Population Health Management in Action Case Study Discussion Questions

Population Health Management in Action Case Study Discussion Questions ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Population Health Management in Action Case Study Discussion Questions Read Case Study 1: POPULATION HEALTH MANAGEMENT IN ACTION – Page 468 Read the case study and answer the specific discussion questions listed below. Be sure to answer the questions directly utilizing the information in the case study. Case analysis should be written in paragraph/ case study format. Population Health Management in Action Case Study Discussion Questions Textbook include in attached below Times New Roman, Font – 12pt Do not double space Reference list/ citations should be completed ****DISCUSSION QUESTIONS**** 1. What do you think are the important take-home messages in this case? 2. What is your assessment of the approach Bon Secours has taken in embracing its commitment to population health management by investigating in different IT capabilities? How useful are capabilities such as risk stratification, automated outreach, and PHRs in improving quality while managing costs? Are there other tools that could have been useful? If so, what are they? How might they be used? 3. Bon Secours’s mantra for the future is “health care without walls.” What might success in achieving this vision look like? What challenges may they face? How might they overcome these challenges? health_care_information_systems__textbook_09.23.19.pdf Health Care Information Systems Health Care Information Systems A Practical Approach for Health Care Management Fourth Edition Karen A. Wager Frances Wickham Lee John P. Glaser Cover design by Wiley Copyright © 2017 by John Wiley & Sons, Inc. All rights reserved. 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Library of Congress Cataloging-in-Publication Data Library of Congress Cataloging-in-Publication Data has been applied for and is on file with the Library of Congress. 9781119337188 (paperback) 9781119337126 (ePDF) 9781119337089 (ePub) Printed in the United States of America FOURTH EDITION PB Printing 10 9 8 7 6 5 4 3 2 1 Contents Tables, Figures, and Exhibits …………………………………………………………………….. xi Preface …………………………………………………………………………………………………. xv Acknowledgments ………………………………………………………………………………..xxiii The Authors ………………………………………………………………………………………… xxv Part 1 Major Environmental Forces That Shape the National Health Information System Landscape ………………………………………………. 1 1 2 3 The National Health Information Technology Landscape …………………………………………………………… 3 Learning Objectives 1990s: The Call for HIT 2000–2010: The Arrival of HIT 2010–Present: Health Care Reform and the Growth of HIT Summary Key Terms Learning Activities References Health Care Data …………………………………………………………………. 21 Learning Objectives Health Care Data and Information Defined Health Care Data and Information Sources Health Care Data Uses Health Care Data Quality Summary Key Terms Learning Activities References Health Care Information Systems …………………………………………. 65 Learning Objectives Review of Key Terms Major Health Care Information Systems History and Evolution Electronic Health Records Personal Health Records Key Issues and Challenges v vi · C O N T E N T S Summary Key Terms Learning Activities References 4 Information Systems to Support Population Health Management ……………………………………………………………. 99 Learning Objectives PHM: Key to Success Accountable Care Core Processes Data, Analytics, and Health IT Capabilities and Tools Transitioning from the Record to the Plan Summary Key Terms Learning Activities References Part 2 Selection, Implementation, Evaluation, and Management of Health Care Information Systems ………………………………………………………….. 139 5 System Acquisition …………………………………………………………….. 141 Learning Objectives System Acquisition: A Definition Systems Development Life Cycle System Acquisition Process Project Management Tools Things That Can Go Wrong Information Technology Architecture Summary Key Terms Learning Activities References 6 System Implementation and Support …………………………………. 179 Learning Objectives System Implementation Process Managing Change and the Organizational Aspects System Support and Evaluation Summary Key Terms Learning Activities References 7 Assessing and Achieving Value in Health Care Information Systems ………………………………………………………….. 215 Learning Objectives Definition of IT-Enabled Value C O N T E N T S · vii 8 The IT Project Proposal Ensuring the Delivery of Value Analyses of the IT Value Challenge Summary Key Terms Learning Activities References Organizing Information Technology Services ………………………. 