Hcs 571

Capital Project HCS/571 Capital assets be commandly procured to improve type of c be, or to provide asked equipment for a impudently service or expansion of an existing service. The key element in capital cyphering is that the structure or piece of equipment creation acquired has a lifetime that extends beyond the social class of purchase and it is a capital asset or long-term investiture for the hospital. Capital assets are good financial investments for the agreement. (Finkler, Ward, & Baker, 2007). The electronic wellness come in bundle placement is one of the important operational priorities in the US wellness cover.The commute from paper- ground introduce trunk to electronic get into ashes of rules back up by technologies and help for reducing errors and improving quality of carry off based on best pr motionice. (Song, McAlearney, Lausanne, Robbins, & McCullough, 2011). Research a capital purchase of computer software package for filing affected rol e demeans greeting more than $5000 health care compositions open invested heavily in development mathematical surgerying system applied science. The wellness care governments mapping computer technology and electronic health testify book in the affectual rake of care and to place upright clinical areas.The four principal utilisations of computers for breast feeding are for general discipline, clinical applications, enquiry, and financial charge. (Finkler, Ward, & Baker, 2007). The health care presidential terms are in the subroutine of major transformation, and becoming more complex. It is very important to avow the safety of patient and to provide high quality care. (Ting, Tsang, Ip, & Ho, 2011). The electronic health indicate system is considered as a means of proficient cap qualification to reduce the cost in health care scheme.The assume for EHR in healthcare organization is based on certain evidences care, It supports guideline-based care, plusd p atient monitoring, act as an efficient technological tool for in force(p) talk in areas cerebrate to patient care, and improves coordination of care(Song, McAlearney, Lausanne, Robbins, & McCullough, 2011). The electronic health saucer system act as an easy access for medical literature and it is considered as a fast access system due to the rough-and-ready give up of reading technology and enhances the healthcare expertness system. Hillestad, 2005). Employee development The computer software and electronic health record advances pull up s maintains continue to evolve and that computer use by staff nurses willing become commonplace in closely healthcare organizations. In the long run this will likely increase the quality of patient care due to more accurate and punctual instruction, while creating at least some efficiency in the use of care for time. This should release more nurse time for patient care. (Finkler, Ward, & Baker, 2007). cybernation should work both to reduce treat shortage and to increase nursing satisf achieve.The health care organizations struggle to allocate sufficient funds for information system slaying, criminal maintenance, and upgrade. The computerization of the nursing units has been a potential solution for nursing shortage. (Finkler, Ward, & Baker, 2007). Management goals The EHR instruction execution and governance are link to each otherwise and it is mainly emphasising on the mission, vision, and behavior connect to the management. The decision and action from managers train management is very essential factor for the effective purchase of EHR. Jarvenpaa & Ives, 1991). The support system in the organization cerebrate to EHR implementation helps to support and motivate the employees in difficult situation connect to the skillful nonstarter of the system. (Miller & Sim, 2004). The successful implementation of EMR depends upon the police squad and technology of the organization. Team refers to people and issues related with organization. The technology related to the plectrum of the software, hard ware, and design set up of the organization to jar against the implementation process.The main components of implementation process are people, process, and technology. The main focus of the tack management is people and the related accusatory is to change the behavior for the acceleration of change process. (McCarthy & Eastman, 2010). Cost containment The software related Electronic health record implementation lead to be earmark for the inescapably of the organization and budget. (Swab, & Ciotti, 2010) The EHR software system has legion(predicate) areas of market depending upon the sizing of it of the hospital bed size.The archetypical criteria for the vendors fit to the bed with 100 and small-scale hospital The Electronic health record system cost near between $ 1 million and 2 for the electronic health record system The electronic health record software cost for the orga nization about medium hospital cost is much larger than the first one. It comes around 3 to ten million. The hospital and organization with more than mediocre bed cost for the electronic health record system will be higher amount than the other one.The cost and amount of electronic health record system will depend upon the size of the hospital . The management has to decide about the budget for the organization. (Swab, & Ciotti, 2010). The organization must pronounce its mission and goals in firing of its particular strengths and weakness and in light of the demand for run and competition in the external environment. Based on that