AB103112 Ch07 WB
Chapter 7
Health Information Technology Functions
Lisa A. Cerrato, MS, RHIA and Jane Roberts, MS, RHIA
Real-World Case
This case study presents a healthcare facility’s journey toward implementation of an electronic health record. It demonstrates the complexity of the process and similarities that exist between paper-based, hybrid, and electronic health records.
Background
Central Community Medical Center (CCMC) is a 600-bed urban hospital located in the downtown of a major metropolitan area. The medical center is one of five hospitals belonging to the Midwest Healthcare systems. The medical center is a full-service teaching hospital with services ranging from medical, surgical, obstetrics, pediatrics, wound care, trauma care, and heart care, to outpatient clinics and services. CCMC has an average of 15,000 inpatient discharges each year and approximately 90,000 outpatient visits per year. Up until two years ago, Central Community Medical Center’s HIM department operated as a traditional paper-based health records department. An administrative decision was made to implement an electronic health record. CCMC is the second hospital within the Midwest Healthcare system to implement the EHR; therefore, the vendor selection was already established. The Healthcare system decided that all hospitals would use the same vendor to facilitate the interoperability and consistency of the EHR between facilities.
The Planning Process
Establishment of a Steering Committee
The first step to planning for the various components of implementing an EHR was to establish a steering committee. Key players needed to be identified and included in the planning process. The steering committee consisted of a project manager and approximately 20 individuals from the health information management team and information systems team. Appropriate representatives from administration, medical staff, nursing, and other ancillary departments were included on the steering committee, along with vendor
Health Information Technology Functions
Lisa A. Cerrato, MS, RHIA and Jane Roberts, MS, RHIA
Real-World Case
This case study presents a healthcare facility’s journey toward implementation of an electronic health record. It demonstrates the complexity of the process and similarities that exist between paper-based, hybrid, and electronic health records.
Background
Central Community Medical Center (CCMC) is a 600-bed urban hospital located in the downtown of a major metropolitan area. The medical center is one of five hospitals belonging to the Midwest Healthcare systems. The medical center is a full-service teaching hospital with services ranging from medical, surgical, obstetrics, pediatrics, wound care, trauma care, and heart care, to outpatient clinics and services. CCMC has an average of 15,000 inpatient discharges each year and approximately 90,000 outpatient visits per year. Up until two years ago, Central Community Medical Center’s HIM department operated as a traditional paper-based health records department. An administrative decision was made to implement an electronic health record. CCMC is the second hospital within the Midwest Healthcare system to implement the EHR; therefore, the vendor selection was already established. The Healthcare system decided that all hospitals would use the same vendor to facilitate the interoperability and consistency of the EHR between facilities.
The Planning Process
Establishment of a Steering Committee
The first step to planning for the various components of implementing an EHR was to establish a steering committee. Key players needed to be identified and included in the planning process. The steering committee consisted of a project manager and approximately 20 individuals from the health information management team and information systems team. Appropriate representatives from administration, medical staff, nursing, and other ancillary departments were included on the steering committee, along with vendor