Performance Assessment Technology Applications in Health Care C427, Thesis of Business Accounting

Download Performance Assessment Technology Applications in Health Care C427 and more Thesis Business Accounting in PDF only on Docsity! Running head: PERFORMANCE ASSESSMENT 1 C427 Performance Assessment Technology Applications in Health Care C427 C427 Technology Applications in Healthcare Performance Assessment Guide A. Create a planning, organizing, directing, controlling (PODC) HIPAA training model by doing the following: 1. Describe how you would teach the hospital employees the rules and regulations regarding HIPAA. Planning: All training for HIPAA will be distributed via new hire orientation by the organizations risk manager to ensure proficient distribution of quality information. Thereafter, online refresher courses will be mandatory for all staff to be completed yearly via their personal employee Health Stream account. Part if the orientation will include what constitutes as personal health information (PHI) and proper ways to address breaches. Also, during this time Organizing: The organization will hand out “Privacy Practices” information sheets and staff will be asked to account for them as they will be expected to utilize the written information during their employment to ensure proper practice of HIPAA laws. The organization will also utilize their secure Health Stream portal through the HR department head to ensure all training is completed for HIPAA compliance. HR will also partner with the IT department in making sure all employees have sufficient access to the portal by creating a training area which will include 10 employee computers available for daily use. Directing: HR will communicate via email to all employee’s respective supervisors regarding future and overdue training needed to remain compliant. All training material links will be distributed through email and will be asked to save the information for future access. HR will work with IT to answer any technical questions as well as troubleshooting. Controlling: To ensure compliance with HIPAA training, the head of HR will track completion data through the secure Health Stream portal. They will be able to ensure compliance of training by utilizing supervisors and enabling them to send training information as well. Disciplinary actions will be in place in the event an employee does not adhere to the organizations HIPAA training requirement. a. Identify three appropriate types of PHI that can be shared between staff. PERFORMANCE ASSESSMENT 2 Three forms of personal health information that can be shared by staff are date of birth, insurance information, and the name of the patient. PHI is available to be shared by staff only if they are involved in the patients care and extra effort to obtain the information is not needed. i. Identify where in the facility the information sharing should take place. Health information should only be shared inside of areas where patients are cared for such as unit dorms, exam rooms or testing areas. Employees should be mindful of being inside of high traffic areas when discussing protected information. The patient insurance information will also be shared inside of billing departments. ii. Identify three individuals who can use and disclose this information. The billing staff members may send insurance information to companies for the purpose of collecting a payment. If requested a physician may disclose personal health information to another provider for treatment of the patient. Patient approved family members. b. Describe two penalties associated with breaching patient information. i. Penalties for breaching HIPAA law may vary depending on the severity of said breach and the associated tier level that it may correspond with. 1. An example of a Tier 1 breach involves a person who does not know they have committed a breach. The penalty has a fine starting at $100 but can get up to $25,000 per breach. 2. A tier 2 violation involves an individual who knowingly violates regulation. The penalty for said crime can start with a fine of $1,000 - $5,000 but can reach up to $50,000 per violation. 3. Tier 3 and 4 involve an individual who has malicious intent and breaches personal patient information. It can involve the individual obtaining information for personal gain or under guise. This breach is the more severe and can result in a fine spanning from $250,000 – $1,500,000 but can also result in 1-10 years in jail. c. Identify two appropriate ways to secure data from one working shift to another using HIPAA guidelines. 1. Always log off your computer when not in front of it or when in the company of nonauthorized individuals. Privacy screens can also be used to help prevent leaked information when in public areas. 2. When setting passwords for work devices and accounts make sure they are strong and including non-personal related information. Do not store passwords on written materials, patients could easily obtain and use them. 2. Complete an internal audit plan of all security measures meant to protect health information by doing the following: 1. Identify which department will oversee the audit. Employees who will be tasked with overseeing this audit will include the Chief Operating Officer, Director of Nursing, Patient’s advocate, and Chief Information Officer. These individuals are involved in rolls where their extensive knowledge of patient care and HIPAA guidelines make it ideal for them to be championed change officers. These officers will also PERFORMANCE ASSESSMENT 5  Capital dollar investment for EHR system TIER 2 CERNER equals approx. $5.5 million. b. Discuss which of the three EHR systems—Cerner, Meditech, or Epic—would be the best system for your organization using information in the web links section below and the attached “Information on EHR Vendors.” TIER 2 CERNER HER According to the “ According to the “Hospitals and Health Systems.” (CHHS, 2019)  Since CERNER was created in 1979, the system has had time to be researched and improved drastically while becoming a highly experienced piece of technology.  CERNER is capable of providing intuitive solutions meant to be collaborated with physicians as a means to enhance collaboration and efficiency.  CERNER helps to improve patient satisfaction by offering a patient portal where patients can make their own appointments, request prescription refills, contact their physician, and view medical records.  With the platform that is offered by CERNER physicians are able to make informed decisions while keeping the clinical workflow going. 3. Identify three components or applications that will need to be incorporated into the EHR system at your small critical access hospital. 1. eRX- digital prescription order system 2. Clinical Decision Support- To help improve quality of health conditions within the organization. 3. CPOE- Provider order entry a. Discuss the key security and privacy components of the EHR system you selected in part B2b.  