251 Learning Objectives Information Technology Functions Organizing IT Staff Members and Services In-House versus Outsourced IT Evaluating IT Effectiveness Summary Key Terms Learning Activities References Part 3 Laws, Regulations, and Standards That Affect Health Care Information Systems ………….. Population Health Management in Action Case Study Discussion Questions 285 9 Privacy and Security …………………………………………………………… 287 Learning Objectives Privacy, Confidentiality, and Security Defined Legal Protection of Health Information Threats to Health Care Information The Health Care Organization’s Security Program Beyond HIPAA: Cybersecurity for Today’s Wired Environment Summary Key Terms Learning Activities References 10 Performance Standards and Measures ………………………………… 323 Learning Objectives Licensure, Certification, and Accreditation Measuring the Quality of Care Federal Quality Improvement Initiatives Summary Key Terms Learning Activities References 11 Health Care Information System Standards ………………………… 357 Learning Objectives HCIS Standards Overview Standards Development Process viii · C O N T E N T S Federal Initiatives Affecting Health Care IT Standards Other Organizations Influencing Health Care IT Standards Health IT Standards Vocabulary and Terminology Standards Data Exchange and Messaging Standards Health Record Content and Functional Standards Summary Key Terms Learning Activities References Part 4 Senior-Level Management Issues Related to Health Care Information Systems Management ………………………………………………….. 393 12 IT Alignment and Strategic Planning ………………………………….. 395 Learning Objectives IT Planning Objectives Overview of Strategy The IT Assest A Normative Approach to Developing Alignment and IT Strategy IT Strategy and Alignment Challenges Summary Key Terms Learning Activities References 13 IT Governance and Management ……………………………………….. 427 Learning Objectives IT Governance IT Budget Management Role in Major IT Initiatives IT Effectiveness The Competitive Value of IT Summary Key Terms Learning Activities Notes References 14 Health IT Leadership Case Studies………………………………………. 467 Case 1: Population Health Management in Action Case 2: Registries and Disease Management in the PCMH Case 3: Implementing a Capacity Management Information System Case 4: Implementing a Telemedicine Solution Case 5: Selecting an EHR For Dermatology Practice Case 6: Watson’s Ambulatory EHR Transition C O N T E N T S · ix Case 7: Concerns and Workarounds with a Clinical Documentation System Case 8: Conversion to an EHR Messaging System Case 9: Strategies for Implementing CPOE Case 10: Implementing a Syndromic Surveillance System Case 11: Planning an EHR Implementation Case 12: Replacing a Practice Management System Case 13: Implementing Tele-psychiatry in a Community Hospital Emergency Department Case 14: Assessing the Value and Impact of CPOE Case 15: Assessing the Value of Health IT Investment Case 16: The Admitting System Crashes Case 17: Breaching The Security of an Internet Patient Portal Case 18: The Decision to Develop an IT Strategic Plan Case 19: Selection of a Patient Safety Strategy Case 20: Strategic IS Planning for the Hospital ED Case 21: Board Support for a Capital Project Supplemental Listing of Related Case Studies and Webinars Appendixes A. B. Overview of the Health Care IT Industry …………………………….. 525 The Health Care IT Industry Sources of Industry Information Health Care IT Associations Summary Learning Activities References Sample Project Charter, Sample Job Descriptions, and Sample User Satisfaction Survey………………………………….. 539 Sample Project Charter Sample Job Descriptions Sample User Satisfaction Survey Index ………………………………………………………………………………………………….. 559 Tables, Figures, and Exhibits TABLES 1.1 Stages of Meaningful Use ……………………………………………………….. 9 1.2 Differences between Medicare and Medicaid EHR incentive programs……………………………………………………………….. Population Health Management in Action Case Study Discussion Questions 11 1.3 MIPS performance categories…………………………………………………..13 2.1 Ten common hospital statistical measures ………………………………….47 2.2 Terms used in the literature to describe the five common dimensions of data quality ……………………………………………………..52 2.3 Excerpt from data dictionary used by AHRQ surgical site infection risk stratification/outcome detection …………………………………………56 3.1 Common types of administrative and clinical information systems….68 3.2 Functions defining the use of EHRs ………………………………………….76 3.3 Sociotechnical dimensions ………………………………………………………92 4.1 Key attributes and broad results of current ACO models …………….. 106 5.1 Sample criteria for evaluation of RFP responses ……………………….. 161 7.1 Financial analysis of a patient accounting document imaging system …………………………………………………………………..227 7.2 Requests for new information system projects ………………………….. 230 9.1 HIPAA violation categories …………………………………………………… 302 9.2 Top ten largest fines levied for HIPAA violations as of August 2016 ………………………………………………………………………. 303 9.3 Resources for conducting a comprehensive risk analysis…………….. 309 9.4 Common examples of vulnerabilities and mitigation strategies…….. 310 10.1 2015 approved CMS accrediting organizations …………………………..329 10.2 Major types of quality measures …………………………………………….336 10.3 Excerpt of CQMs for 2014 EHR Incentive Programs ……………………338 10.4 MIPS performance categories…………………………………………………349 11.1 Relationships among standards-setting organizations …………………. 361 11.2 Excerpt from CVX (clinical vaccines administered) …………………….374 11.3 Excerpt from NCPDP data dictionary ………………………………………380 11.4 X12 TG2 work groups …………………………………………………………. 381 11.5 Excerpt from the HL7 EHR-S Functional Model …………………………386 xi xii · T A B L E S , F I G U R E S , A N D E X H I B I T S 12.1 12.2 12.3 12.4 13.1 14.1 A.1 A.2 A.3 IT initiatives linked to organizational goals ………………………………397 Summary of the scope of outpatient care problems …………………… 402 Assessment of telehealth strategic opportunities ……………………….. 