Complete an EHR Scoring Guide Checklist (Excel spreadsheet) that analyzes two EHR systems for potential implementation in a 25-provider physician office.
Collapse All
Introduction
One result of widespread adoption of EHR technology is that the health care industry and regulators are getting a better sense of what works and what does not. The industry as a whole has discovered that health care providers are more or less unanimously annoyed with many aspects of EHR design and implementation.
The best way to ensure provider buy-in for an EHR system is to understand the entire implementation process and the best practices associated with it. Getting it right the first time is critical.
In this final course assessment you will have the opportunity to use your knowledge and skills relating to EHRs and EHR implementation to analyze EHR systems for potential implementation in a 25-provider health care office.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Analyze the development and the role of EHRs in health care organizations.
Summarize the challenges to EHR adoption.
Competency 2: Evaluate the strategies for EHR design and implementation in the SDLC.
Identify the requirements for a successful EHR implementation.
Competency 3: Evaluate the role that data and technology standards play in implementation and maintenance of an electronic health record (EHR) system.
Identify the organizations involved in setting standards for EHR systems.
Competency 4: Analyze the implications of an increase in data sharing resulting from EHR adoption in various health care settings.
Compare and contrast EHR applications.
Evaluate strategies for assuring that EHRs promote secure and efficient patient data-sharing among PHRs and HIEs.
Describe ways to optimize the use of EHR data within the health care environment.
Competency 5: Communicate in a professional manner to support health data management.
Follow APA style and formatting guidelines for citations and references.
Preparation
EHR Go
Complete these specific EHR Go activities before beginning Assessment 4. You will be incorporating information from these activities into your assessment:
In this activity you will review data in a patient’s chart to identify missing or incomplete data.
EHR Go: Introduction to Chart Deficiencies
This activity will provide you with a chance to register a new patient.
EHR Go: New Patient Registration A.
Case Studies
For Assessment 4, select two case studies that are different from the ones you selected for your previous assessments. This time, choose two case studies for analysis that use different EHRs in a physician office environment. Your work in this assessment focuses on issues surrounding how EHRs interact with patients, other health information systems, and others external to the health care organization.
Analyze your selected case study and then incorporate appropriate elements into your assessment. Remember: Choosing case studies that allow you to meet the assessment’s scoring guide criteria is your responsibility.
HealthIT.gov. (n.d.). Case studies. https://www.healthit.gov/case-studies
At this link, you will find EHR implementation stories from providers around the country. In addition, case studies from specific categories, such as meaningful use and health information exchange, are provided. On the left-hand side of the screen, be sure to click the + sign to open the list of case studies.
Michigan State Medical Society. (n.d.). EMR in physician practices: A summary of 14 case studies to guide Michigan physicians [PDF]. Retrieved from https://www.msms.org/Portals/0/Documents/MSMS/Reso…
These studies fill a gap in research by providing physicians with examples of adoption by practices of various sizes and settings.
Capella Library Databases.
This link takes you to a list of all Capella library databases. Within this list, PubMed Central is a good resource for case studies. Search electronic health records to get started.
Independent Research
If you are less familiar with EHRs, you may wish to conduct additional independent research. The suggested resources provide a good starting point. You may also wish to consult the Health Care Administration Undergraduate Library Research Guide for research tips and help in identifying current, scholarly and/or authoritative sources.
Instructions
The HIM student group at the local college has asked you, an EHR implementation specialist, to judge a debate for them. To practice their analytical skills, they decided to hold a debate using three different case studies (one for each team). One of the case studies has already been selected for you. You are to judge the debate on how well they analyzed the case study, presented the information, and used examples from the classroom EHR Go. The ultimate goal of the debate is to perform an in-depth analysis of three EHR systems for potential implementation in a 25-provider physician office.
Based on your reading of the case studies, your experience using the EHR in the course and/or in the workplace, and your independent research, complete a scoring guide checklist that can be used to judge the debate among the three teams, each presenting a different EHR product. Be sure that you scoring guide checklist includes specific examples from the case studies and EHR Go that you will be looking for during the debate.
