Healthcare IT? Not a problem…

Michelle EarleAimee EpsteinThomas KorenchukNick LaVarderaPhil MartinLaura Palantone

BMGT301 Group 4

Current use of EMRs

Practices using EMRs Different systems Already made significant investments

Spent money Spent time

Unable to effectively communicate

Practices without the use of EMRs Concerns about money and time Cannot communicate with any EMRs

BMGT301 Group 4

Efficient technology and Communication

Standard format requirements Require all information to be stored in one of 5 file

types Can be accessed in multiple systems Allows communication Allows for editing of information

BMGT301 Group 4

Efficient technology and Communication

Standard information requirements What information needs to be recorded in EMRs

Demographics Name Date of Birth Gender Race

Medical history Family medical history

One time entry Ensures no double record Ensures accuracy Decreases time spent on records BMGT301 Group 4

Efficient technology and Communication

Standard use requirements How much information needs to be entered

One time entry All fields need to be filled

Extra comments section Both electronic and handwritten options

Medical observations Any information that will be relevant

Present or future

BMGT301 Group 4

Use of system requirements

Trainings for all employees Two options

Online tutorials Concept of SecondLife

Sign on Tutorial operator will lead Can ask questions in real-time Must be completed within 3 months of employers

adoption of requirements

BMGT301 Group 4

Use of system requirements

CD-ROMs Tutorials

Open anytime Can go back and forth between confusing topics Must be completed at least once before exam

Exams Must be passed with a 85% score Will test on all key components of system requirements Will test on key situations and how to act

FAQs Can be accessed when there is a common problem

incurred BMGT301 Group 4

Use of updates in system

Trainings after updates Necessary in both options

Must attend a new online tutorial program Will receive a new CD-ROM

BMGT301 Group 4

Privacy and Security

Title II of HIPAA Who must follow the laws What information is protected How the information is protected The privacy rule Who can view ones health information

BMGT301 Group 4

Who must follow HIPAA?

Health Plans

Health Care Providers

Clearing houses

BMGT301 Group 4

What information does HIPAA protect?

Basic health information

Billing information

Info about health insurer’s IT system

BMGT301 Group 4

How is information under HIPAA protected?

Safeguards Firewalls

Limited necessary use

Privacy contracts

Privacy controls is accordance with the contracts

BMGT301 Group 4

The privacy rule

Patient can view health record at anytime Must go through healthcare provider

Have Corrections added

Notifications of how one’s information is being used

Certain Permissions for use (ex. Marketing)

Can file a complaint (with Insurer or Government)

BMGT301 Group 4

Who can view one’s health information under HIPAA?

Patient

Healthcare provider

Health insurer

Patient’s family With patient permission

Police/Public (in certain cases)

BMGT301 Group 4

Office of National Coordinator (ONC)

ONC is the governing body over EMR use Responsible for overseeing healthcare quality and

care coordination

National Institute of Standards and Technology Tests systems

Ensures IT standards for information exchange and security

BMGT301 Group 4

Regional Extension Centers (RECs)

Branch of ONC “Help desk”

Responsible for technical support Last line of defense for employee problems with system Can provide additional training for employees

BMGT301 Group 4

Hospital and physician adversity

Financial incentives Funding provided by CMS

Must meet requirements set out by Medicare and Medicaid

Funds dependent on demonstration of “meaningful use”

BMGT301 Group 4

Patient adversity

Healthcare PR campaign Funded by ONC Explain EMR

Reasons for use Privacy and security concerns

Tactics Press releases Up-to-date website

Comprehensive fact sheets Easy-to-understand brochures FAQs section BMGT301 Group 4

What if this fails?

Overlapping accounts One time entry of basic information Social Security number would be primary key

Encrypted for privacy concerns

Loss of data Backup regional servers

Act as external hard drives Auto-saved frequently

Security breach Firewalls Encrypting data ONC always monitoring standards BMGT301 Group 4

Alternative Solutions

Wipe out all current systems Too costly Time consuming

In-person training seminars Costly Too many employees Illogical

Compatibility with universal healthcare Could work as long as government were to adopt requirements

No distinct privacy controls Patient backlash No support BMGT301 Group 4