HCS 483 Clinician Provider Order Entry Implementation Essay Example for Free

HCS 483 Clinician Provider Order Entry Implementation Essay Clinician Provider Order Entry Implementation Health Care Information Systems HCS 483 September 02, 2013 Clinician Provider Order Entry Implementation Implementation Process Health care organizations look forward when starting the implementation process for information system implementation. Adding or upgrading health care systems is met with excitement and opposition from the employees who must use the system and adapt their current practice processes. Constructing a rollout period for the employees to train and get specific training for their job requirements is imperative to the success of the health system implementation. Employees knowledge of how to use the system is equally important to the implementation process as choosing and designing the program that is best for the organization. Roles and responsibilities The project or system champion is someone in the organization who is vested in the completion of the project. The champion’s role is to help obtain the buy-in of other physicians into the use of the new system and makes sure the physicians who will be using the system have adequate input in the selection process of how the new system will be used. The board of directors is the governing entity for the health care organization that approves the acquisition and implementation of a new system. The board of director’s role is to have a voice for the organization. Going forward the board needs to be involved in how the new system will affect the processes of the primary users and help curtail the expenses that develop as the project evolves. The Project manager is the person accountable for the successful implementation of the new information system. â€Å"He or she is the person who provides the day-to-day direction setting, conflict resolution, and communication needed by the project team†(Wager, Lee, Glaser, Burns, 2009, Chapter 7). The project manager is responsible for the team of engineers  installing and testing the information system. The project manager is responsible for relaying the progress of the project back to the board of directors. This includes the good, and the bad as outlined in the case study of Memorial Health System in which Dr. Melvin Sparks yelled at Sally Martin over substantial increases in work force, cost, and time increases. Sally Martin resolved not to share any bad news or setbacks with Dr. Sparks again creating a false sense of understanding of where the project was in the stages of completion. The original action of Dr. Sparks started a domino effect toward the failure of the project. Fundamental Activities Information Technology (IT) is responsible for the long and tedious process of installing, changing, removing, testing, and correcting the chosen information system for the health care organization. IT must have a strong plan in place for the scope of the projected project. Organizing, identifying the project champion, determining the project’s size and expectations, and establishing and implementing the project plan are the steps in the IT implementation process. Creating detailed project guidelines for cost, number of employees needed to complete the implementation and project completion dates of the different phases to help complete the goals set forth by the health care organization. Fundamental activities that led to the project failure were lack of organization, system analysis, and employee workflow. The project was set to a rushed timeline that did not permit for proper organization for the intricate details of implementing a new information system. Doing the system analysis in six months and making a choice without direct input from the employees who would be using the system on a daily basis was part of the project failure. Employee workflow is a vital portion of the selection process of a new system in a health care organization. â€Å"One of the first activities necessary in implementing any new system is to review and evaluate the existing workflow or business processes†(Wager, Lee, Glaser, Burns, 2009, Chapter 7). If the process is too complicated or cumbersome, the workforce will fight back and reject the new system. In the case study of Memorial Health System although intentions were good for the implementation of a clinician provider order entry (CPOE) system by Fred Dryer and Joe Roberts the process was rushed and not properly laid out with realistic goals in place. IT was  not given adequate time to organize, plan, or determine the scope for the steps they would need to make to implement the new CPOE. Commun ication Dr. Melvin Sparks was a fundamental player in the project failure at Memorial Health System. Probably without direct knowledge of his actions, Dr. Sparks started a domino effect that ultimately led to many of the project failures with implementing the CPOE system. The initial communication between Dr. Sparks and his appointed project manager, Sally Martin, set the communication barrier of relaying time delays, lack of workforce, and budget increases that snowballed into the failure of the CPOE implementation. Project Failure Project failure in the Memorial Health System case study was evident from the beginning of the project. The idea was solid, but the planning was not thorough. Five indicators that the project would fail are lack of clarity of purpose that happens when the objectives of the project are unclear. Lack of belief in the project happens when the key users are not convinced the system will ease their workload. Insufficient leadership support happens when the lack of commitment shows through the lack of involvement by the leaders spearheading the implementation process. Organizational inertia happens when project work is added on top of the daily workload adding stress to the employees. Project complexity is multifold and is a direct effect of when the people working on the project do not have an understanding of the scope of the project. Minimize Project Failure Memorial Health Systems could have taken different steps to eliminate or minimize the effects of the project failure on the new CPOE system. This Student would have acted differently to minimize the effects for a different outcome on the implementation process for the new CPOE system. Lack of clarity of purpose This student would have communicated that the implementation of the new system will make the daily process of patient care is necessary so the providers and supporting staff understand that it will prepare for a better patient health record and reduce errors in orders. Lack of belief in the project This student would have communicated an understanding that the new CPOE system will create an efficient and useful electronic medical record. Therefore, easing the workload and minimizing errors in patient orders. This student would have made continual updates and newsletters updating the providers and staff about improvements that they would be making in his or her patient’s care. Insufficient leadership support This student would have created a more visible and involved leadership team. This student would have created meetings and training involving both the leadership team and the providers to create a better understanding of how the implementation of the CPOE will help the quality of care given by the providers at Memorial Health System. Organizational inertia This student would have organized the workforce to help drastically reduce the amount of daily workloads to free up dedicated time for the CPOE implementation project. Working in stressful environments can create lack of forward motion on a project because of the added work. Increasing the workforce to distribute the workload will help in the project continuing to move forward. Project complexity This student would have had a frank conversation with the contributing departments and stakeholders about the complexity and scope of the CPOE project. Communication would have included that additions to the project would increase the timeframe and cost of the project. When all entities understand the complexity of the project and that, there will be delays or setbacks in the implementation process this will help ease doubt during transitional times. Conclusion Having a strong implementation plan and goals are imperative when beginning the process of adding or changing an information system. Health care is changing rapidly and implementing system changes takes time, extensive planning, and support. Ensuring that a strong foundation and understanding of the project is in place before implementing a systems change will help in the success of the project. References Wager, K. A., Lee, F. W., Glaser, J. P., Burns, L. R. (2009). Health Care Information Systems. A Practical Approach for Health Care Management, Second Edition. [University Of Phoenix]. http://dx.doi.org/ 9780470387801

