1 HEALTH INFORMATION SYSTEMS Table of Contents 1. Utilizing expertise to assist in employee and patient satisfaction............................................2 Recommendation.............................................................................................................................3 2. Technologies for improvement of healthcare processes.........................................................3 Rationale..........................................................................................................................................4 3. Development of significant methods for preventing misuse of information and protect data privacy..........................................................................................................................................5 Rationale..........................................................................................................................................5 4. Rationale supporting strategies to train providers in using healthcare services......................6 5. Justification of best practices for effective IT alignment and strategic planning initiatives...7 References....................................................................................................................................8
2 HEALTH INFORMATION SYSTEMS 1. Utilizing expertise to assist in employee and patient satisfaction The Chief Technology Officer (CTO) or the Chief Information Officer can play a crucial role in guaranteeing employee and patient satisfaction within a healthcare set up. The work of the CTO is to provide sufficient digital assistance within a hospital and ensure efficient maintenance of databases pertaining to patient records. The Chief information officer can acts as a go-to person within a healthcare setup regarding glitch in technical software and systems. The Chief Technology Officer is the person who is responsible for the implementation of latest technologies and policies within a healthcare setup. The CTO should possess the relevant knowledge for the alignment of technology related decisions with the goal of the organization. The role of the CTO can be extended in the identification of the opportunities and risks associated with the business processes (Chen, Hailey, Wang & Yu, 2014). The technology officer can take advantage of the social networking platforms in building communities and reaching out to maximum number of health support users. The CTO ensures that swift flow of technical support is maintained within the hospital premises. Some of these include inculcation of E-health records along with digital signage software for better communicating with the staff and the patients. The CTO can use the digital signage software in communicating with the staffs around a huge hospital. This prevents a disorderly and chaotic situation where the staffs located within different floors of the hospital couldbeeasilycommunicatedwithregardingemergencysituations.However,the implementation of such systems requires the implementation of sufficient training programs. The chief technology officer plays a critical role in the handling and management of the client base by communicating with them over chats and e-mails and keeping them updated about the latest
3 HEALTH INFORMATION SYSTEMS informationpertainingtohealthcareservices.AscommentedbyLedikweetal.(2014), maintaining a personal touch point with the patient population helps in provision of priority based healthcare services. In this respect, virtual interfaces in the form of mobile applications can be developed for communicating better with the clients. Recommendation TheCTOcanusetheiryearsofexpertiseinsettlementoftheclientissuesby understanding and delegating their problems with the higher authorities. The CTO should use their knowledge in running trial up of installed systems and software within the hospital setting. This helps in training the staffs better in the handling and management of the software. For e.g. the CTO of the US based hospitals collaborates with a number of drug confederations across the world through virtual platforms in order to receive solutions to the complex health care issues suffered by people. 2. Technologies for improvement of healthcare processes The aspect of digital evolution has taken over healthcare, where systems and software are tapped for better catering to the requirements of the patient population. Some of the advanced tools and technologies such as digital signage ande-health recordsare increasingly used to provide additional support to the healthcare users. The electronic health records are used in ambulatory and clinical setups for fast transfer to data pertaining to the health of the patients. The implementation of such systems and software allows for the transfer of data in much real time across the globe and could be used for immediate healthcare delivery to the patient population (Dobrzykowski, Callaway & Vonderembse, 2015). Additionally, the invention of sophisticated tools and technologies allows for catering to complex situations. The invention of
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4 HEALTH INFORMATION SYSTEMS laparoscopy surgery which is dependent upon use of camera assisted technologies for finding out the tumors in the patient. Additionally, some of the recent technologies such as high definition X-rays and imagery techniques have been connected with mobile devices where instant images are sent to the physicians for further suggestions. The technological interventions can be further used for the provision of recurrent reminders to the health and support care users regarding the date and time of follow up with the physicians.Therefore, the incorporation of such methods can help in preventing emergency situations in healthcare. Rationale The technologies form the foundation of healthcare system where the highly specialized health services are provided at the doorstep of the patients with the advent of technology.We can use this to relate to novice concepts such as Telehealth andTelemedicine. The introduction ofthesamehasbroughtaboutarevolutionwithinthemedicalworld.Technological interventions have made primary health care services along with referral possible within the comfort of home. As commented by Standing& Cripps(2015), technological interventions could be used for the empowerment of the patients with mental and physical restrictions. The reminders set over the virtual platforms could benefit the patients suffering from Alzheimer’s as they have tendency to forget important things and aspects including the time and doses of particular medicines.
