EHR Life Cycle

[Audio] EHR Life Cycle Capella University HIM-FPX4640: E-Health Records/Information Systems Tajiana Davis.

[Audio] Welcome Realizing the System Development Lifecycle (SDLC) Goal: Assure the team that there is a way to use SDLC to help guide decisions about how to select, design, and implement a new EHR system. Key Points: As an example, we will go through an example of the entire Systems Development Life Cycle, abbreviated SDLC, which includes: *Planning, System Analysis, Design, Implementation, Testing and Maintenance* of an EHR. I will also demonstrate how HIM professionals, clinicians, IT staff, and other members are engaged at every level to ensure that the system that supports them is also being developed. Informative Case: Preparing for EHR Migration Goal: Make sure all of us know how to transition from our current system to a new EHR as simply and efficiently as possible. Key Points: First, we need to look at what data we currently have, what’s clean and what’s not, and how this data integrates into the new system. I’ll elaborate on the data mapping process where we determine how things need to be mapped and how we get all of it to map over to the new system. We will also learn how to avoid many interruptions when making the change-over, particularly for patient care as well as ensuring that whenever we plan for the migration it must not be done during business hours. Guideline for Effective Implementation of EHR Goal: Ensure that the team is armed with some down-to-earth techniques on how to ensure the upgrade process is effective and efficient. Key Points: Managing change is massive—most individuals do not welcome change, and so staff must be trained effectively to adapt to the new system. It is very necessary to make all the people participate – end users we included, the clinicians, and the HIM staff should be involved in the decision-making process as well as in testing. Another is having to rely closely upon the selected EHR vendor as well. To ensure the maximum use of the software, we’ll develop a long-term relationship with them for constant aid. I think that we have to navigate between the desire to implement all features that will fit our flow, and on the other hand, to use the best practices, so we don’t overcomplicate it. Last and more specifically, there will be a discussion about how to keep the system safe and HIPAA conform, as well as how much support will be needed after the system has gone live. What to Expect: By the end of the presentation, you’ll have a better idea of: How to apply the SDLC to manage a proper EHR project. The prospects of data migrations are the difficulties we will likely encounter and how we will tackle them. Measures that will assist us in avoiding problems synonymous with innovations and guarantee a successful implementation..

[Audio] The Role of EHR Systems in Healthcare: Why This Decision Matters Isolating or adopting a brand new EHR system is one of the most strategic actions that a healthcare organization can take to advance patient care shift regulations and manage data properly. A current EHR permits the multiple integrated healthcare teams the ability to have immediate access to patient clinical data, enhancing communication and treatment decision process as well as involving the patient, through such devices as patient portals. It also enhances privacy regulation issues such as HIPAA, helps export regulatory reports, and has detailed records of anyone who has accessed these services. From a data point of view, a new EHR consolidates all data in one place to enhance command and increase interoperability while introducing a procedure for analyzing data to understand the trends and work on enhancing quality. These newer systems are also more scalable which greatly improves their integration into healthcare networks where sharing of data is a crucial factor. Implementing a package gives a remedy to inefficiency and security problems of outdated systems, and enhances organization performance through optimized work cycles – the upgrade prepares the organization for future advances in healthcare delivery. Lastly, this decision is not made with the view to make short-term savings but rather to achieve longer-term outcomes of care, compliance, and operating efficiency..

[Audio] DEFINITION OF BEST PRACTICES The following are some ways to determine whether something is a best practice: 1. The best practice argument outcompeting other methods, only validates the best approach as the most suitable. 2. The best practice will also result in an efficacious outcome that is being sought after. 3. As could be seen approximately all the respondents share the opinion that best practice is the most effect one. 4. Standard practices are essentially implemented from benchmarking standards..

[Audio] Blend your EHR to be compatible with the layout of workflows existent among the staff. Find out how the EHR could in one way or the other fail to do away with problems in the future. Don’t rush the process, ensure you have time to train. On EHR implementation, Powered hospitals are not an extension of the implementers Eliminate duplication Employ people who know EHR implementation DEFINITION OF BEST PRACTICES (2).

[Audio] System Development Life Cycle (SDLC) 1. Integrate EHR to fit within the staff work cycle 2. Analyze in what manner the EHR might not be able to keep issues from worsening in further 3. Don’t rush implementation 4. When it comes to EHR implementation the practices do not implement the hospital practices in their clinics 5. Eliminate duplication 6. Consult with people who have prior knowledge of EHR implementation Bernstein, R. (2017, March 17).

[Audio] 1. PLANNING 2. REQUIREMENT ANALYSIS 3. DESIGN 4. IMPLEMENTATION 5. TESTING 6. INSTALLATION/DEPLOYM ENT 7. MAINTENANCE System Development Life Cycle (SDLC).

