There are 3 Parts to this assignment.
In this assignment you will imagine yourself in the role of a recently hired Practice Manager for a physician office called Welby-Eichman healthCare (WeCare). The practice is located in a small urban area; three of the physicians are Internal Medicine Physicians and the other two are Family Practice physicians. You previously worked at LiveWell Medical Center as the HIM Manager and were on the front line there as they adopted and deployed EPIC at LiveWell South Physician Clinic, and this gave you a hiring advantage at WeCare.
WeCare physicians recently returned from a continuing education retreat which focused on physician practice quality improvement opportunities in medication management, and they have established specific medication related quality improvement goals for their practice. Your priority one task is working with the office eHR so that the system can produce daily patient alerts, identify patient gaps and identify quality improvement opportunities for the physicians. The WeCare physicians want you to evaluate their possible solutions to meet their quality goals. WeCare outlines these SOLUTIONS for you:
|1. Current eHR: Use the current eHR which requires query creation and has no standard reports, Cost $0
2. Add IT: Add a permanent IT person to office staff who can better use the current eHR, Cost $55,000 annually plus benefits.
3. New eHR: Invest in a new, more user friendly, report focused e HR, Cost $1.5 million
You begin the task by researching and find the following article:
After reading the article, answer the following 7 questions below:
Answer(s): DATA MINING, RUN THE REPORTS
Answer(s): QUERIES, DATABASE
Answer(s): QUALITY MEASURES, MEANINGFUL
Answer: ACTIONABLE RESULTS
Answer(s): Physician Quality Reporting System
You complete the article review and realize that you must understand more about the office’s daily documentation practices at WeCare. You shadow Dr. Welby for a period of time and take notes. You make the following observations:
To get a variety of documentation practices, you also shadow Dr. Olisa for one afternoon who shares Nurse Sara with Dr. Welby. You make the following observations:
You continue your research and locate a regional consulting company called DoctorDocuments who specializes in SQL report writing for physician practices. You present project specifications to them, and DoctorDocuments submits a project cost estimate of $71,000 which includes A) three standard reports that can be used by all physicians and allows for time period settings, B) training for one person to run the reports plus C) 80 hours of remote support for one year. DoctorDocuments is the 4th possible solution.
Based on your research and findings plus your professional training and education in Health Information Management, evaluate the 4 possible solutions which might allow the physicians to meet WeCare’s quality goals, then select the best two options and complete the recommendation below on page 3 which you will present at the monthly WeCare Management meeting.
In the last column – “Considerations” – please evaluate what the practice needs for this solution to succeed. You must include a complete entry for each of these items as it pertains to the solution chosen: 1) current staff practices, 2) training, 3) policy and procedure, 4) time considerations – how long with this take to execute and finally 5) limitations and perks.
Recommendation for Management Meeting
Solution Name (choose from the 4 solutions presented in this assignment)
Considerations for Success
|Because of the cost and considerations for success, the solution I recommend is:
References: Terry, K. (2015). Mining EHR data for quality improvement. Dermatology Times, 36(8), 51-52.
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