Greenway Medical Technologies: Business Case Evaluation Report

This report evaluates the business case of Greenway Medical Technologies, focusing on their investments in Electronic Health Records (EHRs). It addresses the challenges faced by the company, including quality control, data management, and regulatory compliance. The report provides key recommendations regarding antimicrobial dispensing, diagnostic interventions, and surgical interventions, aligning with national benchmarks and guidelines. It analyzes the strategic context of the healthcare market in Australia, highlighting the need for efficient clinical breakthroughs and stakeholder collaboration. The report covers investment analysis, benefit realization, and ethical and social implications, concluding with limitations and references. The recommendations include best practices for antimicrobial prescribing, optimizing diagnostic procedures like colonoscopies, and improving surgical interventions like knee arthroscopy and cataract surgery, emphasizing patient-reported outcomes and adherence to clinical care standards.

Running head: GREENWAY MEDICAL TECHNOLOGIES
Greenway Medical Technologies
Name of the student:
Name of the university:
Author Note

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Executive summary
The following study evaluates the case of Greenway Medical Technologies to understand their
business case. The discussion has focused on investments on EHR under the practice of their
doctors. The issues are identified to this business case through an effective research. The
investigation includes various recommendations, strategic context, investment analysis,
realization of benefits and social and ethical implications.

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Table of Contents
1. Background information:.............................................................................................................3
2. Recommendations:......................................................................................................................4
3. Analysis of the investment:.......................................................................................................11
4. Benefit realization:.....................................................................................................................12
5. Ethical and social implications:.................................................................................................13
6. Limitations:................................................................................................................................13
7. Conclusion:................................................................................................................................14
8. References:................................................................................................................................16
9. Appendix:..................................................................................................................................20

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1. Background information:
Greenway Medical Technologies, Inc. provides integrated information technology
solutions and managed business services to healthcare providers in the United States. It is seen
that EMR implementations were planned at the business. However, there have been no
immediate plans. Among various doctors, who have never planned to implement any system,
about half of them were in practices for about less than five in number. The federal government
has been also offering free electronic health record system. U.S. Department of Veterans Affairs
has utilized this for long period of time (Abdullah & Ibrahim, 2013). Besides, many users have
found VistA complicated to operate and install and have been leaving doctors in choosing free
products and moving towards private enterprises for various effective user-friendly software
products. As far various challenges faced by Greenway Medical Technologies in the current
marketplace is considered, there has been quality control, security, safety, and reliability along
with a change in compliances and regulations. Moreover, there has been IoT-integration, mobile
devices, and managing of data.
As far as operational challenges are concerned there has been raising a flood of data,
insufficient capacity of data storages, federal HIPAA privacy perquisites, lack of
communications within different healthcare systems and rise in the cost of various IT projects
within Greenway Medical Technologies. Here the healthcare professionals have been facing
various seemingly complicated challenges within their mission for delivering quality care within
affordable produce that patients can be living with (Hossain, Karim & Sarma, 2014). Here from
various pharmaceutical expenses, there is need to jump into different treatment reimbursements.
This the activities turns into more and more complicated. Here lie the opportunities to be

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cognizant of those potential solutions that should be ending up with developing their own
solutions.
The EHR or electronic health record at Greenway Medical Technologies has been the
digital version of the paper chart of a patient. Further, the EHRs has been the patient-centered
and real-time records making information available securely and instantly to various authorized
users. They have been allowing access to various evidence-based tools that are used by providers
to undertake decisions regarding patient’s care. It has been regarded as the digital version of a
patient chart that has been a more inclusive snapshot of the medical history of patents. They are
designed to share with various other providers. Hence the authorized users have been instantly
accessing EHR around various healthcare providers. Here, the benefits have been the streamlined
sharing of various real-time and updated information along with access to various tools that are
used by providers for decision-making. Moreover, there has been an entire medical history for
patents (Poplawska et al., 2015).
Various EHR vendors of Greenway Medical Technologies has been including
AdvancedMD, modernizing medicine, T-system EV, athenahealth, Praxis EMR, NextGen
healthcare, Netsmar, dacron and NextGen Healthcare Moreover, it has also included
Modernizing Medicine, AdvancedMD, and DocuTAP.
2. Recommendations:
The various key recommendations are identified below.