The hosted platform that CERNER’s security program functions on is detailed with different options including CareAware, Cerner Millennium, and HealtheIntent. Because CERNER uses several security measures that not only overlap but also countermeasures themselves it can be viewed as a highly secure system. Some examples of the Antivirus Software included: Proxy Servers, Denial of Service, Patch Management and Network Firewalls. C. Create an appropriate training plan for all clinical and non-clinical staff by doing the following: 1. Identify the estimated number of total hours required to learn the EHR system for both clinical and non-clinical staff. a. The system being implemented is completely new to the organization and unfamiliar among staff members, so the following is being recommended: I. Each staff member will be attending a 9-hour orientation session to be trained on all applications of the new EHR system. Some clinical specific information will not be required for non-clinical employees, but they will be encouraged to attend as to have a more diverse understanding of the system. These orientation sessions will be held PERFORMANCE ASSESSMENT 6 on a rotating basis with both morning and evening scheduled times so each shift has the opportunity to attend. II. 2 employees will be assigned the duty of learning aspects of the new EHR system and then present the information to the orientation sessions. Along with the oral and written portion of the session there will also be a detailed PowerPoint presentation available for showing, printing, and distributing. These sessions will be aided by CERNER trainers to ensure all technical questions are answered, respectively. III. An online yearly refresher course will be mandatory by both clinical and non-clinical employees and will be completed along with their already existing training. 2. Describe the logistics required to train all employees on all shifts by doing the following: a. Identify how many training sessions would be reasonable for approximately 150 dayshift employees.  The training sessions will be broken up into 3 days with each day consisting of a 3-hour class. Each class will also include a 30-minute intermission during the half way mark to give employees an opportunity to regroup and refresh themselves. The CERNER training staff along with the 2 trained employees will be scheduled to teach either a morning or an afternoon class each day of the 3 training sessions.  With 2 classes being held a day, each class will house 25 employees and will take 4 weeks to complete. A sign-up sheet will be posted to each employees HealthStream account 4 weeks before training starts to give everyone adequate time to plan. b. Identify how many training sessions would be reasonable for approximately 50 nightshift employees.  The night shift employees will also be expected to complete the full 9-hour training and will have the opportunity to sign up via HealthStream during a morning or an afternoon session time. c. Identify how much the training will cost, assuming an average wage of $21 per hour and a total training length of 6 hours per employee and 10 hours per employee.  With the average wage being $21 per hour and the max hours being 10 hours per employee the cost of training is as follows: 21x10=$210 per day per employee.  Company wide costs will include: $210x200 employees= $42,000 for training. d. Develop a training plan for 75 physicians (40 are active medical staff, 35 see patients on a consult or specialist basis). a. Each active physician will need to attend two 3-hour sessions, specific to clinical based information. b. Group numbers will be assigned to better schedule the physicians and everyone will be expected to attend the class that is associated with their specific group number. This information will also be posted inside the HealthStream schedule wizard and will be aided by the Medical Director. c. Each consult or specialty basis physician will only need to attend one 3-hour session. This session will be scheduled by the Director of Nursing and will follow the same group number method used for the active physicians. i. Design a schedule, using the attached “Proposed Physician Schedule,” that PERFORMANCE ASSESSMENT 7 allows all physicians to learn the new program while also providing adequate coverage for patient care on a 24-hour basis. ** See attached schedule. 3. Describe a train-the-trainer program you could implement to ensure ongoing support and training of new employees.  By implementing the “Train the Trainer” program selected employees will be available to assist in EHR training during the new hire orientation sessions which happen once a month. The most qualified employees will be sent to a specialized training program off site to help further their knowledge of the EHR system. These employees will become assets for professionally training new hires and assisting in any questions that may come down the road. 4. Describe a transition plan for employees transitioning from the old EHR system to the new EHR system. I. During anticipation of implementing the new EHR system a company wide newsletter will be drafted by the CEO and distributed to all employees via email. Any questions will be sent to championed change officers and their respective supervisors. II. The vendor will be present during planning phases so potential weaknesses may be addressed. III. Training sessions will be scheduled 8 weeks before the “go-live” date and then started 6 weeks before the “go live” date so that the vendor may correct issues in a timely manner. IV. A summary of key workflow changes will be assessed 2 weeks prior to the “go-live” date. V. During this time, all existing workflow will continue with the training sessions occurring. Re- design issues are assessed. VI. Go-live. VII. Weekly meetings will now include the 2 EHR trained employees to gain understanding of how the system is running. VIII. Continue to communicate and monitor progress with team members, encourage feedback. a. Describe how you will measure whether employees have demonstrated competency with the new system.  The first way to measure whether acquisition to a new system is being demonstrated and trained properly would be to measure increased accuracy. Coding within the billing department should show signs of faster and increased payments. These indications will be a positive confirmation of adequate training.  Another way to show accuracy would be variations within the workflow. When there are significant variations in repetitive workflows like medication orders or charting, this can be a sign of a gap in training. The organization would then need to reassess their training standards. b. Identify the most appropriate time of day and day of the week to initiate the transition. The appropriate day of the week would be on the least busy day within the organization. This typically occurs after the start of the work week so preferably on a Wednesday or Thursday, with Friday given as an open day for questions and concerns before the weekend. The time of day would be best in the early morning, around 6am when business has not picked up yet. These days and times will allow users to work through kinks before the following Monday begins.