“Greenway Medical Technologies: The Pace-Setting David ofElectronic Health Records”
The above case study outlines the potential value offered by electronic healthcare records (EHR) but also raises a number of issues. The case material is comprehensive but, in essence, focuses on the improving the management of doctors’ offices through the application of information technology and systems. The requirement for this case study is to analyse the IT value issues of EHR so that a business case can be developed for the management of a doctor’s practice.
You are required to analyse the case material provided to you and produce a report to management with the title: The Business Case for Investing in EHR within a Doctor’s Practice. You should identify the issues in the case material that have relevance to a business case and produce a written report from the information available. To understand the issues associated with EHR you should not only rely on the information provided in the case study but also conduct your own research. EHR is very topical and there is much information available through the ECU e-library. A sample journal article relevant to the topic titled “Information Technology Issues in Healthcare: Hospital CEO and CIO Perspectives” is provided with the case material.
You must also consider the ethical and social implications of the implementation of such as system.
The assignment will be completed in two parts:
Part 1: Data collection (worth 30%)
You are required to collect data in respect of EHR and doctors’ practices within Australia.
Firstly obtain an understanding of how General Practice functions, the business context and the key processes. Then select an EHR vendor operating in Australia that supplies EHR system solutions to doctors’ practices. Establish the solutions they provide: functionality of systems, IT architecture, risk and security, costs and benefits, implementation strategy, vendor background information.
It may help you to structure your data collection like this:
The requirements for a doctor’s practice
1. The Requirements for a Doctor’s Practice
1.1 Analysing the Business Context of Doctor’s Practices
General medical practice helps to provide exhaustive, facilitated and focused whole individual medical services to the patients and their family members within a group. It is important to state that the general physician practices, the practice groups and the important social insurance influences exemplify the developments of a feasible healthcare system. It will be essential for the future practitioners to know that the general medical and clinical practices can be defined by some important characteristics according to the disciplines. These are discussed as follows:
Patient Centred Services: It is important for the general physicians and practitioners to understand the health requirements and needs of the target customers and patients based on the characteristics of the diseases and illness. It is the ultimate individual experience of the general physicians to detect the reason behind the illness. In addition, the general physicians and practitioners are strongly responsible to give patients relief from the illness and diseases. The needs, desired health consequences and values of the patients always can be considered as the major objective and responsibility of the general physicians and practitioners.
Care Continuation for the Patients: Similar to the detection of the reason behind the illness, the general physicians and practitioners are always responsible for the care and sustainability of the health of the patients. These general physicians and practitioners always need to develop resilience, wellbeing, and good health of the patients through the consideration of the effective doctor-patient relationship (Babichenko et al., 2016). The continuation of the sustainable and care activities by the general physicians and practitioners can be ensured through the enhancement of effective teamwork, resource implications, and adequate services.
Whole body Care of the Patients: The general physicians and practitioners are highly responsible to check the health needs of the patients. Full body check-up can be considered as the major needs of the patients in the case of complex and serious illness. This is acceptable that the majority of the general physicians and practitioners need to advocate, implicate and counsel the enhancement of change management approaches to take care of the care for the patients and the family members.
Collaborative Clinical Activities: The general physicians and practitioners need to adopt the collaborative workplace performance with other members and staffs in the clinic to ensure good discipline, effective care, and successful outcomes. The important clinical information should be flowed ethically and transparently within the team to ensure high-quality services.
Effective Quality Management and Improvement: The general physicians and practitioners are also responsible for maintaining sustainability and quality of the healthcare services in order to assess and monitor the professional abilities. The evaluation of the skill, competency and performance level of the general physicians and practitioners can help them to improve the degree of patient health care services. Overall, it is also essential for the practitioners to evaluate the need for the implication of the change management applications in the healthcare services if needed to improve overall quality of the services. The need of the patients and their family members is highly important in the context of the community services (Dotti et al., 2017). Overall, it is acceptable that the majority of the general physicians and practitioners should focus on effective health care services quality improvement aspects through the consideration of the team working, leadership, planning, data management and information management processes.
