The Business Case for Investing in EHR: A Doctor's Practice Analysis

This case study analyzes the IT value realization issues of Electronic Health Records (EHR) within the context of a doctor's practice, specifically using the example of Greenway Medical Technologies. The assignment requires an analysis of the provided case material and external research to develop a comprehensive business case for investing in EHR. The analysis covers various aspects, including the business context of doctors' practices, the identification of areas of breakdown, the evaluation of software solutions like Insta HMS, and the assessment of associated risks, costs, and benefits of EHR implementation. Stakeholders, their needs, and the overall impact of EHR on healthcare delivery are also considered. The report emphasizes the importance of quality improvement, effective management, and the strategic value of IT in enhancing patient care and operational efficiency. The study also looks into the functions, features, and implementation steps of EHR systems, with a focus on providing a detailed and well-supported business case for management.

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1.0 Doctors practice requirements
1.1 Analysis of business context of Doctor’s practices
The practices of General medical assist is to provide focused, facilitated and exhaustive
medical services to patients. It is vital for the future practitioners to understand that the
clinical and the general medical practices can be by some features according to
disciplines discussed below:
Cantered services of patients
It is important for the practitioners and the general physicians to know the healthcare
needs and the requirements of the target patients and clients based on the illness and
diseases. The experience of the general physicians and the practitioner assist them to
know the reason behind the diseases or the illness. Furthermore, they are responsible for
giving medicines to patients which help in relieving pain. The needs and the healthcare
services are the main aim of practitioners and general physicians (Chen, Liu, Hu, Guo, &
Zhang, 2019).
Continuous care of patients
The practitioners and physicians are responsible for caring and sustaining of patient’s
health, they need to develop wellbeing, good health and resilience patients by considering
efficient doctor-patient relationships. The services of the practitioners and the physicians
can be guaranteed through enhancement of adequate service, resource implications and
effective team work (Zhao, Iwase & Kihara, 2018).
Collaboration of clinical activities
The practitioners and the general physicians need to apply a collective workplace actions
with staffs and other members in the hospital to ensure effective care, good discipline
among staff and successful results.
1.2 Effective quality improvement and management

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The practitioners and general physicians are also responsible for maintaining quality and
sustainability of health services to monitor and asses the professional abilities. The
assessment of performance, competence and skill level of the practitioners and the general
physicians can assist in improving the degree of healthcare services of patience. Generally, it
is also important for the physicians to evaluate the need for change and its implications. The
practitioners and the general physicians should focus on providing effective and efficient
healthcare services and aspects of quality improvements through consideration of the
leadership, information and data management processes and the working team (Qu, & Li,
2018).
1.3 Challenges facing Greenway medical
The practitioners and the general physicians are the first people to be contacted in the
Australian medical system which provide treatment to patience. The Greenway medical has
been characterized with issues of low market share and also degree of fragmentation. The
industry has is made up of small business, which is tied up closely with the community
requirements (Grover,Chiang,Liang & Zhang, 2018).
1.4 Identification of areas of breakdown in practices
Inside the doctor’s practices in the healthcare sector, the following are the major areas of
breakdown.
Communication
Faulty communication exist within the doctor’s premises which makes which cause system
error and it consume a lot of time while attempting to fix the issue.
Cost

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It is identified that the medical practices’ IT system is very expensive to maintain with the
doctor’s practices.
1.5 Services and process performed by the doctor
Generally, the practitioners and the general physicians work together with counsellors, nurses
and other staff to offer accessible and integrated patients care. They should coordinate,
support and lead the flexible clinical teams (He, Shi & Wu, 2018).
1.6 Key stakeholders and there need in Greenway Medical
There are two categories of stakeholders, external and internal stakeholders
External stakeholders
These are patients, suppliers and the financial community. These are the organization key
stakeholders that perform important roles.
Internal stakeholders
These involves doctors and nurses they help in providing healthcare services to the patients.
2.0 solution of software package
Insta HMS is considered to be one of the efficient and most popular software program, it
is also considered as an integrated software application. It carry out billing processes,
appointment and also carrying out clinical management activities (Wang, Ramaswamy &
Yang, 2018).
2.1 Vendor background information
 Insta HMS is an IT solution company that provide IT solutions in healthcare services.
The company was founded in 2008, its headquarters is based in Brisbane, Australia.

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 The branches of the company has located nearly all the major cities of Australia. The
branches are developed of in Sydney, Perth, Melbourne and Adelaide.
 Insta was ranged the 6th position by NEHTA. NEHTA is a body that handled
implications of electronic health services in all clinic organizations in Australia.
 The software application is appropriately and effectively backed up by many
important services that provides to stakeholders and clients, these has ensures,
efficiency, high advancement in technology and high quality management (O'Connor,
S, 2015).
2.2 IT architecture
 Insta HMS uses client-server technology which enhances the speed of the network.
 It has establish its own server that has help in boosting communication and reduce
challenges relating to reliance on third-party vendors.
 The software application is very independent and can operate on both windows and
Macintosh.
 Insta HMS is generally created based on industrial-strength database. It assist in
improving the degree of efficiency and quality of many activities.
2.3 Risk and security
Apart from many advantages of the system, it also have some types of risk and security
issues. These can be categorized into security issues and financial risks and technical risks
('IBIS World, 2018).
Security issues
 In terms of tedious and inefficient functioning, the activities of record keeping may be
affected. The challenges may affect healthcare activities which result to poor health of
patients (May, 2017).

