week 1 The Evolution of EHRs (graded) Discuss the landmark contributions made in the development of the EHR. (Include pioneers and describe their efforts.) EHR Adoption (graded) Discuss the common mistakes found in gaining clinician acceptance of change brought about by an EHR. Suggest strategy to gain clinician acceptance. week 2 From Data to Decisions Using Electronic Health Records (graded) Identify and describe the technology options, issues, and functionality associated with an EDMS. EHR Applications and HIEs (graded) Identify and describe EHR functionality for ambulatory care facilities, considering the key clinical processes performed and data needed in such a facility. week 3 The Strategic Planning Process (graded) Explain and des EHR Project Management (graded) Identify and describe the critical success factors for EHR planning and explain how they impact construction of a migration path. cribe various strategic planning models and how they may apply in different settings. week 4 IS Systems Theory and Needs Assessment (graded) Define the concept of information theory and discuss why it is important to the design of an EHR. Healthcare Process Assessment and Functional Needs Assessment (graded) Identify the importance and scope of process assessment and the possible repercussions if there were no process assessment. week 5 Data Infrastructure Assessment (graded) Describe all the steps in the system development life cycle. Information Technology and Systems Infrastructure Assessment (graded) Understand the difference between the terms confidentiality, privacy, and security when referring to data in a healthcare setting. week 6 EHR Selection and Contract Negotiation (graded) Why is it important to plan in advance of starting an EHR vendor selection process? Please list and discuss the reasons. EHR System Implementation and Ongoing Maintenance (graded) Describe the importance of project planning and management in planning the implementation of an EHR. Application Paper #1 is due this week. Topic: Profile a health information exchange organization. Conduct a search of the Internet, consult professional journals or interview a professional in the field. Research the status of health information exchange implementation in your state. Connect your findings to course objectives. (approximately 2 typed pages) Submit your assignment to the Dropbox located on the silver tab at the top of this page. Application Paper #2 Topic: Research electronic health record functionality standards or certification. Write a paper describing how you would incorporate your findings into the EHR selection and decision-making process. Sources include the HL7 EHR Functional Model, CCHIT certification criteria and other organizations offering EHR certification. (approximately 2 typed pages) Submit your assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read these or watch thisTutorial See the Syllabus section “Due Dates for Assignments & Exams” for due date informatio ourse Project Outline is due this week. · Submit a 1 to 2 page outline with the researched references you will be using to write the Course Project. · Feedback on your topic selection and project outline will be provided by the instructor. · Submit Outline this week to the appropriate Dropbox. The completed project is due by the end of Week 7. (required) The length of the paper should be approximately 10-12 pages and must include a bibliography and footnotes. The detailed Course Project guidelines and grading criteria can be found in the Course Project page in Course Home. Submit your assignment to the Dropbox located on the silver tab at the top of this page Research your chosen software’s functions and how it works, and critically analyze your findings. Guidelines Name of the productSpecifically, the paper should offer the following information and address these issues: Uses of the product Integration with other information systems User friendliness of data entry and data retrieval Benefits of this particular software over similar types of software The implementation process you would use to implement the EHR Critically analyze your findings Other Content Suggestions: Terminology Philosophical views of the EHR Advantages Reduction of cost Improved quality of care Promote evidence-based medicine Record keeping and mobility Disadvantages Costs Time Governance, privacy, and legal issues Privacy concerns Legal issues Liability Legal interoperability Regulatory compliance Technical Issues Standards Open specifications Customization Long-term preservation and storage of records Synchronization of records E-health and tele-radiology Other Guidelines: Papers must be 12–15 pages in length, (this would be roughly one page per area included in the report), 12-point font, double-spaced, including a cover page, table of contents, introduction, and body of the report, summary or conclusion, and works cited. Even though this is not a scientific writing assignment and is mostly creative in nature, references are still very important. At least six authoritative, outside references are required (anonymous authors or web pages are not acceptable). These should be listed on the last page, titled Works Cited. Appropriate citations are required. All DeVry University policies are in effect, including the plagiarism policy. Papers are due during Week 7 of this course. Any questions about this paper may be discussed in the weekly Q&A Discussion topic. This paper is worth 200 total points and will be graded on quality of research topic, quality of paper information, use of citations, grammar and sentence structure. Milestones A content outline for your paper is due byWeek 3, indicating how you plan to address the above criteria, and the primary sources of information you will use.(required)The name of the software you’ve chosen as the course project topic must be submitted in Week 1. (required) Feedback on your topic selection and project outline will be provided by the instructor. The completed project is due by the end of Week 7. (required) TCO 1) Data compiled from individual patient data fields and formed into information about certain groups of patients is as example of: Structured data Unstructured data Aggregate data Affinity data Question 2. Question : (TCO 2) Which of the following is a gap in a physician office EHR environment where a document imaging system can be of value? Chart conversion to backfill active patient records Communicating with the hospital Overcoming the hybrid record issue Replace the practice management system Question 3. Question : (TCO 3) Which of the following enables point-of-care charting and positive patient identification while maintaining network connectivity: Desktops at nursing stations One terminal for every two hospital rooms Personal digital assistant Wireless computer on wheels Question 4. Question : (TCO 4) The Electronic Signatures in Global and National Commerce Act of 2000, also known as the E-SIGN bill, furthered what aspect of the EHR adoption process? Shelter from Stark Laws Allowed PHI to be transmitted via electronic means Helped make electronic signatures legal Has no effect on the EHR because it only addresses business models not healthcare Question 5. Question : (TCO 5) A key strategy to gain user involvement in an EHR is: Assign as many users as possible to committees Avoid discussing the EHR with users until close to go-live Communicate with users frequently to educate and alleviate concerns Require each user to take a course in the EHR being implemented from the vendor : Question 6. Question : (TCO 6) What is the primary difference between a closed and an open system? Closed systems are designed for use in secure environments whereas the open system can operate in any environment. Closed systems do not interact with the environment while open systems are influenced by the environment. A closed system is for internal use only while the open system works with the Internet. A closed system costs money whereas the open system is free. Question 7. Question : (TCO 7) EHR steering committees are largely comprised of: Consultants IT staff Vender staff Volunteers from various departments Question 8. Question : (TCO 1) As discussed in the textbook, describe some of the consumer awareness and perceptions of the EHR? Question 9. Question : (TCO 2) Please describe Workflow Technology? What does it mean? What tasks can it perform? Question 10. Question : (TCO 3) What is a “Wet” signature, why is it required and what agency requires it? Instructor Explanation: Chapter 3, p. 55. “Wet” signature relates to electronic signature on prescriptions for controlled substances. The signature must be with a pen on paper. Drug Enforcement Administration (DEA) requires it for controlled substances. Question 11. Question : (TCO 4) Describe the meaning of: Rules Engine and Smart Peripherals?