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

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

3. SWOT Analysis

4. 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?

5. 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

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

7. 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

8. 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
…………..

9. 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?

10. 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

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

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

13. 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

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

16. 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

17. 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

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

19. PHR Evaluation

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

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

22. User Needs Assessment Process

23. 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 _______

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

25. 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)

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

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

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

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

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

31. Minimize the ________

32. 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.

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

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

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

36. 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

37. 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)

38. 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.