An Interpretation of Emily Dickinsons Poem I Felt a Funeral in My Brain :: Dickinson I Felt a Funeral, in My Brain Essays

An Interpretation of Emily Dickinson's Poem I Felt a Funeral in My Brain Emily Dickinson was a reclusive individual that was rarely seen by anyone outside of her immediate family and few close friends. This solitude emerges in her poetry in the form of doom and gloom depictions. Dickinson seems to have a fascination with death as if death is a friendly character rather than a horrible image. It has been stated that Dickinson's obsession with death was a sign to others around her and her readers that she was struggling internally. In the poem "I Felt a Funeral in My Brain" Dickinson seems to be describing a delusion of a person that is contemplating what will happen to him/her when he/she dies. This poem also seems to be an affirmation of heaven and hell and a personal battle within the narrator to come to terms with his/her own mortal existence. In the first stanza Dickinson describes "feeling a funeral in her brain". This could be a metaphor for her own personal death and the reference to "sense breaking through" tells the reader that only through death can a person ever understand and/or value life. This could be viewed as a retrospection on the narrators life and a telling poem about where she was at in her existance around this period of time. If this interpretation is justified then in stanza two the funeral proceeds with the narrator hating to be there as she/he says: "And when they all were seated, A Service, like a Drum- Kept beating-beating-till I thought My Mind was going numb-" This stanza shows that the narrator is still bored with the living world even in death. The third stanza continues the theme of a struggle between heaven and hell in the last line when the narrator states, "Then space-began to toll". This reference to a bell tolling, or time running out seems to suggest the impending judgment for the narrator. Heaven is discussed in the forth stanza and compared to a bell: "As all the Heavens were a Bell And Being, but an Ear, And I, and Silence, some strange race

