PowerPoint Presentation: Health Information Technology to Address the Continuum of

Care

Once choosing a scenario from the Learning Resources you will develop a PowerPoint presentation to provide an overview of how information technology will address issues in that organization(s)/setting. You understand that for such an expensive and complex recommendation, in-depth research must be conducted along with a high level leadership plan as to how you would recommend approaching the initiative along the Systems Development Lifecycle steps: 1) Acquire; 2) Plan for; 3) Implement; and 4) Support the technology solution.

In a 15- to 20-slide PowerPoint presentation, including extensive speaker notes and 5–6 peer reviewed references applied using APA Format:

• Analyze the problems and opportunities that the technology is aimed to address in this organization(s)/setting
• Critique any legal and/or regulatory concerns related to using technology in this organizations(s)/setting
• Acquisition: Explain your recommended steps in the systematic evaluation and acquisition of the technology SWOT summary
• Vendor partner recommendations
• Process to evaluate vendors
• Planning: Develop a Project Charter for how you would plan for implementing this technology.Scope of the project/program
• Key stakeholders
• Risks and mitigation plans
• Financial justification
• Implementation:Change Management Strategy
• Security and Privacy Plan
• Data sharing, systems integration needs
• Use of cost reducing emerging technology platforms
• Support and sustainability:Financial sustainment plan
• End user technical support plan
• Potential fit with emerging industry technologies
• Briefly address any competitive advantage that this technology might provide for the selected organization(s)

****THE SCENARIO I SELECTED IS TELEMEDICINE FOR RURAL-BASED HEALTH FACILITY****

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© 2016 Laureate Education, Inc.Page 1 of 2Final Project ScenariosLong-Term CareBethany Place is a 40-bed independent long-term care facility in the PacificNorthwest. They have existed for over 50 years having come from a faith-basedbackground. With good investments and sound financial management, Bethanyplace has grown and is executing a capital strategic plan. They are expandingtheir 40-bed facility to purchase a nearby resident facility and expand intorehabilitative care, adding another 30 beds. They are approximately six monthsaway from receiving the appropriate certificates and regulatory approvals as arehabilitative care facility for both chronic care patients and recovery of acutehead injury.The rehabilitation facility and renovations to the independent long-term carefacility are scheduled to begin in the next six months and be executed over an18-month period. Currently Bethany place has no electronic medical record.There is a third-party service that is used to scan and send automated claims toMedicare and private insurers. A local desktop IT services company was recentlycontracted to provide managed services to Bethany place and provides thewebsite email and local desktop applications for staff. As part of this initiative arobust new IT network design was implemented for both Bethany place and theanticipated rehabilitation facility.The lack of an electronic health record at Bethany place has created qualityissues and risk management issues particularly related to medicationreconciliation with patient transfers. The board and senior leadership have askedthe Bethany place management to evaluate information technology options in theform of an electronic medical record, and patient management application(s) forboth Bethany place and the rehabilitation extension facility as part of executingthe strategic plan.Critical Access Hospital Electronic Health RecordBedford Hospital is a 25-bed hospital in rural Pennsylvania. They have recentlycompleted the process of being designated by CMS (Centers for Medicare andMedicaid) a CAH (critical access hospital). Prior to this designation they werepart of a large academic health center but have since divested from that healthcenter. As part of that agreement their current electronic health record contract,which is with Cerner Corporation as part of that medical center’s enterpriseagreement, will be expiring in 24 months. Currently all aspects of Cerner’sinpatient product are implemented including documentation, orders, decisionsupport and electronic meds administration. Cerner’s registration admissionsdischarge scheduling and patient identification products are also part of thisagreement as are the laboratory radiology and pharmacy systems.

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© 2016 Laureate Education, Inc.Page 2 of 2While Bedford Hospital was part of the academic center the Cerner product suitewas financially supported as part of the overall corporate structure. As part of thedivestiture agreement, the academic center has agreed to support Bedford’sCerner systems in total for a 24-month period, absorbing the Cerner softwareand enterprise hardware costs in that timeframe. Bedford Hospital is takingfinancial responsibility for three IT staff and day-to-day IT costs such as networksdevices email and Internet costs. The CEO and CFO of Bedford Hospital havepulled together an interdisciplinary team to examine the technology options forBedford Hospital after this 24-month period.Telemedicine for Rural-Based Health FacilityCanon hospital is a 189-bed hospital in rural Texas. The hospital isapproximately 100 miles and 150 miles away from two major medical centers ofexcellence in Texas. As the CIO of Canon Hospital, you are aware that there arecapabilities to do telemedicine programs with tertiary care centers. Two of thesenior medical staff in the critical care and neurology departments at CanonHospital have approached you to investigate telemedicine capabilities related tothe management of ICU patients and the emergency management of patientspresenting with stroke symptoms.These medical leaders would like to ideally preserve the appropriate services forICU patients and rehabilitative services for stroke patients in the canon hospitalcommunity. They recognize that portions of these treatment plans must includecertified critical care and stroke certified providers from a tertiary care center.They have ask you to examine both the business and technical aspects ofestablishing telemedicine programs with one or two of the tertiary care centerswho have certified specialists in critical care and stroke certified physicians whocan administer TPA and other urgent stroke treatments.Currently Canon hospital is transferring over half of the ICU patients and virtuallyall of the patients who are presenting with stroke symptoms to these to either ofthese tertiary centers. There is little to no follow up on those patients with regardto treatment plans or services. In many cases, patients and caregivers arerelocated for step down and rehabilitative care to facilities outside of the Canonhospital area. This creates both high level of dissatisfaction for patients andfamilies and revenue loss for canon hospital and its associated rehabilitationfacilities.