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Antimicrobial dispensing:
Australian Government Department has been developing various national benchmarks
regarding best practices that have been prescribing antimicrobial agents. It is found from an
international market scenario that there must be an identification of those variations from those
benchmarks and various targeted interventions to decrease the inappropriate use. Next, the
“Pharmaceutical Benefits Advisory Committee” has been using topical quinolones and accessing
amoxicillin-clavulanate over BPS. The antimicrobial stewardship events have been deployed
over a general practice that has been in line with various recommendations within “National
Antimicrobial Resistance Strategy” for reducing usage of amoxicillin-clavulanate and
amoxicillin. Further related clinical educational institutes that have been supporting the inclusion
of decision support software to prescribe software and then review present default repeating
prescriptions options. Next, the primary healthcare networks and various local health networks
have been comparing and tracking various antimicrobial that that been possessing prescribing
rates where they have not been doing that already (Speller, 2016). Lastly, “National Boards” and
“Australian Health Practioner Regulation Agency” has been also considering what has been
needed to be done for assuring various relevant registered health practitioners to have the
updated knowledge that has been prescribing principles for different antimicrobials.
Diagnostic interventions:
First of all, this includes fiber optic colonoscopy. Here the “MBS review Taskforce” has
been relevant to various MBS items for getting aligned to reimbursement adhering to current
Medical Research Council and National Health clinical practice principles regarding surveillance
colonoscopy. Next, it has included primary health networks working with various common

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practitioners assuring colonoscopy referral practices that have been applicable to principles of
Royal Australian College of General Practitioners and NHMRC guidelines as per as preventive
activities within the general practice are considered (Abowd, McKinney & Zhao, 2015). Besides
the general practices has included occult blood testing of screening to proper patents. Moreover,
Australian Government Department of Health has continued to use various educational materials
that have been related to National Bowel Cancer Screening Program. This has been promoting
primary health messages especially among various lower rural, remote and socioeconomic
populations. This has been about blood testing and substantial benefits of early diagnosis of
various outcomes of patients. Next, the commissions have been hosting various roundtables as
far as consumers and clinics are concerned. This is to develop an adherence to various NHMRC
principles as per as surveillance colonoscopy within cancer screening.
Moreover, the clinicians have been also following different clinical practice guidelines
regarding prostate-specific antigen testing and various early managing of different test-detecting
prostrates cancer form Australia’s “Prostate Cancer Foundation” and “Cancer Council” along
with guidelines of “Royal Australian College of General Practitioners” (Robinso & Chan, 2015).
This has been regarding preventive activities within general practices. Further, the clinicians
have been using prostate cancer screening decisions supporting various tools that are been
produced through Royal Australian College of General Practitioners. Here, the NPS
MedicineWise has been the part of choosing wisely campaign and monitoring effective
deployments of “Royal College of Pathologists of Australasia” including various
recommendations over prostrate-sensitive antigen analysis.

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Surgical interventions:
It has been including knee arthroscopy hospital admissions. Here the commission has
been recommending lack of lack of the clinical evidence regarding the efficacy of knee
arthroscopy. This has been for people with degenerative changes in the knee. Further,
Commission has been developing Clinical Care Standard regarding the investigating and the
managing of the osteoarthritic knee pain (Doblecki-Lewis et al., 2017). This has been on the
basis of recommendations that have been coming from that “Knee Pain Expert Working Group”.
Next, it has also included the State and territory health departments. They have been
considering various mechanisms for improving the coding along with analytics and collection of
various kinds of outcome data as far as knee arthroscopy has been considered. Moreover, various
clinical colleges have been assuring that education and the training material, along with the
continuing professional development requirements, has been keeping with applicable Clinical
Care Standard for management as far as osteoarthritic knee pain has been considered (Cates et
al., 2016).
Additionally, this commission has been promoting patient-reported outcome
measurements related to surgical interventions for knee pain. Besides, these Commissions has
been undertaking the quality review of various current existing patient information related to
cataract surgery as part of developing supporting material for a Clinical Care Standard on
cataract surgery. Again, MBS Review Taskforce has also reviewed that reviews MBS item
regarding cataract surgery has been needing adherence to the applicable Clinical Care Standard.
Next, the State and territory health departments has been also taking into considerations, various
kinds of mechanisms. This has been highly helpful to improve their coding, and collection of

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outcome data on cataract surgery. 3j. Relevant clinical colleges ensure education and training
material, as well as continuing professional development requirements, are in keeping with the
applicable Clinical Care Standard on cataract surgery. The Commission promotes the collection
of patient-reported outcome measures for cataract surgery (Just et al., 2017). State and territory
health departments consider mechanisms to improve coding, analytics and collection of outcome
data on lumbar spine surgery in adults. The Commission promotes the collection of patient-
reported outcome measures for lumbar spine surgery. Furthermore, the Radical prostatectomy
hospital admissions have been over 50 years and the state and territory health departments have
been taking into consider mechanisms to improve coding, analytics, and collection of outcome
data on radical prostatectomy (Lupo et al., 2016). Ultimately, the Commission has been also
promoting the collection of different kinds of their patient-reported outcome measures as far as
radical prostatectomy has been taken into consideration.
Next Greenway Medical Technologies has been also considering the hysterectomy as far
as endometrial ablation hospital admissions are been considered. Here, those commission has
been working with works with the Royal Australian and New Zealand College of Obstetricians
and Gynaecologists and consumer groups to develop a Clinical Care Standard for managing
menorrhagia. Further, this commission has also needed to develop the effective patient decision
support tool. This is helpful to increase knowledge of female population as far as treatment
options for menorrhagia and their benefits and challenges are taken into consideration.
Moreover, these mechanisms are also considered so much that important to the clinical
institutions that it can also able to train the clinicians. This has been helpful to use those patient
decision tools. Apart from this, various relevant clinical colleges have been included for ensuring
their education and training material, as well as continuing professional development

