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system analysis in healthcare
system analysis in healthcare
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In the United States, major emphasis has emerged in providing the most effective and efficient medicine available as mandated by the HITECH legislature enacted in 2009, especially in patient populations that suffer with chronic diseases; therefore, increasing the accountability and economic restraints for healthcare entities (Shah, Hux, Laupacis, Zinman, & Cauch-Dudek, 2007) (Safran, et al., 2007). The American healthcare system has become increasingly fragmented, prospectively from the overuse of high cost medical care, underuse of evidence-based care, and the misuse of care, which limit the effectiveness of healthcare (Brennan, et al., 2009). The HITECH act proposes a solution in healthcare by eliminating the use of disparate information systems, and utilizing health information technology in integrated approach to increase patient safety, provide quality based care, and contain the rising cost of healthcare. Therefore, it is has become imperative for developers to effectively use systems development life cycle (SDLC) to build technological infrastructures that will meet and exceeds the requirements of the HITECH legislature. The primary goal of this paper is to examine the essential roles of the systems analysis and design phases. The Theory of Systems Analysis In the late 1940’s, the systems theory was proposed by biologist Ludwig von Bertalanffy and in1968, he published a book titled “General Systems Theory” it was his belief that systems are an open source and interact with their environments. The systems theory emphasizes on the organization of and the relations between the counterparts that unite them into a whole unit. Therefore, a “particular organization determines a system, which is independent of the concrete sub... ... middle of paper ... ...ey-Wiom, B., & Roth, R. M. (2005). System Design and Analysis. Hoboken: John Wiley & Sons, Inc. Heylighen, F., & Joslyn, C. (1992, Novemember 1). Principia Cybernetica Web. Retrieved from What is Systems Theory?: http://pespmc1.vub.ac.be/SYSTHEOR.html Rouse, M. (2005, April). TechTarget:Definition. Retrieved from TechTarget: http://searchwindowsserver.techtarget.com/definition/system Safran, C., Bloomrosen, M., Hammond, E., Labkoff, S., Markel-Fox, S., Tang, P. C., & Detmer, D. E. (2007). Toward a National Framework for Secondary Use of Health Data: An American Medical Informatics Association White Paper . Journal of the American Informatics Association , 1-9. Shah, B. R., Hux, J. E., Laupacis, A., Zinman, B., & Cauch-Dudek, B. G. (2007). Administrative Data Algorithms Can Describe Ambulatory Physician Utilization . Health Research and Educational Trust , 1783-1796.
Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
The federal government has taken a stance to standardized care by creating incentive programs that are mandated under the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009. This act encourages healthcare providers and healthcare institutions to adopt Meaningful use in order to receive incentives from Medicare and Medicaid. Meaningful use is the adoption of a certified health record system that acquires or obtains specified objectives about a patient. The objectives or measures are considered gold standard practices with the EHR system. Examples of the measures include data entry of vital signs, demographics, allergies, entering medical orders, providing patients with electronic copies of their records, and many more pertinent information regarding the patient (Friedman et al, 2013, p.1560).
Department of Health and Human Services (2008, June 3). The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 SYNOPSIS. Retrieved from https://blackboard.ohio.edu/bbcswebdav/pid-3906938-dt-content-rid-20290665_1/courses/NRSE_4510_1021_SEM_SPRG_2013-14/EHR_2%281%29.pdf
Administrative Mandates, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, ICD-10 and HIPAA 5010, are all part of administrative simplification and the need for systems optimiza...
Wright, A., Henkin, S., Feblowitz, J., McCoy, A., Bates, D., & Sittig, D. (2013). Early results of the meaningful use program for electronic health records. New England Journal of Medicine, 368(8), 779-780. http://dx.doi.org/doi: 10.1056/NEJMc1213481
Meadows, D. H. (2008). Chapter 1. In Thinking in systems (p. 12). White River Junction, VT: Chelsea Green publishing company.