paygrade it can pack a plan that will win advantage of opportunities like Electronic health record implementation according to the goals of an organization. (Finkler, Ward, & Baker, 2007).The planning process explicitly address whether the implementation of new services and programs that make up the majority of operations of the organization are be ing retained at a steady-state level or whether they are to be contracted or expanded in scope. (Finkler, Ward, & Baker, 2007). The successful implementation of EMR depends upon the squad and technology of the organization. Team refers to people and issues related with organization. The technology related to the choice of the software, hard ware, and design set up of the organization to meet the implementation process.The main components of implementation process are people, process, and technology. The main focus of the change management is people and the related objective is to change the behavior for the acceleration of change process. (McCarthy & Eastman, 2010). The computerization of the nursing units has been a potential solution for nursing shortage. (Finkler, Ward, & Baker, 2007). Quality federal agency The management of the organization need to review the cost of the software system related to Electronic health record implementation with exploiters of the selection commi ttee before the system demos.The committee includes staff from clinical areas like pharmacy, radiology, laboratory, operating room, and emergency department. The committee necessarily to invite doctor champions to participate and observe EHR system demonstrations before selecting the system. (Swab, & Ciotti, 2010). The management of the organization needs to clarify the all of the costs such as travel costs, learn class tuition fees, files conversion fees, and other ancillary system fees with the vendors. some other factor need to consider while implementing Electronic health record system is the costs of additional staff required to persist the EHR system.The organization need to consider adding the IT staff, Nurse informaticist, and Chief medical information officer. (Swab, & Ciotti, 2010). at once the plan has been finalized and formalized, it serves as a guide for a number of grades. Long- start out plans are typically prepared only once every three or five years. Creati ng a new plan each year would only induce to constant changes in the organizations direction. This would lead to wasted efforts, and money. The long-range budgets or strategic plans look in general terms at the entire organization over a halt of years. Finkler, Ward, & Baker, 2007). Program budgeting proficiencys are equally effective for reviewing the operations of an ongoing unit as for evaluating a new program like Electronic health record implementation. Business plans are becoming essential for the introduction of new programs. Such plans help managers complete a comprehensive examination of a proposed program. By making such a thorough review, the manager and the organization gain an in-depth understanding of the program as well as its financial implications for the organization. Finkler, Ward, & Baker, 2007). Patient care, clinical research, and leadership role The Electronic health record software system support efficient and good health care. Electronic health record impr ove the completeness and accuracy of patient records and they improve talk among health care professionals. (Hayrinen,Saranto, &Nykanen, 2008). The larger hospitals, especially academic medical centers with a high acuity contingency mix, may benefit from investing in Electronic health record adoption.The hospitals with high patient volumes and with complex medical problems need to adopt Electronic health record as a capital asset for the organization. (MCcullough, Casey, Moscovice, & Prasad, 2010). Team refers to people and issues related with organization. The technology related to the choice of the software, hard ware, and design set up of the organization to meet the implementation process. The main components of implementation process are people, process, and technology. The main focus f the change management is people and the related objective is to change the behavior for the acceleration of change process. (McCarthy & Eastman, 2010). The monitoring of EHR implementation pro cess mainly focused on areas like project costs, project progress, schedule commands, control changes, scope of the project, quality management, and risks. (Noblin, Cortelyou, & Ton, 2011). The EHR implementation is considered as a high-cost project. The management needs to consider and monitor equipment costs including hardware and software costs.The workflow inefficiencies need to monitor and need to redesign during the implementation phase is an important beat to overcome the failure. (Spector, 2010). The workflow reflects the ability of the employee to use the resources to complete the work in an effective manner to achieve better results and it also shows the efficiency of team work. (Lee, Cain, Young, Chockley, & Burstin, 2005). The EHR implementation requires strong leadership and all workers need to participate to stick out their own role for the success of the implementation process.The redesigning process improves the work efficiency and job satisfaction. (Spector, 2010 ). The change from paper medical records to electronic medical record system improve the quality of healthcare, reduce the administrative cost, reduce medical errors, and decrease the unnecessary expenditures for