Question

Can you Please do analysis and evaluation of the alternatives? please do as soon as possible. Thank you.

Alternatives/ Recommendations

Cost solution: The infrastructure required to host an EMR is expensive, and third-party servers are not always cheap either. Therefore, PHS could eradicate third-party servers that entail an up-front cost, opting instead for a system with monthly fees. If PHS converted current LMR/CPOE systems to a cloud based service with such a monthly fee, small offices will be better able to handle these costs. Time solution: To minimize wasted time spent navigating the EMR system, PHS should streamline their system to where there is as much automation as possible. EMR Systems should provide templates and easy-to-use organizational structures within a minute. This way, doctors will be able to enter vital patient information into the system quickly and efficiently. Data entry solution: The fewer the movements, the more efficient and ergonomic. Templates should be provided by the EMR system so the doctor can easily record entries with a few clicks rather than extensively using the keyboard. For example, if a doctor enters the patient's name on the note, then the name should automatically be generated in other forms, such as the prescription and encounter form. This will save a lot of time and makes data entry very efficient.Integration solution: Real-time communication between a scheduling system and an EMR can get complicated. There may be glitches or lags when the two systems try to work simultaneously. Therefore, perhaps incorporating the two systems consecutively would be beneficial. For example, have a team that takes the patient demographics from the scheduling system and have them enter that data into the corresponding EMR for that patient at the end of every day. Any additional data entries for that day will have to be manually entered into the EMR by the patient using a device such as an iPad so that staff can use their time to serve a larger population, increasing access to a larger population without compromising the quality of care. This would also help them in serving the cost related issue of the patients who are unable to afford the expensive therapies. The system would generate the best optimal solution and the therapy for the patient according to the patient budget, which is a true reflection of an intelligent system. Implementation solution: implement an EMR system that is intuitive and easy to learn. The system shouldn’t seem excessively complicated and messy. It should be organized and have only the features that are necessary. It is a waste of resources for the staff to spend a considerable amount of time and effort to learn about a system that’s meant to boost efficiency.Cons: Doctors were hesitant to adopt the latest technology, as they were trained to write prescriptions manually. They also lacked the resources to finance this implementation and maintenance. Traditionally, the authority was assumed to be the central figure but after this, implementation was assumed to be decentralized. Therefore, a change needed to be done.

Key Decision Criteria

Partners Healthcare System did well in integrating their healthcare delivery system. Their hospitals, primary care clinics and specialty practices achieved quality delivery through the system wide adoption of information management. However, in terms of a suitable alternative, PHS needs to steer their focus on maintaining satisfaction throughout their healthcare system. Therefore, the alternative EHR must: 1.Be cost-effective for small offices 2. Require a minimal technological infrastructure to operate 3. Be easy for providers to navigate 4. Improve provider satisfaction 5. Require minimal interaction from providers so they can focus more on their patients than entering information into the system during appointments 6. Be capable of handling a hospital’s patient volume 7.Have frequent, high-speed updates to ensure the accuracy of information regarding drug interactions and governmental rules 8.Have a reliable backup in case the system crashes

Answer 1

Ans) As more and more charities and libraries move to cloud services, this technology is no longer novel: it's becoming the dominant paradigm in IT.

- When TechSoup surveyed NGOs, nonprofits, and charities around the world in 2012, we found that lack of knowledge was the biggest barrier to adopting cloud services. We suspect that it is still a barrier. This article will help you understand what the cloud is and support you in investigating whether cloud solutions are right for your organization. We'll introduce some basic cloud computing terminology and outline some of the advantages and disadvantages to cloud computing.

- The term "cloud computing" refers to a variety of Internet-based computing services. The difference between cloud-based and traditional software is that when you access the cloud, your desktop, laptop, or mobile device isn't the thing doing the actual computing. The computing happens in a large datacenter outside your organization, and you simply see the results of it on your own screen.

- Most cloud computing services are accessed through a web browser like Microsoft Internet Explorer, Microsoft Edge, Mozilla Firefox, or Google Chrome. You can also use certain cloud services via a dedicated mobile app or through a browser on a smartphone or tablet. Therefore, cloud services don't require users to have sophisticated computers that can run specialized software.

- Specifically, "cloud computing" usually refers to a cloud alternative to something that organizations would traditionally manage in-house. For example, a webmail service is a cloud-based alternative to hosting your own email server. A cloud-based constituent relationship management (CRM) database system is an alternative to running a donor database in your office.

- Cloud computing is a quickly changing area that will undoubtedly continue to play an increasingly major role for nonprofits, charities, and libraries as well as their IT systems. But which elements of your IT infrastructure you should move into the cloud — and when — will vary a lot from organization to organization.

- FinallyFinally, because technology is changing constantly, you can't just evaluate cloud solutions once. An issue that may make cloud computing difficult or impossible for you today may be resolved six months from now. And more cloud tools are being developed all the time. So even if you're not quite ready for the cloud right now, you may find a good cloud solution at a later time.