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Healthcare IT? Not a problem…

Healthcare IT? Not a problem…. Michelle Earle Aimee Epstein Thomas Korenchuk Nick LaVardera Phil Martin Laura Palantone. BMGT301 Group 4. Current use of EMRs. Practices using EMRs Different systems Already made significant investments Spent money Spent time

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Healthcare IT? Not a problem…

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  1. Healthcare IT? Not a problem… Michelle Earle Aimee Epstein Thomas Korenchuk Nick LaVardera Phil Martin Laura Palantone BMGT301 Group 4

  2. Current use of EMRs • Practices using EMRs • Different systems • Already made significant investments • Spent money • Spent time • Unable to effectively communicate • Practices without the use of EMRs • Concerns about money and time • Cannot communicate with any EMRs BMGT301 Group 4

  3. Efficient technology and Communication • Standard format requirements • Require all information to be stored in one of 5 file types • Can be accessed in multiple systems • Allows communication • Allows for editing of information BMGT301 Group 4

  4. Efficient technology and Communication • Standard information requirements • What information needs to be recorded in EMRs • Demographics • Name • Date of Birth • Gender • Race • Medical history • Family medical history • One time entry • Ensures no double record • Ensures accuracy • Decreases time spent on records BMGT301 Group 4

  5. Efficient technology and Communication • Standard use requirements • How much information needs to be entered • One time entry • All fields need to be filled • Extra comments section • Both electronic and handwritten options • Medical observations • Any information that will be relevant • Present or future BMGT301 Group 4

  6. Use of system requirements • Trainings for all employees • Two options • Online tutorials • Concept of SecondLife • Sign on • Tutorial operator will lead • Can ask questions in real-time • Must be completed within 3 months of employers adoption of requirements BMGT301 Group 4

  7. Use of system requirements • CD-ROMs • Tutorials • Open anytime • Can go back and forth between confusing topics • Must be completed at least once before exam • Exams • Must be passed with a 85% score • Will test on all key components of system requirements • Will test on key situations and how to act • FAQs • Can be accessed when there is a common problem incurred BMGT301 Group 4

  8. Use of updates in system • Trainings after updates • Necessary in both options • Must attend a new online tutorial program • Will receive a new CD-ROM BMGT301 Group 4

  9. Privacy and Security • Title II of HIPAA • Who must follow the laws • What information is protected • How the information is protected • The privacy rule • Who can view ones health information BMGT301 Group 4

  10. Who must follow HIPAA? • Health Plans • Health Care Providers • Clearing houses BMGT301 Group 4

  11. What information does HIPAA protect? • Basic health information • Billing information • Info about health insurer’s IT system BMGT301 Group 4

  12. How is information under HIPAA protected? • Safeguards • Firewalls • Limited necessary use • Privacy contracts • Privacy controls is accordance with the contracts BMGT301 Group 4

  13. The privacy rule • Patient can view health record at anytime • Must go through healthcare provider • Have Corrections added • Notifications of how one’s information is being used • Certain Permissions for use (ex. Marketing) • Can file a complaint (with Insurer or Government) BMGT301 Group 4

  14. Who can view one’s health information under HIPAA? • Patient • Healthcare provider • Health insurer • Patient’s family • With patient permission • Police/Public (in certain cases) BMGT301 Group 4

  15. Office of National Coordinator (ONC) • ONC is the governing body over EMR use • Responsible for overseeing healthcare quality and care coordination • National Institute of Standards and Technology • Tests systems • Ensures IT standards for information exchange and security BMGT301 Group 4

  16. Regional Extension Centers (RECs) • Branch of ONC • “Help desk” • Responsible for technical support • Last line of defense for employee problems with system • Can provide additional training for employees BMGT301 Group 4

  17. Hospital and physician adversity • Financial incentives • Funding provided by CMS • Must meet requirements set out by Medicare and Medicaid • Funds dependent on demonstration of “meaningful use” BMGT301 Group 4

  18. Patient adversity • Healthcare PR campaign • Funded by ONC • Explain EMR • Reasons for use • Privacy and security concerns • Tactics • Press releases • Up-to-date website • Comprehensive fact sheets • Easy-to-understand brochures • FAQs section BMGT301 Group 4

  19. What if this fails? • Overlapping accounts • One time entry of basic information • Social Security number would be primary key • Encrypted for privacy concerns • Loss of data • Backup regional servers • Act as external hard drives • Auto-saved frequently • Security breach • Firewalls • Encrypting data • ONC always monitoring standards BMGT301 Group 4

  20. Alternative Solutions • Wipe out all current systems • Too costly • Time consuming • In-person training seminars • Costly • Too many employees • Illogical • Compatibility with universal healthcare • Could work as long as government were to adopt requirements • No distinct privacy controls • Patient backlash • No support BMGT301 Group 4

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