[Audio] Successful EHR System Implementation Requirements (Beane, C. (n.d.). Having your expectations and requirements for the implementation in check does more than offer a benchmark for measuring the success of the implementation Just because something was implemented does not necessarily make it a success. Workflow Analysis • Determine the current process of the work performed in every aspect that concerns the patient. • Those functions and processes which are required to be changed • Workflow analysis results should form the basis of Training Needs Assessment data collection; • Discover what?; • Understand why?; • Find how?.

[Audio] Migration Plans for EHR Implementation Why Migrate EHRs? • Industry Consolidation • Provider Dissatisfaction • Lack of integration • Lack of Vendor Agility..

[Audio] Data import and activation in an EHR is the transfer of information from the current framework to a new one. An EHR typically contains the following patient information: Allergies CT, MRI, and other radiographic images Data like name, contact details, and insurance details Vaccination history and the dates on which the vaccinations were done. Medical history Medical treatment plans Name of the disease previous and present EXCLUSIONS: Psychotropic medications of any previous or present prescription drugs and any past or current laboratory tests.

[Audio] WORKFLOW AND NEEDS ASSESSMENT FOR EHR IMPLEMENTATION iON Develop a Strategy – Start by undertaking a thorough assessment of the services and their relevance to deploying an EHR solution. Establish if the physical and non-physical resources, including staff, processes, and training, can easily support the introduction of EHR technology. Provide Effective Training – Establish that all team members share all the necessary information throughout the entire process of implementation. Work Out the Budget and Estimations – No matter what your present EHR platform budget forecasts are, you should always consider plum coming up with an extra approximated amount of about $6000 more than expected from the system itself for additional, uncosted needs of the system after deployment closure up to the system’s maintenance and security establishment. Get The Kroger Drug Store Products Back Home – A platform’s infrastructure will require many layers among which would be a registry, interoperability, security, privacy, and safety. Transfer data- In this case, it might be more beneficial to understand the least invasive data shift methodology that both doctors and patients can follow. It ensures a seamless data switching process removing frustrations to clinical staff and appreciation of the data application from the other staff. Offer Training on EHR -The instruction must not overlook any aspect and it should be specifically designed to focus on the advantages of EHR adoption and the steps to be taken to adopt it. Get on the Ready Mood – The beta testing phase will have casualties and that is why the implementation team should always be on the lookout to fix any glitches before they cause ugly scenes. On the launch consideration, there may be value in reducing the patient numbers on the release day as there would be high levels of staff anxiety. The customers on the go-live should be made aware of this information related to this new product in terms of its aims as well as how it helps in patient care improvement. Integrating EHR post-Go-Live - The phases of EHR system implementation doesn’t end with go-live; it is just but the initiation of the project over changing the processes with EHR. This process is ongoing where it’s also repetitive and requires more and more training (Aguirre,R.R.,Suarez,O.,etc.al (2019)..

[Audio] Conclusion In this presentation, the topic of interest regarded the need for upgrading or adopting a new EHR system, with special emphasis on the framework that the Systems Development Life Cycle (SDLC) proposed. Implementing a successful EHR project involves compliance with the SDLC phases including; planning and analysis, design, implementation/acquisition, and maintenance/deployment. When it comes to handling data integrity, migrating data is something best done with planning and data integration is a key strategy when it comes to transitioning to the new system, other strategies include proper training, engaging the stakeholders, and change management. Evaluation after the implementation process is crucial for effecting improvement in subsequent practices. Unfortunately, the HIM team would be passive – this is the opposite of what is required for creating system requirements, checking data accuracy, and in fact, leading the project. The next steps are as follows: stakeholder management, vendor assessment, training and change management plan preparation, pilot of the system. Cascaded in these phases the HIM team will have a crucial role to play in achieving the organizational and patient care objectives through the EHR system..

[Audio] Reference Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic Health Record Implementation: A Review of Resources and Tools. Cureus, 11(9) . https://doi.org/10.7759/cureus.5649 HealthIT.gov. (n.d.). Case studies. https://www.healthit.gov/case-studies The Main Stages of HER Implementations, TrueNorth; https://www.truenorthitg.com/ehr-implementation-plan/ Heaton, J. (May 25, 2022) Five Questions Determine if Your HER Solution is meeting your medical practice needs, ChartLogic https://www.chartlogic.com/blog/five-questions-to-determine-if-your-ehr-solution-is-meeting-your-needs Data Migration In an HER, Purpose and Best Practices. Understanding the Electronic Health Record (EHR) and Purpose of Data Migration; prognoCIS https://prognocis.com/ehr-software/data-migration/ Beane, C. (n.d.). Best Practices for EHR implementation Training. Retrieved from impact-advisors.com/ehrtraining: https://www.impact-advisors.com/ehr-training/best-practices-for-ehr-implementation-training/ Bernstein, R. (2017, March 17). 5 System Development Life Cycle Phases. Retrieved from online.concordia.edu: https://online.concordia.edu/computer-science/system-development-life-cycle-phases/.