Essay on the importance of education Essay

The term education is derived from Latin, word ‘educere’, ‘educare’ and ‘educatum’ which means to ‘to learn’ , ‘to know’ and ‘to lead out’. Education is the process of receiving or giving systematic instruction, especially at a school or university: a course of education, the theory and practice of teaching. A body of knowledge acquired while being educated. In some occasions I would personally say that I am not always learning, this can be caused by: lack of focus; teacher being absent; cover teachers; teacher being unable to teach the subject well; destructive students or no interest in a topic. French is a pleasant subject to learn as it comprises a lotof active and team work which requires a lot of studying and patience. During the period of exams, later on the month of May 2012, I found myself talking and disrupting the class (due to the lack of focus) which was odd as French was one of my strongest subjects and a few in which I enjoyed. The reason for this was that my teacher was absent and we had a cover teacher which I imminently then thought that I had the privilege to mess about for there will be no consequences but I was wrong†¦ The only person this affected was me myself and this caused me into failing French with an E. One day in my Science class around mid March, we were studying momentum and I found myself tuned in with the lesson (which doesn’t happen often) and was fully focused which resulted to improving my understanding of the topic and Iaccumulated more information about it. The reason being was that the lesson was a mixture of practical active learning and theoretical learning. This made me to enjoy, have fun and partake in the lesson. I really did learn a lot despite my weakness and hatred for science. ‘Education is life itself’ Some people would agree with the statement that education is life itself and utter that education is the most powerful weapon and the key to success. Referring to the bible in Ecclesiastes7:12 ‘For the protection of wisdom is like the protection of money and the advantage of knowledge is that wisdom preserves the life of him who has it’. This quote may suggest that the survival of one may depend upon their knowledge. Being educated is an advantage in life so therefore we should cherish and preserve it as we would protect money. On the other hand, other people may disagree with this statement and say that education isn’t life itself for some people are not well educated but have managed to become successful,people such as:Abraham Lincoln, John D. Rockefeller, Amancio Ortega Gaona and many more. This comes to show that knowledge isn’t just the approval on a paper (degree) but can be physical and specialized skills. Also other unfortunate people mostly in LEDCs (less economically developed countries) such as: Egypt, Mali, Haiti, Ghana,Ukraine, Libya, Vietnametc but does this mean that due to lack of being educated results to individuals from these countries to not be successful ?Of course not. Finally, in my belief I think that education is very beneficial to all. From my personally experience I would say that living does in fact educate me, why? In the past I made mistakes that I had to learn from such as revising a week before an exam to major mistake as forbidden sins from the bible (The 10 commandments) but that’s alright because life never came with instructions. We all came to learn, to conquer and to succeed. Robert M. Hutchins aforementioned: ‘Education is not to reform students or amuse them or to make them expert technicians. It is to unsettle their minds widen their horizons inflame their intellects teach them to think straight. If possible’ sowhy is it that the older generation put a lot of pressure on the younger generation in other words the ‘youths’ to study hard to become doctors and lawyers? We cannot all be doctors and lawyers for God gave each individual a conscious to help us make right and wrong decisions and to follow our hearts. Education is life itself some would say, but I say education is a high light to life ‘the key to success. Victor Hugo ‘He who opens a school door, closes a prison.’

The age of the globalisation has gifted mankind of many...

The age of the globalisation has gifted mankind of many advancements and enhancements in many aspects or areas. One of the advancements is the technological enhancements in the field of health technologies which is evolving tremendously every minute; but whether this advancements in health technology is in our advantage or disadvantage is entirely a different question. Many disadvantages arises with such advancements as it does with most technologies known to mankind. Our research has yielded some disadvantages of the modern health technology which is illustrated in detail in this report. This increasingly sophisticated health care technology definitely does not come cheap. The increasing population of people in our country certainly†¦show more content†¦As we already know, the health care technologies are evolving every day which means there will be new improvements and upgrades on the old versions all the time. This could be a very herculean task to keep up with such upgra des and advancements. For example, if a hospital chooses to buy a model of MRI machine and a new upgrade is introduced to the model the next year, the hospital is required to upgrade their equipment which could be expensive and time consuming procedure; not to mention the amount of energy, money and resources which will be needed to train new staffs to operate the machine and technicians to service the machines on a regular basis to keep the equipment up to date. This could be also a struggle for the old staffs. The technological advancement in the world is always interconnected between different areas of technology. For example, the technological advancement in the field of telecommunications, computer system architecture and also software developments have vastly contributed to the growth and advancement of health technologies that exists in the present day. For example, the invention of computers, smaller memory disks that can store large amount of information and sophisticated s oftware systems that can analyse data in a short amount of time have lead the health technology to its prime advancement which is the paperless patient records and also known as the health care informatics. This provides access at private patient files containing any data