Advanced Health Informatics Class Topic Review LIS 4776 Advanced Health Informatics Week 11 Instructor: Dr. Sanghee Oh College of Communication & Information, Florida State University

HIT Topics Covered: Strategic Planning What is Strategic Planning? SWOT Analysis Vision, Mission, Goals/Objectives, Outcome Measures, Action Plans

SWOT Analysis

SWOT Analysis _____________________ are internal to the company (think: reputation, patents, location). You can change them over time but not without some work.  _____________________ are external (think: suppliers, competitors, prices)—they are out there in the market, happening whether you like it or not. You can’t change them. Source:Berry. T. What is a SWOT analysis? http://articles.bplans.com/how-to-perform-swot-analysis/

Strategic Planning Overview Guiding Principles _______ ____________ Key areas of focus for next 1 – 5 years Identify the top 3 ______________ Objective measurements of Goal performance _____________ Programs to achieve Goals 6–12 mnth timeframe

Strategic Planning Overview Presentation Information Strategic Planning Overview Outcome Measures Objective measurements of Goal performance SMART CONFIDENTIAL

Strategic Planning Overview Presentation Information Strategic Planning Overview Action Plans Programs to achieve Goals 6–12 month timeframe OGSM Model ___________ Defined: What we need/want to fulfill mandate or mission Your objectives should be fairly obvious and simple. The specific results we need to achieve our objective A specific and actionable definition of what 'success' actually looks like. Must be S.M.A.R.T. (Specific, measurable, actionable, realistic, time-bound.) How we will achieve our goals Often take the form of projects or programs. Must make a specific decision or it is not a strategy. How will we know if our strategies were successful, and thus if we achieved our goals Objective and quantifiable. Necessitates data collection. Measures serve as the basis for evaluating performance of the organization and of the managers, volunteers and employees. Form: Words Numbers/Dates Numbers CONFIDENTIAL

OGSM: ___________________________ Strategy 1 Measure Goal 1 Strategy 2 Measure Strategy 3 Measure Strategy 1 Measure Objective 1 Goal 2 Strategy 2 Measure Objective 2 Strategy 3 Measure ……….. Goal 3 …………..

HIT Topics Covered: Strategic Planning Records Management What is Records Management? What should be included in records management policy? What are the risks with unmanaged records?

Presentation Information Records Management Record Policy must include: ________ The policy must be broad enough to meet standards for compliance to be legal admissibility to be secure and private AND must be capable of demonstrating this compliance. CONFIDENTIAL

Risk with Unmanaged Records _____________________ Unnecessary retention of information Inability to locate information

HIT Topics Covered: Strategic Planning Records Management IT Governance What is IT Governance?

Presentation Information IT Governance Definition: Specifying the ____________ and _________________to encourage desirable behavior in using IT IT Governance is about determining ____ systematically makes and contributes to those decisions IT Governance is about encouraging and leveraging the ingenuity of the enterprise’s people in IT usage and __________________with the enterprise’s overall vision and values CONFIDENTIAL

HIT Topics Covered: Strategic Planning Records Management IT Governance PHR What is PHR? Challenges of PHR for consumers and industry PHR Evaluation

Presentation Information PHR Functionality PHR Type Benefits Disadvantages Independent, personal tools e.g.: iHealthRecord As with all PHRS: Accessibility. Security and privacy: Visibility to all tests and records. Several disadvantages, but the key is that is Laborious and error prone. Transaction Data-driven e.g.: Aetna, Blue Cross Low startup effort: Automatic data population. Limited data - specific to supplier type, such as health claims. EHR Integrated e.g.: Pal Alto Medical Foundation Holy grail Rare to find. CONFIDENTIAL

Presentation Information PHR Functionality PHR Functionality Ability to enter and edit ____________ information Ability to make ____________ and receive ____________(wellness) Ability to ____________ with care provider, reorder prescriptions Ability to locate “vetted” patient ____________ Ability to track bills, copays, insurance payments Ability to review medical records, lab work, discharge summaries Ability to report ____________ data Ability to track trends, map data Ability to use multiple languages and ADA compliant ** AHIC study in 2006 found that 50% can report outcome data and provide patient educational materials – the rest of the measures were below 30% PHR Type Benefits Disadvantages Independent, personal tools e.g.: iHealthRecord As with all PHRS: Accessibility. Security and privacy: Visibility to all tests and records. Several disadvantages, but the key is that is Laborious and error prone. Transaction Data-driven e.g.: Aetna, Blue Cross Low startup effort: Automatic data population. Limited data - specific to supplier type, such as health claims. EHR Integrated e.g.: Pal Alto Medical Foundation Holy grail Rare to find. CONFIDENTIAL

