, Person N is very interested to implement the electronic health record in his hospital. Person N knows that, the electronic health record system is successfully implemented in City NY.
Solution to the problem:
The following are the results that found from the City NY after implementing the electronic health record system in the hospital:
• After the implementation of the electronic health record system, the hospital is able to keep up-to-date, complete, and accurate information regarding each patient
• Enables coordinated, efficient and quick access to the record of the patients
• Electronic health record system enables more security for the information about the patients
• Implementation of electronic health record system enabled to reduce the paper work
• Prescribing more reliably
• Complete documentation of the patient information is enabled through the implementation of electronic health record system
• Reduced cost and paper work is a remarkable benefit of electronic health record system
Case scenario two:
As a physician, the goal of is to improve the access of health care facilities in the rural areas. Person G has heard about telemedicine opportunity.
Solution to the problem:
Telemedicine is the use of information technology for enabling the healthcare providers in the rural areas about the patient care or for communicating directly with the patient about the treatment. The following are the advantages of telemedicine:
• Some patients may feel shy to go to the hospital and consult the doctor directly, such patients can make use of telemedicine system
• If there is no time available to take the patient to the hospital, telemedicine helps to save the lives in emergency
• Telecommunication can be used for consistent healthcare in emergencies like disaster situation
• If the patient is living in an inaccessible area, then the telecommunication system can be used to provide treatment for them
Major disadvantages of the telemedicine are given below:
• Cost involved in telecommunication is comparatively high
• Telemedicine takes more time to consult a patient
• Tough legal requirement is essential for telemedicine, it will help to reduce the illegal and unauthorized services
• Telemedicine may result in lower quality of informatics records
Case scenario three:
Person Y is the chief information officer of a hospital. Person Y's goal is to improve the efficiency of the hospital operation. Person Y came to know about the radio frequency identification.
Solution to the problem:
Radio frequency identification system makes use of the chips to transmit data. Each chip is uniquely identifiable and the signal indicates the location. Radio frequency identification is widely using in the inventory management. The chip will be located in the each piece of the inventory, and then the operator will be able to monitor the inventory properly. Selected type of radio frequency identification application in the hospital is given below:
• Hospital can implement the Radio frequency identification in wireless system
• Adoption of Radio frequency identification in supply chain management
• Adoption of Radio frequency identification in the inventory management of a hospital
Case scenario four:
Person C is an office manager in the office of six-physicians. One physician asked Person C, to investigate about the scope of an electronic health record system. Then, Person C came to know that, the government is providing an incentive to implement the electronic health record system.
Solution to the problem:
The incentive programs are providing in two stages. In the first stage, rules will be set for Medicaid and Medicare electronic "health record incentive program." It establishes requirements for electronic capturing of the clinical data. The hospital should provide the electronic copies of the information regarding the patient's health.
Stage 2 is the expanded criteria in stage one. Its main intention is to ensure the meaningful use of the electronic health record system. This stage encourages the use of information technology for the continuous improvement of quality.

Question 3

INTERNET EXERCISES
Write your answers in the space provided.
Visit each of the websites listed here.
Name the organization.
Locate their mission statement on their website.
Provide a brief overview of the activities of the organization.
How do these organizations participate in the U.S. healthcare system
Websites

Answer 3

Informatics:
Informatics is the usage of computer application for the different industries. Medical or health informatics is the usage of the science of computer application to support the research and clinical data in the different aspects of the health care.
Organization name:
Organization AA
Mission statement:
Organization AA is the organization involving 66,000 pediatricians for the optimal mental, social, and physical health and the wellness for all the children, infant, young adults, and adolescents.
Overview of activities:
The following are the major activities undertaken by the Organization AA:
• Online education
• Publications
• Programs for the life support
• Live activities
• Conferences at the national level and the exhibitions
Importance of Organization AA to the health care of Country A:
Organization AA is exclusively dedicated to the health of children, infant, young adults, and adolescents. The support of a dedicated organization is necessary for ensuring the health of this category in a nation.
Organization name:
Organization PP
Mission statement:
Organization PP facilitates integration of patient engagement solution. Organization PP provides key points for the care; these points will help the professionals in healthcare to improve their quality, patient satisfaction, and efficiency.
Overview of activities:
Organization PP is mainly engaged in the education of the patient at the point of care.
Importance of Organization PP to the health care of Country A:
Organization PP is mainly for the education of the patient. They will clearly inform the patient about the diagnoses and will suggest what the patient should do for handling their long-term health issues.
Organization name:
Organization HD
Mission statement:
Organization HD provides information for the information technology and medical executives, administrators, and professionals.
Overview of activities:
Organization HD is keeping a record of technology and business experts. The organization conducts conferences and exhibits. Organization HD serves technology, business, and the decision-makers in the clinical field.
Importance of Organization HD to the health care of Country A:
Organization HD will be able to serve the professionals in the technological and the medical field. This service will be a big assistance for the professionals.
Organization name:
Organization NH
Mission statement:
Organization NH promotes and advances the well-being and health of the first nations. Organization NH is dedicated for improving the mental, social, emotional, physical, and spiritual health.
Overview of activities:
Organization NH ensures, they will deliver right thing for who deserves it. The organization tries to deliver their services at maximum quality and inspires people to come up with their ideas.
Importance of Organization NH to the health care of Country A:
Organization NH undertakes many activities to improve the awareness about the health. The organization's premier aim is to promote the research for the improvement of the people.
Organization name:
Organization P
Mission statement:
Organization P leverages the self-service for transforming patient intake ad enabling the healthcare organization to improve the patient experience. Organization P acknowledges about the medical environment, which is changing day by day.
Overview of activities:
Organization P has established their clinics in different places and conduct healthcare programs for the people.
Importance of Organization P to the health care of Country A:
Services of Organization P will help to improve the satisfaction of the patients. The services provided by the Organization P will be at the higher quality. It will help the nation to improve the quality of the healthcare system of the nation.
Organization name:
Organization HV
Mission statement:
Organization HV provides personalized health record. The organization is to maintain and store fitness and the health information.
Overview of activities:
Organization HV is to collect and record the personalized health related information of people. It enables the information of the people to find their information at their fingertips.
Importance of Organization HV to the health care of Country A:
Organization HV records all the information about the people. The collection of information enables the people to have an idea about their health.

Question 4

DISCUSSION QUESTIONS
The following are suggested discussion questions for this chapter.