HIM 500 Milestone Three Guidelines and Rubric

Overview: In this milestone, you will submit your recommendations for technology for the institution and how it will be implemented.

Specifically the following critical elements must be addressed:

III. Technology System Recommendations: In this final section of your final project, you will review the provided technology options and make informed recommendations to the organization regarding which technology it should choose.

A. Determine the needs of the various roles of the organization in a new technology. B. Recommend a new health information technology system that meets the following criteria. Be sure to justify how your recommendations meet

the criteria. The new health technology must: 1. Abide by provided health regulations and laws 2. Align with the needs of all staff members of the previously described organization 3. Ensure the ethical management and use of health information

C. Determine how the organization could more effectively invest its financial resources into the recommended technology system. Be sure to justify your response.

D. Determine how the organization could monitor the use of the new health information system. Be sure to justify your response. E. Determine how the organization could effectively invest its time into the implementation of the new health information technology system. Be

sure to justify your response.

Guidelines for Submission: This milestone must be 2–3 pages in length (plus a cover page and references) and must be written in APA format. Use double spacing, 12-point Times New Roman font, and one-inch margins. All references cited in APA format.

Critical Elements Proficient (100%) Needs Improvement (75%) Not Evident (0%) Value

Technology System Recommendations: Needs

Determines the needs of the various roles of the organization in a new technology

Determines the needs of the various roles of the organization in a new technology, but determination is cursory

Does not determine the needs of the various roles of the organization in a new technology

18

Technology System Recommendations:

Regulations and Laws

Recommends a new health information technology that abides by the provided health regulations and laws, justifying response

Recommends new health information technology that abides by health regulations and laws, but recommendations are cursory or not justified

Does not recommend and justify new health information technology that abides by health regulations and laws that the institution is currently not in compliance with

18

Technology System Recommendations: Staff

Recommends a new health information technology that aligns with the needs of all staff members of the organization, justifying response

Recommends a new health information technology that aligns with the needs of all staff members of the organization, but recommendations are cursory or not justified

Does not recommend and justify a new health information technology that aligns with the needs of all staff members of the organization

18

Technology System Recommendations: Ethical

Recommends a new health information technology that ensures ethical management and use of health information, justifying response

Recommends a new health information technology that ensures ethical management and use of health information, but recommendations are cursory or not justified

Does not recommend and justify a new health information technology that ensures ethical management and use of health information

18

Technology System Recommendations: Financial Resources

Determines how the organization could more effectively invest financial resources into the recommended technology system, justifying response

Determines how the organization could more effectively invest financial resources into the recommended technology system, but determination is cursory, illogical, or not justified

Does not determine how the organization could more effectively invest financial resources into the recommended technology system

18

Articulation of Response Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

10

Total 100%

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HIM 500 Technology Information

Featherfall Medical Center has an existing admission discharge transfer (ADT)/master patient index

(MPI) system that was developed in-house and implemented over 20 years ago. By now, all of the

original programmers have resigned or retired. The system is cumbersome to manage and update to

meet the current needs of the center. This has also led to the compliance, ethical, and governance

issues previously stated.

An RFP was sent out to two vendors: Intel (SOA Expressway for Healthcare) and Alert (Admission

Discharge and Transfer [ADT]). Key portions of the RFP have been summarized to allow for easy

comparison. The responses to the functional requirements have also been provided for review.

Demonstrations were conducted at the Center, and both systems looked good. The MPI module is

preferred on Intel, and the ADT system is preferred on Alert; however, both systems were received

favorably. The committee went to see both systems in operation and liked them both. References were

checked on both systems. The references for Alert were glowing. All of them said that the system was

good and the people were great to work with because they wanted their new company to succeed and

grow. However, given their small size, they might lack the resources of a larger company. The references

on Intel were excellent as well. The only negative about Intel was that the company is quite large and

was sometimes slow to respond to what the company saw as minor problems. The next release of Alert

is due out in 6 months and of Intel is due out in 8 months. The Committee has used the following tables

to summarize and compare the information that was gathered and is awaiting your recommendation

before final decision is reached.