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requirements, are in keeping with the applicable (Klein & Michas, 2016). Clinical Care Standard
The Commission reviews has also required undertaking evidence-based clinical guidelines on
tonsillectomy in children section. This should be as the part of current national guideline
prioritization processes. At last, the Commission reviews current patient information about
tonsillectomy in Australia. This must be in conjunction with relevant clinical colleges and
consumer groups. This is to determine the need for better patient and carer information and
shared decision-making tools, and also the need to update existing materials (Shirley, 2016). The
Commission reviews the need for evidence-based clinical guidelines on myringotomy in children
as part of ongoing national guideline prioritization processes.
Strategic context:
Healthcare in Australia has been provided under the pluralistic and an effective
competitive market. This has been changing on regular basis. This has been in part to meet the
necessities of increasingly sophisticated kinds of consumers. In order analyze this system as a
complex case, they have hardly conveying range of various benefits that are offered. This can be
both from both public and the private parties. This has also included the range of therapeutic
options available (Babineau & Lessard, 2015). Further, there have been payment models along
with public health initiatives. These are aimed towards preventing various kinds of illnesses and
then promoting their healthy lifestyles. Here, the single institution initiatives have been brilliant.
However, they are been quickly lost under the background noise of various other types of
activities. The huge Multi-million dollar investments have been taking years for implementing a
“payback” discourage quick adoption of dramatic, and different types of not-yet-confirmed,
efficient clinical breakthroughs. This foundation has been creating various mechanisms to
increase the conversation on these subjects among its stakeholders (Feng, Wang & Li, 2014).

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With Foundation support, health care leaders of Greenway Medical Technologies and their
consumers have been able to identify various objectives that has been going beyond different
kinds of established borders. This has been also helpful to identify various projects. It has been
helpful to develop the outcomes and then constantly attempt for reducing different redundancies
and rise in administrative complexity.
Here as a framework is to be developed to support embedding of self-management
support principles and practice at the system, practice and individual levels across Australia.
Moreover, there should be an overarching guide. This must be to 'the right care at the right time
from the right team in proper place for Australians having chronic health conditions.
Net, ‘best practice care and services are to be described within Greenway Medical
Technologies for a person or population group as they progress through the stages of a condition,
injury or event.’ Self-management support is a core underlying strategy for the models of care.
The various kinds of strategies are to be outlined that must target the good population and
populations at risk of developing the chronic condition (Felbermayr, Hauptmann & Schmerer,
2014). An effective policy direction must also be delivered for better integrated and coordinated
community-based care. This has been needing a seamless interface between care among various
types of providers and health services. These are needed to be achieved through variously shared
understanding and clear pathways for referral, self-management support, planning and
management of healthcare and the ultimate end of life planning and palliation.
There are many considerations to take into account when defining what type of soil
Greenway Medical Technologies has been dealing with. Here, the understanding of the context
has been indicating the knowledge about external and internal influences over the healthcare

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provider or organization. Here the external influences for Greenway Medical Technologies could
be many. They are health policy and national frameworks, resources, markets and competition,
service differentiation, supply and demand, role of professions, social and ideological
movements and campaigns, availability of therapies, equipment, and technology.
Moreover, while looking at internal influences on Greenway Medical Technologies, the
list should include culture and leadership, size and scope, nature of ownership, stability, and
finances, care standards and patient satisfaction, staff skills and ultimately the personalities and
group psychology. Here, the awareness of various factors like this has been vital, while ignoring
the context risks wasting resources, the money and different efforts.
3. Analysis of the investment:
Investors can profit from investments in both the overall sector and its industries. When
deciding on a Greenway Medical Technologies in which to invest, they must keep the following
prevalent trends in considerations. The various changes towards and the continuations of those
trends has been possessing implications for various areas under Greenway Medical Technologies
(Fader et al., 2015).
Here, various positive areas of investment have included an aging population, people
living longer with chronic disease, obesity and diabetes epidemics, technological advances,
global reach of disease and personalized medicine. Apart from this, the negative trends have
included a single-payer system, expenditure as an increasing share of GDP, uninsured, cost
controls and consumerism. Some benefits of Greenway Medical Technologies have been
affecting the financial objectives directly (Gope & Hwang, 2016). However, some of the
nonfinancial benefits have been receiving financial value. This is because they have been directly