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 Some kind of natural disasters may cause challenges such as data loss.
Financial risks
 EHR system is very costly and this may bring about financial instability of clinics.
 It may take a long period of time to get a positive results after this service installation,
this may affect economic stability of the firms (IBIS World, 2018).
Technical risks
The technical challenges that are faced involve remote scope challenges, server challenges,
inefficient data transmission and other technical errors which influence the sustainability of
overall results (Mpofu, Welz & Oyekola, 2019).
2.4 Cost of Insta HMS software
The cost of Insta HMS software is nearly 800 Australian dollar. The hardware systems cost
like scanners, printers, peripheral devices and computers may go up to 1000 Australian
Dollars. It is also important to consider the cost of data backup, the cloud support system can
cost about 15 Australian Dollars every month (Hayman, 2018).
2.5 Benefits of EHR
There are many benefits of HER, these are as follows:
 It assist in providing trustworthy and appropriate information to the clients
 Time efficient system which record, keeps and output processed data in a short period
of time.
 It helps doctors in prescribing a safe and reliable clinic created and medical oriented
services
 It helps both clients and users to save privacy and security of data and information.
 It helps in reducing the cost of management because of the reduce paper work.

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2.6 HER implementation
The HER system implication process can be completed by consideration and application of
the following 6 steps (Harris & Harris, 2016).
Functions Features
Clinical functions  Writing of Authority script as well
as prescriptions scripts
 It incorporate the whole MIMS
annually
 It focuses mainly on offering
pathological records
 Results are presented via cumulative
graphical method.
Appointment functions  The SMS application system is
upheld by two-way system.
 The utilization of processes and
record keeping is maintained via a
customized way.
Billing functions  Graphical records are effectively
maintained
 GST complaints are transparently
maintained
Data conventions functions The functions of data convention are
enhanced by the following programs
 Medilink

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 Blue chip
 Medical
 MX solutions
 Medical director.

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References
Chen, J. S., Liu, B. H., Hu, M. J., Hu, X. M., Li, C. F., Guo, G. C., & Zhang, Y. S. (2019).
Realization of entanglement-assisted weak-value amplification in a photonic
system. Physical Review A, 99(3), 032120.
'CureMD'. (2018). EHR Software Companies Comparison - CureMD. Curemd.com.
Retrieved 20 April 2018, from http://www.curemd.com/top-ehr-vendors
'Epic'. (2018). About Us. Epic.com. Retrieved 20 April 2018, from
https://www.epic.com/about
Grover, V., Chiang, R. H., Liang, T. P., & Zhang, D. (2018). Creating strategic business
value from big data analytics: A research framework. Journal of Management
Information Systems, 35(2), 388-423.
Habib, R. (2016). 8 Considerations For Opening A Medical Practice In
2017. Clinictocloud.com. Retrieved 20 April 2018, from
https://www.clinictocloud.com/blog/8-considerations-for-opening-a-medical-practice-
in-2017
Harris, M., & Harris, E. (2016). Facing the challenges: general practice in
2020. Mja.com.au. Retrieved 20 April 2018, from
https://www.mja.com.au/journal/2006/185/2/facing-challenges-general-practice-2020
Hayman, A. (2018). Enhanced Recovery After Surgery in Community Hospitals. The
Surgical clinics of North America, 98(6), 1233-1239.
He, X. H., Shi, K., & Wu, T. (2018). An integrated structural health monitoring system for
the Xijiang high-speed railway arch bridge. smart structures and systems, 21(5), 611-
621.
'IBIS World'. (2018). General Practice Medical Services – Australia Industry Report |
IBISWorld. Ibisworld.com.au. Retrieved 20 April 2018, from

INFORMATION TECHNOLOGY VALUE REALIZATION
10
https://www.ibisworld.com.au/industry-trends/market-research-reports/health-care-
social-assistance/general-practice-medical-services.html
May, C. (2017). Taking the pulse of general practice. Pursuit. Retrieved 20 April 2018, from
https://pursuit.unimelb.edu.au/articles/taking-the-pulse-of-general-practice
Mpofu, A. B., Welz, P. J., & Oyekola, O. O. (2019). Anaerobic Digestion of Secondary
Tannery Sludge: Optimisation of Initial pH and Temperature and Evaluation of
Kinetics. Waste and Biomass Valorization, 1-13.
O'Connor, S. (2015). Top 5 Risks During an EHR Implementation. Adsc.com. Retrieved 20
April 2018, from https://www.adsc.com/blog/top-5-risks-during-an-ehr-
implementation
Qu, C. X., Yi, T. H., & Li, H. N. (2018, August). Shift data to distinguish spurious modes in
eigensystem realization algorithm. In Journal of Physics: Conference Series (Vol.
1065, No. 22, p. 222017). IOP Publishing.
Wang, Y., Ramaswamy, R., & Yang, H. (2018). FMR-related phenomena in spintronic
devices. Journal of Physics D: Applied Physics, 51(27), 273002.
Zhao, T., Iwase, A., & Kihara, N. (2018). U.S. Patent Application No. 10/025,479.