HCM 620 Final Project Document
HCM 620 Final Project Document
HCM 620 Final Project Document
HCM 620 Final Project Guidelines and Rubric
Overview
The final project for this course is the creation of a
request for proposals.
As a health information administrator, you may be tasked
with planning information systems, developing health policy, and identifying
current and future information needs, as well as applying the science of
informatics to the collection, storage, analysis, use, and transmission of
information to meet legal, professional, ethical, and administrative
records-keeping requirements of healthcare delivery.
For your final project, you will select a pre-defined
scenario from a list, or define one yourself with instructor approval, and then
produce a detailed request for proposal (RFP) for a patient-centric electronic
medical record system that will meet the specified requirements for your
scenario. Your RFP will include organizational specifications for a system that
complies with the legal and auditing requirements for information security and
privacy. In addition to the specific requirements for the scenario, your RFP
will include detailed requirements for internal and external interoperability
and tools to achieve meaningful use. The technology specified will support
evidence-based medicine to ensure quality care while optimizing reimbursement,
and your RFP will include a scoring system that could be used when selecting a
vendor.
The project is divided into four milestones, which will be
submitted at various points throughout the course to scaffold learning and
ensure quality final submissions. These milestones will be submitted in Modules
Two, Four, Five and Six. The final submission will be submitted in Module Nine.
In this assignment, you will demonstrate your mastery of the
following course outcomes:
? Evaluate healthcare information systems applications for
their efficacy in addressing organizational requirements while ensuring
information security and privacy and compliance with healthcare legislation
? Determine best courses of action for standardizing data
and terminology definitions by comparing terminology schemes
? Evaluate technology that encourages interoperability
between internal and external systems while maintaining security and privacy
? Propose technical strategies for achieving meaningful use
in order to maximize reimbursement
? Assess technological solutions that utilize business
analytics for improving the quality and efficiency of the organization
? Recommend appropriate technology that supports
evidence-based practice for ensuring quality care and optimizing reimbursement
Prompt
Choose from one of the following scenarios:
Scenario One
Philip is the chief executive officer (CEO) of Smallville
Medical Center with 100 inpatient beds and a wide range of outpatient services.
He has discovered that the hospital is losing revenue because invoices to
insurance companies and Medicare are being returned unpaid due to incorrect
billing codes. In addition, the hospital is losing money because patient
satisfaction is low due to long waiting lines to check in for studies at
patient registration, delays in getting their results from diagnostic tests,
and inability to connect with their physicians. Patients are going elsewhere.
The board of directors has asked Philip to find a solution for these problems.
Smallville has an old hospital information system that keeps
track of the patients and their individual medical records. The system, called
HIS-4-YOU, does communicate with the insurance companies, but not with any
other systems outside the hospital. When a procedure is performed, the
technologists or nurses hand-write the name of the procedure, and the note is
sent to billing. That note is what is turned in to the insurance provider. When
patients come in to register for an outpatient appointment, they fill in forms
that are given to the clerk who enters the new information into the system.
This is a tedious procedure that frustrates everyone. Philip has decided to
focus on three areas: coding and billing using standardized terminology,
streamlined registration procedures, and developing a patient portal for
viewing test results and communicating with physicians. HIS-4-YOU cannot do any
of these things, and there is no budget to replace HIS-4-YOU, so a separate
system must be found to add the required functionality. Hospital workers do not
want to log in to two systems, so the new system must also provide an interface
to the old HIS-4-YOU for input and retrieving information.
Scenario Two
United Testing Services (UTS) is a company providing
laboratory and imaging tests for patients. In the past, the results were simply
faxed to the physicians who ordered them, but now physicians expect to get lab
results as structured data instead of as faxes and imaging results with key
images and a structured report. UTS services eight different physician offices.
The good news is the physicians partly agree on the best EMR for their patients
and they only have to interface to three different systems. UTS needs a system
to receive electronic orders placed by providers (CPOE) and to send results to
the correct physician group as structured data.
Scenario Three
Susan is the chief information officer (CIO) of the
University Hospital (UH) that prides itself on being up to date on all things
medical and technological. To that end, UH has a comprehensive EHR that can
communicate with other hospitals and services such as pharmacies, provides
CPOE, and maintains many of the required records for meaningful use. However,
in order to fully comply, Susan has identified some weaknesses in the system
that need to be met. The system does not provide an identity-theft protection
program required by the red flag rules; the system does not identify statistics
for readmission rates after discharge; and the system does not use clinically
relevant information from the EHR to identify patient-specific education
resources to provide to the patient. The system cannot provide these functions,
so Susan will need to purchase a third-party add-on system to interface to the
current system to perform these tasks. Since she is purchasing this add-on
system, she decided on one additional requirement: She wants the new system to
provide a dashboard for her and the administration showing statistics of
patient census by section, length of stay, readmission after discharge, and
waiting times in all outpatient departments.
Your RFP should answer the following questions: What is an
appropriate system design for your chosen scenario? How can the specified
technology support the clinical, business, and legal requirements to help the
organization improve the quality of healthcare?
Specifically, the following critical elements must be
addressed:
I. Introduction
A. Provide an overview of the project and the organization’s
goals in terms of integrating existing technology with the proposed system.
B. Define the scope of the project. Specifically, you will
want to include things such as the expected number of patients and employees,
the expected number of interface devices, etc.
