Please choose from the following EHRs for this assignment:
AdvancedMD
EPIC
Kareo Or you may choose another EHR that you are able to find the cost and all the associated items in the rubric.
This criterion is linked to a Learning OutcomeExecutive Summary (Abstract)
which includes goals, business profile, NP or healthcare services if applicable, and an overall summarization of the necessity for proposing implementation of an electronic health record (EHR) – all of this as one page – single spaced in appropriate location for this section only!
5Â to >0.0Â pts
Full Marks
0Â pts
No Marks
5Â pts
This criterion is linked to a Learning OutcomeAssessment of the Proposed EHR
Provide a detailed description of the proposed EHR, its components, cost, and requirements for continued technical support (this section should be at minimum 1-2 pages)
15Â to >0.0Â pts
Full Marks
0Â pts
No Marks
15Â pts
This criterion is linked to a Learning OutcomeEHR Criteria
Discuss in detail how the proposed EHR meets the requirements of the ARRA (NIST certification criteria), health information and data, results management, order entry management, decision support, electronic communication connectivity, patient support, administrative processes, and reporting data for population health management.
20Â to >0.0Â pts
Full Marks
0Â pts
No Marks
20Â pts
This criterion is linked to a Learning OutcomeStrengths and Weaknesses
Compare and contrast the strengths and weaknesses of the proposed EHR.
15Â to >0.0Â pts
Full Marks
0Â pts
No Marks
15Â pts
This criterion is linked to a Learning OutcomeCost Analysis
Provide a cost analysis of the estimated dollar amount required to implement the proposed EHR into your business. Provide a proposal for coverage of this cost with a return on investment analysis. Incentives available for reimbursement are expected to be discussed. Also, provide a cost analysis for ongoing technical support for your proposed EHR with a budgetary breakdown.
20Â to >0.0Â pts
Full Marks
0Â pts
No Marks
20Â pts
This criterion is linked to a Learning OutcomeAdministrative Applications and Patient Safety
Explain how the proposed EHR will support administrative applications (i.e. billing and coding, scheduling, interoperability, reports/data analysis, etc.). Also, discuss how the proposed EHR will ensure compliance with HITECH and HIPAA.
15Â to >0.0Â pts
Full Marks
0Â pts
No Marks
15Â pts
This criterion is linked to a Learning OutcomeAPA
Correct APA formatting (one-point deduction per APA formatting error
The Abstract must be SINGLED SPACE
Proposed Electronic Health Records
Student’s Name
Institutional Affiliations
Executive Summary/Abstract
AdvancedMD is a form of electronic health records software that supports the activities of physicians and other healthcare professionals within the healthcare environment. It is a cloud system form of technology with a comprehensive suite of features that offer solutions to both the needs of a healthcare facility and those of its clients. The goal of implementing an AdvancedMD technology is to manage multiple providers from multiple locations in a central place or system. The business profile for AdvancedMD technology entails the provision of cloud system services mainly for ambulatory medical services. Since it was founded in 1999, several health systems have integrated the AdvancedMD technology and it is currently connecting more than 22,500 practitioners across 8,000 practices and 600 medical billing organizations. AdvancedMD has its headquarters in South Jordan, Utah. The healthcare facility needs to implement the AdvancedMD in order to have a fully integrated platform for managing medical practice and billing. The facility will have to perform a comprehensive training to equip potential users with the knowledge and skills that they need to operate the system to ensure successful implementation.
Assessment of the Proposed EHR
The proposed electronic health records system (EHR), is integrated software that has been developed for healthcare organizations offering various forms of healthcare services. It is suitable for the organization because it will enhance medical management and billing (AdvancedMD., 2021). The specific components of AdvancedMD that make it useful as a medical management software include; a platform for practice management, digitalized patient information in the form of electronic health records, billing, tools that facilitate patient engagement tools, a functionality for telemedicine, patient charts, financial analytics tools, and business intelligence reporting. All these components work together to improve medical practice workflows in an automated manner (Uzialko, 2021). The technology allows access to health data remotely with enhanced security levels.
The cost of implementing AdvancedMD is approximately 5,000 United States dollars. These charges include installation and training costs. One-on-one training helps potential users to effectively how to use the technology. This can be combined with virtual training to explain a few aspects that can easily be understood when presented theoretically (Uzialko, 2021). In addition to the necessary skills, an up-to-date software is required for continued technical support. The software components that make AdvancedMD operational are the Windows and Mac operating systems on computer as well as the Android app and iOS on mobile devices (Uzialko, 2021). The AdvancedMD display is created in the form of a browser.
EHR Criteria
AdvancedMD meets the standards of meaningful use. The Health Information Technology for Economic and Clinical Health (HITECH) Act provides funding that is used as meaningful use incentives for AdvancedMD. The HITECH Act is a component of the American Recovery and Reinvestment Act (ARRA) of 2009. Therefore, the healthcare facility must ensure that the technology is implemented in a manner that complies with the requirements of both the HITECH Act and the ARRA to be able to receive meaningful use incentives (AdvancedMD., 2021). Another criterion that the technology must meet to be allowed to operate is, adherence to the test procedures documented by the National Institute of Standards and Technology (NIST). The organization must ensure that a test is done and a certificate issued to confirm compliance (AdvancedMD., 2021). Meeting these criteria are among the initial steps towards the successful AdvancedMD implementation.