To begin, download the EHR Scoring Guide Checklist [XLSX].
At a minimum, your scoring guide checklist needs to provide at least two examples of all of the following:
EHR Applications.
Personal Health Record (PHR) Strategies.
What strategies does the EHR employ to ensure secure and efficient patient data-sharing among PHRs?
HIE Strategies.
What strategies does the EHR employ to ensure secure and efficient patient data-sharing among HIEs?
Optimization.
Challenges.
Requirements for Successful Implementation.
Organizations That Set Standards for the EHR.
Standards for the Electronic Health Record.
Case Study Reference.
Notes:
The scoring guide checklist for the first team has been completed for you as an example. Be sure to complete both remaining columns.
This scoring guide checklist is a tool you may find useful in the workplace for organizations considering upgrading an existing EHR system or implementing a new one.
Additional Requirements
Length: One-page EHR Scoring Guide Checklist template in Excel.
Font and font size: Times New Roman, 12 point.
Format: Use the EHR Scoring Guide Checklist Template provided.
APA: Provide citations and references in current APA style and format. This guide is a good refresher on APA style and formatting guidelines: Evidence and APA.
EHRs and Interoperability Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Summarize the challenges to EHR adoption. Does not summarize the challenges to EHR adoption. Attempts to summarize the challenges to EHR adoption; however, omissions and/or errors exist. Summarizes the challenges to EHR adoption. Summarizes the challenges to EHR adoption. Summary includes multiple examples and references to current, scholarly and/or authoritative sources.
Identify the requirements for a successful EHR implementation. Does not Identify the requirements for a successful EHR implementation. Attempts to identify the requirements for a successful EHR adoption; however, omissions and/or errors exist. Identifies the requirements for a successful EHR implementation. Identifies the requirements for a successful EHR implementation. Includes supporting examples and references to current, scholarly and/or authoritative sources.
Identify the organizations involved in setting standards for EHR systems. Does not identify the organizations involved in setting standards for EHR systems. Attempts to identify the organizations involved in setting standards for EHR systems; however, omissions and/or errors exist. Identifies the organizations involved in setting standards for EHR systems. Identifies the organizations involved in setting standards for EHR systems. Supports the identification of these organizations with references to current, scholarly and/or authoritative sources.
Compare and contrast EHR applications. Does not compare and contrast EHR applications. Attempts to compare and contrast EHR applications; however, omissions and/or errors exist. Compares and contrasts EHR applications. Compares and contrasts EHR applications. Defines criteria for comparison/contrast.
Evaluate strategies for assuring that EHRs promote secure and efficient patient data-sharing among PHRs and HIEs. Does not describe strategies for assuring that EHRs promote secure and efficient patient data-sharing among PHRs and HIEs. Describes but does not evaluate strategies for assuring that EHRs promote secure and efficient patient data-sharing among PHRs and HIEs. Evaluates strategies for assuring that EHRs promote secure and efficient patient data-sharing among PHRs and HIEs. Evaluates strategies for assuring that EHRs promote secure and efficient patient data-sharing among PHRs and HIEs. Defines evaluation criteria.
Describe ways to optimize the use of EHR data within the health care environment. Does not describe ways to optimize the use of EHR data within the health care environment. Describes ways to optimize the use of EHR data within the health care environment; however, omissions and/or errors exist. Describes ways to optimize the use of EHR data within the health care environment. Describes ways to optimize the use of EHR data within the health care environment. includes examples and references to current, scholarly and/or authoritative sources.
Follow APA style and formatting guidelines for citations and references. Does not follow APA style and formatting guidelines for citations and references. Attempts to follow APA style and formatting guidelines for citations and references; however, omissions and/or errors exist. Follows APA style and formatting guidelines for citations and references. Follows APA style and formatting guidelines for citations and references without errors or omissions.
