GCU Understanding HIT Environment Worksheet

Instructions:

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This worksheet will be used to recommend strategies for adopting a new HIT governance plan to support the development and management of population health management initiatives for Paducah Health Medical System (PHMS) as the organization transitions to a value-based model. The worksheet includes the following components:

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• assess the goals and priorities for population health management for PHMS
• assess end-user needs for redeveloping the current HIT system to one that supports the value-based model
• forecast potential changes in needs and future developments for HIT
• recommend strategies to guide existing and future HIT systems’ projects

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This worksheet will form part of the HIT strategy for PHMS that you will create in the assessment.

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Goals and Priorities of Population Health Management

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1. Describe how HIT systems improve care. As PHMS transitions toward a value-based model through its affiliation with Lourdes Hospital, how will the new HIT system support improved care coordination between teams and across departments?

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2. Identify the role of HIT in quality improvement. How will the new HIT system facilitate enhanced development of continuous quality improvement programs?

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3. Evaluate HIT systems and patient engagement. How will the new HIT system support each of the following outcomes?:

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1. increased patient use of technology and patient access to data
2. improved care continuity through electronic communication with providers
3. coordinated patient-centered care across the organization

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4. Discuss implementing mobile technology. How will the new HIT system be able to support monitoring of the significant chronic disease conditions present in rural Paducah County? What challenges and opportunities will exist for implementing mobile technology to monitor and address these disease conditions?

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5. Consider patient registries and predictive modeling. How will the new HIT system adapt current hospital-based patient registries to a population-wide approach? What features must be built into a new system to support risk stratification and predictive modeling of risks?

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End-User Considerations (Clinical/Workforce Needs)

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6. Identify end-user changes. Given that the current HIT system may be different than the one used at Lourdes Hospital, what challenges faced by end-users will need to be identified and addressed to facilitate cross-departmental coordination of care?

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7. Evaluate entering patient information. With the current HIT system, many clinicians are expressing frustrations that the time it takes to enter patient-specific information has negatively impacted workflow and productivity.

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1. What features and/or upgrades in the HIT system should be considered to mitigate these problems for end-users?
2. How can HIT support improved documentation strategies to facilitate the transition to a value-based model?

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8. Analyze interoperability and coordinated care. To better coordinate patient-centered care across departments, what improvements could be made to the current HIT system to facilitate information exchange among clinical departments (nurses, pharmacists, etc.)?

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9. Assess accessing patient data at point of care. What types of HIT improvements can be implemented to improve access to patient data at the point of care?

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End-User Considerations (Patient Needs)

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10. Discuss increasing patient outreach. How will the new HIT system be able to support increased patient outreach for chronic care needs?

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11. Evaluate streamlining patient data. What end-user interface changes will need to be implemented to support patient autonomy, and make patient-centric data more easily understood and accessible to the individual patient?

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12. Discuss how HIT encourages preventative care. How will the new HIT system be used to support educating and influencing patients to seek preventative care and regular checkups?

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Forecasting Change

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13. Determining future training needs. How will future HIT training needs be addressed as clinicians become new members of the active medical staff and new staff are hired?

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14. Discuss HIT and a value-based model. As PHMS transitions to a value-based model, what features will HIT systems need to support the financial management of the payment structure?

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15. Assess innovations and integrations. As innovative changes to HIT products and technology emerge, how will these be integrated into the PHMS system without disrupting population health management?

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16. Analyze HIT and future costs. How will the new HIT system achieve population health strategies without potentially increasing future costs? How will the new system support improved quality and efficiency of care delivery over time?

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Recommended Strategies for Existing and Future HIT

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17. Outline strategies for the current HIT system. Based on your analysis, describe the key recommended strategies for resolving issues in the current HIT system at PHMS.

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18. Identify strategies for goals with population health. What are your recommended strategies for ensuring that vendors provide the HIT products and technology aligned with defined goals and population health strategies?

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19. Evaluate the implementation of the new HIT system. What are your recommended strategies for implementing a new HIT system?

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• What are your strategies for facilitating organization-wide training in the new system?
• How will this new HIT system be introduced to patients?

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References: