Assignment 2- CHIM 303 S2023

Assignment 2- CHIM 303 S2023. Amuegbunem , Winifred Bagara , Melvie Chukwu, Kelechi Cotoner , Joymercy Espiritu, Lara Fatima Soresho , Shana.

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TABLE OF CONTENTs. 3. CHIM303_Assignment 2- CIHI Case’s mix methodology & Patient Costing.

[Audio] Understanding population health, as facilitated by the POP Grouper and the data sources mentioned in the CIHI grouping population methodology, 1.3, (CIHI, overviews and outputs, 2021) is crucial for predicting health care needs and costs, monitoring population health and diseases, explaining variations in health care resource use, identifying high-cost users, and enabling meaningful comparisons of cohorts. It supports evidence-based decision-making, resource allocation, and targeted interventions to improve population health outcomes. understanding population health through the predictive indicators of health system usage provided by CIHI's POP Grouper allows for effective resource planning, capacity management, preventive interventions, health promotion, disease management, and evidence-based policy development. This knowledge supports the delivery of efficient, targeted, and patient-centered healthcare services, ultimately improving health outcomes and enhancing the overall well-being of the population. Understanding population health using predicted health care cost weights provides valuable information for resource allocation, financial planning, policy development, health system performance evaluation, and promoting equity and accessibility in health care. It enables evidence-based decision-making, cost-effective resource allocation, and the development of targeted interventions to improve the overall health and well-being of the population..

[Audio] According to Anderson and Aydin, smaller organizations use systems that would only link information to one department at a time – radiology, laboratory, etc. As it follows, the more amplified the information becomes, the easier the job gets for the workers i.e., bigger organizations would implement one cohesive system for its entirety.

[Audio] Medical information systems are very important in healthcare. Electronic Medical records aligns with organizational strategy in healthcare providing quality and safe care. Computerized Physician Order Entry (CPOE) was borne out of concerns about patient safety. Computerizing data entry is an obvious choice in curtailing clerical errors that would otherwise be easier to make in analog methods..

[Audio] Mäenpää et. al write that privacy concerns with digitizing medical records allowed for data standards being implemented on a political level. (Mäenpää et. al , 2009) EMRs are important to both patient and healthcare provider, and it comes with safeguards against invasion of privacy..

[Audio] CPOEs and the benefits that it can provide would be irrelevant if it is barely implemented in the areas that need them. Continuing with the Anderson and Aydin article, they mention that CPOE was not available to physicians in 84% of hospitals. (Anderson and Aydin, 2005). At the time of the article's writing, most of the hospitals are still analog. Phasing out analog faculties to usher in technology creates unease in the workplace. Workers and patients alike find this transition difficult since it disrupts already set work habits and culture for the worker and patients still prefer human-to-human contact in care. Digitizing the workplace was a "new" way of innovating data transfer. The transition is obviously a challenge since it requires numerous moving parts coming together. Health care providers have concerns about how the EMR can complicate the protection of patient's privacy and their experience makes them not fully trust the system. "The need for confidentiality is a response to privacy concerns that are also very important in the health care sector due to the very sensitive data regarding patients and clients that they carry." (Keshta, Odeh, 2021 pg. 2). The electronic medical record can pose challenges to patients' confidentiality. The network could be vulnerable due to a data breach or high-tech cyber attack and the patient's medical data could be at risk. Another concern include the loss of information due to a natural disaster..

[Audio] Developers have to understand that the workers see these information systems as tools that allow them to do their duty. Worker input should take priority in assessing the efficacy of the implementation of these various systems. If worker input is treated as peripheral information, these systems would never be used to its full capacity and healthcare would inevitably suffer for it..

[Audio] Understanding social and behavioural processes are key elements in assessing the efficacy of work faculties. This goes for both technology implementation and how the workers react to changes in the work environment. It is easy to see that one cannot work to its full potential without the other – a full equilibrium between the two variables is necessary to reach optimal performance. Work culture and patient input often come in the way of full utilization of technology..

