Case Studies

read the case studies and answer the questions (put a number in each answer). Short brief answer is ok. Thanks.

Case Study 1

Your facility does not have an EHR yet. In HIM, you have become dependent on computers to function. You still have paper records, but chart requests, release of information, transcription, dictation system, chart locator, MPI, and chart deficiencies are all computerized.

Question:

Write a policy that outlines how your department would operate if one or more of these systems went down for an extended period.

Case Study 2

Bayside General Hospital, where you work, is in a community that is changing. It had been an industrial city, but many of the industries closed. The local college is growing and is now by far the number one employer; other major businesses include healthcare and a local amusement park. The population is changing also. There are a lot of young people because of the college and work available at the amusement park.

A new hospital is opening up in 1 year. It will be a high-tech facility. The only currently existing hospital competing against you is opening an OB service. This existing hospital also has the trauma center for the area. There is no children’s hospital in the area. Both existing hospitals treat some pediatric patients; seriously ill pediatric patients, however, are sent to the closest children’s hospital, which is 2 hours away. Bayside General Hospital has recently added physician offices, home health, and an occupational health center to their network. They have not networked and implemented existing systems to these organizations.

Administration developed the following business objectives:

. Improve quality of care provided to patients.

. Use hospital resources effectively and efficiently.

. Increase market share of healthcare services provided within Bayside.

Bayside General Hospital has the following information systems implemented:

. Lab information system was implemented 5 years ago.

. Radiology information system was implemented last year.

. Nursing information system was implemented 3 years ago.

. Hospital information system was implemented 10 years ago.

. Decision support system goes live in 6 months.

. Financial information system was implemented 2 years ago.

The hospital does not have the following systems:

. Knowledge-based system

. Order entry/results reporting

. Intensive care unit

. Data repository

Questions:

Based on the information above:

1.How well are systems in place to meet the objectives?

2. Determine possible projects to ensure that the objectives are met.

3. How can you use technology to prepare for the changes in the community?

4. How will HIM be affected by your proposed projects?