5 HEALTH INFORMATION SYSTEMS 3. Development of significant methods for preventing misuse of information and protect data privacy In this respect, the Chief Technology Officer can use a number of effective systems and policies for preventing the theft of important health details of the patients.As commented by Freeet al. (2013), technological advancement comes along with its own share of glitches. The online sharing of patient data through the incorporation of the Telehealth systems and support also calls for the implementation of additional data security tools and protocols (Bardhan & Thouin, 2013). Some of these are conducting a HIPPA security risk analysis on an annual basis. AspertheHealthInsurancePortabilityandAccountabilityAct(HIPPA),1996,the organizational changes with respect tonew system deployment, infrastructuralenhancements upon the health advancements of the patient population needs to be checked on a regular basis. Rationale Data encryption on all portable devices can prevent the theft of crucial and vital information. The CTO can call for the encryption of laptops which prevents the loss of important health records of patient population. As commented byHashemet al. (2015), budgetary constraints can prevent successful implementation of the procedure. As per reports and estimates, forensic costs, OCR investigation and negative publicity can result in loss of millions of dollars. In this regard, more frequent vulnerability assessments can result in adequate steps and measures to be already implemented. The hackers mostly attack the health care data for accessing credit card information, which could be collected from the transactions made by the patient. An example of this would be the 2012 hacking incident in the Utah department of health (Li, Dai, Ming & Qiu, 2016).
6 HEALTH INFORMATION SYSTEMS Therefore, vulnerability scanning and remediation can help in the fixation of the particular issue. Additionally, the provision of security awareness training can also help in reducing the risk of data theft within a hospital setup. 4. Rationale supporting strategies to train providers in using healthcare services A number of strategies could be followed for provision of sufficient training to the healthcare service providers. In this respect, a number of steps could be followed such asrole based training; process based training. The role based training is tailored as per the job role and job specification of the healthcare providers. Therefore, for performance effectiveness in healthcare IT systems several trials could be conducted in the handling the implemented systems. This could be conducted in the supervision of the Chief Information officer who can use his expertise to guide the clinical staffs regarding active documentation and record keeping procedures using digital signage software. The process training is much specialized with reference to learning the handling and management of a wide variety of new systems. The training could be conducted on specific procedures such ase-prescribingthan management and handling of IT systems as a whole (Agaku, Adisa, Ayo-Yusuf & Connolly, 2014). Therefore, here the emphasis is upon learning individual processes well. The major difference which lies between the role and process based training is that the former involve only the healthcare providers, whereas the latter involves medical assistants and call centre staffs also.
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7 HEALTH INFORMATION SYSTEMS 5. Justification of best practices for effective IT alignment and strategic planning initiatives Strategic planning has become an indispensable component of healthcare and effective IT alignment for the same could be ensured through a number of steps and procedures. The planning initiative must be supported by a key organizational and cross-functional entity. Regular and transparent delegations with the stakeholders are some of the other key initiatives. The building of a strategic plan template help in meeting with the objectives of the clinical set up easily and also helps in keeping track of the amendable changes. The demographics drivers and influencers also need to be conducted before the implementation of a new plan or objective (Truong, Paradies & Priest, 2014). Additionally, conducting competitive analysis such as Porter’s and PESTLE can also help in estimating the amount of changes present in the current health scenario which helps in future risk analysis. Moreover use of effective communication tools to notify and brief the staffs regarding the novice methods and tools can be beneficial with regards to strategic planning. Establishment of a proactively engaged work group also helps in the division of the work load (Aarons, Ehrhart, Farahnak & Sklar, 2014).
8 HEALTH INFORMATION SYSTEMS References Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Sklar, M. (2014). Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation.Annual Review of Public Health,35,55-72. Agaku, I. T., Adisa, A. O., Ayo-Yusuf, O. A., & Connolly, G. N. (2014). Concern about security and privacy, and perceived control over collection and use of health information are related to withholding of health information from healthcare providers.Journal of the American Medical Informatics Association, 374-378. Bardhan, I. R., & Thouin, M. F. (2013). Health information technology and its impact on the quality and cost of healthcare delivery.Decision Support Systems,55(2), 438-449. Chen, H., Hailey, D., Wang, N., & Yu, P. (2014). A review of data quality assessment methods for public health information systems.International journal of environmental research and public health,11(5), 5170-5207. Dobrzykowski, D. D., Callaway, S. K., & Vonderembse, M. A. (2015). Examining pathways from innovation orientation to patient satisfaction: A relational view of healthcare delivery.Decision Sciences,46(5), 863-899. Free, C., Phillips, G., Watson, L., Galli, L., Felix, L., Edwards, P., ... & Haines, A. (2013). The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.PLoS medicine,10(1), e1001363.
9 HEALTH INFORMATION SYSTEMS Hashem, I. A. T., Yaqoob, I., Anuar, N. B., Mokhtar, S., Gani, A., & Khan, S. U. (2015). The rise of “big data” on cloud computing: Review and open research issues.Information Systems,47, 98-115. Ledikwe, J. H., Grignon, J., Lebelonyane, R., Ludick, S., Matshediso, E., Sento, B. W., ... & Semo,B.W.(2014).Improvingthequalityofhealthinformation:aqualitative assessment of data management and reporting systems in Botswana.Health research policy and systems,12(1), 7. Li, Y., Dai, W., Ming, Z., & Qiu, M. (2016). Privacy protection for preventing data over- collection in smart city.IEEE Transactions on Computers,65(5), 1339-1350. Standing, C., & Cripps, H. (2015). Critical success factors in the implementation of electronic health records: A two‐case comparison.Systems Research and Behavioral Science,32(1), 75-85. Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: a systematic review of reviews.BMC health services research,14(1), 99.