[Audio] For remote hosted-EMRs, it requires communicating with a remote server over the internet. If the internet connection is slow, the traffic being exchanged could case lag times. This is often caused when connectivity is not streamlined across all offices and slower connections are used at distant locations. (throttlenet, 2021). The Transfer of medical records should be done seamlessly but its not always the case. Currently information is stored in different places and is not always accessible reducing clinicians focus, their productivity and the quality of decision making. Overall affecting the performance of the EMR..

[Audio] The RHIS was found to improve communication and coordination in an organization since it allows workers to better manage their cases and it empowered teamwork across departments. The authors also write that the RHIS "increased patient safety, and satisfaction, and also the self-care behaviours of patient and their families, leading to better health outcomes." (ibid) Since the RHIS saves time and promotes easier coordination, care inevitably improves. Organizationally, information systems pose significant upside to the workplace since it promotes cohesion and convenience for workers..

[Audio] In the Anderson and Aydin article, they mention that information systems are developed to "support" management goals. If people fail to fully utilize the technology implemented, they are viewed as passive, resistant, or dysfunctional. (Anderson and Aydin, 2005) So, it is easy to see that management can antagonize and alienate the workforce. Any failures in fully utilizing technology reflects poorly on the people working in an organization..

[Audio] Furthermore, the Anderson and Aydin also write that "physicians resisted using the system due to fears that it would disrupt traditional staff relations. Nurses and other staff readily accepted the system, however, because it allowed them to utilize their professional expertise more fully." (Anderson and Aydin, 2005).

[Audio] Technology, like any other tool, is best utilized at the hands of adept users. To reach the equilibrium of technological soundness and workplace cohesion, it is necessary to implement user input as well as training time for workers to acclimate themselves to the technology..

references. Anderson, J. G., & Aydin, C. E. (2005). Overview: Theoretical perspectives and methodologies for the evaluation of healthcare information systems. Evaluating the organizational impact of healthcare information systems , 5-29. Keshta , I, Odeh, A. (2021). Security and privacy of electronic health records: Concerns and challenges. Retrieved from https:// reader.elsevier.com /reader/ sd / pii /S1110866520301365?token=C748EBF3F82DE1109174C86AEAAC64FACC21C831A5223D5422313489EC2256451EE9E1B2C778AEE56DCF124024BF3CE8&originRegion=us-east-1&originCreation=20211121162049 Mäenpää , T., Suominen , T., Asikainen , P., Maass , M., & Rostila , I. (2009). The outcomes of regional healthcare information systems in health care: a review of the research literature. International journal of medical informatics , 78 (11), 757-771..

references. Getty Images. Retrieved from https://www.bizjournals.com/bizjournals/how-to/growth-strategies/2015/03/5-top-ways-to-implement-a-strategic-plan.html Keshta , I & Odeh, A. (2021). Security and privacy of electronic health records: Concerns and challenges. Retrieved from https://www.sciencedirect.com/science/article/pii/S1110866520301365 Landaeta , R.E., Mun, J.H., Rabadi , G. and Levin, D. (2008). Identifying sources of resistance to change in healthcare. International journal Healthcare Technology and Management 9 (1) 74-96. Retrieved December 11,2021 from https://www.researchgate.net/publication/211389693_Identifying_sources_of_resistance_to_change_in_healthcare LaRock, T (2012). 6 Little Known Things That Can Cause Big Performance Issues. Retrieved from https://thomaslarock.com/2012/04/6-little-known-thing-that-can-cause-big-performance-issues/.

references. Mäenpää, T., Suominen , T., Asikainen , P., Maass , M., & Rostila , I. (2009). The outcomes of regional healthcare information systems in health care: a review of the research literature. International journal of medical informatics , 78 (11), 757-771. SAGESSE (2020). State of the art and next challenges. Retrieved from http://www.sagesseproject.eu/en/article/99aa16ab-7784-4bf8-aff2-46730c4b9249/985c331e-177f-4051-bdc3-f8f0310b3dc1 Throttlenet . (2021). Here’s Why Your EMR is Slow. Retrieved from https://www.throttlenet.com/blog/managed-network/heres-why-your-emr-is-slow/.