System Comparison

Topic Intel (SOA Expressway for

Healthcare)

Alert (Admission Discharge and

Transfer [ADT])

Cost of interface $378,000 $238,000

Cost of software $465,000 $325,000

Cost of hardware $375,000 $400,000

Implementation costs $275,000 $175,000

Other costs $110,000 $120,000

Annual maintenance $75,000 $65,000

Training costs $350,000 $264,000

Number systems in use in

hospitals

364 12

Length of time in business 30 years 3 years

Stability of company Good Good

RFP Response from Intel (SOA Expressway for Healthcare)

System Functions Standard Next Release Not Available Custom

Admit patient to ER X

Admit patient to inpatient status X

Admit patient to outpatient status X

Transfer patient from room to room X

Transfer patient from inpatient to

outpatient

X

Transfer patient from outpatient to

inpatient

X

Transfer patient from ER to inpatient

status

X

Discharge patient from ER X

Discharge patient from inpatient status X

Discharge patient from outpatient status X

Notify housekeeping when patient

discharged

X

Notify HIM when patient admitted X

Meets UHDDS requirements X

Meets HIPAA requirements X

Contains required demographics X

Automated verification of insurance X

GUI technology X

User friendly X

Delete patient from system X

Multiple levels of security X

Password protected X

Audit trail X

Biometric capable X

Reads barcodes X

Edit demographics X

Edit insurance X

Allow for 4 insurance providers X

Prints standards reports at specified

periods

X

Ad hoc reporting X

Admission list X

Discharge list X

Transfer list X

Looks for potential duplicate medical

records

X

Quality edits built into system X

SQL/Oracle database X

Runs on Windows 8 X

Enterprise-wide ready X

Merge medical record numbers X

Allows for aliases X

Maintains old medical record numbers X

Maintains former names X

Allows at least 999 patient visits X

Data dictionary X

Three-character service field X

Allows housekeeping to notify admission

that room is ready

X

Online no-bed list X

Sends out announcements to

employees/staff

X

Generates list of patients by physician X

Generates lists of patients by unit X

Calculates census statistics X

Performs medical record number queries X

Performs patient name queries X

Standardizes, secures, and governs access

to master patient records

X

Standardizes, secures, and governs access

to master provider indices

X

Standardizes, secures, and governs access

to document exchanges

X

Services for building interoperable

healthcare networks

X

Authentication and authorization X

Management and monitoring X

Transport Layer Security X

RFP Response from Alert (Admission Discharge and Transfer (ADT))

System Functions Standard Next

Release

Not Available Custom

Admit patient to ER X

Admit patient to inpatient status X

Admit patient to outpatient status X

Transfer patient from room to room X

Transfer patient from inpatient to

outpatient

X

Transfer patient from outpatient to

inpatient

X

Transfer patient from ER to inpatient

status

X

Discharge patient from ER X

Discharge patient from inpatient status X

Discharge patient from outpatient status X

Notify housekeeping when patient

discharged

X

Notify HIM when patient admitted X

Meets UHDDS requirements X

Meets HIPAA requirements X

Contains required demographics X

Automated verification of insurance X

GUI technology X

User friendly X

Delete patient from system X

Multiple levels of security X

Password protected X

Audit trail X

Biometric capable X

Reads barcodes X

Edit demographics X

Edit insurance X

Allow for 4 insurance providers X

Prints standards reports at specified

periods

X

Ad hoc reporting X

Admission list X

Discharge list X

Transfer list X

Looks for potential duplicate medical

records

X

Quality edits built into system X

SQL/Oracle database X

Runs on Windows 8 X

Enterprise-wide ready X

Merge medical record numbers X

Allows for aliases X

Maintains old medical record numbers X

Maintains former names X

Allows at least 999 patient visits X

Data dictionary X

Three-character service field X

Allows housekeeping to notify admission

that room is ready

X

Online no-bed list X

Sends out announcements to

employees/staff

X

Generates list of patients by physician X

Generates lists of patients by unit X

Calculates census statistics X

Performs medical record number queries X

Performs patient name queries X

Standardizes, secures, and governs access

to master patient records

X

Standardizes, secures, and governs access

to master provider indices