According to Ole Hanseth et al (2010), reflexive standardization is the process of supporting efforts to bring about order and organization in a function, and instead of achieving positive results, negative results are achieved. Reflexive standardization brings about negative results as a result of failing to be planned adequately from the onset. For instance, take for example the Norwegian hospital; the development of the Electronic Patient Record (EPR) was developed as a fragmented record of databases. The records brought about challenges in the manner in which they were accessed and as a result, there was need to redesign the system. Instead of setting aside a development team to redesign the system based on thorough research, the hospital decided to centralize the database and create several views for different system users to view these records. This was deemed to be the reflexive standardization of the information system. It had both advantages and disadvantages as discussed.
Necessity and Advantages
The proverbial elephant in the room was the scattering of records and the need to
…show more content…
Most are not able to fully imitate a traditionally synchronized system such as an hospital. They thus offer the necessary support to these systems instead of fully taking over their functions. In this case, the systems present seemed to hinder the proper functioning of the hospital to its optimal potential. It did not do much to increase service delivery thus came off as a hindrance to the success of the hospital’s functions. The system was also deemed by Ole Hanseth (2010) as a complex system. The word complex is defined with respect to the ability of the new practitioners to understand the use of the system. By being complex, the system fails in its quest to become a better solution as opposed to traditional record-keeping
Jones Regional Medical Center is a huge academic health center with 900 beds and are known for its research and teaching hospitals. Additionally, the IT staff at Jones supports 300 applications and 12,000 workstations. The center uses Technology Med (TechMed) for their admitting system. The system includes registration, inpatient charge, payment entry, master patient index, admission, hospital billing, and more. The TechMed system has been accessible since 1998; Jones is beginning to plan a replacement of this systems because of the fragility of the software (Wager, 2013).
Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system.
“The time and resources needed to implement a new health care information system can vary considerably based on the scope of the project, the needs and complexity of the organization, the number
The use of technology in HIM department works out well and effectively. Each patient who is new is assigned a unique medical record number and it always remains the same for the patient each time he/she want to get health care from this health care system. Another system
There are some assumptions made by university health care system in its implementation that the common advantages of using a computerized system would obviously work to their own advantage. Users of the system make a great impact to the existence of the same. It is imperative to consider old data that is supposed to be fed to the system in order to make it efficient while updating the rest of information. Self evaluation process is recommendable to the system by the Information Technology experts. The human interface of the system should be included by the evaluation team. This will include two psychologists. The above aspects should be considered by a team of analysts before they conclude on whether the project does or does not
Epic resulted in the transformation of Yale-New Haven Health by substituting disparate EHR’s (electronic health records) and the health system with a centralized EMR (electronic medical record) and a revenue cycle platform. Lisa Stump revealed that Yale-New Haven Health applied a Big Bang approach to ensure uniformity of implementation for the Epic system. However, she maintains that there was need to modify the approach based on the requirements of the existing practice. Again, the Vice President added that effectively achieving uniformity in Epic’s implementation was more about managing the resultant change and thinking actively on the ways of managing the change for Yale-New Haven Health. The task of implementing Epic at Yale-New Heaven Health incorporated the participation of its nurses, employees, and doctors. Moreover, redundant modifications were removed in Epic’s implementation because the organization is dedicated to ensuring standardized content and workflows. The benefit of applying the Big Bang approach in ensuring uniformity is that an entire hospital goes live on an EMR with a periodical departmental roll-out strategy. Consequently, the approach helps in ensuring that each person is
2008). Another system focused on patient scheduling in a rehabilitation setting (Ozbolt, J.G., Saba, V.K. 2008). Nurses at a California hosptial assisted in developing the first comprehensive hospital information system and helped integrat the system for nursing care planning, documentation, and feedback (Ozbolt, J.G., Saba, V.K. 2008). They developed the standard care plans that are used throughout the world today (Ozbolt, J.G., Saba, V.K. 2008). Another big achievement of this decade was the introduction of the first commercial electronic medical record (Thede, L. 2012). This new system was patient-oriented and was implemented throughout the hospital (Thede, L. 2012).
Systems engineering focuses on coordination, synchronization, and integration of complex systems of personnel, information, materials, and financial resources. This is achieved through the application of mathematical modeling and analysis techniques.. Although drawing direct parallels between other economic sectors and health care delivery is problematic, many functions common to both have been significantly improved in other sectors through engineering analysis. These include inventory control and logistics, scheduling, operations management, project planning, facilities design, process flow analysis, resource synchronization, engineering economic analysis, and many others. It is beleived that these engineering approaches, properly modified and applied, can provide similar high-level impacts in health care delivery.
In order to eliminate the inefficiencies witnessed in many public and private hospitals that serve a number of patients, an integrated approach to handling the daily workload is necessary. There is need for all departments within the hospital to work closely together in ensuring more effective and efficient service deliveries. In this paper, a planned change is going to be carried out involving designing a new system that incorporates all the departments within the hospital. This includes the surgery department, pediatrics department, dentistry department, nursing department, pharmacy departments, laboratory and testing department, X-ray and Physiotherapy departments, Equipment maintenance and Engineering department, Information Technology
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
The goal of econometrics is to aid decision making in a business setting. By analyzing seemingly unrelated sets of information, economists hope to see correlations that may help make informed choices. (Ouliaris, 2012) Econometrics has its limitations-if data is incomplete or if the sampling period is insufficiently short the resulting information may not give the full picture as intended by the economists. (Ramcharan, 2012)
Users of accounting information, who do not have day to day access to the record of the business, rely on the integrity and judgment of management to provide suitable information of a high quality. All financial statements are essentially historical documents they shows the financial performance of the company. Most users of financial statements are concerned about what will happen in the future and decision making upon the present or past financial records of the company. Stockholders are concerned in future earnings and dividends. Creditors are concerned with the company’s future ability to repay its debts. Managers are concerned with the company’s ability to finance future expansions. Despite the fact that financial statements are
Right now, the hospital has to choose between the risk of a bungled audit (which will require overtime from an exhausted, unmotivated staff, double the audit’s 15,000$ price tag and hurt their financial reputation) or hire Dovetail, who will potentially be able implement the system before the audit deadline, but at a heavy cost. The hospital administration needs to accept the fact that the bulk of the costs associated with bringing this computer system into production are labour costs rather than hardware and software. All the attempts to circumvent these costs have resulted in the need for greater expenditures.
After the annihilation of the Persians in 479 B.C., Athens commanded Greece politically, financially and socially
The healthcare industry consists of many strengths and weaknesses during the improvement of patient safety, efficient operations, reduction of medical errors, and ensuring that they provide timely access to all patient information. This will have to still comply with all legal guidelines as they control costs and protect patient privacy. The adoption of advanced information technology is a popular strategy being used in the healthcare industry because it allows their weaknesses to be progressively diminished as they gain and use the opportunities necessary as an analytical tool. This would allow their capabilities to be further developed with the new technologies and processes used as they unify the adoption of IT standards. In order to stay competitive within the healthcare industry, then there must be specific actions and measures that must be taken to ensure a positive outcome. This includes external opportunities to increase the capability of the IT infrastructure in a national environment as the growth of industry standards are met in order to decrease the pressured threats of legal compliance through patient trust and the high cost of IT. The growing recognition of strategic leadership often leads to both improved financial stability and contact accessibility of the system. Some challenges that may occur within the healthcare system may cause issues in a hospital setting because of the centralized society of an organization. This is because of the different visions and