HCMT 3005 Final PDF

A few definitions ▸ Information System (IS):an arrangement of data (information), processes, people, and information technology that interact to collect, process, store, and provides as output the information needed to support the organization. ▸ Information Technology(IT): a contemporary term that...

A few definitions ▸ Information System (IS):an arrangement of data (information), processes, people, and information technology that interact to collect, process, store, and provides as output the information needed to support the organization. ▸ Information Technology(IT): a contemporary term that describes the combination of computer technology (hardware and software)with data and telecommunications technology (data, image, and voice networks). 5 Characteristics Example of the two primary information systems 9 What is CPOE? Computerized provider order entry (CPOE) is a computer application that accepts provider orders electronically, replacing handwritten and verbal orders. CPOE provide physician with decision support capabilities that would minimize error. 17 19 Personal Health Account(PHA), Qatar’s E-HealthProgram ▸ The National Health Strategy has as one of its main goals: enhancing the wellness of the people of Qatar so that a vibrant, healthy, and productive society can be established for today, and for the future. ▸ Individuals need to be engaged and empowered to manage their own health status and that of other people they may be responsible for. ▸ This is the principal purpose of the Personal Health Account (PHA), which forms the primary focus of this strategy. ▸ The PHA will not only provide the desired single point of interaction between individuals and their health data and services, it will also act as the primary guide to decisions and priorities to be made by the national E-Health Program. “Ministry of Public Health.” Ministry of Public Health , www.moph.gov.qa/english/strategies/SupportingStrategies-and-Frameworks/NationalEHealthAndDataManagementStrategy/Pages/default.aspx. 22 Did you know that… PHRs and personal health applications can positively affect medication adherence and quality of life for patients with chronic diseases. What is Population Health? ▸ ▸ First appeared in 2003 ▹ The health outcomes of a group of individuals, including the distribution of such outcomes within the group Today ▹ Comprises the proactive application of ▹ strategies and interventions to defined groups of individuals to improve the health of individuals within the group at a lower cost Interventions are designed to maintain and improve people’s health across the full continuum of care ▹ Preventative and medical care for the “population” of patients “attributed” to the organization 5 Global Shift in Qatar’s Thinking “Ministry of Public Health.” Ministry of Public Health - //www.moph.gov.qa/english/strategies/National-Health-Strategy-2018-2022/Pages/default.aspx. 8 Types of Payment Models ▸ Fee-for-service: emphasizes the provision of health services by individual hospitals or providers rather than care that is coordinated across providers to address the patient’s needs ▸ Value-based care: reimbursement is tied to the quality and effectiveness of the care provided. https://www.youtube.com/watch?v=5C9yruIGV4k https://www.youtube.com/watch?v=RmXpN_pH3jQ 10 1. Patient-centered medical home (PCMH) It is care that is: 1. Comprehensive care 2. Patient-Centered 3. Coordinated care 4. Accessible services 5. Quality and Safety https://www.ahrq.gov/ncepcr/research/care-coordination/pcmh/define.html 13 Payment Models ▸ New or modified forms of payment emerged with new models of care: ▹ ▹ ▹ ▹ ▹ Bundled Payments: may take different forms, such as making a single payment for hospital and physician services instead of separate payments. https://www.youtube.com/watch?v=1sNnwvL_sO8 Pay-for-performance (P4P) programs: reward system for hospitals, physician practices, and other providers with financial and nonfinancial incentives based on performance on select measures https://www.youtube.com/watch?v=Y4X1wiST744 Shared savings programs: are intended to reward providers by paying them a bonus that is explicitly connected to the amount by which they reduce the total cost of care compared to expected levels. Capitation or global payment: places full risk with the provider organization; the provider is responsible for the costs of all care that a patient receives. Episode-of-care payment system would pay the provider organization a single payment for all of the services associated with a hospitalization or other episode of acute care, such as a heart attack, including inpatient and post-acute care 15 Definition System Acquisition ▸ The process that occurs from the time the decision is made to select a new system (or replace an existing system) until the time a contract has been negotiated and signed ▸ The process can take anywhere from a few days to a few years, depending on the organization's size, structure, complexity, and needs. 30 Definition System Acquisition system acquisition methods 31 SDLC Systems Development Life Cycle (SDLC) 1. 2. a blueprint to aid in the planning, selection, implementation, and support of a new health care information system decision to invest in a health care information system should be well aligned with the organization’s overall strategic goals (deliberation) ▹ an investment in the organization’s infrastructure, not a onetime purchase. ▹ require not only up-front costs and resources but also ongoing maintenance, support, upgrades, and eventually, replacement. 32 SDLC Systems Development Life Cycle ▸ SDLC= The process an organization generally goes through in planning, selecting, implementing, and evaluating a health care information system ▹ ▸ applies when systems are purchased from a vendor or leased through cloudbased (software and hardware services delivered over the internet) computing services. Most health care organizations follow a structured process for selecting and implementing a new computer-based system. 33 SDLC Systems Development Life Cycle 34 Committee Responsibilities 35 Revision Systems development life cycle 4 Fundamentalactivities of system implementation Ø Identify accountability for the successful completion of the project 1. Business sponsor: the individual who holds overall accountability for the project. o The sponsor should represent the area of the organization that is the major recipient of the performance improvement that the project intends to deliver 9 Fundamental activitiesof system implementation Ø Identify accountability for the successful completion of the project 2. Business owner(s): generally has day-to-day responsibility for running a function or a department 10 Fundamental activitiesof system implementation Ø Identify accountability for the successful completion of the project 3. Project manager: who provides the day-to-day direction setting, conflict resolution, and communication needed by the project team. 11 Fundamental activitiesof system implementation Ø Identify accountability for the successful completion of the project 4. IT manager: who is the senior IT person assigned to the project 12 Conversion 17 System Downtime Procedures 19 Managing Change ◗ Implementing an information system in a health care facility can have a profound impact on the organization, the people who work there, and the patients they serve ◗ Managing change has several necessary aspects: ▹ Leadership ▹ Language and vision ▹ Connection and trust ▹ Incentives ▹ Planning, implementing, and iterating 21 Managing Change 1. Leadership: is necessary to accomplish the following: ▹ Define the nature of the change ▹ Communicate the rationale for and approach to the change ▹ Identify, procure, and deploy necessary resources ▹ Resolve issues and alter direction as needed ▹ Monitor the progress of the change initiative ◗ The leadership committee needs to be chaired by an appropriate senior leader 23 1. Allocate sufficient resources Organizational Factors 29