The organization must ensure that the AdvancedMD technology is integrated with specific features that will allow entry and storage of health information and data, results management, and administrative processes. A number of features of the AdvancedMD technology enable it to perform these functions (Uzialko, 2021). For example. scheduling, as an important component of the administrative process, is facilitated by the AdvancedMD scheduler. This feature enables physicians to plan appointments and use filters to organize locations. Entry and storage of health data are achieved through clinical notes. The user can enter specific patient data in the available templates in preparation for appointments (Uzialko, 2021). Results management on the AdvancedMD is achieved using the dashboard. The dashboard displays the data that the user wants to see at any given time including laboratory results, prescriptions, and charge slips among other things (Uzialko, 2021).
The ‘patient encounter’ feature promotes order entry management, decision support, and electronic communication connectivity. With this feature in place, the user can add all the details related to the patient to the system including collecting a doctor with a patient. The technology will also allow a healthcare provider to make a telemedicine appointment with a patient who does not manage to travel to the facility physically (Uzialko, 2021). Patient support is achieved through a phone call that is connected to the system. Further communication is achieved through patient portals. AdvancedMD has a reporting feature that facilitates the reporting of data for population and patient health management. The suite that allows for reporting is called AdvancedInsight (Uzialko, 2021). The leaders of the organization are charged with the responsibility of ensuring that the technology meets these EHR criteria.
Strengths and Weaknesses
AdvancedMD has a number of strengths and weaknesses. One of its strengths lies in the availability of advanced features that can be selected with one click to obtain the desired option at any given time. Such features are uncommon with other forms of EHR. The other strength of AdvancedMD is that it is a flexible technology that gives users an opportunity to tailor their practices to the desired workflow (Uzialko, 2021). Furthermore, the fact that AdvancedMD allows the management of multiple providers at a time from different locations is viewed as a strength. The other strength of the technology lies in the fact that its implementation includes guided training to equip users with the skills and knowledge to navigate the system. Integrated workflows that are offered by AdvancedMD automate the patient journey (AdvancedMD., 2021). They also improve the patient experience right from self-scheduling at the hospital or telemedicine appointments for those who cannot visit the hospital in person.
Two areas of weaknesses have been identified with the AdvancedMD. First, the technology is quite expensive to implement. Second, the user interface, although properly organizes, can be overwhelming to use (Uzialko, 2021). To mitigate these weaknesses, the organization must put enough funds in place to facilitate implementation. It must also conduct comprehensive training to ensure that providers can easily navigate through the system.
Cost Analysis
The total estimated cost for implementing AdvancedMD is 5,000 United States dollars. This charge would cover both installation and training. The installation of macros, workflows, templates, and other features must be done to make the technology operational. The account manager will be paid using part of the amount (Uzialko, 2021). This professional will be hired to provide technical support and to oversee the processes and workflows before and after it goes live. The budgetary breakdown for implementation and ongoing technical support is as follows; configuration and installation: $3,000; Training: $1,000; Labor and technical support: $800; and Miscellaneous: $200.
The implementation cost will be covered using the company’s capital and incentives. The organization will receive meaningful use incentives when the technology meets the HITECH and ARRA requirements. Return on investment will be achieved through pricing. Pricing, to achieve variable returns, will be done using two models. The two models are the per-provider model paid monthly and an encounter-based model paid at the time of patient encounter (Uzialko, 2021). Charges for the per-provider model will be $429 per month whereas that for the encounter-based model will be $2.40 per patient encounter. With a constant flow of patients, it is anticipated that the organization will be able to earn revenue and recover the costs incurred during implementation.
Administrative Applications and Patient Safety
AdvancedMD will support a number of administrative applications. For example, it will support billing using TriZetto and Waystar clearinghouses. The technology will also support coding using in-built software that includes CPT code libraries and ICD-10 codes. Scheduling and reporting will be supported using AdvancedMD scheduler and AdvanceInsight suite respectively. The ‘patient encounter’ software will allow interoperability whereas the dashboard will support data analysis and display of results (Uzialko, 2021). Compliance with HITECH will be maximized by ensuring that the user interface is easy to use (Mastrian & McGonigle, 2016). Patient safety is an important consideration that must be made during HER implementation (World Health Organization, 2017). In this respect, compliance with HIPAA will be ensured by keeping the computers in safe rooms and restricting unauthorized access of patients’ data through the use of passwords (Mastrian & McGonigle, 2016).
References
AdvancedMD. (2021). AdvancedMD: Practice, on the cloud. https://www.advancedmd.com/
Mastrian, K. G., & McGonigle, D. (2016). Informatics for health professionals. Burlington, MA: Jones & Bartlett Learning.
Uzialko, A. (2021). AdvancedMD review. https://www.business.com/reviews/advancedmd-electronic-medical-records-emr/
World Health Organization. (2017). Handbook for Electronic Health Records implementation. Author.