HCS 325 Week 5 Learning Team Organizational Structure Presentation

HCS 325 Week 5 Learning Team Organizational Structure Presentation

HCS 325 Week 5 Learning Team Organizational Structure Presentation

•    You are a manager of a large rehabilitation center that provides short-term care rehabilitation (in-patient and outpatient) services. Your center is proposing a new addition of long-term care services and with this expansion, you will need to hire and train several new employees.
•    Develop a PowerPoint presentation between 12+ slides in length with detailed presenter’s notes. The presentation will address the following:

o    The impact of organizational structure on communication (internal/external factors)

•    What internal factors need to be considered?

•    What external factors need to be considered?

•    What is the importance of communication on the organizational structure?

o    The steps involved in organizational planning and functions of management

•    What steps are used to properly plan and implement change within the organization?

•    How can these be applied to the scenario?

o    Strategies and/or methods needed to influence organizational change and minimize conflict.

•    What are strategies that can be used to bring about change in the organization?

•    How can strategies be used to prevent or minimize conflict?

•    What strategies can be applied if conflict does arise?

o    The Ethical issues considered important in today’s health care organization

•    How will ethical issues alter your way of conducting change in the organization?

o    The impact of financial and human resource management.

•    How will financial and HR issues affect your decision making process?

o    The Analysis of the administrative process needed to track outcomes and improve quality.

•    What methods will be used to track outcomes of the implemented change?

•    What processes will be put into place to further change the decision once the analysis is complete?

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Implementation Plan Outline for Enterprise Health Care System

Enterprise health information exchange (HIE) is vital for healthcare organizations in developing and implementing electronic health records (EHRs) systems to enhance access to patient information and making effective healthcare decisions.

The changing healthcare requirements implore providers and organizations to embrace EHRs based on legal frameworks like MACRA and Affordable Care Act as part of their value-based care approach to get necessary reimbursement (Aguirre et al., 2019). The purpose of this paper is to provide an implementation plan outline for an enterprise healthcare systems involving the use of electronic health records (EHRs).

1). Impacted healthcare setting within the enterprise health care system

The implementation of an electronic health records (EHRs) system will impact different settings in the system in various ways for instance, EHRs will eliminate the use of paperwork and introduce automation in all operations, processes, and activities that will lead to increased interoperability.

• Automation will improve workflow processes’ efficiency and effectiveness (De Benedictis et al., 2020). Automation will also enhance response to patient needs and reduce queues as well as wait times.
• Effective clinical pathways based on EHRs will lead to better and accurate diagnoses and interventions based on data and patient health information.
• Flow of information will enhance decision-making through intelligence systems
• Faster flow and sharing of patient information within the system
• Improved and greater flexibility within the organization leading to reliable and prompt information

2). Challenges of Implementing EHRs

While the implementation of EHRs entails a host of benefits to organizations, providers and patients, it also has certain challenges that include

• Technical issues and abilities, especially Internet connectivity and having effective user-interface
• Cost of use since it can be expensive to implement and utilize the system. Investing in training, support and physical infrastructure are costly (Upadhyay et al., 2023)
• Resistance to change can occur since not all people can onboard the changes. Some may reject due to lack of skills and expertise as they do not have sufficient training
• Workflow break down due to increased need for customization and ensuring that it meets user-interface needs
• Privacy and confidentiality concerns especially need to comply with HIPAA and HITECH provisions. Common concerns like lost data and information because of hacking and natural disaster occurrence
• Need for training to ensure that all providers have sufficient skills and knowledge to operate the EHRs. Training is essential for successful implementation of EHRs with the enterprise care system

3). Project management methodology and tools used

The implementation of EHRs will entail integration of different project management tools that include

• Logic network
• Product breakdown structure
• Work breakdown structure
• Gantt chart
• PERT chart

4). Health care system organizational structure

• Board of directors who oversee hospitals and are decision maker
• Executives who oversee the daily operations in these entities. The board of directors entrust the executives that include hospital managers to run the operations and make daily decisions. The chief executive officer (CEO) is the top manager responsible for all that happens in a healthcare facility
• Department administrators that include top manager and clinical departmental heads in charge of large number of staff
• Patient care managers in respective department and responsible for overseeing patient care
• Patient service providers. Most of hospitals have service-providing staff who and hands-on people ensuring that all things happen and patients get services. These providers have specific job descriptions that they must implement to ensure that patients have better experiences

5). Need for interoperability and interfaces between information systems

Interoperability is essential for EHRs to meet their goals that include enhancing processes and interactions through sharing of patient health information (Qehaja et al., 2019). Interoperability entails

• Attainment of effective information exchange and sharing among the different systems and practitioners
• Promotion of accurate interpretation of data to derive meaning and make effective decisions
• Sharing to enhance collaboration and coordination through common decision making
• Interfaces that are user-friendly and aimed at enhancing better use of the information
• Interoperable environment that enhances delivery of health care through using right data at the right time with the right people

6). Education and Training requirements

Training of staff is essential due to the benefits derived from it

• Effective training leads to satisfied healthcare provision
• Creation of EHRs training timelines founded on goals
• Evaluation and assessment of needs as well as user’s skill levels and competencies (Fennelly et al., 2020)
• Developing an EHR training team that is representative of the practice with all stakeholders involved
• Using real time and hands of EHRs aspects in training to attain the expected outcomes
• Selecting and following the right curriculum to meet the organizational personnel needs
• Having an EHR checklist to ensure that all components of training are availed to the people

7). User acceptance testing considerations

The implementation of an EHR within the enterprise care system requires the organization to focus on different aspects that include (Vest et al., 2019);

• Developing a testing strategy to ensure that the system is effective and meets organizational needs
• Define and validate workflow processes and activities to build a resilient system and develop customized specifications
• Allocation of resources early during the planning and requirement definition stage
• Collaborative development of different aspects of the implementation by involving all stakeholders where necessary
• Tracking and monitoring testing process as well as the expected outcomes
• Improving the morale and motivation of staff to participate in the implementation process leading to the attainment of the initial goals and objectives of the EHRs implementation process

References

Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic health

Record implementation: a review of resources and tools. Cureus, 11(9).

DOI: 10.7759/cureus.5649

De Benedictis, A., Lettieri, E., Gastaldi, L., Masella, C., Urgu, A., & Tartaglini, D. (2020).

Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants. PloS one, 15(6), e0234108. https://doi.org/10.1371/journal.pone.0234108

Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M. & O’Hare, N.

(2020). Successfully implementing a national electronic health record: a rapid umbrella review. International journal of medical informatics, 144, 104281. https://doi.org/10.1016/j.ijmedinf.2020.104281

Qehaja, B., Abazi, B., & Hajrizi, E. (2019). Enterprise technology architecture solution for

eHealth system and implementation strategy. IFAC-PapersOnLine, 52(25), 370-375. https://doi.org/10.1016/j.ifacol.2019.12.554

Upadhyay, S. & Opoku-Agyeman, W. (2023). Implementatin levels of electronic health records

and their influence on quality and safety. Online Journal of Nursing Informatics (OJNI), 26(3), https://www.himss.org/resources/online-journal-nursing-informatics

Vest, J. R., Unruh, M. A., Freedman, S., & Simon, K. (2019). Health systems’ use of enterprise

health information exchange vs single electronic health record vendor environments and unplanned readmissions. Journal of the American Medical Informatics Association, 26(10), 989-998. DOI: 10.1093/jamia/ocz116