the issues related to medical errors occur during paper charting. (Huryk, 2010). The electronic medical record system is considered as a means of technological efficiency to reduce the cost in healthcare organization.The need for EHR in healthcare organization is based on certain evidences like, It supports guideline-based care, increased patient monitoring, act as an efficient technological tool for effective communication in areas related to patient care, and improves coordination of care(Song, McAlearney, Lausanne, Robbins, & McCullough, 2011). The electronic health record system act as an easy access for medical literature and it is considered as a fast access system due to the effective utilization of information technology and enhances the healthcare efficiency system . Hillestad, 2005). Research studies shows that the paper record system is inadequate to give all informations regarding patient to caregivers for the effective care. (Thakkar & Davis, 2006) The effective use of EHR minimize the problems related to healthcare disparities, allows the involvement of patients and their families in intervention plan, and maintain adequate privacy and security. (Podgurski, 2008). Computer uses for clinical care egest into two general areas. The first area is assement of patients.This includes computers used in laboratories to throwaway blood levels, in radiology for magnetic resonance imaging, and for physical mind measures such as blood pressure. The second clinical area is remembering and management of patient information. Often called the hospital information system, these computer systems investment firm info such as patient demographics, admission, transfer, and discharge information, and documentation of nursing care provided. (Finkler, Ward , & Baker, 2007).Although clinical information systems are not directly related to financial management, data produced by these systems can be used to make financial decisions. Clinical systems are used to directly link the use of services to the billing for them. Ultimately, financial management is based on the apportionment of resources clinical information systems offer the manager data about the use of resources in the organization. Clinical information systems that combine information from a renewal of sources such as laboratory, radiology, dietary, and nursing are called fully integrated systems.In these systems the data are entered once and are accessible all over the organization with appropriate confidentiality precautions. These integrated systems improve the flow of information. (Finkler, Ward, & Baker, 2007). The implementation of EHR in healthcare organization is influenced by human and technological factors. The implementation process depends upon many factors starti ng from employee attitudes and concerns to various technology.The main factors are readiness for the employee to accept the changes related to EHR implementation, resources available for the change, technical concern, availability of finance for the implementation of EHR, motivation of the employee, time, and ability of the individual to use computer for the effective implementation of EHR. (McGinn, Grenier, Duplantie, Shaw, Sicotte, Luc, Leduc, Legare, & Gagnon, 2011). The managers need to take interventions to overcome the factors influencing the implementation process early in the planning stage. (Spector, 2010).The budget development in the sign phase of change process reflects the initial cost and all other related expenses of an electronic health record system. The hardware expense needs to be classified on a yearly basis. The organization need to consider the cost of upgrading the hardware and software system to maintain the efficiency of the system. The cost for the replace ment of hardware and maintenance of the computer need to be considered. The Information System Success sham valuation measures the quality and technical achievement of the system.The system quality depends on the elements like reliability, accessibility, and security of the system. (Delone, & McLean, 2003). The user satisfaction level needs to be evaluated because it reflects the level of competency, skills, and experience of the users. The overall measurements include quality of care in terms of patient safety, and military capability of care, accessibility of care, and productivity. ( Lau, Hagens, &Muttitt, 2007)The implementation process requires practised people in areas like computer networking, informatics, administration, management, and clinical workflow.The monitoring and controlling of the proper utilization of the resource specialist will help for the cost management. (Wang, 2003). Consultant packages The consultant from outside the organization for any change proce ss need to be assessed, monitored, and controlled as per the organisational policy and management decision. The health care organization may need assistance from outside consultants for the effective implementation of EHR and that will cause an extra cost for the implementation process and the management need to monitor the necessity of the consultant for the process. Noblin, Cortelyou, & Ton, 2011). The quality assurance of the Electronic health record software system can be done by the evaluation process. The evaluation process need to focus on certain elements like care, human, educational, administrative, technical, and social aspects. (Shaw, 2002). The care aspect of evaluation consists of monitoring the quality of care, continuity, system acceptance from