CASE ANALYSIS: SYSTEMS ACQUISITION 6
CaseAnalysis: Systems Acquisition
CaseAnalysis: Systems Acquisition
Inthe quest for quality health services and increased patient’ssafety, specialists in the field of medicine and InformationTechnology (IT) have developed of systems or programs that helpreduce errors, accidents or fatal attacks during care period Falveyet al(2016). For the purpose of implementing only quality informationsystems or programs, powerful organizations such as Institute orMedicine (IOM) and Agency for Health Research and Quality (AHRQ) haveemerged and positively transformed the care quality. The use ofinformation System has improved the patient’s experience throughcost reduction, improved care quality and integration of differentelements or stakeholders towards proper management of patients’affairs.
TheRole of AHRQ in Acquisition of a Technology
Asa government agency, AHRQ determines the standards health care,medical practitioners and information systems tools should meet forimproved experience and safety (Gonzalez, 2016). Therefore, itauthorizes the acquisition of certain technology and sponsorsprojects concerning the development of evidence-based reports andtechnology assessments to facilitate health organizations improvecare quality.
TheMajor Concerns in the System Acquisition Case
Themajor concerns evident in the Clip “Health IT success story: UsingIT to fight care fragmentation”, are the uncoordinated caredelivery and inaccessible patient’s data caused by fragmentation.Care fragmentation involves the ways a patient seeks medical servicesfrom practitioners in different care homes due to an emergency ofcost factors (Wilson, 2014). Consequently, the patient’s previousmedical records required may not be available. However, in the clip,doctors developed a system for care coordination that ensures thatphysicians involved in a patient can share information therebyfacilitating appropriate delivery of care to the patient. Thealternative to address the issues of care fragmentation is the use ofA Toolkit for Coordinating Care that enables management of patient’smovement and referrals (Wilson, 2014). Simply put, patient’sprogress and events, especially for those with chronic diseases, aremanaged through referrals and transitions.
Withthe acquisition of the system, the value of care the patient’sreceived was improved. For instance, the Admission Discharge andTransfer notification allowed doctors to know when there is anactivity with the health system. Also, the Care Event Summary helpedthe doctors know how, when where an event occurred. More importantly,the primary caregiver could know who attended the patients during theattack. Consequently, there was timely response and treatment topatient’s demands thereby improving care delivery and patient’sexperience (HealthIt Success Story – Using it to fight care fragmentation,2013). Besides, the system enabled access to information such asmedical history by involved care provider even in emergencysituations.
TheWay System Might Advance or Devalue the Delivery of Patient Care
Thenew system improved the care delivery in some ways. For instance,patient especially those with chronic diseases could get the carefrom any institution since the medical information would be availableeven to other providers other than the primary provider. Finally, thesystem supported notification of events that facilitated a timelyresponse, especially in emergency circumstances. However, with theadoption of the system, the care value may reduce due to untrainedpersonnel or unauthorized access leading to manipulation of patient’sinformation.
TheMaintenance of the Current System
Fromthe case, it is clear that practitioners especially the patient’sprimary caregiver were impressed by the ways system helped themaccomplish. For instance, the system enhanced care coordination amongdifferent players in patient’s affairs through the promotion ofaccess to information (Gonzalez, 2016). Also, it helped serve a largenumber of patients. All these necessitates proper installation andmaintenance of the system since for increased care quality.
LiteratureReview on this Type of Implementation/Acquisition
Severalstudies recommend use of information technology in addressing theproblems in the medical field. For instance, Wilson (2014)acknowledges the care coordination as a strategy to improve caredelivery to the patients suffering from chronic diseases or otherintense medical complication. Although Falveyet al(2016) recommends coordination care through patient’s referrals,transfers or admission, the use of it is held the most successful.Falveyet al(2016) explains that health institutions should invest intechnologies that seek to improve patient’s care through timelyresponses, efficiency in resource use and cost reduction. Moreimportantly, institutions should ensure that its staff and patientcan effectively and safely use such technologies to provide andaccess care (Wilson, 2014). Therefore, the information systems ortools developed should be easy to use to both patients and newmedical staff. More importantly, the systems should seek to blockthreats such as penetrations which can lead to breach or loss ofimportant patient’s data.
Gatekeeper(s)Is In This Type of Acquisition
Accordingto the clip, the gatekeepers in the described information system foraddressing care fragmentation include primary caregiver, the assignedprovider and other physicians who may get involved with the patient(HealthIt Success Story – Using it to fight care fragmentation,2013). Also, the patients have control of the information in thesystem that is used to determine the best care.
TheInitial Reaction and Cost Impacts of the System Acquisition
Accordingto the case video, doctors sought to develop a system that canfacilitate care coordination. The original idea had limited practicalsupport but theoretically, the designers hoped for an effectivesystem. The system was accepted at first and even afterimplementation, the project managers, patient who relied on thesystem and physicians realized the system provided quality care(HealthIt Success Story – Using it to fight care fragmentation,2013). Consequently, the cost of care reduced since the manualactivities for care coordination through care transition wereautomated. More important, large groups could be served with thesystem thereby reducing the costs.
Inbrief, care coordination is important in care delivery and theadoption of information technology can greatly impact the carequality. Also, understanding of core principles of fragmentation hasimproved the quality of my research topic which is investigating theneed and impacts of change in patient’s affairs management system.
Falvey,J. R., Burke, R. E., Malone, D., Ridgeway, K. J., McManus, B. M., &Stevens-Lapsley, J. E. (2016). Role of Physical Therapists inReducing Hospital Readmissions: Optimizing Outcomes for Older Adult.During Care Transitions from Hospital to Community.Physical Therapy,96(8), 1125-1134. doi:10.2522/ptj.20150526
Gonzalez,J. L. (2016). Medication Management and Reconciliation.Physician Leadership Journal,3(4), 24-29.
HealthIt Success Story – Using it to fight care fragmentation.(2013). Rockville, United States.
Wilson,J. L. (2014). Benevolent Health Changes Acquisition Strategy. Journalof the International Academy for Case Studies,20(3), 67-71