In the mid-1960s President Lyndon B. Johnson signed into law Medicare and Medicaid, two federally funded programs that guaranteed health insurance benefits to the elderly and the poor (Shortliffe et al., 2006). The focus of the health insurance benefits was cost-based reimbursement. With the increase in patient visits hospitals realized the need for information systems in order to automate the billing process. One of the challenges of these information systems was the cost. Due to the cost of these large, mainframe, financially-focused information systems, they were mainly found in large hospitals that were affiliated with academic medical centers (Shortliffe et al., 2006). Smaller hospitals just could not afford these information systems.
The health industry has existed ever since doctors bartered for chickens to pay for their services. Computers on the other hand, in their modern form have only existed since the 1940s. So when did technology become a part of health care? The first electronic health record(EHR) programs were created in the 1960s around the same time the Kennedy administration started exploring the validity of such products (Neal, 2013). Between the 1960s and the current administration, there were little to no advancements in the area of EHR despite monumental advancements in software and hardware that are available. While some technology more directly related to care, such as digital radiology, have made strides medical record programs and practice management programs have gained little traction. Physicians have not had a reason or need for complicated, expensive health record suites. This all changed with the introduction of the Meaningful Use program introduced in 2011. Meaningful use is designed to encourage and eventually force the usage of EHR programs. In addition, it mandates basic requirements for EHR software manufactures that which have become fragmented in function and form. The result was in 2001 18 percent of offices used EHR as of 2013 78 percent are using EHR (Chun-Ju Hsiao, 2014). Now that you are caught up on some of the technology in health care let us discuss some major topics that have come up due to recent changes. First, what antiquated technologies is health care are still using, what new tech are they exploring, and then what security problems are we opening up and what is this all costing.
Many new technologies are being used in health organizations across the nations, which are being utilized to help improve the quality of health care. Electronic Health Records (EHRs) play a critical role in improving access, quality and efficiency of healthcare ("Electronic health records," 2014). In order to assist in expanding the use of EHR’s, in 2011 The Centers for Medicaid and Medicare Services (CMS), instituted a EHR incentive program called the Meaningful use Program. This program was instituted to encourage and expand the use of the HER, by providing health professional and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and medicaid," 2014). The Meaningful use program will be explored including its’ implications for nurses, nursing, national policy, how the population health data relates to Meaningful use data collection in various stages and finally recommendations for beneficial improvement for patient outcomes and population health and more.
Scott, T., Implementing an Electronic Medical Record System: Successes, Failures, Lessons, Oxon, Radcliffe Publishing, 2007.
Over the past five years, numerous legislative acts have fundamentally changed the way the country thinks about healthcare. Nowhere have the changes been felt more than for those delivering care. However, often providers do not stop and consider how the changes affect patients, which is unfortunate as patient acceptance and participation in their healthcare can improve outcomes. Murphy (2011) concurred that healthcare should revolve around the patient rather than the patient treated as a passive participant. Her viewpoint extended to implementing health information technology (HIT) that is patient-centric and collaborative in helping patients become a full partner in their preventative self-care and disease management.
As reimbursement in the healthcare system changes, three systems or programs may be of interest when planning to facilitate population health management.
Sullivan, F. (2001). What is health informatics? Journal Of Health Services Research & Policy, 6(4)., pg 251
Health information technology (HIT) is improving the population of the United States of America’s health outcomes and heath care quality. Health information technology has many benefits, including efficiency, financial savings for patients and hospitals, increased safety for patients, and the potential to improve quality of patient care. According to the RAND research, health information technology can save up to $77 billion per year. As a matter of fact, accurate health information records indicate that health information technology is decreasing people’s death rates. After many follow ups it has reported that the use of electronic medical records has “reduce death by 34%”. They found that benefits of health information technology has been
Taylor, T. C. (2003, August 09). Health Information Managers. Retrieved September 25, 2010, from http://www.wisegeek.com