HEALTH CARE INFORMATION SYSTEM

Implementing a Health Care Information System to Improve Quality Care to Patients



Abstract

Successfully implementing patient care information systems (PCIS) in health care organizations appears to be a difficult task. After critically examining the very notions of 'success' and 'failure', and after discussing the problematic nature of lists of 'critical success- or failure factors', this paper discusses three myths that often hamper implementation processes. Alternative insights are presented, and illustrated with concrete examples. First of all, the implementation of a PCIS is a process of mutual transformation; the organization and the technology transform each other during the implementation process. When this is foreseen, PCIS implementations can be intended strategically to help transform the organization. Second, such a process can only get off the ground when properly supported by both central management and future users. A top down framework for the implementation is crucial to turn user-input into a coherent steering force, creating a solid basis for organizational transformation. Finally, the management of IS implementation processes is a careful balancing act between initiating organizational change, and drawing upon IS as a change agent, without attempting to pre-specify and control this process. Accepting, and even drawing upon, this inevitable uncertainty might be the hardest lesson to learn.

Table of Content

Abstractii

Chapter 01: Introduction1

Outline of the Study1

Problem Statement1

Objectives1

Research Question1

Theoretical Frame work2

Limitation of the Study3

Assumptions & Limitation4

Chapter 02: Literature Review5

Strategic Alignment6

Communicate objectives and strategies8

Involve clinical leaders in planning process9

Top management involvement9

Involve stakeholders too little11

Conduct a disorganized decision process11

Chapter 3: Methodology18

Research Design18

Qualitative Research18

Sample19

Instrument (interview/ Questionnaire)19

Data Collection Method20

Data Analysis21

Workforce Development22

Growth22

Patient safety23

Technology focus23

Government regulation compliance23

Research Question 124

Formal evaluation process24

Incorporation of IS investments in strategic business plan24

Return on investment analysis25

Board of Directors approval of IT investment25

Business objectives and strategies in request for proposal selection criteria25

Research Question 225

Managerial actions26

Visit sites26

Enabling organizational characteristics27

IT value awareness27

Research Question 328

Managerial actions28

Hindering organizational characteristics28

Revenue Cycle Management28

About Thomas Hospital34

About Streamline Health34

Chapter 4: Result & Discussion36

Resistance to change36

Lack of Management Support36

Lack of IT understanding37

Lack of resources37

Complexity of organization38

Step 1: Identify organization objectives38

Step 2: Identify organization strategy39

Step 3: Envision information systems39

Step 4: Gain approval40

Step 5: Acquire/implement40

Chapter 5: Conclusion & Implications42

References47

Appendices50

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Table 0755

Figure 0155

Chapter 01: Introduction

Outline of the Study

Information technology is playing an increasingly central role in the U.S. health care industry. This is because information systems investments can contribute greatly to improved service quality, operational efficiency, patient satisfaction, and patient care , and. Even greater adoption and use of such systems in health care could save an additional $162 billion a year.

Problem Statement

Implementing a Health Care Information system to improve quality care to patients and the inefficiency of documenting patient care and how it negatively affects revenue.

Objectives

The system shall provide authorized users with more accurate and timely information through immediate electronic access to patients and population information. The long term objectives are to enhance the safety, quality, cost effectiveness, and efficiency o health care. I will identify the components for the patient registration system. This will be a template electronic system that can be used in healthcare system ...