Question

Health Informatics- Chapter 6 case stydy

According to the U.S. EMR Adoption Model, at what stage of implementation would you classify Hospital A? After both hospitals are using the same system, what would you recommend implementing next?

Case study 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 is moving quickly to take advantage of the incentives offered by the government and meet mandatory requirements. Executives decided to focus on the acute care facilities first and use lessons learned there to integrate the other centers later. 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CPOE, and clinical documentation, whereas Hospital B has a highly customized, beloved old mainframe computer that is outdated and no longer supported by the vendor.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 are being implemented in Hospital B.

Answer 1

Hospital A is in stage 4 of implementation becuase it has basic ancillaries adoption in stage 1 and CPOE(computerized practitioner order entry) and health professional documentation included in stage 4.
The next implementation model to focus on both hospital vision to create and support communication, care coordination and data sharing across the organization. so they have to adopt stage 7 for managing patient care including documentation in the EMR environment. no more paper charts should be used. Using data warehousing to analyze patterns of clinical data to improve quality, safety and efficiency care for the patient. Clinical information can be thorugh electronic transaction to all centers, there should be a data sharing envienemnt. Data continuity for all hospital services. physician documentation and CPOE use should reach upto 90% and achieve a closed-loop process for hospital service including ED.