Create a slide presentation (1215 slides; 20 minutes long) for a HIM team of a health care organization that is considering upgrading its existing EHR or implementing a new one. Address in the presentation: SDLC, migration plans, and best practices for successful EHR implementations.
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Introduction
Take a minute to think about this scenario:
The hospital where you work spent more than $1 million dollars designing and developing an EHR system. However, hospital leadership decided not to train employees on the new system. Why? They were operating under the assumption that in our technology-oriented society, everyone knows how to use computers. Right? The first day the system went live, everyone relied on paper records. No one documented anything in the brand new, $1 million EHR system.
What went wrong?
HIM professionals can help their organizations find solutions to critical, expensive problems like these. Knowledge of the systems development life cycle (SDLC) and skills in using this cycle can help to answer these questions. Remember that the EHR is a system. And like other information systems, it follows the six stages of the SDLC. These are:
Identify need.
Specify requirements.
Design or acquire.
Develop or Implement.
Maintain.
Monitor results.
In particular, HIM professionals’ focus on the SDLC’s design, implementation, and maintenance phases and how those phases interact can add tremendous value to a successful EHR implementation. For example, in the design phase, HIM professionals skilled in using different tools within the EHR for workflow and process mapping can help to ensure that the business processes are organized in a way that produces the organization’s desired results each and every time.
Likewise, knowledgeable HIM professionals can offer value in the SDLC’s implementation phase by citing credible, authoritative evidence to show their organizations that successful EHR implementations expend resources on end user training. The people using the system need to learn how to use the system so it can help them do their jobs more effectively and efficiently. After all, whether or not an EHR implementation is successful depends on whether the people using the system want to make it work and know how to make it work.
In addition, HIM professionals can help their organizations understand the importance of regular, ongoing maintenance of its EHR system. Just as regular, ongoing maintenance of a house can prevent costly repairs and a depreciation of value, the same holds true for an EHR system.
In this assessment, you will have the opportunity to educate fellow HIM team members about the SDLC and its application to EHR implementation as Vila Health considers an important strategic initiative. Should it keep and upgrade its existing EHR system, EHR Go? Or would it be better served by replacing the existing system with a new one?
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 2: Evaluate the strategies for EHR design and implementation in the SDLC.
Describe the SDLC stages.
Explain the requirements for a successful EHR implementation.
Evaluate a migration plan for an EHR implementation.
Evaluate workflow and needs assessment in relation to EHR implementation.
Competency 5: Communicate in a professional manner to support health data management.
Create a clear, well-organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling.
Follow APA style and formatting guidelines for citations and references.
Preparation
EHR Go
Complete these specific EHR Go activities before beginning Assessment 2. You will be incorporating information from these activities into your assessment:
This activity will provide you with a chance to document new information in an EHR. As you complete the activity, think about the workflow process. How could it be improved?
EHR Go: Documenting a Patient Phone Call.
This activity will help you identify best practices for an EHR implementation. It will also introduce you to meaningful use. As you complete the activity, think about the workflow process. How could it be improved?
EHR Go: EHR Implementation.
Case Studies
For Assessment 2, select a different case study than you selected for Assessment 1. This time, choose a case study that allows you to focus on various aspects of the system development life cycle (SDLC). Analyze your selected case study and then incorporate appropriate elements into your assessment. Remember: Choosing a case study that allows 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]. 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.
Audio Recording of Your Presentation
To prepare for the audio recording of your presentation:
Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.
Practice using the equipment to ensure the audio quality is sufficient.
Microsoft PowerPoint allows you to record your narration with your slides. If you choose to record your presentation using this tool, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your slides.
Consult Using Kaltura [PDF] for guidance in how to record your presentation and upload it in the courseroom if you elect not to use Microsoft PowerPoint to submit your slides and narration.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.
Instructions
In this assessment you will continue on in your role as Vila Health’s EHR implementation consultant. Your boss, the HIM director, wants HIM department staff members to be informed about best practices for EHR implementation because Vila Health is considering whether to implement a new system or upgrade its existing one, EHR Go. The HIM director has asked you to prepare a 1215 slide deck and present it at the next HIM department meeting. You will have a maximum of 30 minutes to deliver your presentation (20 minutes for the presentation and 10 minutes for Q&A;). Specifically, your boss wants you to cover SDLC, migration plans, and best practices for a successful EHR implementation. Your director also wants you to weave into your presentation examples from a case study, from the independent research you have conducted, and from your personal experiences.
