Partners Health Care Systems for LMR -myassignmenthelp.com

Question: Discuss about thePartners Health Care Systems for LMR. Answer: Longitudinal Medical Record (LMR) is a medical record system that records a comprehensive summary of the clinical data of every patient, their experience while receiving healthcare and past medical history. Whereas, the Computerized Physician Order Entry (CPOE) is a system in which, the medical professional place orders or prescribe medication electronically rather than on paper (Ash et al., 2012). These two systems helped to introduce a wide positive shift in the healthcare system. Before the inception of LMR and CPOE, the nature of the healthcare system was uncertain. Doctors did not knew about the medical history of the patient, past treatments and medications. The economic structure was also very complex. Physicians used to provide prescriptions with poor handwriting and mistakes and therefore the patient sometimes cannot access those medication of therapies prescribed. Hence, the healthcare system needed to be reformed to balance the cost and quality of healthcare. After implementation of LMR and CPOE, healthcare system was changed completely. The physician was able to access the clinical data of the patient as the record was maintained by software. CPOE enabled the physicians to lessen their errors and help them to maintain easy clinical workflow (Varghese et al., 2016). These advantages helped the LMR and CPOE system to change the core healthcare delivery business. Introduction LMR and CPOE in the marked as medical reform in the history of healthcare, however, despite of the potential advantages of these services, its implementation had to face restrictions and barriers from the entire healthcare world (Wright Bates, 2014). Some of the potential barriers are as follows: The prime barrier to implement these systems was lack of knowledge about cost-benefit analysis or financial reimbursement. Healthcare professions were concerned about their privacy and confidentiality Professionals lack a trained work force to manage these clinical interventions, they also did not know about health information data standards. Physicians were unwilling to adapt to such changes and were not interested to write prescriptions electronically rather than on paper. To overcome these barriers founders of Partners Healthcare Systems (PHS) Arranged medical reimbursements from medical insurance companies and let the physicians to implement this IT intervention for the ease of their work. The doctors got 90 percent of insurance before introduction of this technology and after successful implementation, the rest of the money was given to run the process (Wright Bates, 2014). Proper training session and workshops were arranged for physicians and their supporting staff to be familiar with the process. This way the leadership was able to overcome the potential barrier to implement PHS system. Health Information System (IS) is defined as a system having four core functions in healthcare: data generation, compilation, analysis and further communication. It allows the healthcare professionals to collect data from the database, analyze the quality, timeline and relevance and use those data for decision-making (Laudon Laudon, 2016). The IS system is present from the inception of the PHS system and the architecture of this system includes a stable executive management, the entire team is focused to achieve a common goal, alignment of business within IT by placing executive level workers within the prime business units and development and maintenance of enterprise level approach. These architectural interventions of IS system helped them to serve more than 80,000 end users and 82,000 computers running on their network. Stability in the executive management as the first positive thing happened for implementation of successful PHS system. The first chief information officer (CIO) John Glaser and his Deputy CIO, Mary Finley formed a team that focused mainly on the planning, research and staffing of the IS department. As the IS system had business offices in 18 different locations, each unit has an integrated customer facing CIO, to support more than 6000 general physicians and healthcare professional. This way the architecture of IS unit helped the PHS to achieve success. The Information system was determined to carry out research and development (RD) in the process and to implement that the Chief Information officer (CIO) John Glaser set up an organizational unit to assess the IT enablement of partners healthcare business processes (Laudon Laudon, 2016). They were divided into four parts: To address the clinical development and infrastructure, clinical research and development team was formed. To explore the return on the investment of purchasing LMR or CPOE systems, IT leadership center was created. A center for health connection was formed to identify how development in telecommunication and IT can help to transform healthcare process. A clinical and quality analysis team was formed to assess the impact of CPOE and LMR on clinical healthcare system. These RD interventions was required to assess the positive or negative results of implementation of EMR system in healthcare. These intervention centers contribute to the initial successor to the ongoing value of the LMR/CPOE investment. It enables a knowledge management process that help to derive information from observable outcomes. It creates a decision support process, and strengthen the decision with facts and clinical data surveys using entire PHS database. Hereby, lowering the chance of mistakes and enabling positive outcomes. References Ash, J. S., Sittig, D. F., Guappone, K. P., Dykstra, R. H., Richardson, J., Wright, A., ... Middleton, B. (2012). Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study.BMC medical informatics and decision making,12(1), 6. Laudon, K. C., Laudon, J. P. (2016).Management information system. Pearson Education India. Varghese, P., Wright, A., Andersen, J. M., Yoshida, E. I., Bates, D. W. (2016). Clinical Decision Support: The Experience at Brigham and Womens Hospital/Partners HealthCare. InClinical Decision Support Systems(pp. 227-244). Springer International Publishing. Wright, A., Bates, D. W. (2014). Patients, Doctors, and Information Technology Clinical Decision Support at Brigham and Womens Hospital and Partners HealthCare.Clinical Decision Support: The Road to Broad Adoption, 189.