413 Summary of IT strategic planning ………………………………………….. 414 Target increases in an IT operating budget ……………………………….442 List of cases and corresponding chapters …………………………………469 IT interests of different health care organizations ………………………526 Health care provider market: NAICS taxonomy …………………………527 Changes in application focus resulting from changes in the health care business model ………………………………………….528 A.4 Major health care IT vendors, ranked by revenue ……………………… 530 B.1 Revision history …………………………………………………………………. 541 B.2 Issue management ………………………………………………………………549 FIGURES 1.1 2.1 2.2 2.3 2.4 2.5 2.6 3.1 3.2 3.3 3.4 3.5 3.6 4.1 5.1 5.2 5.3 5.4 Milestones for a supportive payment and regulatory environment ….15 Health care data to health care knowledge…………………………………23 Sample EHR information screen ………………………………………………33 Sample EHR problem list ……………………………………………………….34 Sample EHR progress notes …………………………………………………….34 Sample EHR lab report …………………………………………………………..35 Sample heart failure and hypertension query screen…………………….45 History and evolution of health care information systems (1960s to today) …………………………………………………………………..70 Sample drug alert screen ………………………………………………………..73 Sample patient portal …………………………………………………………….74 Percent of non-federal acute care hospitals with adoption of at least a basic EHR with notes system and position of a certified EHR: 2008–2015Population Health Management in Action Case Study Discussion Questions ……………………………………………………………………75 Office-based physician practice EHR adoption since 2004 ……………..77 The ONC’s roadmap to interoperability ……………………………………..84 Percent of nonfederal acute care hospitals that electronically exchanged laboratory results, radiology reports, clinical care summaries, or medication lists with ambulatory care providers or hospitals outside their organization: 2008–2015 ……………………. 118 Systems development life cycle ………………………………………………144 System usability scale questionnaire ……………………………………….163 Cost-benefit analysis ……………………………………………………………164 Example of a simple Gantt chart ……………………………………………167 T A B L E S , F I G U R E S , A N D E X H I B I T S · xiii 6.1 7.1 7.2 7.3 8.1 10.1 10.2 12.1 12.2 12.3 12.4 13.1 13.2 13.3 Project timeline with project phases ……………………………………….189 IT investment portfolio…………………………………………………………237 Days in accounts receivable ………………………………………………….239 Digital intensity versus transformation intensity ………………………..246 IT organizational chart: Large health system …………………………….257 Screenshot from NQF ………………………………………………………….. 341 Projected timetable for implementation of MACRA ……………………. 350 Overview of IT strategy development ………………………………………400 IT initiative priorities ………………………………………………………….. 415 IT plan timetable and budget ……………………………………………….. 416 Hype cycle for emerging technologies, 2014 ……………………………..422 IT budget decision-making process …………………………………………443 Gross margin performance differences in high IT–use industries ….. 461 Singles and grand slams ……………………………………………………….463 EXHIBITS 2.1 2.2 2.3 5.1 9.1 9.2 10.1 10.2 11.1 11.2 12.1 12.2 12.3 Excerpt from ICD-10-CM 2016 ………………………………………………….38 Excerpt from ICD-10 PCS 2017 OCW …………………………………………40 Patient encounter form coding standards …………………………………..41 Overview of System Acquisition Process ………………………………….147 Sample release of information form ………………………………………..294 Cybersecurity framework core ………………………………………………. 318 Medical Record Content: Excerpt from South Carolina Standards for Licensing Hospitals and Institutional General Infirmaries ……….326 Medical Record Content: Excerpt from the Conditions of Participation for Hospitals …………………………………………………….328 Excerpt from ONC 2016 Interoperability Standards Advisory ………..366 X12 5010 professional claim standard………………………………………382 IT initiatives necessary to support a strategic goal for a provider …. 410 IT initiatives necessary to support a strategic goal for a health plan ……………………………………………………………………….. 411 System support of nursing documentation ………………………………. 412 In memory of our colleague Andy Pasternack Preface Health care delivery is in the early stages of a profound shift in its core strat­ egies, organization, financing, and operational and care processes. Reactive sick care is being replaced by proactive efforts to keep people well and out of the hospital. Fragmented care delivery capabilities are being supplanted by initiatives to create and manage cross-continuum systems of care. Providers that were rewarded for volume are increasingly being rewarded for quality and efficiency. New forms of reimbursement, such as bundles and various types of cap­ itation, are causing this shift. To thrive in the new era of health care delivery, providers are creating health systems, such as accountable care organizations, that include venues along the care spectrum. In addition providers are introducing new processes to support the need to manage care between encounters, keep people healthy, and ensure that utilization is appropriate. Moreover, as reimbursement shifts to incentimproved provider performance these organizations will have a common need to optimize operational efficiency, improve financial man … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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