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Hsm 542 Course Project
Effecting Change Information Technology: Why is the Healthcare Industry sluggish to upgrade their Hospital Information Technology Systems?

John Iskarous
Health Rights/ Responsibilities – HSM542 Prof. Gomillion
DeVry University, Keller Graduate School of Management
February 22, 2013

Table of Contents
Abstract 3

Background 3

Define The Problems 5

Privacy and Security Concerns 11

High Level Solution & Suggestions 13

Problem Analysis 15
Solution Implementation 17
Business Process Changes 18

Technology/Business Practices Used to Augment the Solution 21

High Level Implementation 22

Justifications 24

References 25

Abstract The ethical issues addressed in this paper are the various reasons healthcare industry administrators and other entities choose to delay updating and enhancing outdated Hospital Information Technology (HIT). Even though their responsibility to provide the best care and information/ education to the patients and staff is very important, it does not seem like a priority just until the recent years. Also discussed are the resources and benefits they will inevitably gain by implementing the recommended solutions provided. I have chosen this topic because I myself have always had an interest in many types of technology, especially if I can use it to improve my performance. I have been working in healthcare for almost 7 years now and realize that this is important because we are now in an era of technology being implemented in every part of our lives and how more efficient we can be with information technology. This just doesn’t apply to the healthcare industry, but this essay is in regards to why most of the healthcare industry as a whole has been slow to adapt to modern information technology in their daily business operations and health records keeping. The subjects that will be discussed are the criteria for a



References: Issues Again,” Healthcare IT News, March 31, 2009. Bureau of Health Professions, Room 8A-09, 5600 Fishers Lane, Rockville, MD 20857. Internet: http://bhpr.hrsa.gov/ Mark E Connolly, Ceci (2005-03-21). "Cedars-Sinai Doctors Cling to Pen and Paper". The Washington Post. http://www.washingtonpost.com/wp-dyn/articles/A52384-2005Mar20.html. Retrieved 2012-10-7. Dave Michaels and Jason Roberson, “Who Really Profits from Electronic Medical Records,” Dallas Morning News, July 14, 2009. “Despite Likely Tweaks, EHR Rollout’s Clash with HIPAA to be Costly,” Inside Health Reform, January 27, 2010. Garrett, Peter and Seidman, Joshua PhD. (2011). EMR vs EHR – What is the Difference? http://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference/ "Hospital Quality & Safety Survey" (PDF) McCallum, Nancy (2010). Five features missing from most EHRs. Pamela Lewis Dolan, “Laws Bolster Penalties for Privacy Breaches in California,” American Medical News, December 1, 2008. Wangler, Benkt and Åhlfeldt, Rose-Mharie. (2012). Process Oriented Information Systems Architectures in Healthcare University of Skövde, Sweden. http://people.dsv.su.se/~perjons/CompletePaper_iSHIMR.pdf Wilson D Comparative Effectiveness Research,” Annals of Internal Medicine, Vol. 151, No. 5, September 1, 2009, pages 338-40

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