A hospital wants to implement a Transaction Processing System (TPS) to manage patient records. Describe how this system would function and its benefits
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If you were approached to develop a patient information system from scratch. Identify the key features/services you would incorporate to develop a patient information system and explain your reasoning.
Akash M.
Chief Executive Officer Chief Information Officer Director of Clinical Technologies Director of Business Technologies Chief Information Security Officer Enterprise Architect Outpatient Applications Manager Networks Manager Network Security Manager Inpatient Applications Manager Help Desk Manager Data Security and Privacy Manager Business Applications Manager
Papier B. Gone Memorial Health System has 45 clinical locations in the NY/NJ/CT region (5 hospitals and 40 outpatient clinics). The health system has only paper medical records at its 40 outpatient clinics. The 5 hospitals all use an electronic medical record (EMR) system, but the current EMR system is not capable of capturing all patient medical record information. As a result, the 5 hospitals all still use paper documentation for some health disciplines, e.g. physical therapy, occupational therapy, anesthesia record, and nursing notes. To capture the paper medical records from clinics and hospitals, and store them electronically, two paper scanning systems are currently used: - Some outpatient clinic locations send boxes of medical records paper via FedEx to an outsourced vendor with an OCR paper scanning system. The vendor physically batches these paper documents, then scans and processes the batches in its OCR engine (moderate OCR accuracy), and then transmits encrypted data files using SFTP (Secured File Transport Protocol) to the health system’s data center. - Other outpatient clinic locations scan paper documents, but with no OCR capability, and send these image files to the outsourced vendor (no FedEx costs involved). The vendor then prints these images, batches these paper documents, then scans and processes the batches in its OCR engine (moderate OCR accuracy), and then transmits the encrypted data files (SFTP) to the health system’s data center. - The 5 hospital locations all have high-speed paper scanners with OCR capabilities (low OCR accuracy) where paper medical records are OCR scanned, and these data files are sent to the health system’s data center. Both the vendor and hospital scanning solutions have only low or moderate OCR capabilities that do not interpret lettering with a high degree of accuracy and produce many text interpreting errors. These errors require significant manual effort to correct the text that was incorrectly interpreted by the OCR engine. This manual data entry labor is costly and prone to some human data entry errors that end up in patient EMRs. Finally, the hospitals use an EMR system that feeds most medical record information electronically to the central EMR database at the health system’s data center, which requires a routine system process, ETL (Extract, Translate & Load), that ensures a high degree of data integration and efficiency. Medical Center Processing Facts: - Some paper documents at the outpatient clinics are lost or never shipped via FedEx, which creates gaps in the patient medical records, and lost paper can also expose PHI, creating a security risk. These outpatient clinic locations might be considered a priority to address for process improvement. - The current process has several costs: FedEx shipping costs, OCR vendor costs, manual data entry costs at the data center, and costs associated with maintaining different kinds of scanners, i.e. hospital-based (with low OCR accuracy) and clinic-based (without OCR). - The billing process (last swim-lane on the Draw.io document) has manual Excel processes that could benefit from some automation. Hints: Look for possible improvements in all swim-lane processes and apply concepts you have learned in this course (e.g. Six Sigma, RPA, OCR, API, ML, etc.) to create new and improved processes for Papier B. Gone Memorial Health System. Good luck! Note: You do not have approval or funds to replace and discard the entire EMR system with a new EMR enterprise system; you must incrementally improve over the next 12 to 18 months with supporting technology and processes. Add automation that improves process efficiency in any way and/or increases overall medical record data accuracy. Briefly describe how the new system and process improve efficiency and/or data accuracy for patient EMRs…
Adi S.
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