Presentation Information Challenges Model Consumer ____________ PHR Adoption & Usage ____________ ____________ ____________ ____________ Industry ____________ ____________ ____________ ____________ ____________ CONFIDENTIAL

PHR Evaluation

PHR Evaluation Availability/Access Completeness Privacy Security Usability Portability Vendor reliability

HIT Topics Covered: Strategic Planning Records Management IT Governance PHR EMR User Needs Assessment How do you find EMRs for your health organizations?

User Needs Assessment Process

User Needs Assessment Process 0. ____________________ 1. Create a __________ 2. Start with a ___________ 3. _______________ 4. Methods of Analysis – what are the goals? 5. Key Success Factors 6. Look at ____ options 7. What about the _______

Topics Covered Strategic Planning Records Management IT Governance IT Standards PHR EMR Health Websites Health website evaluation e-Health code of ethics

FAQ Is the information _____ by experts? _____ runs the site? _____ did the information come from? Does the site make _____? Do “they” want your _____ information? What will “they” do with it? _____ runs the site? _____ have they created the site? Who is _____ the site? Does the site’s information favor the sponsor? Is it _____? (National Cancer Institute, 2005)

Criteria for Reliability (The National Library of Medicine, 2006b)

Criteria for Reliability __________ (The National Library of Medicine, 2006b)

e-Health Code of Ethics: 8 Guiding Principles 1. ________ 2. ________ 3. ________ 4. Informed Consent 5. ________ 6. Professionalism 7. Responsible partnering 8. Accountability

HIT Topics Covered: Strategic Planning Records Management IT Governance IT Standards PHR EMR Health Websites EMR Vendor Evaluation EMR Vendor Evaluation Criteria

What to Consider for EMR 1. ________ : 2. ________ : 3. ________ : 4. ________ : 5. ________ : 6. ________ : 7. ________ : 8. ________ :

Minimize the ________

Criteria for Evaluation of Electronic Medical Record System Vendors ________(due diligence) ________ Current technology architecture Service and support Relationship Company vision for future technology architecture Pricing and products See the Herding_Cats article in Canvas> Modules > Week 8 or Canvas > Assignment > Reports > Report 8.

HIT Topics Covered: Strategic Planning Records Management IT Governance PHR EMR Health Websites EMR Vendor Evaluation EMR Implementation The 6 step approach

Presentation Information The 6 Step Approach 1. Analyze ________. 2. Set ________ (Why an EMR?). 3. Choose ________. 4. Make a ________. 5. Select ________. 6. Negotiate with ________ CONFIDENTIAL

HIT Topics Covered: Strategic Planning Records Management IT Governance PHR EMR Health Websites EMR Vendor Evaluation EMR Implementation

HIT Topics, Will be Covered: HIT Topics Covered: Strategic Planning Records Management IT Governance PHR EMR Health Websites EMR Vendor Evaluation EMR Implementation HIT Topics, Will be Covered: User Training Privacy Security HIPPA Analysis Audit Trails

Class Schedule Week 10: User Training (3/17) 3/20: Report 7: Vendor Evaluation Week 11: No Classes (3/22, 3/24) Week 12: Medical Site Visit Report Presentations (3/29, 3/31) Week 13: Privacy, Security, HIPPA Analysis (4/5, 4/7) 4/3: Report 8: EMR Implementation Week 14: Audit Trails (4/12, 4/14) 4/10: Report 9: Training Week 15: Putting it all together! (4/19, 4/21) 4/17: Report 10: HIPPA Week 16: Final exam (4/26, 4/28)

Medical Site Visit Report Presentation Prepare 7 (Min) to 8 (Max) minute-presentation of sharing your experiences of the site visit in class. You can use PPT, photos, clinic websites, or anything else you'd like to show and tell for this presentation.  The presentation covers critical and interesting findings from the site visit. The presentation is well-prepared using the assigned time effectively (Minimum 7 mins - Maximum 8 mins) The medical site visit report due date is March 28th, midnight.