C. Articulate the organization’s goals with respect to
implementing interoperability that aligns with the National Health Information
Network’s (NHIN) standards, policies, and services.
II. Requirements Specifications
A. What are the requirements for the patient-centric system
with regard to supporting clinical care, business management, and legal
reporting capabilities?
B. Standardized Data and Terminology Definitions
1. What data and terminology definitions are currently being
used by the organization?
2. To what extent are these terminology schemes standardized
or compatible with those of other systems? Be sure to justify your reasoning.
3. Will new data and terminology schemes need to be
implemented for moving the organization closer to standardization? Why or why
not?
C. Interoperability
1. How well do you feel the organization’s internal systems
interact with one another? Explain your reasoning.
2. How well do you feel the organization’s internal systems
interact with systems that are external to the organization? Explain your
reasoning.
3. To what extent does the organization maintain information
security and privacy in internal and external system transactions? Be sure to
provide specific examples to support your claims.
4. Do you see any room for improvement? Why or why not?
D. Technological needs for achieving meaningful use
1. At which stage of meaningful use achievement (i.e., Stage
1, Stage 2, or Stage 3 per The Centers for Medicare & Medicaid Services
[CMS]) is the organization currently?
2. Which of the EHR Incentive Program’s Eligible Hospital
and CAH Core Objectives are being met by the organization’s current technology?
Be sure to provide specific examples to support your claims.
3. Which of the EHR Incentive Program’s Eligible Hospital
and CAH Menu Set Objectives are being met by the organization’s current
technology? Be sure to provide specific examples to support your claims.
4. What technical strategies would you propose to move the
organization closer to achieving optimal meaningful use for maximizing its
reimbursement? Be sure to justify your response.
E. Business Analytics Capabilities
1. To what extent does the organization utilize business
analytics for informing decision making with regard to quality and efficiency?
Be sure to provide specific examples to support your claims.
2. How well do you feel the organization’s current
technology manages data and operations, analyzes data, and supports operational
decision making? Be sure to justify your response.
3. What technological suggestions might you make with regard
to the use of business analytics for improving organizational quality and
efficiency? Why?
F. Technology and evidence-based medicine
1. To what extent do you feel the organization practices
evidence-based medicine? Be sure to provide specific examples to support your
claims.
2. Do you feel the organization’s technology supports or
hinders the practice of evidence-based medicine? Why?
3. What technology or technical strategies would you
recommend be implemented to better support evidence-based medicine at the
organization? Be sure to justify your response.
G. Develop a scoring scheme that ranks the importance of
each item in the document to be used during the selection of a system.
III. System Specifications: Specify the most appropriate
system configuration (in-house system, cloud-based service, etc.) based on the
specification requirements, including information security and privacy and
compliance with healthcare legislation. Be sure to justify your response.
IV. Training, Installation, and Service: Provide the
framework for vendors to add details of training, installation, and
after-purchase service agreements for addressing ongoing organizational
requirements. This framework must include initial costs, human resource time,
and ongoing costs for business continuity.
Milestones
Milestone One: Introduction
In Module Two, you will submit the Introduction section
(Section I) of your project. The introduction will provide an overview of the
project and the organization’s goals in terms of integrating existing
technology with the proposed system. You will define the scope of the project.
Specifically, you will want to include things such as the expected number of
patients and employees and the expected number of interface devices. Articulate
the organization’s goals with respect to implementing interoperability that
aligns with the National Health Information Network’s (NHIN) standards,
policies, and services. This introduction will set the stage for the request
for proposals with the number and types of interfaces needed, the size of the
system, and the initial requirements for the system being developed. The
introduction will be approximately 4 pages long, including references in APA
format. This milestone is graded with the Milestone One Rubric.
Milestone Two: Requirements Specifications Part I
In Module Four, you will submit Sections IIA, IIB, IIC, and
IID of the Requirements Specifications section of your project. You will create
a list of functional requirements for the system being developed. You will
specify the data and terminology definitions currently being used and how they
need to be supported by the new system. The requirements specifications will be
approximately 2 pages long, including references in APA format. This milestone
is graded with the Milestone Two Rubric.
Milestone Three: Requirements Specifications Part II
In Module Five, you will submit Sections IIE, IIF, and IIG
of the Requirements Specifications section of your project, which should
include business analytics capabilities, technology, and evidence-based
medicine and a scoring scheme that ranks the importance of each item in the
document to be used during the selection of a system. The requirements
specifications will be approximately 2 pages long, including references in APA
format. This milestone is graded with the Milestone Three Rubric.
Milestone Four: System Specifications and Training,
Installation, and Service
In Module Six, you will submit the System Specifications and
Training, Installation, and Service sections (Sections III and IV) of your
project. You will create the requirements for systems to support the
interoperability, security, and privacy specifications in Section III. This
section will specify your choice of system architecture and networking. The
user interface requirements will be specified to support the expected users of
the system. Section IV will contain the requirements for user training,
installation timelines, and service agreements including expected downtime and
required response time. These two sections will be approximately 4 pages long,
including references in APA format. This milestone is graded with the Milestone
Four Rubric.
Final Submission: Request for Proposals
In Module Nine, you will submit a completed request for
proposals. It should be a complete, polished artifact containing all of the
critical elements of the final product. It should reflect the incorporation of
feedback gained throughout the course. This milestone will be graded using the
Final Project Rubric (below).
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
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☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.