Monday, June 3, 2019

EHR Implementation Issues

EHR Implementation IssuesMelchor AbejonAny adverse event that obstructs the development and success of an organization should be investigated to discover and derive the initiating cause of such event and to consequently establish corrective actions to counter its recurrence in the future. This paper intends toIdentify the hail to be taken to mention the covering problem at Western Heights Hospital (WHH).To create a flowchart forthlining the process to be taken in kick downstairsing a solution to the organizations reporting problem.Approach to Address the Reporting Problem at Western Heights HospitalAs aread in the given scenario, the WHH is ineffectual to report on various state and federally mandated quality billhooks. Definitely, this problem needs immediate attention as this process is essential to the organization to amend and maintain quality. As the clinical content manager and leader of all reporting efforts in the organization, it is my primary concern to address an d find solution to the problem. My approach would be to perform a Root Cause Analysis (RCA). Conducting an RCA would help me discover and understand the initiating cause or causes of the problem and to develop corrective actions to prevent its recurrence in the future.Root Cause AnalysisBelow is a flowchart showing my steps to performing an RCA for the problem.Identify the problem involve and point team facilitator and members Describe the incidentIdentify the contributing factorsIdentify the root cause or causesEliminate the root cause or causesEvaluate and measureIdentify the problem. This step exit include determining the problem to be investigated. The problem statement from the scenario would be, The organization is unable to report on various state and federally mandated quality measures. Also, included in this step is to gather preliminary information about the problem which can be discussed later by my team.Charter and appoint a team facilitator and members of the team. In this step, a team facilitator will be designated who will work with the leadership to launch a project operate that will guide the team in managing the scope of the project and in implementing changes that are linked to the root causes identified in the RCA process. Also, team members will be selected who are familiar with the systems and processes involved in the problem.Describe the incident. In this step, facts surrounding the problem will be collected and organized, on why the organization fails to do quality reporting measures. The preliminary information gathered in step 1 will be shared and discussed with the team.Identify contributing factors. The knowledge gained in step 3 will be used to dig deeper into what happened and why it happened. Also in this step, the conditions, circumstances and situations that caused the organization not to be able to report will be identified. A thorough investigation of the organizations current data systems and the processes from patient d ata capture to electronic reporting will be carried out to determine any lacking or faulty process that have resulted to the incomplete generation of data.Identify the root causes. The contributing factors will be examined to find the root cause of the problem. In the given scenario, there could be many underlying reasons that had caused the organizations disappointment to report. Contributing factors could be due to (a) incomplete data as mentioned, (b) failure of systems to communicate, (c) poor data quality, (d) lack of data standards. These contributing factors are interrelated to each other to significantly affect the interoperability of systems. Identifying the root cause should be dug deeper by asking repeated why questions of the contributing factors.Eliminate the root causes. This step will also include the design and implementation of changes to die the root cause and to reduce and or prevent the recurrence of the same event in the future. If there are multiple root caus es, there will be corrective actions to address each root cause. In the given scenario, the failure to report could probably be due to lack of interoperability or failure of systems to communicate due to poor data quality as manifested by incomplete data generated by the organizations system. This problem could be addressed by astir(p) patient data capture and by developing an efficient data dictionary. Data integration would probably be needed to cleanse all afoul(ip) data, and as well as to employ data standards to improve clinical documentation, and data interchange standards to enable the systems to achieve full interoperability and be able to stand in and integrate data among healthcare applications in a state , regional and nationwide level.Evaluate and measure. In this step, the success or improvement of actions will be evaluated and measured and will be monitored overtime.ReferenceCenter for Medicare and Medicaid Services (CMS) (n.d.). Guidance for performing root cause a nalysis (RCA) with performance improvement projects. Retrieved February 20, 2017 from https//

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