- An Overview-
Sandra J. Cruz-Marti
Mercy College
Abstract
The 111th U.S. Congress enacted ‘The Health Information Technology for Economic and Clinical Health’ (HITECH) Act under title XIII of the ‘American Recovery Act’ of 2009 for the adoption of ‘Electronic Medical Record’ (EHR) systems to the healthcare industry to improve the quality of health care, reduce costs and improve efficiency. ‘Health Information Technologies’ (HIT) like Computerized Physician Order Entry (CPOE) will be the main focus of this paper and the basis for research and implementation in our cardiology clinic. With the implementation of CPOE our staff will create, store and share …show more content…
As a medical practice serving the North Bronx community we strive on good customer service and the facility has a need to improve our practice standards for the good of our patients well being. Our staff is comprised of twelve cardiologist, four nurses, five medical assistants, one nuclear medicine technologist, one sonography technician, two receptionist/biller and one filling clerk.We acknowlegde that our practices needs to be in compliance with 1996 Health Insurance Portability and Accountability Act (HIPPA) and its new Omnibus Rule that extends the HIPPA regulations to business associates and subcontractor ,and HITECH; transition from paper patient medical precriptions to electronic ones and training all our medical and adminitrative staff to this new technology will be mandatory as well as having a evaluation tool to recognize drug to drug interactions, allergy to medications , and ordering tool for laboratory tests, and radiology …show more content…
This is important to plan, the workflow, and mapping of the implementation to avoid complete shut down during implementation; it will be done in phases. Here, we will also establish CPOE metrics to ensure the proper benchmarks that will help control and maintain all computerize physician order entries, make sure the program software is interoperable, and that there is data exchange with our clinic and affiliate hospitals EHR. We will make sure the implementation team gathers input or suggestions from physicians/clinicians for the customization of the order and order set templates.
d. Building phase This phase is a content management phase; paper order sets are gathered for the creation of customized order set templates, final metrics, measurements, monitoring, and reporting.
e. Testing phase Unit, integration, parallel, and acceptance testing will take place in this phase as it will make our system interoperable and a pilot testing of the system will also be performed to assure it works properly to begin training. The testing of all these component lets us identify the different aspects to be address in training and to customize the training.
f. Training