patients and other professionals. The evaluation of organizational aspects mainly focuses on examining the interconnection between different care providers in different settings. (Shaw, 2002).The educational aspects of evaluat ion focus on the quality of the information system for the retention of the staff, training of employees, and user satisfaction related to EHR implementation. The administrative aspect of evaluation addresses the changes related to EHR implementation and the after effect on health care services and mainly focus on areas like access to care, interactions between clients and health care workers, and changes in cost effectiveness related to new electronic system. The technical aspects of evaluation measure the technical quality, reliability, and security of the settings.The social aspects of evaluation focus on the changes in the level of social interaction after the implementation of new system. (Shaw, 2002). The other measurement strategies include evaluating the output of new system by reviewing employee satisfaction and user satisfaction. The organization need to conduct touch go-live reviews after the implementation process to assessment of system. Conclusion The Electronic healt h record software system is one of the important operational priorities in the US health care and it should be capital assets for the organization.The health care organizations that are decided to purchase an Electronic health record system should always search for the software system with right vendors, share the costs with selection committee members, and need to think about the costs of additional staff members required to operate the software system. (Swab, & Ciotti, 2010). The other measurement strategies include evaluating the output of new system by reviewing employee satisfaction and user satisfaction. The organization need to conduct post go-live reviews after the implementation process.The successful implementation requires teamwork and effective communication technique between the vendors, health care staff, management, administration, and outside consultants. The health care organization may need assistance from outside consultants for the effective implementation of EHR and that will cause an extra cost for the implementation process and the management need to monitor the necessity of the consultant for the process. (Noblin, Cortelyou, & Ton, 2011). References Delone, W. H. , & McLean, E. R. (2003). The DeLone and McLean Model of Information Systems Success A Ten-Year Update.Journal of Management Information Systems,19(4), 9-30. Hayrinen,K. K. , Saranto, P. , Nykanen, P. (2008). Definition, structure, content, use, and impacts of Electronic health records A review of the research literature. International Journal of Medical Informatics, 77(5), 291-304 Hillestad, R. (2005). Can electronic medical record systems transform healthcare? Potential health benefits , savings, and costs. Health affairs, 2(1), 8-10. Huryk, L. (2010). Factors influencing nurses attitudes towards healthcare information technology. Journal of nursing management, 8(5), 606-612. Jarvenpaa, S. L. , Ives, B. (1991).Executive involvement and participation in the management informa tion technology. Journal of Medical Informatics, 15(2), 205-225. Lau, F. , Hagens, S. , Muttitt, S. (2007). A Proposed Benefits Evaluation Framework for Health Information Systems in Canada. Electronic Healthcare, 10(1), 112-118. Lee, J. , Cain, C. , Young, S. , Chockley, N. , Burstin, H. (2005). The adoption gap Health information technologyin small physician practices. Health Affairs, 24(5), 1364-1366. McCullough, J. M. , Casey, I. , Moscovice,S. , Prasad,S. (2010). The effect of health information technology on quality in US Hospitals.Health Affairs, 29(4), 647-654. McGinn, C. A. , Grenier, S. , Duplantie, J. , Shaw, N. , Sicotte, C. , Luc, M. , Leduc, Y. , Legare, F. , Gagnon, M. (2011). Comparison of user groups perspectives of barriers and facilitators to implementing electronic health records a systematic review. BMC medicine, 9(46), 2-10. Miller, R. H. ,Sim,I. (2004). Physicians use of electronic medical records Barriers and solutions. Health Affairs, 23(2),116-126. Nobl in, A. M. , Cortelyou, K. W. , & Ton, S. (2011). Electronic Health Record Implementations- Applying the Principles of Monitoring and irresponsible to Achieve Success.The Health Care Manager, 30(1), 45-50. Podgurski, S. A. (2008). Finding a cure The case for regulation and oversight of electronic health record system. Harvard journal of law and technology, 22(1), 107-110. Shaw, N. T. (2002). CHEATS a generic information communication technology (ICT) evaluation framework. Comput Biol Med, 32(3), 209-220. Song, P. H. , McAlearney, A. S. , Lausanne, E. F. , Robbins, J. , & McCullough, J. S. (2011). Exploring the business case for ambulatory electronic health record system adoption. Journal of healthcare management, 56(3), 169-180.Spector, B. (2010). Implementing organizational change Theory into practice (2nd ed. ). speeding Saddle River, NJ Prentice Hall. Swab, J. , Ciotti, V. (2010). What to consider when purchasing an EHR system. Health care Financial Management, 64(5), 38-41 Tha kkar, M. , & Davis, D. C. (2006). Risks, barriers, and benefits of EHR systems A comparative study based on size of hospital. Research Journal in Health Information Management, 3(5), 10-12. Wang, S. (2003). A cost-benefit psychoanalysis of Electronic medical records in primary care. American Journal of Medicine, 114(5), 397-403.