Your boss has approved the outline below. Use the notes portion of your presentation to build out what you will say during the presentation. As a reminder, be sure your slides cover highlights. Your notes section will spell out what you will say.
Welcome (One slide)
How will you open your presentation in a way that engages your audience? For example, consider a compelling quote, a startling fact or statistic, or a thought-provoking question.
Best Practices (One slide)
What is a best practice?
How do we know something is a best practice?
System Development Life Cycle (SDLC) Stages (Two slides)
What are the SDLC stages?
What occurs during each stage?
Why is it important for your audience to understand the SDLC stages?
Successful EHR System Implementation Requirements (23 slides)
What are the best practices for a successful EHR system implementation?
Was the EHR implementation from your case study successful or not? Why or why not?
What could have been done differently for a more successful implementation?
Migration Plans for EHR Implementation (Two slides)
What were the process steps (migration plan) used to implement the EHR in your case study?
How effective was the migration plan for the EHR implementation in your case study?
What could have been done differently in the migration plan for a more successful implementation?
Workflow and Needs Assessment for EHR Implementation (Two slides)
What are best practices for workflow and needs assessment for EHR system implementations?
How effective were the workflow and needs assessment processes in your case study?
What could have been done differently in these processes for a more successful implementation? Be sure to provide examples from your EHR experience in this course or in the workplace.
Closing (One slide)
Prepare a list of 35 questions that you would expect to receive during the Q&A; session.
References (One slide)
List any references used during the presentation.
Once you have completed your slides and prepared your presentation notes, your next step will be to practice giving your presentation multiple times and then record it.
Additional Requirements
Format: Slide deck with 1215 slides and notes. Include your voice-over narration (maximum of 20 minutes) with your slides.
Visuals: Balance visuals and text in your slides. Incorporate appropriate charts, graphs, tables, diagrams, pictures, visuals, et cetera to help convey your message. Avoid making your slides too text heavy. Place additional information in your notes.
APA: ollow APA style and formatting guidelines for citations and references. This guide is a good refresher on APA style and formatting guidelines: Evidence and APA.
Writing: Create a clear, well-organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling.
Scoring Guide
EHR Life Cycle Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Describe the SDLC stages. Does not describe the SDLC stages. Attempts to describe the SDLC stages; however, omissions and/or errors exist. Describes the SDLC stages. Describes the SDLC stages. includes multiple examples and references to current, scholarly and/or authoritative sources.
Explain the requirements for a successful EHR implementation. Does not explain the requirements for a successful EHR implementation. Attempts to explain the requirements for a successful EHR implementation; however, omissions and/or errors exist. Explains the requirements for a successful EHR implementation. Explains the requirements for a successful EHR implementation. Explanation includes multiple examples and references to current, scholarly, and/or authoritative sources.
Evaluate a migration plan for an EHR implementation. Does not evaluate a migration plan for an EHR implementation. Attempts to evaluate a migration plan for an EHR implementation plan; however, omissions and/or errors exist. Evaluates a migration plan for an EHR implementation. Evaluates a migration plan for an EHR implementation. Evaluation specifies the criteria by which to evaluate the migration plan.
Evaluate workflow and needs assessment in relation to EHR implementation. Does not describe workflow and needs assessment in relation to EHR implementation. Describes but does not evaluate workflow and needs assessment in relation to EHR implementation. Evaluates workflow and needs assessment in relation to EHR implementation. Evaluates workflow and needs assessment in relation to EHR implementation. Evaluation specifies the criteria by which the workflow and needs assessment will be evaluated.
Create a clear, well organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling. Does not create a clear, well organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling. Attempts to create a clear, well organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling. However, lapses, omissions, and/or errors exist. Creates a clear, well organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling. Creates a clear, well organized, professional, error-free presentation. Presentation includes multiple 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.