Clinical, Ethical and Professional Standards: The effective and transparent professional standards generally help the general physicians and practitioners regarding the development of the essential framework for the improvement of the decision making process under a complex situation. This is also essential to consider the ethical standards to maintain transparency and governance in the overall healthcare system (Lakhoua et al., 2016). The general physicians and practitioners also need to become ethically responsible regarding utilisation of the public resources. Minimum utilisation and maximum output can help in better strategy development and implementation process, which can result in caring and high-quality patient care services.
Effective Evaluation and Monitoring of Discipline: The general physicians and practitioners are highly responsible for ethical, transparent, valuable, and high-quality patient and health care services. It is also important to discuss that the quality of the healthcare services cannot be maintained without the monitoring and evaluation of the discipline of the practices (refai et al., 2016). Discipline and professional standards in mentorship, teaching, and research & development process should be considered to overcome the disciplinary issues for the healthcare system
1.2 Challenges that are facing by Greenway Medical
The general medical service industry has developed concretely over the last years. The physicians in Australia are the first point of contact in the medical system that provides direct treatment to the patients. The service industry has been characterized through low market share concentration as well as degree of fragmentation. The particular industry has made up small-scale business, which is closely tied to the requirements of community. According to the report of Australian Bureau of Statistics, there is nearly half of general physicians operate as the sole proprietorships as well as less than 2.0% of the general practices employ 20 or more employees
1.3 special regulatory, social and ethical circumstances that are operating at Greenway Medical
Greenway Medical presently a positively settled conviction in medical industry of Australia that legal and ethical considerations are irreplaceable to remedial practice in the preparing for the care of the patient. With the advances in therapeutic sciences and creating many-sided quality of the authentic structure in current society and growing consideration, regarding human rights and changing great models of the gathering all around, masters and other wellbeing mindfulness workers alike are frequently received in troublesome challenges in various viewpoints rising up out of systematic practice.
1.4 Identification of Areas of Breakdown in Practices
Within the doctor’s practice in the healthcare industry, the following are the key areas of breakdown -
Communication: This is the major area of breakdown in doctor’s practices. Faulty communication making the system error and it is taking time to resolve the actual issue.
Cost: It is identified that IT system in medical practices is becoming a soar. Therefore, maintenance cost is very hurdle for implementing HER within doctor’s practices.
1.5 Processes and Services that Doctor Performing
Overall, the general physicians and practitioners is acting collaboratively with nurses, counsellors, and other important staffs to deliver integrated and accessible patients care. Aspects should lead, co-ordinate and support the flexibly constructed clinical teams (Bosman et al., 2016). This will help a clinic to contribute effectively to the external clinical group members. Both the internal as well as external team members is acting collaboratively to ensure effective patient-centred services.
1.6 Key Stakeholders, Their Needs and Requirement in Greenway Medical
1.6.1 External Stakeholders
Suppliers, Patient and Financial Community: These are the key stakeholders that plays important role in running the business of Greenway Medical. Suppliers supplies the external instrument including medicine.
1.6.2 Internal Stakeholders
Doctor and Nurses: These are the internal stakeholders that helps in serving the patiaent with care.
2. Solution of Software Package [Vendor and Software]
Insta HMS can be considered as a popular and efficient vendor software program, which is also considered as the integrated software application. It generally enhances the billing, appointment and other types of clinical management activities quite effectively.
2.1 Vendor Background Information
2.2 Features and Function
The features and functions are described in the tabular format as follows
2.3 IT Architecture
2.4 Risks and Security
Apart from the advantages, there are different types of the security and risk issues. These issues are developed below.
2.5 Security Issues
2.6 Financial Risks
2.7 Technical Risks
Under limit server challenges, inefficient data transmission challenges, remote scope related challenges as well as the extreme repetition absence can cause technical errors, which can affect the sustainability of the overall outcome.
2.8 Costs of EHR
It is important to accept that the cost of the Insta HMS software applications may go to 750 Australian dollar on yearly basis. On the other hand, the cost of the hardware systems also can be considered. The hardware applications include printers, scanners, peripheral devices, graphic cards and computers. It can go to 1000 Australian Dollars. In addition, the data backup cost also can be considered. The cloud reinforcement system can cost almost 12 Australian Dollars on monthly basis.
2.9 Benefits of EHR
There are several benefits of EHR, which are discussed below.
2.10 Implementation of EHR
The implication process of the EHR system can be completed through the consideration and application of the following six steps.
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